10A NCAC 09 .0601 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/2/2026 Number Present: 37 Completed Date: 4/2/2026 Age: From 0 To 5 Total Minutes: 540 Time In: 08:30 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Keri Moody, Director and Kaitlyn Peters, Assistant Director. Whitney Griffin, Regional Manager, was also present during the visit. Your program currently operates with a 4- Star license. Restrictions include first shift care, meets enhanced ratios, and meets enhanced space. The following violation documented during the Complaint Follow-Up visit on 3/19/2026 was monitored for compliance during this visit: • The staff/child ratios for children, two years and older, during naptime were not maintained by having at least one person in each room, visually supervising all children and the total number of required staff on the premises within calling distance of each room occupied by children. During the walkthrough, in Space 1, a classroom designated for children one year of age, I observed seven children one year of age napping with one staff member present in the classroom. Staff: child ratios and group sizes were observed to be in compliance in all classrooms during the visit. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 80 % prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in games, activities, and conversations with their teachers, playing outdoors, participating in general routines, eating lunch, and napping during the visit. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 4/09/2025. A sanitation inspection was completed 8/06/2025 with a Superior classification. The last fire inspection was conducted in 10/24/2025. Program records and required postings were monitored. A fire drill was conducted on 4/01/2026. A shelter in place drill was documented on 3/16/2026. An outdoor inspection was documented on 3/03/2026. Staff files and children’s records were monitored per DCDEE procedures. The files for nine new staff members, one existing staff member, and one substitute staff member were monitored during the visit. The files for six children enrolled were monitored during the visit as well. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. Storage and administration of medication were monitored. Medication authorization was monitored. The program currently transports five children enrolled who are School Age from school each day. I monitored two (2) vehicles, both microbuses. I observed one 2003 microbus, license plate tag # AES1931, which is the bus normally used by the facility, but Ms. Moody stated it has not been driven in two months, as the “Check Engine” light went on, and it needs to be serviced. A No Smoking sign was observed posted inside the vehicle. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on this vehicle is due 6/30/2025, and the insurance is valid through 6/01/2026. I also observed one microbus, license plate tag # BU29486, which is the bus currently being used by the facility until the other vehicle is serviced. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on this vehicle is due 11/2026, and the insurance is valid through 6/01/2026. All required transportation documentation was monitored for compliance. Ms. Moody stated the program does not participate in off-premise activities or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. Space 5, the classroom designated for children of Pre-K and School Age was observed to not have a sufficient amount of art materials accessible for children in care. .0510(d)(1) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. An allergy list was not observed posted in the facility's kitchen. .0901(g) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The infant feeding plan for one child enrolled in Space 2 was observed to not include a parent signature. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by infants and toddlers, the small stationary structure was observed to have red peeling paint in greater than three areas, and red paint flakes were observed on the mulch on the ground below structure. Additionally, greater than three areas of the steps and landing of this structure were observed to be cracked and rusting. On the playground used by children of Pre-K and School Age, four border tacks were observed to be raised and not flush with the plastic playground border, creating a hazard. These border tacks were hammered down during the visit to be flush with the playground border. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two prescription medication authorizations prescribed for one child enrolled ended on 11/01/25 and 11/22/25, respectively, but were not returned to the parent and were observed still stored in Space 2. .0803(12) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. An ITS SIDS certification was not observed on file for either the Director, or the Assistant Director. .1102(f) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The transportation emergency information and photographs for three enrolled children who are transported from school were not observed on file for review. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. The transportation authorization forms for three enrolled children who are transported from school were not observed on file for review. .1003(i)(j) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The immunization records for one child enrolled were not observed on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessments for two children enrolled were not observed on file for review. The health assessment for one child enrolled on 7/28/25 was not completed until 9/02/25. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. A date of enrollment was not recorded on the discipline policy for two children enrolled. .1804(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Criminal Background Check Qualification letter for new staff member had not yet been linked to the facility’s ABCMS facility profile; this staff member was linked to the facility profile during the visit. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was observed to be missing the emergency information for six of thirteen staff members, an allergy list, and the medication information for three children enrolled. .0607(d)(10) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The medical action plans for two children enrolled with emergency medications were not observed on file for review. .0801(b) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A No Smoking sign was not observed posted in the vehicle currently being used to transport children enrolled. .0604(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication was not observed on file for review. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment for one new staff member with a start date of 10/21/25 was not observed on file for review. .1102(g) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. The Professional Development Plan for one existing staff member was not observed on file for review. .1104(1-5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today’s visit immediately and send me documentation verifying compliance on or before 4/16/2026. 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-Stewart 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. Due to the number and nature of violations during today’s visit, an unannounced follow-up visit will be made to monitor supervision and the correction of violations cited, and an Administrative Action may be recommended. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance documented during today’s visit: • The infant feeding plan for one child enrolled in Space 2 was observed to not include a parent signature. The medication authorization form for one child enrolled with an emergency medication was not observed on file for review. The medical action plans for two children enrolled with emergency medications were not observed on file for review. The health assessments for two children enrolled were not observed on file for review. The health assessment for one child enrolled on 7/28/25 was not completed until 9/02/25. The immunization record for one child enrolled was not observed on file for review. The transportation authorization forms, emergency information, and photographs for three enrolled children who are transported from school were not observed on file for review. Two prescription medication authorizations prescribed for one child enrolled ended on 11/01/25 and 11/22/25, respectively, but were not returned to the parent and were observed still stored in Space 2. An ITS SIDS certification was not observed on file for either the Director, or the Assistant Director. Ms. Moody stated both staff members are scheduled to complete ITS SIDS on 4/16/26. The training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment for one new staff member with a start date of 10/21/25 was not observed on file for review. The Professional Development Plan for one existing staff member was not observed on file for review. The Ready to Go file was observed to be missing the emergency information for six of thirteen staff members, an allergy list, and the medication information for three children enrolled. It is imperative for all required child, staff and program file documentation to be current and on file at all times to ensure the health, safety, and quality of care of children enrolled. Ms. Moody stated she is catching up on paperwork due to being severely short staffed and will correct all of these issues as soon as possible. You may consider requesting a Technical Assistance session from your child care consultant in the near future to review requirements for all staff, child, and program records. You may also consider requesting a New Director’s training from your Child Care Consultant in the near future. The Criminal Background Check Qualification letter for new staff member had not yet been linked to the facility’s ABCMS facility profile; this staff member was linked to the facility profile during the visit. It is necessary for all staff members to be linked to the center's facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Moody stated this employee had been entered into ABCMS, but she had not clicked the blue "Hire" button and entered the hiring information to make the staff member visible in ABCMS. You may consider adding this task as a part of the onboarding process for new staff members. Space 5, the classroom designated for children of Pre-K and School Age was observed to not have a sufficient amount of art materials accessible for children in care. Ms. Moody stated a child who is in the process of having a diagnostic evaluation completed often knocks all of the art materials off of the shelves. We discussed that because the children enrolled in this classroom are four and five years of age, staff may consider organizing these materials on shelves in clear bins with lids and pictures of the materials inside on top of each lid so children enrolled can still access and use a variety of art materials. On the playground used by infants and toddlers, the small stationary structure was observed to have red peeling paint in greater than three areas, and red paint flakes were observed on the mulch on the ground below structure. Additionally, greater than three areas of the steps and landing of this structure were observed to be cracked and rusting. Ms. Moody stated she had submitted a work order for these items to be repaired on 12/03/25, but that guidance was given from maintenance that the weather needed to be warmer in order for the paint to dry. Ms. Moody stated the maintenance gentleman visited the facility this morning and stated these repairs would be made this weekend. On the playground used by children of Pre-K and School Age, four border tacks were observed to be raised and not flush with the plastic playground border, creating a potential entanglement hazard. These border tacks were hammered down during the visit to be flush with the playground border. It is imperative for the outdoor environment to be a safe place for the children to engage with and explore at all times. You may consider adding these items to your daily playground check prior to children using the playground. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please submit all education (current and newly completed) to DCDEE Works for both new staff members (within six months of hire), and current staff members. • Monitor all playground for wasp nests prior to children using the playground daily. • Add materials appropriate for School Age children to Space 5 while School Age children use this space. • If you decide to consider using the swimming pool located onsite for children enrolled, you must contact me prior to allowing this to occur. • A therapist who does not have a DCDEE issued Criminal Background Check may never be left alone with children enrolled. • Remember to renew the Criminal Background Check Qualification letters for the following staff members this year: o D. Arroyo before 6/10/2026; o K. Moody before 11/17/2026; o C. Simos before 10/22/26 • Ensure all job descriptions for new staff have been reviewed and signed. 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. Griffin stated during the visit she has a District meeting scheduled for the end of April and that she will provide me additional information as to the pathway the facility will choose for the Rated License and when the facility will apply after this meeting occurs. At the completion of the visit, a copy this visit summary was printed, reviewed with and provided to 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, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov Office: 336-317-5003 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 .1003 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/2/2026 Number Present: 37 Completed Date: 4/2/2026 Age: From 0 To 5 Total Minutes: 540 Time In: 08:30 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Keri Moody, Director and Kaitlyn Peters, Assistant Director. Whitney Griffin, Regional Manager, was also present during the visit. Your program currently operates with a 4- Star license. Restrictions include first shift care, meets enhanced ratios, and meets enhanced space. The following violation documented during the Complaint Follow-Up visit on 3/19/2026 was monitored for compliance during this visit: • The staff/child ratios for children, two years and older, during naptime were not maintained by having at least one person in each room, visually supervising all children and the total number of required staff on the premises within calling distance of each room occupied by children. During the walkthrough, in Space 1, a classroom designated for children one year of age, I observed seven children one year of age napping with one staff member present in the classroom. Staff: child ratios and group sizes were observed to be in compliance in all classrooms during the visit. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 80 % prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in games, activities, and conversations with their teachers, playing outdoors, participating in general routines, eating lunch, and napping during the visit. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 4/09/2025. A sanitation inspection was completed 8/06/2025 with a Superior classification. The last fire inspection was conducted in 10/24/2025. Program records and required postings were monitored. A fire drill was conducted on 4/01/2026. A shelter in place drill was documented on 3/16/2026. An outdoor inspection was documented on 3/03/2026. Staff files and children’s records were monitored per DCDEE procedures. The files for nine new staff members, one existing staff member, and one substitute staff member were monitored during the visit. The files for six children enrolled were monitored during the visit as well. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. Storage and administration of medication were monitored. Medication authorization was monitored. The program currently transports five children enrolled who are School Age from school each day. I monitored two (2) vehicles, both microbuses. I observed one 2003 microbus, license plate tag # AES1931, which is the bus normally used by the facility, but Ms. Moody stated it has not been driven in two months, as the “Check Engine” light went on, and it needs to be serviced. A No Smoking sign was observed posted inside the vehicle. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on this vehicle is due 6/30/2025, and the insurance is valid through 6/01/2026. I also observed one microbus, license plate tag # BU29486, which is the bus currently being used by the facility until the other vehicle is serviced. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on this vehicle is due 11/2026, and the insurance is valid through 6/01/2026. All required transportation documentation was monitored for compliance. Ms. Moody stated the program does not participate in off-premise activities or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. Space 5, the classroom designated for children of Pre-K and School Age was observed to not have a sufficient amount of art materials accessible for children in care. .0510(d)(1) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. An allergy list was not observed posted in the facility's kitchen. .0901(g) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The infant feeding plan for one child enrolled in Space 2 was observed to not include a parent signature. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by infants and toddlers, the small stationary structure was observed to have red peeling paint in greater than three areas, and red paint flakes were observed on the mulch on the ground below structure. Additionally, greater than three areas of the steps and landing of this structure were observed to be cracked and rusting. On the playground used by children of Pre-K and School Age, four border tacks were observed to be raised and not flush with the plastic playground border, creating a hazard. These border tacks were hammered down during the visit to be flush with the playground border. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two prescription medication authorizations prescribed for one child enrolled ended on 11/01/25 and 11/22/25, respectively, but were not returned to the parent and were observed still stored in Space 2. .0803(12) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. An ITS SIDS certification was not observed on file for either the Director, or the Assistant Director. .1102(f) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The transportation emergency information and photographs for three enrolled children who are transported from school were not observed on file for review. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. The transportation authorization forms for three enrolled children who are transported from school were not observed on file for review. .1003(i)(j) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The immunization records for one child enrolled were not observed on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessments for two children enrolled were not observed on file for review. The health assessment for one child enrolled on 7/28/25 was not completed until 9/02/25. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. A date of enrollment was not recorded on the discipline policy for two children enrolled. .1804(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Criminal Background Check Qualification letter for new staff member had not yet been linked to the facility’s ABCMS facility profile; this staff member was linked to the facility profile during the visit. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was observed to be missing the emergency information for six of thirteen staff members, an allergy list, and the medication information for three children enrolled. .0607(d)(10) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The medical action plans for two children enrolled with emergency medications were not observed on file for review. .0801(b) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A No Smoking sign was not observed posted in the vehicle currently being used to transport children enrolled. .0604(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication was not observed on file for review. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment for one new staff member with a start date of 10/21/25 was not observed on file for review. .1102(g) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. The Professional Development Plan for one existing staff member was not observed on file for review. .1104(1-5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today’s visit immediately and send me documentation verifying compliance on or before 4/16/2026. 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-Stewart 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. Due to the number and nature of violations during today’s visit, an unannounced follow-up visit will be made to monitor supervision and the correction of violations cited, and an Administrative Action may be recommended. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance documented during today’s visit: • The infant feeding plan for one child enrolled in Space 2 was observed to not include a parent signature. The medication authorization form for one child enrolled with an emergency medication was not observed on file for review. The medical action plans for two children enrolled with emergency medications were not observed on file for review. The health assessments for two children enrolled were not observed on file for review. The health assessment for one child enrolled on 7/28/25 was not completed until 9/02/25. The immunization record for one child enrolled was not observed on file for review. The transportation authorization forms, emergency information, and photographs for three enrolled children who are transported from school were not observed on file for review. Two prescription medication authorizations prescribed for one child enrolled ended on 11/01/25 and 11/22/25, respectively, but were not returned to the parent and were observed still stored in Space 2. An ITS SIDS certification was not observed on file for either the Director, or the Assistant Director. Ms. Moody stated both staff members are scheduled to complete ITS SIDS on 4/16/26. The training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment for one new staff member with a start date of 10/21/25 was not observed on file for review. The Professional Development Plan for one existing staff member was not observed on file for review. The Ready to Go file was observed to be missing the emergency information for six of thirteen staff members, an allergy list, and the medication information for three children enrolled. It is imperative for all required child, staff and program file documentation to be current and on file at all times to ensure the health, safety, and quality of care of children enrolled. Ms. Moody stated she is catching up on paperwork due to being severely short staffed and will correct all of these issues as soon as possible. You may consider requesting a Technical Assistance session from your child care consultant in the near future to review requirements for all staff, child, and program records. You may also consider requesting a New Director’s training from your Child Care Consultant in the near future. The Criminal Background Check Qualification letter for new staff member had not yet been linked to the facility’s ABCMS facility profile; this staff member was linked to the facility profile during the visit. It is necessary for all staff members to be linked to the center's facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Moody stated this employee had been entered into ABCMS, but she had not clicked the blue "Hire" button and entered the hiring information to make the staff member visible in ABCMS. You may consider adding this task as a part of the onboarding process for new staff members. Space 5, the classroom designated for children of Pre-K and School Age was observed to not have a sufficient amount of art materials accessible for children in care. Ms. Moody stated a child who is in the process of having a diagnostic evaluation completed often knocks all of the art materials off of the shelves. We discussed that because the children enrolled in this classroom are four and five years of age, staff may consider organizing these materials on shelves in clear bins with lids and pictures of the materials inside on top of each lid so children enrolled can still access and use a variety of art materials. On the playground used by infants and toddlers, the small stationary structure was observed to have red peeling paint in greater than three areas, and red paint flakes were observed on the mulch on the ground below structure. Additionally, greater than three areas of the steps and landing of this structure were observed to be cracked and rusting. Ms. Moody stated she had submitted a work order for these items to be repaired on 12/03/25, but that guidance was given from maintenance that the weather needed to be warmer in order for the paint to dry. Ms. Moody stated the maintenance gentleman visited the facility this morning and stated these repairs would be made this weekend. On the playground used by children of Pre-K and School Age, four border tacks were observed to be raised and not flush with the plastic playground border, creating a potential entanglement hazard. These border tacks were hammered down during the visit to be flush with the playground border. It is imperative for the outdoor environment to be a safe place for the children to engage with and explore at all times. You may consider adding these items to your daily playground check prior to children using the playground. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please submit all education (current and newly completed) to DCDEE Works for both new staff members (within six months of hire), and current staff members. • Monitor all playground for wasp nests prior to children using the playground daily. • Add materials appropriate for School Age children to Space 5 while School Age children use this space. • If you decide to consider using the swimming pool located onsite for children enrolled, you must contact me prior to allowing this to occur. • A therapist who does not have a DCDEE issued Criminal Background Check may never be left alone with children enrolled. • Remember to renew the Criminal Background Check Qualification letters for the following staff members this year: o D. Arroyo before 6/10/2026; o K. Moody before 11/17/2026; o C. Simos before 10/22/26 • Ensure all job descriptions for new staff have been reviewed and signed. 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. Griffin stated during the visit she has a District meeting scheduled for the end of April and that she will provide me additional information as to the pathway the facility will choose for the Rated License and when the facility will apply after this meeting occurs. At the completion of the visit, a copy this visit summary was printed, reviewed with and provided to 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, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov Office: 336-317-5003 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: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/2/2026 Number Present: 37 Completed Date: 4/2/2026 Age: From 0 To 5 Total Minutes: 540 Time In: 08:30 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Keri Moody, Director and Kaitlyn Peters, Assistant Director. Whitney Griffin, Regional Manager, was also present during the visit. Your program currently operates with a 4- Star license. Restrictions include first shift care, meets enhanced ratios, and meets enhanced space. The following violation documented during the Complaint Follow-Up visit on 3/19/2026 was monitored for compliance during this visit: • The staff/child ratios for children, two years and older, during naptime were not maintained by having at least one person in each room, visually supervising all children and the total number of required staff on the premises within calling distance of each room occupied by children. During the walkthrough, in Space 1, a classroom designated for children one year of age, I observed seven children one year of age napping with one staff member present in the classroom. Staff: child ratios and group sizes were observed to be in compliance in all classrooms during the visit. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 80 % prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in games, activities, and conversations with their teachers, playing outdoors, participating in general routines, eating lunch, and napping during the visit. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 4/09/2025. A sanitation inspection was completed 8/06/2025 with a Superior classification. The last fire inspection was conducted in 10/24/2025. Program records and required postings were monitored. A fire drill was conducted on 4/01/2026. A shelter in place drill was documented on 3/16/2026. An outdoor inspection was documented on 3/03/2026. Staff files and children’s records were monitored per DCDEE procedures. The files for nine new staff members, one existing staff member, and one substitute staff member were monitored during the visit. The files for six children enrolled were monitored during the visit as well. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. Storage and administration of medication were monitored. Medication authorization was monitored. The program currently transports five children enrolled who are School Age from school each day. I monitored two (2) vehicles, both microbuses. I observed one 2003 microbus, license plate tag # AES1931, which is the bus normally used by the facility, but Ms. Moody stated it has not been driven in two months, as the “Check Engine” light went on, and it needs to be serviced. A No Smoking sign was observed posted inside the vehicle. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on this vehicle is due 6/30/2025, and the insurance is valid through 6/01/2026. I also observed one microbus, license plate tag # BU29486, which is the bus currently being used by the facility until the other vehicle is serviced. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on this vehicle is due 11/2026, and the insurance is valid through 6/01/2026. All required transportation documentation was monitored for compliance. Ms. Moody stated the program does not participate in off-premise activities or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. Space 5, the classroom designated for children of Pre-K and School Age was observed to not have a sufficient amount of art materials accessible for children in care. .0510(d)(1) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. An allergy list was not observed posted in the facility's kitchen. .0901(g) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The infant feeding plan for one child enrolled in Space 2 was observed to not include a parent signature. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by infants and toddlers, the small stationary structure was observed to have red peeling paint in greater than three areas, and red paint flakes were observed on the mulch on the ground below structure. Additionally, greater than three areas of the steps and landing of this structure were observed to be cracked and rusting. On the playground used by children of Pre-K and School Age, four border tacks were observed to be raised and not flush with the plastic playground border, creating a hazard. These border tacks were hammered down during the visit to be flush with the playground border. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two prescription medication authorizations prescribed for one child enrolled ended on 11/01/25 and 11/22/25, respectively, but were not returned to the parent and were observed still stored in Space 2. .0803(12) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. An ITS SIDS certification was not observed on file for either the Director, or the Assistant Director. .1102(f) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The transportation emergency information and photographs for three enrolled children who are transported from school were not observed on file for review. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. The transportation authorization forms for three enrolled children who are transported from school were not observed on file for review. .1003(i)(j) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The immunization records for one child enrolled were not observed on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessments for two children enrolled were not observed on file for review. The health assessment for one child enrolled on 7/28/25 was not completed until 9/02/25. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. A date of enrollment was not recorded on the discipline policy for two children enrolled. .1804(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Criminal Background Check Qualification letter for new staff member had not yet been linked to the facility’s ABCMS facility profile; this staff member was linked to the facility profile during the visit. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was observed to be missing the emergency information for six of thirteen staff members, an allergy list, and the medication information for three children enrolled. .0607(d)(10) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The medical action plans for two children enrolled with emergency medications were not observed on file for review. .0801(b) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A No Smoking sign was not observed posted in the vehicle currently being used to transport children enrolled. .0604(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication was not observed on file for review. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment for one new staff member with a start date of 10/21/25 was not observed on file for review. .1102(g) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. The Professional Development Plan for one existing staff member was not observed on file for review. .1104(1-5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today’s visit immediately and send me documentation verifying compliance on or before 4/16/2026. 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-Stewart 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. Due to the number and nature of violations during today’s visit, an unannounced follow-up visit will be made to monitor supervision and the correction of violations cited, and an Administrative Action may be recommended. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance documented during today’s visit: • The infant feeding plan for one child enrolled in Space 2 was observed to not include a parent signature. The medication authorization form for one child enrolled with an emergency medication was not observed on file for review. The medical action plans for two children enrolled with emergency medications were not observed on file for review. The health assessments for two children enrolled were not observed on file for review. The health assessment for one child enrolled on 7/28/25 was not completed until 9/02/25. The immunization record for one child enrolled was not observed on file for review. The transportation authorization forms, emergency information, and photographs for three enrolled children who are transported from school were not observed on file for review. Two prescription medication authorizations prescribed for one child enrolled ended on 11/01/25 and 11/22/25, respectively, but were not returned to the parent and were observed still stored in Space 2. An ITS SIDS certification was not observed on file for either the Director, or the Assistant Director. Ms. Moody stated both staff members are scheduled to complete ITS SIDS on 4/16/26. The training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment for one new staff member with a start date of 10/21/25 was not observed on file for review. The Professional Development Plan for one existing staff member was not observed on file for review. The Ready to Go file was observed to be missing the emergency information for six of thirteen staff members, an allergy list, and the medication information for three children enrolled. It is imperative for all required child, staff and program file documentation to be current and on file at all times to ensure the health, safety, and quality of care of children enrolled. Ms. Moody stated she is catching up on paperwork due to being severely short staffed and will correct all of these issues as soon as possible. You may consider requesting a Technical Assistance session from your child care consultant in the near future to review requirements for all staff, child, and program records. You may also consider requesting a New Director’s training from your Child Care Consultant in the near future. The Criminal Background Check Qualification letter for new staff member had not yet been linked to the facility’s ABCMS facility profile; this staff member was linked to the facility profile during the visit. It is necessary for all staff members to be linked to the center's facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Moody stated this employee had been entered into ABCMS, but she had not clicked the blue "Hire" button and entered the hiring information to make the staff member visible in ABCMS. You may consider adding this task as a part of the onboarding process for new staff members. Space 5, the classroom designated for children of Pre-K and School Age was observed to not have a sufficient amount of art materials accessible for children in care. Ms. Moody stated a child who is in the process of having a diagnostic evaluation completed often knocks all of the art materials off of the shelves. We discussed that because the children enrolled in this classroom are four and five years of age, staff may consider organizing these materials on shelves in clear bins with lids and pictures of the materials inside on top of each lid so children enrolled can still access and use a variety of art materials. On the playground used by infants and toddlers, the small stationary structure was observed to have red peeling paint in greater than three areas, and red paint flakes were observed on the mulch on the ground below structure. Additionally, greater than three areas of the steps and landing of this structure were observed to be cracked and rusting. Ms. Moody stated she had submitted a work order for these items to be repaired on 12/03/25, but that guidance was given from maintenance that the weather needed to be warmer in order for the paint to dry. Ms. Moody stated the maintenance gentleman visited the facility this morning and stated these repairs would be made this weekend. On the playground used by children of Pre-K and School Age, four border tacks were observed to be raised and not flush with the plastic playground border, creating a potential entanglement hazard. These border tacks were hammered down during the visit to be flush with the playground border. It is imperative for the outdoor environment to be a safe place for the children to engage with and explore at all times. You may consider adding these items to your daily playground check prior to children using the playground. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please submit all education (current and newly completed) to DCDEE Works for both new staff members (within six months of hire), and current staff members. • Monitor all playground for wasp nests prior to children using the playground daily. • Add materials appropriate for School Age children to Space 5 while School Age children use this space. • If you decide to consider using the swimming pool located onsite for children enrolled, you must contact me prior to allowing this to occur. • A therapist who does not have a DCDEE issued Criminal Background Check may never be left alone with children enrolled. • Remember to renew the Criminal Background Check Qualification letters for the following staff members this year: o D. Arroyo before 6/10/2026; o K. Moody before 11/17/2026; o C. Simos before 10/22/26 • Ensure all job descriptions for new staff have been reviewed and signed. 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. Griffin stated during the visit she has a District meeting scheduled for the end of April and that she will provide me additional information as to the pathway the facility will choose for the Rated License and when the facility will apply after this meeting occurs. At the completion of the visit, a copy this visit summary was printed, reviewed with and provided to 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, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov Office: 336-317-5003 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/2/2026 Number Present: 37 Completed Date: 4/2/2026 Age: From 0 To 5 Total Minutes: 540 Time In: 08:30 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Keri Moody, Director and Kaitlyn Peters, Assistant Director. Whitney Griffin, Regional Manager, was also present during the visit. Your program currently operates with a 4- Star license. Restrictions include first shift care, meets enhanced ratios, and meets enhanced space. The following violation documented during the Complaint Follow-Up visit on 3/19/2026 was monitored for compliance during this visit: • The staff/child ratios for children, two years and older, during naptime were not maintained by having at least one person in each room, visually supervising all children and the total number of required staff on the premises within calling distance of each room occupied by children. During the walkthrough, in Space 1, a classroom designated for children one year of age, I observed seven children one year of age napping with one staff member present in the classroom. Staff: child ratios and group sizes were observed to be in compliance in all classrooms during the visit. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 80 % prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in games, activities, and conversations with their teachers, playing outdoors, participating in general routines, eating lunch, and napping during the visit. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 4/09/2025. A sanitation inspection was completed 8/06/2025 with a Superior classification. The last fire inspection was conducted in 10/24/2025. Program records and required postings were monitored. A fire drill was conducted on 4/01/2026. A shelter in place drill was documented on 3/16/2026. An outdoor inspection was documented on 3/03/2026. Staff files and children’s records were monitored per DCDEE procedures. The files for nine new staff members, one existing staff member, and one substitute staff member were monitored during the visit. The files for six children enrolled were monitored during the visit as well. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. Storage and administration of medication were monitored. Medication authorization was monitored. The program currently transports five children enrolled who are School Age from school each day. I monitored two (2) vehicles, both microbuses. I observed one 2003 microbus, license plate tag # AES1931, which is the bus normally used by the facility, but Ms. Moody stated it has not been driven in two months, as the “Check Engine” light went on, and it needs to be serviced. A No Smoking sign was observed posted inside the vehicle. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on this vehicle is due 6/30/2025, and the insurance is valid through 6/01/2026. I also observed one microbus, license plate tag # BU29486, which is the bus currently being used by the facility until the other vehicle is serviced. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on this vehicle is due 11/2026, and the insurance is valid through 6/01/2026. All required transportation documentation was monitored for compliance. Ms. Moody stated the program does not participate in off-premise activities or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. Space 5, the classroom designated for children of Pre-K and School Age was observed to not have a sufficient amount of art materials accessible for children in care. .0510(d)(1) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. An allergy list was not observed posted in the facility's kitchen. .0901(g) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The infant feeding plan for one child enrolled in Space 2 was observed to not include a parent signature. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by infants and toddlers, the small stationary structure was observed to have red peeling paint in greater than three areas, and red paint flakes were observed on the mulch on the ground below structure. Additionally, greater than three areas of the steps and landing of this structure were observed to be cracked and rusting. On the playground used by children of Pre-K and School Age, four border tacks were observed to be raised and not flush with the plastic playground border, creating a hazard. These border tacks were hammered down during the visit to be flush with the playground border. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two prescription medication authorizations prescribed for one child enrolled ended on 11/01/25 and 11/22/25, respectively, but were not returned to the parent and were observed still stored in Space 2. .0803(12) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. An ITS SIDS certification was not observed on file for either the Director, or the Assistant Director. .1102(f) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The transportation emergency information and photographs for three enrolled children who are transported from school were not observed on file for review. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. The transportation authorization forms for three enrolled children who are transported from school were not observed on file for review. .1003(i)(j) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The immunization records for one child enrolled were not observed on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessments for two children enrolled were not observed on file for review. The health assessment for one child enrolled on 7/28/25 was not completed until 9/02/25. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. A date of enrollment was not recorded on the discipline policy for two children enrolled. .1804(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Criminal Background Check Qualification letter for new staff member had not yet been linked to the facility’s ABCMS facility profile; this staff member was linked to the facility profile during the visit. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was observed to be missing the emergency information for six of thirteen staff members, an allergy list, and the medication information for three children enrolled. .0607(d)(10) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The medical action plans for two children enrolled with emergency medications were not observed on file for review. .0801(b) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A No Smoking sign was not observed posted in the vehicle currently being used to transport children enrolled. .0604(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication was not observed on file for review. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment for one new staff member with a start date of 10/21/25 was not observed on file for review. .1102(g) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. The Professional Development Plan for one existing staff member was not observed on file for review. .1104(1-5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today’s visit immediately and send me documentation verifying compliance on or before 4/16/2026. 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-Stewart 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. Due to the number and nature of violations during today’s visit, an unannounced follow-up visit will be made to monitor supervision and the correction of violations cited, and an Administrative Action may be recommended. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance documented during today’s visit: • The infant feeding plan for one child enrolled in Space 2 was observed to not include a parent signature. The medication authorization form for one child enrolled with an emergency medication was not observed on file for review. The medical action plans for two children enrolled with emergency medications were not observed on file for review. The health assessments for two children enrolled were not observed on file for review. The health assessment for one child enrolled on 7/28/25 was not completed until 9/02/25. The immunization record for one child enrolled was not observed on file for review. The transportation authorization forms, emergency information, and photographs for three enrolled children who are transported from school were not observed on file for review. Two prescription medication authorizations prescribed for one child enrolled ended on 11/01/25 and 11/22/25, respectively, but were not returned to the parent and were observed still stored in Space 2. An ITS SIDS certification was not observed on file for either the Director, or the Assistant Director. Ms. Moody stated both staff members are scheduled to complete ITS SIDS on 4/16/26. The training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment for one new staff member with a start date of 10/21/25 was not observed on file for review. The Professional Development Plan for one existing staff member was not observed on file for review. The Ready to Go file was observed to be missing the emergency information for six of thirteen staff members, an allergy list, and the medication information for three children enrolled. It is imperative for all required child, staff and program file documentation to be current and on file at all times to ensure the health, safety, and quality of care of children enrolled. Ms. Moody stated she is catching up on paperwork due to being severely short staffed and will correct all of these issues as soon as possible. You may consider requesting a Technical Assistance session from your child care consultant in the near future to review requirements for all staff, child, and program records. You may also consider requesting a New Director’s training from your Child Care Consultant in the near future. The Criminal Background Check Qualification letter for new staff member had not yet been linked to the facility’s ABCMS facility profile; this staff member was linked to the facility profile during the visit. It is necessary for all staff members to be linked to the center's facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Moody stated this employee had been entered into ABCMS, but she had not clicked the blue "Hire" button and entered the hiring information to make the staff member visible in ABCMS. You may consider adding this task as a part of the onboarding process for new staff members. Space 5, the classroom designated for children of Pre-K and School Age was observed to not have a sufficient amount of art materials accessible for children in care. Ms. Moody stated a child who is in the process of having a diagnostic evaluation completed often knocks all of the art materials off of the shelves. We discussed that because the children enrolled in this classroom are four and five years of age, staff may consider organizing these materials on shelves in clear bins with lids and pictures of the materials inside on top of each lid so children enrolled can still access and use a variety of art materials. On the playground used by infants and toddlers, the small stationary structure was observed to have red peeling paint in greater than three areas, and red paint flakes were observed on the mulch on the ground below structure. Additionally, greater than three areas of the steps and landing of this structure were observed to be cracked and rusting. Ms. Moody stated she had submitted a work order for these items to be repaired on 12/03/25, but that guidance was given from maintenance that the weather needed to be warmer in order for the paint to dry. Ms. Moody stated the maintenance gentleman visited the facility this morning and stated these repairs would be made this weekend. On the playground used by children of Pre-K and School Age, four border tacks were observed to be raised and not flush with the plastic playground border, creating a potential entanglement hazard. These border tacks were hammered down during the visit to be flush with the playground border. It is imperative for the outdoor environment to be a safe place for the children to engage with and explore at all times. You may consider adding these items to your daily playground check prior to children using the playground. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please submit all education (current and newly completed) to DCDEE Works for both new staff members (within six months of hire), and current staff members. • Monitor all playground for wasp nests prior to children using the playground daily. • Add materials appropriate for School Age children to Space 5 while School Age children use this space. • If you decide to consider using the swimming pool located onsite for children enrolled, you must contact me prior to allowing this to occur. • A therapist who does not have a DCDEE issued Criminal Background Check may never be left alone with children enrolled. • Remember to renew the Criminal Background Check Qualification letters for the following staff members this year: o D. Arroyo before 6/10/2026; o K. Moody before 11/17/2026; o C. Simos before 10/22/26 • Ensure all job descriptions for new staff have been reviewed and signed. 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. Griffin stated during the visit she has a District meeting scheduled for the end of April and that she will provide me additional information as to the pathway the facility will choose for the Rated License and when the facility will apply after this meeting occurs. At the completion of the visit, a copy this visit summary was printed, reviewed with and provided to 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, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov Office: 336-317-5003 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/2/2026 Number Present: 37 Completed Date: 4/2/2026 Age: From 0 To 5 Total Minutes: 540 Time In: 08:30 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Keri Moody, Director and Kaitlyn Peters, Assistant Director. Whitney Griffin, Regional Manager, was also present during the visit. Your program currently operates with a 4- Star license. Restrictions include first shift care, meets enhanced ratios, and meets enhanced space. The following violation documented during the Complaint Follow-Up visit on 3/19/2026 was monitored for compliance during this visit: • The staff/child ratios for children, two years and older, during naptime were not maintained by having at least one person in each room, visually supervising all children and the total number of required staff on the premises within calling distance of each room occupied by children. During the walkthrough, in Space 1, a classroom designated for children one year of age, I observed seven children one year of age napping with one staff member present in the classroom. Staff: child ratios and group sizes were observed to be in compliance in all classrooms during the visit. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 80 % prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in games, activities, and conversations with their teachers, playing outdoors, participating in general routines, eating lunch, and napping during the visit. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 4/09/2025. A sanitation inspection was completed 8/06/2025 with a Superior classification. The last fire inspection was conducted in 10/24/2025. Program records and required postings were monitored. A fire drill was conducted on 4/01/2026. A shelter in place drill was documented on 3/16/2026. An outdoor inspection was documented on 3/03/2026. Staff files and children’s records were monitored per DCDEE procedures. The files for nine new staff members, one existing staff member, and one substitute staff member were monitored during the visit. The files for six children enrolled were monitored during the visit as well. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. Storage and administration of medication were monitored. Medication authorization was monitored. The program currently transports five children enrolled who are School Age from school each day. I monitored two (2) vehicles, both microbuses. I observed one 2003 microbus, license plate tag # AES1931, which is the bus normally used by the facility, but Ms. Moody stated it has not been driven in two months, as the “Check Engine” light went on, and it needs to be serviced. A No Smoking sign was observed posted inside the vehicle. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on this vehicle is due 6/30/2025, and the insurance is valid through 6/01/2026. I also observed one microbus, license plate tag # BU29486, which is the bus currently being used by the facility until the other vehicle is serviced. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on this vehicle is due 11/2026, and the insurance is valid through 6/01/2026. All required transportation documentation was monitored for compliance. Ms. Moody stated the program does not participate in off-premise activities or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. Space 5, the classroom designated for children of Pre-K and School Age was observed to not have a sufficient amount of art materials accessible for children in care. .0510(d)(1) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. An allergy list was not observed posted in the facility's kitchen. .0901(g) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The infant feeding plan for one child enrolled in Space 2 was observed to not include a parent signature. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by infants and toddlers, the small stationary structure was observed to have red peeling paint in greater than three areas, and red paint flakes were observed on the mulch on the ground below structure. Additionally, greater than three areas of the steps and landing of this structure were observed to be cracked and rusting. On the playground used by children of Pre-K and School Age, four border tacks were observed to be raised and not flush with the plastic playground border, creating a hazard. These border tacks were hammered down during the visit to be flush with the playground border. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two prescription medication authorizations prescribed for one child enrolled ended on 11/01/25 and 11/22/25, respectively, but were not returned to the parent and were observed still stored in Space 2. .0803(12) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. An ITS SIDS certification was not observed on file for either the Director, or the Assistant Director. .1102(f) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The transportation emergency information and photographs for three enrolled children who are transported from school were not observed on file for review. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. The transportation authorization forms for three enrolled children who are transported from school were not observed on file for review. .1003(i)(j) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The immunization records for one child enrolled were not observed on file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessments for two children enrolled were not observed on file for review. The health assessment for one child enrolled on 7/28/25 was not completed until 9/02/25. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. A date of enrollment was not recorded on the discipline policy for two children enrolled. .1804(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Criminal Background Check Qualification letter for new staff member had not yet been linked to the facility’s ABCMS facility profile; this staff member was linked to the facility profile during the visit. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was observed to be missing the emergency information for six of thirteen staff members, an allergy list, and the medication information for three children enrolled. .0607(d)(10) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The medical action plans for two children enrolled with emergency medications were not observed on file for review. .0801(b) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A No Smoking sign was not observed posted in the vehicle currently being used to transport children enrolled. .0604(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication was not observed on file for review. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment for one new staff member with a start date of 10/21/25 was not observed on file for review. .1102(g) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. The Professional Development Plan for one existing staff member was not observed on file for review. .1104(1-5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today’s visit immediately and send me documentation verifying compliance on or before 4/16/2026. 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-Stewart 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. Due to the number and nature of violations during today’s visit, an unannounced follow-up visit will be made to monitor supervision and the correction of violations cited, and an Administrative Action may be recommended. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance documented during today’s visit: • The infant feeding plan for one child enrolled in Space 2 was observed to not include a parent signature. The medication authorization form for one child enrolled with an emergency medication was not observed on file for review. The medical action plans for two children enrolled with emergency medications were not observed on file for review. The health assessments for two children enrolled were not observed on file for review. The health assessment for one child enrolled on 7/28/25 was not completed until 9/02/25. The immunization record for one child enrolled was not observed on file for review. The transportation authorization forms, emergency information, and photographs for three enrolled children who are transported from school were not observed on file for review. Two prescription medication authorizations prescribed for one child enrolled ended on 11/01/25 and 11/22/25, respectively, but were not returned to the parent and were observed still stored in Space 2. An ITS SIDS certification was not observed on file for either the Director, or the Assistant Director. Ms. Moody stated both staff members are scheduled to complete ITS SIDS on 4/16/26. The training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment for one new staff member with a start date of 10/21/25 was not observed on file for review. The Professional Development Plan for one existing staff member was not observed on file for review. The Ready to Go file was observed to be missing the emergency information for six of thirteen staff members, an allergy list, and the medication information for three children enrolled. It is imperative for all required child, staff and program file documentation to be current and on file at all times to ensure the health, safety, and quality of care of children enrolled. Ms. Moody stated she is catching up on paperwork due to being severely short staffed and will correct all of these issues as soon as possible. You may consider requesting a Technical Assistance session from your child care consultant in the near future to review requirements for all staff, child, and program records. You may also consider requesting a New Director’s training from your Child Care Consultant in the near future. The Criminal Background Check Qualification letter for new staff member had not yet been linked to the facility’s ABCMS facility profile; this staff member was linked to the facility profile during the visit. It is necessary for all staff members to be linked to the center's facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Moody stated this employee had been entered into ABCMS, but she had not clicked the blue "Hire" button and entered the hiring information to make the staff member visible in ABCMS. You may consider adding this task as a part of the onboarding process for new staff members. Space 5, the classroom designated for children of Pre-K and School Age was observed to not have a sufficient amount of art materials accessible for children in care. Ms. Moody stated a child who is in the process of having a diagnostic evaluation completed often knocks all of the art materials off of the shelves. We discussed that because the children enrolled in this classroom are four and five years of age, staff may consider organizing these materials on shelves in clear bins with lids and pictures of the materials inside on top of each lid so children enrolled can still access and use a variety of art materials. On the playground used by infants and toddlers, the small stationary structure was observed to have red peeling paint in greater than three areas, and red paint flakes were observed on the mulch on the ground below structure. Additionally, greater than three areas of the steps and landing of this structure were observed to be cracked and rusting. Ms. Moody stated she had submitted a work order for these items to be repaired on 12/03/25, but that guidance was given from maintenance that the weather needed to be warmer in order for the paint to dry. Ms. Moody stated the maintenance gentleman visited the facility this morning and stated these repairs would be made this weekend. On the playground used by children of Pre-K and School Age, four border tacks were observed to be raised and not flush with the plastic playground border, creating a potential entanglement hazard. These border tacks were hammered down during the visit to be flush with the playground border. It is imperative for the outdoor environment to be a safe place for the children to engage with and explore at all times. You may consider adding these items to your daily playground check prior to children using the playground. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please submit all education (current and newly completed) to DCDEE Works for both new staff members (within six months of hire), and current staff members. • Monitor all playground for wasp nests prior to children using the playground daily. • Add materials appropriate for School Age children to Space 5 while School Age children use this space. • If you decide to consider using the swimming pool located onsite for children enrolled, you must contact me prior to allowing this to occur. • A therapist who does not have a DCDEE issued Criminal Background Check may never be left alone with children enrolled. • Remember to renew the Criminal Background Check Qualification letters for the following staff members this year: o D. Arroyo before 6/10/2026; o K. Moody before 11/17/2026; o C. Simos before 10/22/26 • Ensure all job descriptions for new staff have been reviewed and signed. 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. Griffin stated during the visit she has a District meeting scheduled for the end of April and that she will provide me additional information as to the pathway the facility will choose for the Rated License and when the facility will apply after this meeting occurs. At the completion of the visit, a copy this visit summary was printed, reviewed with and provided to 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, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov Office: 336-317-5003 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/24/2025 Number Present: 28 Completed Date: 10/24/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 10:30 AM Time Out: 03:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit and to review the Administrative Action Written Warning and Appeal guidelines with administration. This visit was conducted with Keri Moody, Director. Cassandra Wright, Director-In-Training, was also present during the visit. The Administrative Action and Appeal process were reviewed in detail with Ms. Moody at the conclusion of the visit. Ms. Moody stated the facility does not plan to appeal the action. Your program currently operates with a 4-Star license effective 5/05/2023. Restrictions include 1st shift care, meets enhanced ratios, and meets enhanced space. The Administrative Action Written Warning was observed posted on a board in the lobby directly to the right of the entrance to the hallway leading to classrooms where it is visible to parents and visitors. The program’s compliance history was 83% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing in activity centers, engaging in large and small group times with staff, playing outdoors, eating lunch, participating in general routines, and napping during the visit. Four new staff members were reported at this program. The files for these staff members were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Criminal Background Checks. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 10/01/2025. A fire drill was recorded 10/20/2025. The most recent lockdown drill for the facility was recorded 10/20/25. The most recent fire inspection was on 10/24/25. I observed a sanitation inspection was last conducted on 8/06/2025 earning a Superior classification. A copy of the fire inspection was provided to me during the visit. The program does not participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was completed on 10/24/2025; the most recent fire inspection prior to this one was conducted on 7/06/2024. 10A NCAC 09 .0304(a) 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. A copy of the Summary of the NC Child Care law was not observed posted in the facility. G.S. 110-102 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Space 4. 15A NCAC 18A .2821(b) & (c) 807 A safe indoor and outdoor environment was not provided for the children. A cracked plastic bin, sharp to the touch, was observed on the playground used by children two and three years of age. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two air freshener solids labeled Keep Out of Reach of Children with additional warnings were observed in the main hallway bathrooms stored greater than five feet from the ground, but in unlocked storage. A Triple Antibiotic ointment was observed inside a child's cubby located less than five feet from the ground and in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. The brand of diaper cream was not recorded on a Medication Permission form for Topical Ointments. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for April or May of 2025. .0605(q) 861 Prohibited Styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. A set of foam blocks was observed accessible to children under the age of three years old in Space 7; teeth marks were observed on greater than two blocks and pieces of foam were observed missing from greater than three blocks. .0604(q) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had been created; however, the CBC Qualification Letter for all staff members, with the exception of the Director and Director-In-Training were not linked to this profile within five days of hire. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. A Ready to Go File was not observed on file for review. .0607(d)(10) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 11/07/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: A facility profile for Criminal Background Checks had been created; however, the CBC Qualification Letter for all staff members, with the exception of the Director and Director-In-Training were not linked to this profile within five days of hire. It is necessary for all staff members to be linked to the Center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. A fire inspection was completed on 10/24/2025; the most recent fire inspection prior to this one was conducted on 7/06/2024. Ms. Moody provided documentation showing a failed fire inspection conducted on 7/16/2025, due to partitions located in the space designated for infants. These partitions divided the classroom and included a latched partition door. Ms. Moody reported the fire inspector stated all partitions needed to be removed, as all exits and their access were not considered free of obstructions. Ms. Moody stated a deadline of 8/15/25 was provided for these partitions to be removed, but removal had not been completed on 8/22/25 when the inspector returned. Ms. Moody did not begin employment with the facility until 8/25/25, but she stated these partitions have been in place in the infant room since the building opened in 1975. It is imperative all required inspections are completed on time for the safety of children enrolled. You may consider creating a calendar or email reminder to reach out to your local fire marshal approximately one month prior to your inspection being due to schedule the inspection. A playground inspection was not observed on file for April or May of 2025. It is important for playground inspections to be conducted monthly to ensure the outdoor learning environment remains safe at all times for children in care. Ms. Wright and Ms. Moody stated they were hired after these inspections were due, and they are unsure why they had not been completed. All playground inspections required since Ms. Wright and Ms. Moody were employed were observed completed and on file for review. A Ready to Go File was not observed on file for review. A Ready to Go File means a collection of information on children, staff 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 staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. It is vital for this information to be on file for all staff and children enrolled in the event of the occurrence of an emergency evacuation to ensure the health and safety of all individuals at the facility. Ms. Moody and Ms. Wright stated the creation of this file has been on their To-Do list and they will complete it as soon as possible. Consultation Provided During Visit: Please ensure you parents complete the proper medication forms for prescription and over-the-counter medications when a child needs medication onsite during operating hours. Also ensure the parent's authorization to administer prescription medication is valid for the length of time the prescription is valid for and reflects the amount and dosage recorded on the prescription label. It is best practice for staff to record an infant is laid on his/her back during the first Safe Sleep Record recording when an infant is initially laid down for a nap, even if the child is awake and/or immediately rolls to his/her side/stomach when placed on his/her back. During the second visual sleep check, the staff member can record the new sleep position adopted. An initial training certificate of completion of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment taken through through Positive Alliance (Prevent Child Abuse NC) (https://positivechildhoodalliancenc.org/online-trainings/) must be on file for all new employees. Once completed, subsequent trainings for Recognizing and Responding may be taken through other approved training agencies every five years as long as the initial training is completed via Positive Alliance/ PCAN. Consider adding two types of blocks to Space 7 and books to all spaces. The ECERS-3 scale requires at least 15 books to be accessible to children, with "many" meaning 35 books for 20 children. For ITERS-3, more than 20 books must be accessible throughout the observation for infants and toddlers to receive a high score. Specifically, the requirement is "More than 20 books accessible for infants and toddlers" and "More than 30 books for preschool children". For mobile infants, at least six blocks are needed, while for older toddlers (24 months and older), there should be enough blocks for building structures without competition, and at least five accessories should be available. Large, hollow blocks should be available for older toddlers and twos, and older toddlers should have their own special block interest center. The ECERS-3 requires a block area to have enough space, blocks, and accessories for at least three children to build independent structures at the same time (Indicator 5.1). This space is for unit and/or hollow blocks and should include at least three types of accessories, such as animals, people, or vehicles, to extend play. Interlocking blocks or those with sides less than two inches do not count. 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 Ms. Moody stated the facility is planning to choose Pathway 1 for the Rated License Assessment. She stated the facility is already in contact with Smart Start of Forsyth County and that Keturah Oglesby is currently providing health & safety support. Ms. Moody also reported Smart Start will be sending an Educational Specialist to the facility to provide program support in preparing for the ERS-3 soon. Additionally, Ms. Moody shared the facility has an outreach assessment currently scheduled through NCRLAP for 1/05/2026. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. At the completion of the visit, this visit was reviewed with and provided to 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-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/24/2025 Number Present: 28 Completed Date: 10/24/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 10:30 AM Time Out: 03:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit and to review the Administrative Action Written Warning and Appeal guidelines with administration. This visit was conducted with Keri Moody, Director. Cassandra Wright, Director-In-Training, was also present during the visit. The Administrative Action and Appeal process were reviewed in detail with Ms. Moody at the conclusion of the visit. Ms. Moody stated the facility does not plan to appeal the action. Your program currently operates with a 4-Star license effective 5/05/2023. Restrictions include 1st shift care, meets enhanced ratios, and meets enhanced space. The Administrative Action Written Warning was observed posted on a board in the lobby directly to the right of the entrance to the hallway leading to classrooms where it is visible to parents and visitors. The program’s compliance history was 83% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing in activity centers, engaging in large and small group times with staff, playing outdoors, eating lunch, participating in general routines, and napping during the visit. Four new staff members were reported at this program. The files for these staff members were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Criminal Background Checks. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 10/01/2025. A fire drill was recorded 10/20/2025. The most recent lockdown drill for the facility was recorded 10/20/25. The most recent fire inspection was on 10/24/25. I observed a sanitation inspection was last conducted on 8/06/2025 earning a Superior classification. A copy of the fire inspection was provided to me during the visit. The program does not participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was completed on 10/24/2025; the most recent fire inspection prior to this one was conducted on 7/06/2024. 10A NCAC 09 .0304(a) 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. A copy of the Summary of the NC Child Care law was not observed posted in the facility. G.S. 110-102 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Space 4. 15A NCAC 18A .2821(b) & (c) 807 A safe indoor and outdoor environment was not provided for the children. A cracked plastic bin, sharp to the touch, was observed on the playground used by children two and three years of age. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two air freshener solids labeled Keep Out of Reach of Children with additional warnings were observed in the main hallway bathrooms stored greater than five feet from the ground, but in unlocked storage. A Triple Antibiotic ointment was observed inside a child's cubby located less than five feet from the ground and in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. The brand of diaper cream was not recorded on a Medication Permission form for Topical Ointments. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for April or May of 2025. .0605(q) 861 Prohibited Styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. A set of foam blocks was observed accessible to children under the age of three years old in Space 7; teeth marks were observed on greater than two blocks and pieces of foam were observed missing from greater than three blocks. .0604(q) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had been created; however, the CBC Qualification Letter for all staff members, with the exception of the Director and Director-In-Training were not linked to this profile within five days of hire. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. A Ready to Go File was not observed on file for review. .0607(d)(10) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 11/07/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: A facility profile for Criminal Background Checks had been created; however, the CBC Qualification Letter for all staff members, with the exception of the Director and Director-In-Training were not linked to this profile within five days of hire. It is necessary for all staff members to be linked to the Center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. A fire inspection was completed on 10/24/2025; the most recent fire inspection prior to this one was conducted on 7/06/2024. Ms. Moody provided documentation showing a failed fire inspection conducted on 7/16/2025, due to partitions located in the space designated for infants. These partitions divided the classroom and included a latched partition door. Ms. Moody reported the fire inspector stated all partitions needed to be removed, as all exits and their access were not considered free of obstructions. Ms. Moody stated a deadline of 8/15/25 was provided for these partitions to be removed, but removal had not been completed on 8/22/25 when the inspector returned. Ms. Moody did not begin employment with the facility until 8/25/25, but she stated these partitions have been in place in the infant room since the building opened in 1975. It is imperative all required inspections are completed on time for the safety of children enrolled. You may consider creating a calendar or email reminder to reach out to your local fire marshal approximately one month prior to your inspection being due to schedule the inspection. A playground inspection was not observed on file for April or May of 2025. It is important for playground inspections to be conducted monthly to ensure the outdoor learning environment remains safe at all times for children in care. Ms. Wright and Ms. Moody stated they were hired after these inspections were due, and they are unsure why they had not been completed. All playground inspections required since Ms. Wright and Ms. Moody were employed were observed completed and on file for review. A Ready to Go File was not observed on file for review. A Ready to Go File means a collection of information on children, staff 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 staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. It is vital for this information to be on file for all staff and children enrolled in the event of the occurrence of an emergency evacuation to ensure the health and safety of all individuals at the facility. Ms. Moody and Ms. Wright stated the creation of this file has been on their To-Do list and they will complete it as soon as possible. Consultation Provided During Visit: Please ensure you parents complete the proper medication forms for prescription and over-the-counter medications when a child needs medication onsite during operating hours. Also ensure the parent's authorization to administer prescription medication is valid for the length of time the prescription is valid for and reflects the amount and dosage recorded on the prescription label. It is best practice for staff to record an infant is laid on his/her back during the first Safe Sleep Record recording when an infant is initially laid down for a nap, even if the child is awake and/or immediately rolls to his/her side/stomach when placed on his/her back. During the second visual sleep check, the staff member can record the new sleep position adopted. An initial training certificate of completion of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment taken through through Positive Alliance (Prevent Child Abuse NC) (https://positivechildhoodalliancenc.org/online-trainings/) must be on file for all new employees. Once completed, subsequent trainings for Recognizing and Responding may be taken through other approved training agencies every five years as long as the initial training is completed via Positive Alliance/ PCAN. Consider adding two types of blocks to Space 7 and books to all spaces. The ECERS-3 scale requires at least 15 books to be accessible to children, with "many" meaning 35 books for 20 children. For ITERS-3, more than 20 books must be accessible throughout the observation for infants and toddlers to receive a high score. Specifically, the requirement is "More than 20 books accessible for infants and toddlers" and "More than 30 books for preschool children". For mobile infants, at least six blocks are needed, while for older toddlers (24 months and older), there should be enough blocks for building structures without competition, and at least five accessories should be available. Large, hollow blocks should be available for older toddlers and twos, and older toddlers should have their own special block interest center. The ECERS-3 requires a block area to have enough space, blocks, and accessories for at least three children to build independent structures at the same time (Indicator 5.1). This space is for unit and/or hollow blocks and should include at least three types of accessories, such as animals, people, or vehicles, to extend play. Interlocking blocks or those with sides less than two inches do not count. 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 Ms. Moody stated the facility is planning to choose Pathway 1 for the Rated License Assessment. She stated the facility is already in contact with Smart Start of Forsyth County and that Keturah Oglesby is currently providing health & safety support. Ms. Moody also reported Smart Start will be sending an Educational Specialist to the facility to provide program support in preparing for the ERS-3 soon. Additionally, Ms. Moody shared the facility has an outreach assessment currently scheduled through NCRLAP for 1/05/2026. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. At the completion of the visit, this visit was reviewed with and provided to 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-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/24/2025 Number Present: 28 Completed Date: 10/24/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 10:30 AM Time Out: 03:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit and to review the Administrative Action Written Warning and Appeal guidelines with administration. This visit was conducted with Keri Moody, Director. Cassandra Wright, Director-In-Training, was also present during the visit. The Administrative Action and Appeal process were reviewed in detail with Ms. Moody at the conclusion of the visit. Ms. Moody stated the facility does not plan to appeal the action. Your program currently operates with a 4-Star license effective 5/05/2023. Restrictions include 1st shift care, meets enhanced ratios, and meets enhanced space. The Administrative Action Written Warning was observed posted on a board in the lobby directly to the right of the entrance to the hallway leading to classrooms where it is visible to parents and visitors. The program’s compliance history was 83% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing in activity centers, engaging in large and small group times with staff, playing outdoors, eating lunch, participating in general routines, and napping during the visit. Four new staff members were reported at this program. The files for these staff members were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Criminal Background Checks. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 10/01/2025. A fire drill was recorded 10/20/2025. The most recent lockdown drill for the facility was recorded 10/20/25. The most recent fire inspection was on 10/24/25. I observed a sanitation inspection was last conducted on 8/06/2025 earning a Superior classification. A copy of the fire inspection was provided to me during the visit. The program does not participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was completed on 10/24/2025; the most recent fire inspection prior to this one was conducted on 7/06/2024. 10A NCAC 09 .0304(a) 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. A copy of the Summary of the NC Child Care law was not observed posted in the facility. G.S. 110-102 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Space 4. 15A NCAC 18A .2821(b) & (c) 807 A safe indoor and outdoor environment was not provided for the children. A cracked plastic bin, sharp to the touch, was observed on the playground used by children two and three years of age. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two air freshener solids labeled Keep Out of Reach of Children with additional warnings were observed in the main hallway bathrooms stored greater than five feet from the ground, but in unlocked storage. A Triple Antibiotic ointment was observed inside a child's cubby located less than five feet from the ground and in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. The brand of diaper cream was not recorded on a Medication Permission form for Topical Ointments. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for April or May of 2025. .0605(q) 861 Prohibited Styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. A set of foam blocks was observed accessible to children under the age of three years old in Space 7; teeth marks were observed on greater than two blocks and pieces of foam were observed missing from greater than three blocks. .0604(q) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had been created; however, the CBC Qualification Letter for all staff members, with the exception of the Director and Director-In-Training were not linked to this profile within five days of hire. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. A Ready to Go File was not observed on file for review. .0607(d)(10) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 11/07/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: A facility profile for Criminal Background Checks had been created; however, the CBC Qualification Letter for all staff members, with the exception of the Director and Director-In-Training were not linked to this profile within five days of hire. It is necessary for all staff members to be linked to the Center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. A fire inspection was completed on 10/24/2025; the most recent fire inspection prior to this one was conducted on 7/06/2024. Ms. Moody provided documentation showing a failed fire inspection conducted on 7/16/2025, due to partitions located in the space designated for infants. These partitions divided the classroom and included a latched partition door. Ms. Moody reported the fire inspector stated all partitions needed to be removed, as all exits and their access were not considered free of obstructions. Ms. Moody stated a deadline of 8/15/25 was provided for these partitions to be removed, but removal had not been completed on 8/22/25 when the inspector returned. Ms. Moody did not begin employment with the facility until 8/25/25, but she stated these partitions have been in place in the infant room since the building opened in 1975. It is imperative all required inspections are completed on time for the safety of children enrolled. You may consider creating a calendar or email reminder to reach out to your local fire marshal approximately one month prior to your inspection being due to schedule the inspection. A playground inspection was not observed on file for April or May of 2025. It is important for playground inspections to be conducted monthly to ensure the outdoor learning environment remains safe at all times for children in care. Ms. Wright and Ms. Moody stated they were hired after these inspections were due, and they are unsure why they had not been completed. All playground inspections required since Ms. Wright and Ms. Moody were employed were observed completed and on file for review. A Ready to Go File was not observed on file for review. A Ready to Go File means a collection of information on children, staff 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 staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. It is vital for this information to be on file for all staff and children enrolled in the event of the occurrence of an emergency evacuation to ensure the health and safety of all individuals at the facility. Ms. Moody and Ms. Wright stated the creation of this file has been on their To-Do list and they will complete it as soon as possible. Consultation Provided During Visit: Please ensure you parents complete the proper medication forms for prescription and over-the-counter medications when a child needs medication onsite during operating hours. Also ensure the parent's authorization to administer prescription medication is valid for the length of time the prescription is valid for and reflects the amount and dosage recorded on the prescription label. It is best practice for staff to record an infant is laid on his/her back during the first Safe Sleep Record recording when an infant is initially laid down for a nap, even if the child is awake and/or immediately rolls to his/her side/stomach when placed on his/her back. During the second visual sleep check, the staff member can record the new sleep position adopted. An initial training certificate of completion of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment taken through through Positive Alliance (Prevent Child Abuse NC) (https://positivechildhoodalliancenc.org/online-trainings/) must be on file for all new employees. Once completed, subsequent trainings for Recognizing and Responding may be taken through other approved training agencies every five years as long as the initial training is completed via Positive Alliance/ PCAN. Consider adding two types of blocks to Space 7 and books to all spaces. The ECERS-3 scale requires at least 15 books to be accessible to children, with "many" meaning 35 books for 20 children. For ITERS-3, more than 20 books must be accessible throughout the observation for infants and toddlers to receive a high score. Specifically, the requirement is "More than 20 books accessible for infants and toddlers" and "More than 30 books for preschool children". For mobile infants, at least six blocks are needed, while for older toddlers (24 months and older), there should be enough blocks for building structures without competition, and at least five accessories should be available. Large, hollow blocks should be available for older toddlers and twos, and older toddlers should have their own special block interest center. The ECERS-3 requires a block area to have enough space, blocks, and accessories for at least three children to build independent structures at the same time (Indicator 5.1). This space is for unit and/or hollow blocks and should include at least three types of accessories, such as animals, people, or vehicles, to extend play. Interlocking blocks or those with sides less than two inches do not count. 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 Ms. Moody stated the facility is planning to choose Pathway 1 for the Rated License Assessment. She stated the facility is already in contact with Smart Start of Forsyth County and that Keturah Oglesby is currently providing health & safety support. Ms. Moody also reported Smart Start will be sending an Educational Specialist to the facility to provide program support in preparing for the ERS-3 soon. Additionally, Ms. Moody shared the facility has an outreach assessment currently scheduled through NCRLAP for 1/05/2026. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. At the completion of the visit, this visit was reviewed with and provided to 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-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-102 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/24/2025 Number Present: 28 Completed Date: 10/24/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 10:30 AM Time Out: 03:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit and to review the Administrative Action Written Warning and Appeal guidelines with administration. This visit was conducted with Keri Moody, Director. Cassandra Wright, Director-In-Training, was also present during the visit. The Administrative Action and Appeal process were reviewed in detail with Ms. Moody at the conclusion of the visit. Ms. Moody stated the facility does not plan to appeal the action. Your program currently operates with a 4-Star license effective 5/05/2023. Restrictions include 1st shift care, meets enhanced ratios, and meets enhanced space. The Administrative Action Written Warning was observed posted on a board in the lobby directly to the right of the entrance to the hallway leading to classrooms where it is visible to parents and visitors. The program’s compliance history was 83% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing in activity centers, engaging in large and small group times with staff, playing outdoors, eating lunch, participating in general routines, and napping during the visit. Four new staff members were reported at this program. The files for these staff members were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Criminal Background Checks. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 10/01/2025. A fire drill was recorded 10/20/2025. The most recent lockdown drill for the facility was recorded 10/20/25. The most recent fire inspection was on 10/24/25. I observed a sanitation inspection was last conducted on 8/06/2025 earning a Superior classification. A copy of the fire inspection was provided to me during the visit. The program does not participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was completed on 10/24/2025; the most recent fire inspection prior to this one was conducted on 7/06/2024. 10A NCAC 09 .0304(a) 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. A copy of the Summary of the NC Child Care law was not observed posted in the facility. G.S. 110-102 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Space 4. 15A NCAC 18A .2821(b) & (c) 807 A safe indoor and outdoor environment was not provided for the children. A cracked plastic bin, sharp to the touch, was observed on the playground used by children two and three years of age. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two air freshener solids labeled Keep Out of Reach of Children with additional warnings were observed in the main hallway bathrooms stored greater than five feet from the ground, but in unlocked storage. A Triple Antibiotic ointment was observed inside a child's cubby located less than five feet from the ground and in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. The brand of diaper cream was not recorded on a Medication Permission form for Topical Ointments. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for April or May of 2025. .0605(q) 861 Prohibited Styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. A set of foam blocks was observed accessible to children under the age of three years old in Space 7; teeth marks were observed on greater than two blocks and pieces of foam were observed missing from greater than three blocks. .0604(q) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had been created; however, the CBC Qualification Letter for all staff members, with the exception of the Director and Director-In-Training were not linked to this profile within five days of hire. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. A Ready to Go File was not observed on file for review. .0607(d)(10) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 11/07/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: A facility profile for Criminal Background Checks had been created; however, the CBC Qualification Letter for all staff members, with the exception of the Director and Director-In-Training were not linked to this profile within five days of hire. It is necessary for all staff members to be linked to the Center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. A fire inspection was completed on 10/24/2025; the most recent fire inspection prior to this one was conducted on 7/06/2024. Ms. Moody provided documentation showing a failed fire inspection conducted on 7/16/2025, due to partitions located in the space designated for infants. These partitions divided the classroom and included a latched partition door. Ms. Moody reported the fire inspector stated all partitions needed to be removed, as all exits and their access were not considered free of obstructions. Ms. Moody stated a deadline of 8/15/25 was provided for these partitions to be removed, but removal had not been completed on 8/22/25 when the inspector returned. Ms. Moody did not begin employment with the facility until 8/25/25, but she stated these partitions have been in place in the infant room since the building opened in 1975. It is imperative all required inspections are completed on time for the safety of children enrolled. You may consider creating a calendar or email reminder to reach out to your local fire marshal approximately one month prior to your inspection being due to schedule the inspection. A playground inspection was not observed on file for April or May of 2025. It is important for playground inspections to be conducted monthly to ensure the outdoor learning environment remains safe at all times for children in care. Ms. Wright and Ms. Moody stated they were hired after these inspections were due, and they are unsure why they had not been completed. All playground inspections required since Ms. Wright and Ms. Moody were employed were observed completed and on file for review. A Ready to Go File was not observed on file for review. A Ready to Go File means a collection of information on children, staff 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 staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. It is vital for this information to be on file for all staff and children enrolled in the event of the occurrence of an emergency evacuation to ensure the health and safety of all individuals at the facility. Ms. Moody and Ms. Wright stated the creation of this file has been on their To-Do list and they will complete it as soon as possible. Consultation Provided During Visit: Please ensure you parents complete the proper medication forms for prescription and over-the-counter medications when a child needs medication onsite during operating hours. Also ensure the parent's authorization to administer prescription medication is valid for the length of time the prescription is valid for and reflects the amount and dosage recorded on the prescription label. It is best practice for staff to record an infant is laid on his/her back during the first Safe Sleep Record recording when an infant is initially laid down for a nap, even if the child is awake and/or immediately rolls to his/her side/stomach when placed on his/her back. During the second visual sleep check, the staff member can record the new sleep position adopted. An initial training certificate of completion of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment taken through through Positive Alliance (Prevent Child Abuse NC) (https://positivechildhoodalliancenc.org/online-trainings/) must be on file for all new employees. Once completed, subsequent trainings for Recognizing and Responding may be taken through other approved training agencies every five years as long as the initial training is completed via Positive Alliance/ PCAN. Consider adding two types of blocks to Space 7 and books to all spaces. The ECERS-3 scale requires at least 15 books to be accessible to children, with "many" meaning 35 books for 20 children. For ITERS-3, more than 20 books must be accessible throughout the observation for infants and toddlers to receive a high score. Specifically, the requirement is "More than 20 books accessible for infants and toddlers" and "More than 30 books for preschool children". For mobile infants, at least six blocks are needed, while for older toddlers (24 months and older), there should be enough blocks for building structures without competition, and at least five accessories should be available. Large, hollow blocks should be available for older toddlers and twos, and older toddlers should have their own special block interest center. The ECERS-3 requires a block area to have enough space, blocks, and accessories for at least three children to build independent structures at the same time (Indicator 5.1). This space is for unit and/or hollow blocks and should include at least three types of accessories, such as animals, people, or vehicles, to extend play. Interlocking blocks or those with sides less than two inches do not count. 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 Ms. Moody stated the facility is planning to choose Pathway 1 for the Rated License Assessment. She stated the facility is already in contact with Smart Start of Forsyth County and that Keturah Oglesby is currently providing health & safety support. Ms. Moody also reported Smart Start will be sending an Educational Specialist to the facility to provide program support in preparing for the ERS-3 soon. Additionally, Ms. Moody shared the facility has an outreach assessment currently scheduled through NCRLAP for 1/05/2026. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. At the completion of the visit, this visit was reviewed with and provided to 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-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/24/2025 Number Present: 28 Completed Date: 10/24/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 10:30 AM Time Out: 03:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit and to review the Administrative Action Written Warning and Appeal guidelines with administration. This visit was conducted with Keri Moody, Director. Cassandra Wright, Director-In-Training, was also present during the visit. The Administrative Action and Appeal process were reviewed in detail with Ms. Moody at the conclusion of the visit. Ms. Moody stated the facility does not plan to appeal the action. Your program currently operates with a 4-Star license effective 5/05/2023. Restrictions include 1st shift care, meets enhanced ratios, and meets enhanced space. The Administrative Action Written Warning was observed posted on a board in the lobby directly to the right of the entrance to the hallway leading to classrooms where it is visible to parents and visitors. The program’s compliance history was 83% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing in activity centers, engaging in large and small group times with staff, playing outdoors, eating lunch, participating in general routines, and napping during the visit. Four new staff members were reported at this program. The files for these staff members were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Criminal Background Checks. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 10/01/2025. A fire drill was recorded 10/20/2025. The most recent lockdown drill for the facility was recorded 10/20/25. The most recent fire inspection was on 10/24/25. I observed a sanitation inspection was last conducted on 8/06/2025 earning a Superior classification. A copy of the fire inspection was provided to me during the visit. The program does not participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was completed on 10/24/2025; the most recent fire inspection prior to this one was conducted on 7/06/2024. 10A NCAC 09 .0304(a) 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. A copy of the Summary of the NC Child Care law was not observed posted in the facility. G.S. 110-102 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. A cot list was not observed posted in Space 4. 15A NCAC 18A .2821(b) & (c) 807 A safe indoor and outdoor environment was not provided for the children. A cracked plastic bin, sharp to the touch, was observed on the playground used by children two and three years of age. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two air freshener solids labeled Keep Out of Reach of Children with additional warnings were observed in the main hallway bathrooms stored greater than five feet from the ground, but in unlocked storage. A Triple Antibiotic ointment was observed inside a child's cubby located less than five feet from the ground and in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. The brand of diaper cream was not recorded on a Medication Permission form for Topical Ointments. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for April or May of 2025. .0605(q) 861 Prohibited Styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. A set of foam blocks was observed accessible to children under the age of three years old in Space 7; teeth marks were observed on greater than two blocks and pieces of foam were observed missing from greater than three blocks. .0604(q) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had been created; however, the CBC Qualification Letter for all staff members, with the exception of the Director and Director-In-Training were not linked to this profile within five days of hire. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. A Ready to Go File was not observed on file for review. .0607(d)(10) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 11/07/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: A facility profile for Criminal Background Checks had been created; however, the CBC Qualification Letter for all staff members, with the exception of the Director and Director-In-Training were not linked to this profile within five days of hire. It is necessary for all staff members to be linked to the Center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. A fire inspection was completed on 10/24/2025; the most recent fire inspection prior to this one was conducted on 7/06/2024. Ms. Moody provided documentation showing a failed fire inspection conducted on 7/16/2025, due to partitions located in the space designated for infants. These partitions divided the classroom and included a latched partition door. Ms. Moody reported the fire inspector stated all partitions needed to be removed, as all exits and their access were not considered free of obstructions. Ms. Moody stated a deadline of 8/15/25 was provided for these partitions to be removed, but removal had not been completed on 8/22/25 when the inspector returned. Ms. Moody did not begin employment with the facility until 8/25/25, but she stated these partitions have been in place in the infant room since the building opened in 1975. It is imperative all required inspections are completed on time for the safety of children enrolled. You may consider creating a calendar or email reminder to reach out to your local fire marshal approximately one month prior to your inspection being due to schedule the inspection. A playground inspection was not observed on file for April or May of 2025. It is important for playground inspections to be conducted monthly to ensure the outdoor learning environment remains safe at all times for children in care. Ms. Wright and Ms. Moody stated they were hired after these inspections were due, and they are unsure why they had not been completed. All playground inspections required since Ms. Wright and Ms. Moody were employed were observed completed and on file for review. A Ready to Go File was not observed on file for review. A Ready to Go File means a collection of information on children, staff 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 staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. It is vital for this information to be on file for all staff and children enrolled in the event of the occurrence of an emergency evacuation to ensure the health and safety of all individuals at the facility. Ms. Moody and Ms. Wright stated the creation of this file has been on their To-Do list and they will complete it as soon as possible. Consultation Provided During Visit: Please ensure you parents complete the proper medication forms for prescription and over-the-counter medications when a child needs medication onsite during operating hours. Also ensure the parent's authorization to administer prescription medication is valid for the length of time the prescription is valid for and reflects the amount and dosage recorded on the prescription label. It is best practice for staff to record an infant is laid on his/her back during the first Safe Sleep Record recording when an infant is initially laid down for a nap, even if the child is awake and/or immediately rolls to his/her side/stomach when placed on his/her back. During the second visual sleep check, the staff member can record the new sleep position adopted. An initial training certificate of completion of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment taken through through Positive Alliance (Prevent Child Abuse NC) (https://positivechildhoodalliancenc.org/online-trainings/) must be on file for all new employees. Once completed, subsequent trainings for Recognizing and Responding may be taken through other approved training agencies every five years as long as the initial training is completed via Positive Alliance/ PCAN. Consider adding two types of blocks to Space 7 and books to all spaces. The ECERS-3 scale requires at least 15 books to be accessible to children, with "many" meaning 35 books for 20 children. For ITERS-3, more than 20 books must be accessible throughout the observation for infants and toddlers to receive a high score. Specifically, the requirement is "More than 20 books accessible for infants and toddlers" and "More than 30 books for preschool children". For mobile infants, at least six blocks are needed, while for older toddlers (24 months and older), there should be enough blocks for building structures without competition, and at least five accessories should be available. Large, hollow blocks should be available for older toddlers and twos, and older toddlers should have their own special block interest center. The ECERS-3 requires a block area to have enough space, blocks, and accessories for at least three children to build independent structures at the same time (Indicator 5.1). This space is for unit and/or hollow blocks and should include at least three types of accessories, such as animals, people, or vehicles, to extend play. Interlocking blocks or those with sides less than two inches do not count. 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 Ms. Moody stated the facility is planning to choose Pathway 1 for the Rated License Assessment. She stated the facility is already in contact with Smart Start of Forsyth County and that Keturah Oglesby is currently providing health & safety support. Ms. Moody also reported Smart Start will be sending an Educational Specialist to the facility to provide program support in preparing for the ERS-3 soon. Additionally, Ms. Moody shared the facility has an outreach assessment currently scheduled through NCRLAP for 1/05/2026. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. At the completion of the visit, this visit was reviewed with and provided to 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-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: 0825-244L Visit Date: 9/3/2025 Number Present: 34 Completed Date: 9/3/2025 Age: From 0 To 4 Total Minutes: 85 Time In: 01:35 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced An unannounced follow-up visit was conducted at this childcare center to verify correction of a violation related to staff/ child ratio documented during a Complaint Visit conducted on 8/26/2025. Today’s visit was conducted with Keri Moody, Director. Whitney Griffin, Regional Director, was also onsite during the visit. Today, the following items were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • Permit Restrictions The license was posted and restrictions were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. The following violation documented during the Complaint visit on 8/26/2025 was monitored for compliance during this visit: • Item 1756: Enhanced staff/child ratios and group sizes were not met. On 8/12/25, Space 7, the classroom designated for children two years of age, was observed to have had one (1) teacher caring for ten (10) children for between one and five minutes. On 8/12/25, in Space 6, the classroom designated for children three and four years of age, was observed to have one (1) staff member caring for fourteen (14) children from approximately 10 a.m. until 2 p.m. On 8/13/25, Space 7, the classroom designated for children two years of age, was observed to have had one (1) teacher caring for ten (10) children from approximately 9 a.m. until 10:15 a.m. On 8/18/2025, Space 7, the classroom designated for children two years of age, was observed to have had one (1) teacher caring for ten (10) children from approximately 3:20 p.m. to 3:30 p.m. when a staff member who came from another “sister facility” to help that day left. Staff: child ratios were observed to be in compliance during the visit. The following violation was cited during the visit: Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. In Space 7, the classroom designated for children two years of age, nine (9) children two years of age, four (4) children three years of age, and six (6) children four years of age were observed with one staff member during nap time. There were a total of 19 children in a space with a maximum group size permitted of 18 children. This is a repeat violation. 10A NCAC 09 .2818 An unannounced follow-up visit will be made to monitor compliance with group size. During the visit, we discussed that due to the substantiation of allegations regarding violation of child care requirements during the complaint visit conducted on 8/26/25, an Administrative Action will be recommended. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. A compliance letter has not yet been received; this letter is due on 9/09/2025. Technical Assistance Provided During the Visit: In Space 7, the classroom designated for children two years of age, nine (9) children two years of age, four (4) children three years of age, and six (6) children four years of age were observed with one staff member during nap time. There were a total of 19 children in a space with a maximum group size permitted of 18 children. Ms. Moody stated she thought only eighteen (18) children were present in Space 7 today, and she stated she will begin checking staff: child ratios and group sizes in each classroom personally. Ms. Moody also shared she did not fully understand the group sizes associated with Voluntary Enhanced Requirements because she had never worked at a facility following these requirements in the past. Ms. Moody and I discussed the Classroom Staff: Child Ratio Worksheet, and 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) in detail. Additionally, the children three and four years of age in Space 7 were moved back into their designated classroom, Space 6, during the visit. Ms. Moody also stated during today’s visit one new staff person was present during the visit and in process of completing onboarding with Ms. Griffin, and another new staff member was expected to begin the onboarding process on or before 9/05/25. Ms. Moody further stated another new staff member will be starting employment on 9/08/25, and an additional new staff member will begin work on 9/15/25. Lastly, Ms. Moody stated another employee will begin work in the near future, as soon as this individual completes required TB testing/screening. At the completion of the visit, this visit summary was reviewed with and provided to you. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2818 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: 0825-244L Visit Date: 8/26/2025 Number Present: 25 Completed Date: 8/26/2025 Age: From 0 To 5 Total Minutes: 435 Time In: 08:15 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted with Keri Moody, Director and Cassandra Wright, Director In Training. There are allegations of violations of child care requirements related to staff: child ratios, sanitation/health, safe environment (outdoor), and staff records. Your program currently operates with a 4-Star license effective 5/05/2023. Restrictions include 1st shift care, meets enhanced ratios and meets enhanced space. The program’s compliance history was 84% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff: Child Ratios • Safe Environment (Outdoor) • Sanitation/ Health • Staff Records • Capacity • Adequate/ Approved Space • License Posted • General License Requirements Both new administrators were interviewed during the visit. Ms. Moody stated yesterday, 8/25/25 was her first date of employment, and Mrs. Wright stated her first date of employment was 5/31/25. Mrs. Wright stated she was expecting my visit due to having to terminating an employee recently. There are allegations of violations of child care requirements related to staff: child ratios. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate, and staff: child ratios were observed in compliance during the visit. A staffing schedule and time cards for staff in all classrooms were not available for review, but some staff sign-in/ sign-out documentation was available for review on the Name-To-Face sign-in/ sign out forms. I reviewed the Name-To-Face sign-in/out records for each of the four classrooms currently in operation over a period of the last two weeks for each classroom. On 8/12/25, Space 7, the classroom designated for children two years of age, was observed to have had one (1) teacher caring for ten (10) children for between one and five minutes. On 8/12/25, in Space 6, the classroom designated for children three and four years of age, was observed to have one (1) staff member caring for fourteen (14) children from approximately 10 a.m. until 2:30 p.m. On 8/13/25, Space 7, the classroom designated for children two years of age, was observed to have had one (1) teacher caring for ten (10) children from approximately 9 a.m. until 10:15 a.m. On 8/18/2025, Space 7, the classroom designated for children two years of age, was observed to have had one (1) teacher caring for ten (10) children from approximately 3:20 p.m. to 3:30 p.m. when a staff member who came from another “sister facility” to help that day left for the day. Mrs. Wright stated additional procedures were put into place on 6/12/25 during the first staff meeting under new administration to ensure staff: child ratios remained in compliance at all times. Mrs. Wright stated all teachers are now required to use a walkie talkie to contact the front office whenever they have one child less than the required ratio for the age group they are caring for. Mrs. Wright also stated additional measures of expectation for parents during drop-off were instated on 7/21/2025 via both a Zoom Center Parent Meeting, and a physical paper memo sent home with all new and existing families enrolled. These measures included teachers notifying a member of administration if their classroom is preparing to be out of ratio via walkie talkie or other means before a parent is permitted to drop off a child. If the staff member is unable to contact a member of administration, the parent must locate a member of administration prior to dropping off the child for care. I was provided a copy of the Staff Meeting Agenda held in June mentioning “Parent Communication” and “Ratio” as topics discussed. Mrs. Wright additionally shared the Regional Director stated the facility may not enroll any more children until staffing has increased. Mrs. Wright stated that if more children arrive at the program (who are currently enrolled) than there are staff required to meet staff: child ratios, these children will be cared for at another local sister site. Mrs. Wright further stated two classrooms have been temporarily closed due to lack of staffing. During today’s visit, three staff members from other sister site facility locations were observed staffing two classrooms. Based on information received from interviews and direct observations made during the visit, this allegation was substantiated. There are allegations of violations of child care requirements related to sanitation/ health. A walkthrough of the facility was conducted during the visit. I observed hand washing routines in three classrooms for approximately fifteen minutes per classroom, and I observed toileting and hand washing routines for children who use the bathrooms off the main hallway. In Space 7, the classroom designated for children two years of age, one staff member was observed to turn the sink faucet off without using a paper towel, and one child enrolled was observed to sit down to eat at the table without having his hands washed. The staff member, assisting in the classroom for the day from another sister site, washed the child’s hands as soon as I mentioned this to her. In Space 6, four children were observed touching the lid of the trashcan following washing their hands after breakfast; these children did not rewash their hands. One child enrolled in this space was observed to turn off the sink faucet without using a paper towel. Children enrolled in Space 6 were observed using the two bathrooms located across from one another in the main hallway both for toileting, and general hand washing. Per the staff member caring for the children during the visit (who was also helping from a sister site) none of the sinks in either bathroom were sanitized and cleaned between changes of use. One of the nine toilets used by children in these bathrooms was observed to be soiled and was not cleaned following use. Based on information received from direct observations made during the visit, this allegation was substantiated. There are allegations of violations of child care requirements related to a safe outdoor environment. All three playgrounds were monitored during the visit; no safety hazards or concerns were observed. Mrs. Wright stated a daily playground inspection is conducted prior to each age group using the outdoor environment. Staff: child ratios on the playground were observed to be in compliance. Based on information received from direct observations made during the visit, this allegation was unable to be substantiated. There are allegations of violations of child care requirements related to staff records. The staff files for the two new employees (not inclusive of Ms. Moody) who had begun employment within the last year were reviewed. A record of staff orientation for one employee whose start date was 6/11/25 was incomplete and was observed to have received orientation hours only on 6/12/2025. Mrs. Wright stated this employee was hired prior to her own first date of employment, but did not begin work until 6/11/2025. She also stated that moving forward, all new employees will receive a minimum of five full days of training prior to being counted in staff: child ratio - three days of online and onboarding training and two days of job shadowing (in classroom observation and experience, but not part of staff: child ratio). Based on information received from interviews and direct observations made during the visit, this allegation was substantiated. The following violations were cited during today’s visit: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In Space 7, the classroom designated for children two years of age, one child enrolled was observed to sit down to eat at the table without having his hands washed. 15A NCAC 18A .2803(c) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A record of staff orientation for one employee whose start date was 6/11/25 was incomplete and was observed to have received orientation hours only on 6/12/2025. .1101(a) 1756 Enhanced staff/child ratios and group sizes were not met. On 8/12/25, Space 7, the classroom designated for children two years of age, was observed to have had one (1) teacher caring for ten (10) children for between one and five minutes. On 8/12/25, in Space 6, the classroom designated for children three and four years of age, was observed to have one (1) staff member caring for fourteen (14) children from approximately 10 a.m. until 2 p.m. On 8/13/25, Space 7, the classroom designated for children two years of age, was observed to have had one (1) teacher caring for ten (10) children from approximately 9 a.m. until 10:15 a.m. On 8/18/2025, Space 7, the classroom designated for children two years of age, was observed to have had one (1) teacher caring for ten (10) children from approximately 3:20 p.m. to 3:30 p.m. when a staff member who came from another “sister facility” to help that day left. 10A NCAC 09 .2818 9995 A violation was found for which there is no item number. NC Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING (e)(6) states handwashing procedures shall include the following steps: (6) turning off faucet with a paper towel or other method without re-contaminating hands. In Space 7, the classroom designated for children two years of age, one staff member was observed to turn the sink faucet off without using a paper towel. In Space 6, one child enrolled in this space was observed to turn off the sink faucet without using a paper towel. In Space 6, four children were observed touching the lid of the trashcan following washing their hands after breakfast; these children did not rewash their hands. 9996 A violation was found for which there is no item number. NC Child Care Sanitation Rule 15A NCAC 18A .2818 LAVATORIES (c) states lavatories shall be cleaned and disinfected with each change of use, when visibly soiled, and at least daily. Change of use occurs when a handwash lavatory is used outside of its original intent. Change of use includes, but is not limited to, a classroom handwash lavatory used for rinsing toothbrushes, a food preparation handwash lavatory used for toy cleaning, or a classroom handwash lavatory used for diaper changing handwashing. Children enrolled in Space 6 were observed using the two bathrooms located across from one another in the main hallway both for toileting, and general hand washing. Per the staff member caring for the children during the visit (who was also helping from a sister site) none of the sinks in either bathroom were sanitized and cleaned between changes of use. One of the nine toilets used by children in these bathrooms was observed to be soiled and was not cleaned following use. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 9/09/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. An unannounced follow-up visit will be conducted to monitor staff: child ratio requirements. During the visit, we discussed that due to the substantiation of allegations regarding violation of child care requirements, an Administrative Action could be recommended. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: On 8/12/25, Space 7, the classroom designated for children two years of age, was observed to have had one (1) teacher caring for ten (10) children for between one and five minutes. On 8/12/25, in Space 6, the classroom designated for children three and four years of age, was observed to have one (1) staff member caring for fourteen (14) children from approximately 10 a.m. until 2 p.m. On 8/13/25, Space 7, the classroom designated for children two years of age, was observed to have had one (1) teacher caring for ten (10) children from approximately 9 a.m. until 10:15 a.m. On 8/18/2025, Space 7, the classroom designated for children two years of age, was observed to have had one (1) teacher caring for ten (10) children from approximately 3:20 p.m. to 3:30 p.m. when a staff member who came from another “sister facility” to help that day left. It is imperative for staff: child ratios to remain in compliance at all times to ensure the safety and wellbeing of children enrolled. You may consider hiring one or more extra full/part-time and/or substitute staff to be available when an emergency or unexpected situation arises. In Space 7, the classroom designated for children two years of age, one staff member was observed to turn the sink faucet off without using a paper towel, and one child enrolled was observed to sit down to eat at the table without having his hands washed. The staff member, assisting in the classroom for the day from another sister site, washed the child’s hands as soon as I mentioned this to her. In Space 6, four children were observed touching the lid of the trashcan following washing their hands after breakfast; these children did not rewash their hands. One child enrolled in this space was observed to turn off the sink faucet without using a paper towel. Children enrolled in Space 6 were observed using the two bathrooms located across from one another in the main hallway both for toileting, and general hand washing. Per the staff member caring for the children during the visit (who was also helping from a sister site) none of the sinks in either bathroom were sanitized and cleaned between changes of use. One of the nine toilets used by children in these bathrooms was observed to be soiled and was not cleaned following use. It is imperative that proper handwashing and sanitation protocols are followed at all times to mitigate the spread of germs and infectious diseases among children and staff. You may consider retraining all staff on hand washing procedures for staff and children, as well as change of use procedures in toileting areas. You may also consider providing coaching to staff regarding these processes by modeling proper hand washing practices alongside them in the classroom. I encourage you to reach out to Keturah Oglesby, Child Care Health Consultant, Smart Start of Forsyth County at: (336) 714-4370 or keturaho@smartstart-fc.org for additional training and technical assistance regarding hand washing and other health and safety issues. A record of staff orientation for one employee whose start date was 6/11/25 was incomplete and was observed to have received orientation hours only on 6/12/2025. It is essential for new employees to receive all orientation required to ensure they are prepared to complete the functions of their roles in caring for children safely. You may consider developing a system and/or schedule for onboarding new staff members to ensure all orientation and onboarding requirements are completed within the required timeframes. Consultation provided during today’s visit: • It is best practice for children enrolled to experience as much consistency as possible with their classrooms and caregivers. As new staff are hired, you may consider developing a staffing schedule which allows for staff to remain primarily with their age groups during operating hours, as well as creating a schedule for lunches and breaks that also allows consistent floaters or other staff to serve in these classrooms. • It may be helpful to incorporate songs, games, and/or music & movement activities to assist children in developing consistent and correct handwashing practices. • You may consider creating a system to help staff remember to sign in/out on the Name-To-Face sheets each day. 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. In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Mrs. Wright stated the facility will likely follow Pathway 1 and is already in the process of scheduling an outreach assessment to be completed through NCRLAP. At the completion of the visit, this visit was reviewed with and provided to 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-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0901 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 35 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 515 Time In: 08:25 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Crystal Alston, Director and Sheridan Avery, Assistant Director. Your program currently operates with a 4- Star license. Restrictions include first shift care, meets enhanced ratios, and meets enhanced space. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 85 % prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in games, activities, and conversations with their teachers, playing outdoors, participating in general routines, and eating lunch during the visit. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 4/22/2024. A sanitation inspection was completed 9/10/2024 with a Superior classification. The last fire inspection was conducted in July, 2024; the specific date could not be retrieved, as the facility's internet services were not functioning during my visit. Ms. Alston stated she would send me a copy of this fire inspection via email as soon as services were restored. Program records and required postings were monitored. A fire drill was conducted on 3/03/2025. A lockdown and shelter in place drill were documented on 3/05/2025; a live lockdown drill was also completed during the visit. An outdoor inspection was documented on 3/18/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for nine new staff members and one existing staff member were monitored during the visit. The files for five children enrolled were monitored during the visit as well. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program currently transports six children enrolled who are School Age from school each day. I monitored one (1) vehicle. I observed one 2003 microbus, license plate tag # AES1931. A No Smoking sign was observed posted inside the vehicle. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on this vehicle is due 6/30/2025, and the insurance is valid through 6/01/2025. The program does not participate in off-premise activities or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The posted activity plan in Space 3 was observed to be dated 3/31/25, and the activity plan posted in Space 4 was not current, per the director, and did not include a date. GS 110-91(12); .0508(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. Only one set of blocks not enough for at least three children to build was observed in Space 3; additional blocks were added during the visit to support enough for three children's play. In Space 5, an insufficient amount of blocks was available to support the play of three children; two additional types of blocks were added to this center during the visit. In Space 6, no blocks accessories were available to the children. Only crayons were available to children in the art center. During the visit, paint, paintbrushes, paper, chalk, and markers were added to the art center. Dinosaurs, animals, people, and another type of block were added to the blocks center. .0510(d)(1) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The posted breakfast menu included oatmeal and sliced apples; the children were served Chex and a banana. The substitution was not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The infant feeding plans for two children enrolled (one in Space 1 and one in Space 2) were observed to not include a parent signature. The infant feeding plan for one child enrolled in Space 1 was also observed to be incomplete and did not contain any information regarding approved foods for the child. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A door in Space 1 which connects the classroom to the laundry room was observed to be unlocked with the key stored in the lock. .2820(b) 847 Parent's medication authorization did not include required information. The topical medication authorization form for one child enrolled in Space 6 did not include a name or brand of diaper cream. The topical medication authorization form for one child enrolled in Space 6 did not include the criteria for the administration of the diaper cream. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The safe sleep logs for two children enrolled in Space 2 were observed not to have been completed on 4/08/25. One child was recorded in the parent app to sleep from 10:55 a.m. until 1:07 p.m. with no log completed. One child was recorded in the parent app to sleep from 4 p.m. to 5:05 p.m. with no log completed. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of staff orientation was not observed on file for one existing and nine new staff members. .1101(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguisher on the vehicle was not observed to be secured inside the vehicle. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The emergency information forms and photographs for two children of School Age were not observed on the vehicle used to transport the children. The emergency information forms were placed on the vehicle during the visit. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. The transportation authorization forms for two children of School Age were not observed on the vehicle used to transport the children. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Documentation of a current staff evaluation was not observed on file for one existing staff member. 10A NCAC 09 .0514(f) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A signed receipt of a discipline policy was not observed on file for one child enrolled. .1804(c) 1441 An individual responsible for both administering the program and planning and ensuring the implementation of the daily activities did not meet requirements for an administrator and/or complete BSAC training. A BSAC certification was not observed on file for the administrator of the program. 10A NCAC 09 .2510(f) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not include staff contact information for six staff members, the applications for eleven children enrolled, and blank incident reports. Staff contact information for the six staff members was added during the visit. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was observed to have been updated last on 5/08/2023. .0607(e) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. A EPR certification was not observed on file for the administrator of the program. .0607(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Training certificates for Health & Safety training topic #s 2 (Administration of medication, with standards for parental consent), 4 (Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic), and 5 (Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event) were not observed on file for review for one existing staff member. .1103(b) 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 4/23/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Due to the number and nature of violations during today’s visit, and unannounced follow-up visit will be made to monitor supervision and the correction of violations cited. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance documented during today’s visit: • The infant feeding plans for two children enrolled (one in Space 1 and one in Space 2) were observed to not include a parent signature. The infant feeding plan for one child enrolled in Space 1 was observed to be incomplete and did not contain any information regarding approved foods for the child. The safe sleep logs for two children enrolled in Space 2 were observed not to have been completed on 4/08/25. The emergency information forms and photographs for two children of School Age were not observed on the vehicle used to transport the children; the emergency information forms for both children were placed on the vehicle during the visit. The Emergency Preparedness and Response Plan was observed to have been updated last on 5/08/2023. The Ready to Go File did not include staff contact information for six staff members, the applications for eleven children enrolled, and blank incident reports; staff contact information for the six staff members was added during the visit. A BSAC and EPR certification were not observed on file for the administrator of the program. Ms. Alston stated she had attempted to register for the EPR training scheduled at Smart Start of Forsyth County offered on 3/18/2025, but was unable to register for the training due to a website technical issue. A signed receipt of a discipline policy was not observed on file for one child enrolled. Documentation of staff orientation was not observed on file for one existing and nine new staff members. Documentation of a current staff evaluation was not observed on file for one existing staff member. Training certificates for Health & Safety training topic #s 2 (Administration of medication, with standards for parental consent), 4 (Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic), and 5 (Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event) were not observed on file for review for one existing staff member; Ms. Alston stated the staff member completed each of these trainings, but they were unable to be pulled up electronically, due to the facility’s internet service being down. Ms. Alston stated she was unaware the other documentation was not current and/or on file. It is important for all staff to review the EPR plan each year so they remain familiar with all emergency safety practices and protocols in the event of an emergency. You may consider setting a reminder for next year to review this plan with all staff as soon as the plan is updated and within 12 months of the last EPR review. I sent Ms. Alston the registration link for an upcoming Southwestern Child Development Commission BSAC course during the visit. I also sent Ms. Alston a link of current local Emergency Preparedness and Response trainers during the visit. It is also imperative for all required child, staff and program file documentation to be current and on file at all times to ensure the health, safety, and quality of care of children enrolled. You may consider requesting a Technical Assistance session from your child care consultant in the near future to review requirements for all staff, child, and program records. • The fire extinguisher on the vehicle was not observed to be secured inside the vehicle. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were discussed with Ms. Alston: • 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN (1) and (3) in regard to goals when completing a professional development plan • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) regarding a standing authorization for topical medication for up to twelve months • Please submit all education (current and newly completed) to DCDEE Works for both new staff members (within six months of hire), and current staff members. • Please update and post the allergy list for each classroom. • Consider creating an art area which is accessible for children one year of age enrolled in Space 1. • Please remove the small toys observed inside the indoor air conditioning vent located in Space 1. • Whenever a staff member places a baby down for nap, please record “B” for Back the first time the infant safe sleep log is completed, even if the child immediately rolls to his/her side or stomach. Record “S” for Side or “T” for Tummy the next time the child is checked, according to the sleeping position adopted. Ms. Alston stated the corporation's Education Specialist has been working with the program for the past two months and has taken an inventory of all materials necessary to add to each classroom space. Ms. Alston stated these materials will be ordered in the near future. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, 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 .0514 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 35 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 515 Time In: 08:25 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Crystal Alston, Director and Sheridan Avery, Assistant Director. Your program currently operates with a 4- Star license. Restrictions include first shift care, meets enhanced ratios, and meets enhanced space. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 85 % prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in games, activities, and conversations with their teachers, playing outdoors, participating in general routines, and eating lunch during the visit. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 4/22/2024. A sanitation inspection was completed 9/10/2024 with a Superior classification. The last fire inspection was conducted in July, 2024; the specific date could not be retrieved, as the facility's internet services were not functioning during my visit. Ms. Alston stated she would send me a copy of this fire inspection via email as soon as services were restored. Program records and required postings were monitored. A fire drill was conducted on 3/03/2025. A lockdown and shelter in place drill were documented on 3/05/2025; a live lockdown drill was also completed during the visit. An outdoor inspection was documented on 3/18/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for nine new staff members and one existing staff member were monitored during the visit. The files for five children enrolled were monitored during the visit as well. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program currently transports six children enrolled who are School Age from school each day. I monitored one (1) vehicle. I observed one 2003 microbus, license plate tag # AES1931. A No Smoking sign was observed posted inside the vehicle. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on this vehicle is due 6/30/2025, and the insurance is valid through 6/01/2025. The program does not participate in off-premise activities or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The posted activity plan in Space 3 was observed to be dated 3/31/25, and the activity plan posted in Space 4 was not current, per the director, and did not include a date. GS 110-91(12); .0508(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. Only one set of blocks not enough for at least three children to build was observed in Space 3; additional blocks were added during the visit to support enough for three children's play. In Space 5, an insufficient amount of blocks was available to support the play of three children; two additional types of blocks were added to this center during the visit. In Space 6, no blocks accessories were available to the children. Only crayons were available to children in the art center. During the visit, paint, paintbrushes, paper, chalk, and markers were added to the art center. Dinosaurs, animals, people, and another type of block were added to the blocks center. .0510(d)(1) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The posted breakfast menu included oatmeal and sliced apples; the children were served Chex and a banana. The substitution was not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The infant feeding plans for two children enrolled (one in Space 1 and one in Space 2) were observed to not include a parent signature. The infant feeding plan for one child enrolled in Space 1 was also observed to be incomplete and did not contain any information regarding approved foods for the child. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A door in Space 1 which connects the classroom to the laundry room was observed to be unlocked with the key stored in the lock. .2820(b) 847 Parent's medication authorization did not include required information. The topical medication authorization form for one child enrolled in Space 6 did not include a name or brand of diaper cream. The topical medication authorization form for one child enrolled in Space 6 did not include the criteria for the administration of the diaper cream. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The safe sleep logs for two children enrolled in Space 2 were observed not to have been completed on 4/08/25. One child was recorded in the parent app to sleep from 10:55 a.m. until 1:07 p.m. with no log completed. One child was recorded in the parent app to sleep from 4 p.m. to 5:05 p.m. with no log completed. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of staff orientation was not observed on file for one existing and nine new staff members. .1101(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguisher on the vehicle was not observed to be secured inside the vehicle. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The emergency information forms and photographs for two children of School Age were not observed on the vehicle used to transport the children. The emergency information forms were placed on the vehicle during the visit. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. The transportation authorization forms for two children of School Age were not observed on the vehicle used to transport the children. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Documentation of a current staff evaluation was not observed on file for one existing staff member. 10A NCAC 09 .0514(f) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A signed receipt of a discipline policy was not observed on file for one child enrolled. .1804(c) 1441 An individual responsible for both administering the program and planning and ensuring the implementation of the daily activities did not meet requirements for an administrator and/or complete BSAC training. A BSAC certification was not observed on file for the administrator of the program. 10A NCAC 09 .2510(f) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not include staff contact information for six staff members, the applications for eleven children enrolled, and blank incident reports. Staff contact information for the six staff members was added during the visit. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was observed to have been updated last on 5/08/2023. .0607(e) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. A EPR certification was not observed on file for the administrator of the program. .0607(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Training certificates for Health & Safety training topic #s 2 (Administration of medication, with standards for parental consent), 4 (Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic), and 5 (Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event) were not observed on file for review for one existing staff member. .1103(b) 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 4/23/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Due to the number and nature of violations during today’s visit, and unannounced follow-up visit will be made to monitor supervision and the correction of violations cited. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance documented during today’s visit: • The infant feeding plans for two children enrolled (one in Space 1 and one in Space 2) were observed to not include a parent signature. The infant feeding plan for one child enrolled in Space 1 was observed to be incomplete and did not contain any information regarding approved foods for the child. The safe sleep logs for two children enrolled in Space 2 were observed not to have been completed on 4/08/25. The emergency information forms and photographs for two children of School Age were not observed on the vehicle used to transport the children; the emergency information forms for both children were placed on the vehicle during the visit. The Emergency Preparedness and Response Plan was observed to have been updated last on 5/08/2023. The Ready to Go File did not include staff contact information for six staff members, the applications for eleven children enrolled, and blank incident reports; staff contact information for the six staff members was added during the visit. A BSAC and EPR certification were not observed on file for the administrator of the program. Ms. Alston stated she had attempted to register for the EPR training scheduled at Smart Start of Forsyth County offered on 3/18/2025, but was unable to register for the training due to a website technical issue. A signed receipt of a discipline policy was not observed on file for one child enrolled. Documentation of staff orientation was not observed on file for one existing and nine new staff members. Documentation of a current staff evaluation was not observed on file for one existing staff member. Training certificates for Health & Safety training topic #s 2 (Administration of medication, with standards for parental consent), 4 (Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic), and 5 (Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event) were not observed on file for review for one existing staff member; Ms. Alston stated the staff member completed each of these trainings, but they were unable to be pulled up electronically, due to the facility’s internet service being down. Ms. Alston stated she was unaware the other documentation was not current and/or on file. It is important for all staff to review the EPR plan each year so they remain familiar with all emergency safety practices and protocols in the event of an emergency. You may consider setting a reminder for next year to review this plan with all staff as soon as the plan is updated and within 12 months of the last EPR review. I sent Ms. Alston the registration link for an upcoming Southwestern Child Development Commission BSAC course during the visit. I also sent Ms. Alston a link of current local Emergency Preparedness and Response trainers during the visit. It is also imperative for all required child, staff and program file documentation to be current and on file at all times to ensure the health, safety, and quality of care of children enrolled. You may consider requesting a Technical Assistance session from your child care consultant in the near future to review requirements for all staff, child, and program records. • The fire extinguisher on the vehicle was not observed to be secured inside the vehicle. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were discussed with Ms. Alston: • 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN (1) and (3) in regard to goals when completing a professional development plan • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) regarding a standing authorization for topical medication for up to twelve months • Please submit all education (current and newly completed) to DCDEE Works for both new staff members (within six months of hire), and current staff members. • Please update and post the allergy list for each classroom. • Consider creating an art area which is accessible for children one year of age enrolled in Space 1. • Please remove the small toys observed inside the indoor air conditioning vent located in Space 1. • Whenever a staff member places a baby down for nap, please record “B” for Back the first time the infant safe sleep log is completed, even if the child immediately rolls to his/her side or stomach. Record “S” for Side or “T” for Tummy the next time the child is checked, according to the sleeping position adopted. Ms. Alston stated the corporation's Education Specialist has been working with the program for the past two months and has taken an inventory of all materials necessary to add to each classroom space. Ms. Alston stated these materials will be ordered in the near future. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, 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 .0803 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 35 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 515 Time In: 08:25 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Crystal Alston, Director and Sheridan Avery, Assistant Director. Your program currently operates with a 4- Star license. Restrictions include first shift care, meets enhanced ratios, and meets enhanced space. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 85 % prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in games, activities, and conversations with their teachers, playing outdoors, participating in general routines, and eating lunch during the visit. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 4/22/2024. A sanitation inspection was completed 9/10/2024 with a Superior classification. The last fire inspection was conducted in July, 2024; the specific date could not be retrieved, as the facility's internet services were not functioning during my visit. Ms. Alston stated she would send me a copy of this fire inspection via email as soon as services were restored. Program records and required postings were monitored. A fire drill was conducted on 3/03/2025. A lockdown and shelter in place drill were documented on 3/05/2025; a live lockdown drill was also completed during the visit. An outdoor inspection was documented on 3/18/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for nine new staff members and one existing staff member were monitored during the visit. The files for five children enrolled were monitored during the visit as well. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program currently transports six children enrolled who are School Age from school each day. I monitored one (1) vehicle. I observed one 2003 microbus, license plate tag # AES1931. A No Smoking sign was observed posted inside the vehicle. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on this vehicle is due 6/30/2025, and the insurance is valid through 6/01/2025. The program does not participate in off-premise activities or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The posted activity plan in Space 3 was observed to be dated 3/31/25, and the activity plan posted in Space 4 was not current, per the director, and did not include a date. GS 110-91(12); .0508(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. Only one set of blocks not enough for at least three children to build was observed in Space 3; additional blocks were added during the visit to support enough for three children's play. In Space 5, an insufficient amount of blocks was available to support the play of three children; two additional types of blocks were added to this center during the visit. In Space 6, no blocks accessories were available to the children. Only crayons were available to children in the art center. During the visit, paint, paintbrushes, paper, chalk, and markers were added to the art center. Dinosaurs, animals, people, and another type of block were added to the blocks center. .0510(d)(1) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The posted breakfast menu included oatmeal and sliced apples; the children were served Chex and a banana. The substitution was not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The infant feeding plans for two children enrolled (one in Space 1 and one in Space 2) were observed to not include a parent signature. The infant feeding plan for one child enrolled in Space 1 was also observed to be incomplete and did not contain any information regarding approved foods for the child. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A door in Space 1 which connects the classroom to the laundry room was observed to be unlocked with the key stored in the lock. .2820(b) 847 Parent's medication authorization did not include required information. The topical medication authorization form for one child enrolled in Space 6 did not include a name or brand of diaper cream. The topical medication authorization form for one child enrolled in Space 6 did not include the criteria for the administration of the diaper cream. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The safe sleep logs for two children enrolled in Space 2 were observed not to have been completed on 4/08/25. One child was recorded in the parent app to sleep from 10:55 a.m. until 1:07 p.m. with no log completed. One child was recorded in the parent app to sleep from 4 p.m. to 5:05 p.m. with no log completed. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of staff orientation was not observed on file for one existing and nine new staff members. .1101(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguisher on the vehicle was not observed to be secured inside the vehicle. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The emergency information forms and photographs for two children of School Age were not observed on the vehicle used to transport the children. The emergency information forms were placed on the vehicle during the visit. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. The transportation authorization forms for two children of School Age were not observed on the vehicle used to transport the children. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Documentation of a current staff evaluation was not observed on file for one existing staff member. 10A NCAC 09 .0514(f) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A signed receipt of a discipline policy was not observed on file for one child enrolled. .1804(c) 1441 An individual responsible for both administering the program and planning and ensuring the implementation of the daily activities did not meet requirements for an administrator and/or complete BSAC training. A BSAC certification was not observed on file for the administrator of the program. 10A NCAC 09 .2510(f) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not include staff contact information for six staff members, the applications for eleven children enrolled, and blank incident reports. Staff contact information for the six staff members was added during the visit. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was observed to have been updated last on 5/08/2023. .0607(e) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. A EPR certification was not observed on file for the administrator of the program. .0607(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Training certificates for Health & Safety training topic #s 2 (Administration of medication, with standards for parental consent), 4 (Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic), and 5 (Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event) were not observed on file for review for one existing staff member. .1103(b) 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 4/23/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Due to the number and nature of violations during today’s visit, and unannounced follow-up visit will be made to monitor supervision and the correction of violations cited. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance documented during today’s visit: • The infant feeding plans for two children enrolled (one in Space 1 and one in Space 2) were observed to not include a parent signature. The infant feeding plan for one child enrolled in Space 1 was observed to be incomplete and did not contain any information regarding approved foods for the child. The safe sleep logs for two children enrolled in Space 2 were observed not to have been completed on 4/08/25. The emergency information forms and photographs for two children of School Age were not observed on the vehicle used to transport the children; the emergency information forms for both children were placed on the vehicle during the visit. The Emergency Preparedness and Response Plan was observed to have been updated last on 5/08/2023. The Ready to Go File did not include staff contact information for six staff members, the applications for eleven children enrolled, and blank incident reports; staff contact information for the six staff members was added during the visit. A BSAC and EPR certification were not observed on file for the administrator of the program. Ms. Alston stated she had attempted to register for the EPR training scheduled at Smart Start of Forsyth County offered on 3/18/2025, but was unable to register for the training due to a website technical issue. A signed receipt of a discipline policy was not observed on file for one child enrolled. Documentation of staff orientation was not observed on file for one existing and nine new staff members. Documentation of a current staff evaluation was not observed on file for one existing staff member. Training certificates for Health & Safety training topic #s 2 (Administration of medication, with standards for parental consent), 4 (Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic), and 5 (Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event) were not observed on file for review for one existing staff member; Ms. Alston stated the staff member completed each of these trainings, but they were unable to be pulled up electronically, due to the facility’s internet service being down. Ms. Alston stated she was unaware the other documentation was not current and/or on file. It is important for all staff to review the EPR plan each year so they remain familiar with all emergency safety practices and protocols in the event of an emergency. You may consider setting a reminder for next year to review this plan with all staff as soon as the plan is updated and within 12 months of the last EPR review. I sent Ms. Alston the registration link for an upcoming Southwestern Child Development Commission BSAC course during the visit. I also sent Ms. Alston a link of current local Emergency Preparedness and Response trainers during the visit. It is also imperative for all required child, staff and program file documentation to be current and on file at all times to ensure the health, safety, and quality of care of children enrolled. You may consider requesting a Technical Assistance session from your child care consultant in the near future to review requirements for all staff, child, and program records. • The fire extinguisher on the vehicle was not observed to be secured inside the vehicle. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were discussed with Ms. Alston: • 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN (1) and (3) in regard to goals when completing a professional development plan • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) regarding a standing authorization for topical medication for up to twelve months • Please submit all education (current and newly completed) to DCDEE Works for both new staff members (within six months of hire), and current staff members. • Please update and post the allergy list for each classroom. • Consider creating an art area which is accessible for children one year of age enrolled in Space 1. • Please remove the small toys observed inside the indoor air conditioning vent located in Space 1. • Whenever a staff member places a baby down for nap, please record “B” for Back the first time the infant safe sleep log is completed, even if the child immediately rolls to his/her side or stomach. Record “S” for Side or “T” for Tummy the next time the child is checked, according to the sleeping position adopted. Ms. Alston stated the corporation's Education Specialist has been working with the program for the past two months and has taken an inventory of all materials necessary to add to each classroom space. Ms. Alston stated these materials will be ordered in the near future. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, 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 .1003 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 35 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 515 Time In: 08:25 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Crystal Alston, Director and Sheridan Avery, Assistant Director. Your program currently operates with a 4- Star license. Restrictions include first shift care, meets enhanced ratios, and meets enhanced space. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 85 % prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in games, activities, and conversations with their teachers, playing outdoors, participating in general routines, and eating lunch during the visit. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 4/22/2024. A sanitation inspection was completed 9/10/2024 with a Superior classification. The last fire inspection was conducted in July, 2024; the specific date could not be retrieved, as the facility's internet services were not functioning during my visit. Ms. Alston stated she would send me a copy of this fire inspection via email as soon as services were restored. Program records and required postings were monitored. A fire drill was conducted on 3/03/2025. A lockdown and shelter in place drill were documented on 3/05/2025; a live lockdown drill was also completed during the visit. An outdoor inspection was documented on 3/18/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for nine new staff members and one existing staff member were monitored during the visit. The files for five children enrolled were monitored during the visit as well. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program currently transports six children enrolled who are School Age from school each day. I monitored one (1) vehicle. I observed one 2003 microbus, license plate tag # AES1931. A No Smoking sign was observed posted inside the vehicle. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on this vehicle is due 6/30/2025, and the insurance is valid through 6/01/2025. The program does not participate in off-premise activities or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The posted activity plan in Space 3 was observed to be dated 3/31/25, and the activity plan posted in Space 4 was not current, per the director, and did not include a date. GS 110-91(12); .0508(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. Only one set of blocks not enough for at least three children to build was observed in Space 3; additional blocks were added during the visit to support enough for three children's play. In Space 5, an insufficient amount of blocks was available to support the play of three children; two additional types of blocks were added to this center during the visit. In Space 6, no blocks accessories were available to the children. Only crayons were available to children in the art center. During the visit, paint, paintbrushes, paper, chalk, and markers were added to the art center. Dinosaurs, animals, people, and another type of block were added to the blocks center. .0510(d)(1) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The posted breakfast menu included oatmeal and sliced apples; the children were served Chex and a banana. The substitution was not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The infant feeding plans for two children enrolled (one in Space 1 and one in Space 2) were observed to not include a parent signature. The infant feeding plan for one child enrolled in Space 1 was also observed to be incomplete and did not contain any information regarding approved foods for the child. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A door in Space 1 which connects the classroom to the laundry room was observed to be unlocked with the key stored in the lock. .2820(b) 847 Parent's medication authorization did not include required information. The topical medication authorization form for one child enrolled in Space 6 did not include a name or brand of diaper cream. The topical medication authorization form for one child enrolled in Space 6 did not include the criteria for the administration of the diaper cream. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The safe sleep logs for two children enrolled in Space 2 were observed not to have been completed on 4/08/25. One child was recorded in the parent app to sleep from 10:55 a.m. until 1:07 p.m. with no log completed. One child was recorded in the parent app to sleep from 4 p.m. to 5:05 p.m. with no log completed. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of staff orientation was not observed on file for one existing and nine new staff members. .1101(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguisher on the vehicle was not observed to be secured inside the vehicle. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The emergency information forms and photographs for two children of School Age were not observed on the vehicle used to transport the children. The emergency information forms were placed on the vehicle during the visit. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. The transportation authorization forms for two children of School Age were not observed on the vehicle used to transport the children. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Documentation of a current staff evaluation was not observed on file for one existing staff member. 10A NCAC 09 .0514(f) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A signed receipt of a discipline policy was not observed on file for one child enrolled. .1804(c) 1441 An individual responsible for both administering the program and planning and ensuring the implementation of the daily activities did not meet requirements for an administrator and/or complete BSAC training. A BSAC certification was not observed on file for the administrator of the program. 10A NCAC 09 .2510(f) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not include staff contact information for six staff members, the applications for eleven children enrolled, and blank incident reports. Staff contact information for the six staff members was added during the visit. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was observed to have been updated last on 5/08/2023. .0607(e) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. A EPR certification was not observed on file for the administrator of the program. .0607(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Training certificates for Health & Safety training topic #s 2 (Administration of medication, with standards for parental consent), 4 (Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic), and 5 (Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event) were not observed on file for review for one existing staff member. .1103(b) 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 4/23/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Due to the number and nature of violations during today’s visit, and unannounced follow-up visit will be made to monitor supervision and the correction of violations cited. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance documented during today’s visit: • The infant feeding plans for two children enrolled (one in Space 1 and one in Space 2) were observed to not include a parent signature. The infant feeding plan for one child enrolled in Space 1 was observed to be incomplete and did not contain any information regarding approved foods for the child. The safe sleep logs for two children enrolled in Space 2 were observed not to have been completed on 4/08/25. The emergency information forms and photographs for two children of School Age were not observed on the vehicle used to transport the children; the emergency information forms for both children were placed on the vehicle during the visit. The Emergency Preparedness and Response Plan was observed to have been updated last on 5/08/2023. The Ready to Go File did not include staff contact information for six staff members, the applications for eleven children enrolled, and blank incident reports; staff contact information for the six staff members was added during the visit. A BSAC and EPR certification were not observed on file for the administrator of the program. Ms. Alston stated she had attempted to register for the EPR training scheduled at Smart Start of Forsyth County offered on 3/18/2025, but was unable to register for the training due to a website technical issue. A signed receipt of a discipline policy was not observed on file for one child enrolled. Documentation of staff orientation was not observed on file for one existing and nine new staff members. Documentation of a current staff evaluation was not observed on file for one existing staff member. Training certificates for Health & Safety training topic #s 2 (Administration of medication, with standards for parental consent), 4 (Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic), and 5 (Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event) were not observed on file for review for one existing staff member; Ms. Alston stated the staff member completed each of these trainings, but they were unable to be pulled up electronically, due to the facility’s internet service being down. Ms. Alston stated she was unaware the other documentation was not current and/or on file. It is important for all staff to review the EPR plan each year so they remain familiar with all emergency safety practices and protocols in the event of an emergency. You may consider setting a reminder for next year to review this plan with all staff as soon as the plan is updated and within 12 months of the last EPR review. I sent Ms. Alston the registration link for an upcoming Southwestern Child Development Commission BSAC course during the visit. I also sent Ms. Alston a link of current local Emergency Preparedness and Response trainers during the visit. It is also imperative for all required child, staff and program file documentation to be current and on file at all times to ensure the health, safety, and quality of care of children enrolled. You may consider requesting a Technical Assistance session from your child care consultant in the near future to review requirements for all staff, child, and program records. • The fire extinguisher on the vehicle was not observed to be secured inside the vehicle. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were discussed with Ms. Alston: • 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN (1) and (3) in regard to goals when completing a professional development plan • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) regarding a standing authorization for topical medication for up to twelve months • Please submit all education (current and newly completed) to DCDEE Works for both new staff members (within six months of hire), and current staff members. • Please update and post the allergy list for each classroom. • Consider creating an art area which is accessible for children one year of age enrolled in Space 1. • Please remove the small toys observed inside the indoor air conditioning vent located in Space 1. • Whenever a staff member places a baby down for nap, please record “B” for Back the first time the infant safe sleep log is completed, even if the child immediately rolls to his/her side or stomach. Record “S” for Side or “T” for Tummy the next time the child is checked, according to the sleeping position adopted. Ms. Alston stated the corporation's Education Specialist has been working with the program for the past two months and has taken an inventory of all materials necessary to add to each classroom space. Ms. Alston stated these materials will be ordered in the near future. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, 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 .1104 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 35 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 515 Time In: 08:25 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Crystal Alston, Director and Sheridan Avery, Assistant Director. Your program currently operates with a 4- Star license. Restrictions include first shift care, meets enhanced ratios, and meets enhanced space. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 85 % prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in games, activities, and conversations with their teachers, playing outdoors, participating in general routines, and eating lunch during the visit. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 4/22/2024. A sanitation inspection was completed 9/10/2024 with a Superior classification. The last fire inspection was conducted in July, 2024; the specific date could not be retrieved, as the facility's internet services were not functioning during my visit. Ms. Alston stated she would send me a copy of this fire inspection via email as soon as services were restored. Program records and required postings were monitored. A fire drill was conducted on 3/03/2025. A lockdown and shelter in place drill were documented on 3/05/2025; a live lockdown drill was also completed during the visit. An outdoor inspection was documented on 3/18/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for nine new staff members and one existing staff member were monitored during the visit. The files for five children enrolled were monitored during the visit as well. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program currently transports six children enrolled who are School Age from school each day. I monitored one (1) vehicle. I observed one 2003 microbus, license plate tag # AES1931. A No Smoking sign was observed posted inside the vehicle. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on this vehicle is due 6/30/2025, and the insurance is valid through 6/01/2025. The program does not participate in off-premise activities or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The posted activity plan in Space 3 was observed to be dated 3/31/25, and the activity plan posted in Space 4 was not current, per the director, and did not include a date. GS 110-91(12); .0508(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. Only one set of blocks not enough for at least three children to build was observed in Space 3; additional blocks were added during the visit to support enough for three children's play. In Space 5, an insufficient amount of blocks was available to support the play of three children; two additional types of blocks were added to this center during the visit. In Space 6, no blocks accessories were available to the children. Only crayons were available to children in the art center. During the visit, paint, paintbrushes, paper, chalk, and markers were added to the art center. Dinosaurs, animals, people, and another type of block were added to the blocks center. .0510(d)(1) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The posted breakfast menu included oatmeal and sliced apples; the children were served Chex and a banana. The substitution was not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The infant feeding plans for two children enrolled (one in Space 1 and one in Space 2) were observed to not include a parent signature. The infant feeding plan for one child enrolled in Space 1 was also observed to be incomplete and did not contain any information regarding approved foods for the child. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A door in Space 1 which connects the classroom to the laundry room was observed to be unlocked with the key stored in the lock. .2820(b) 847 Parent's medication authorization did not include required information. The topical medication authorization form for one child enrolled in Space 6 did not include a name or brand of diaper cream. The topical medication authorization form for one child enrolled in Space 6 did not include the criteria for the administration of the diaper cream. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The safe sleep logs for two children enrolled in Space 2 were observed not to have been completed on 4/08/25. One child was recorded in the parent app to sleep from 10:55 a.m. until 1:07 p.m. with no log completed. One child was recorded in the parent app to sleep from 4 p.m. to 5:05 p.m. with no log completed. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of staff orientation was not observed on file for one existing and nine new staff members. .1101(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguisher on the vehicle was not observed to be secured inside the vehicle. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The emergency information forms and photographs for two children of School Age were not observed on the vehicle used to transport the children. The emergency information forms were placed on the vehicle during the visit. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. The transportation authorization forms for two children of School Age were not observed on the vehicle used to transport the children. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Documentation of a current staff evaluation was not observed on file for one existing staff member. 10A NCAC 09 .0514(f) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A signed receipt of a discipline policy was not observed on file for one child enrolled. .1804(c) 1441 An individual responsible for both administering the program and planning and ensuring the implementation of the daily activities did not meet requirements for an administrator and/or complete BSAC training. A BSAC certification was not observed on file for the administrator of the program. 10A NCAC 09 .2510(f) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not include staff contact information for six staff members, the applications for eleven children enrolled, and blank incident reports. Staff contact information for the six staff members was added during the visit. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was observed to have been updated last on 5/08/2023. .0607(e) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. A EPR certification was not observed on file for the administrator of the program. .0607(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Training certificates for Health & Safety training topic #s 2 (Administration of medication, with standards for parental consent), 4 (Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic), and 5 (Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event) were not observed on file for review for one existing staff member. .1103(b) 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 4/23/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Due to the number and nature of violations during today’s visit, and unannounced follow-up visit will be made to monitor supervision and the correction of violations cited. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance documented during today’s visit: • The infant feeding plans for two children enrolled (one in Space 1 and one in Space 2) were observed to not include a parent signature. The infant feeding plan for one child enrolled in Space 1 was observed to be incomplete and did not contain any information regarding approved foods for the child. The safe sleep logs for two children enrolled in Space 2 were observed not to have been completed on 4/08/25. The emergency information forms and photographs for two children of School Age were not observed on the vehicle used to transport the children; the emergency information forms for both children were placed on the vehicle during the visit. The Emergency Preparedness and Response Plan was observed to have been updated last on 5/08/2023. The Ready to Go File did not include staff contact information for six staff members, the applications for eleven children enrolled, and blank incident reports; staff contact information for the six staff members was added during the visit. A BSAC and EPR certification were not observed on file for the administrator of the program. Ms. Alston stated she had attempted to register for the EPR training scheduled at Smart Start of Forsyth County offered on 3/18/2025, but was unable to register for the training due to a website technical issue. A signed receipt of a discipline policy was not observed on file for one child enrolled. Documentation of staff orientation was not observed on file for one existing and nine new staff members. Documentation of a current staff evaluation was not observed on file for one existing staff member. Training certificates for Health & Safety training topic #s 2 (Administration of medication, with standards for parental consent), 4 (Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic), and 5 (Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event) were not observed on file for review for one existing staff member; Ms. Alston stated the staff member completed each of these trainings, but they were unable to be pulled up electronically, due to the facility’s internet service being down. Ms. Alston stated she was unaware the other documentation was not current and/or on file. It is important for all staff to review the EPR plan each year so they remain familiar with all emergency safety practices and protocols in the event of an emergency. You may consider setting a reminder for next year to review this plan with all staff as soon as the plan is updated and within 12 months of the last EPR review. I sent Ms. Alston the registration link for an upcoming Southwestern Child Development Commission BSAC course during the visit. I also sent Ms. Alston a link of current local Emergency Preparedness and Response trainers during the visit. It is also imperative for all required child, staff and program file documentation to be current and on file at all times to ensure the health, safety, and quality of care of children enrolled. You may consider requesting a Technical Assistance session from your child care consultant in the near future to review requirements for all staff, child, and program records. • The fire extinguisher on the vehicle was not observed to be secured inside the vehicle. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were discussed with Ms. Alston: • 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN (1) and (3) in regard to goals when completing a professional development plan • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) regarding a standing authorization for topical medication for up to twelve months • Please submit all education (current and newly completed) to DCDEE Works for both new staff members (within six months of hire), and current staff members. • Please update and post the allergy list for each classroom. • Consider creating an art area which is accessible for children one year of age enrolled in Space 1. • Please remove the small toys observed inside the indoor air conditioning vent located in Space 1. • Whenever a staff member places a baby down for nap, please record “B” for Back the first time the infant safe sleep log is completed, even if the child immediately rolls to his/her side or stomach. Record “S” for Side or “T” for Tummy the next time the child is checked, according to the sleeping position adopted. Ms. Alston stated the corporation's Education Specialist has been working with the program for the past two months and has taken an inventory of all materials necessary to add to each classroom space. Ms. Alston stated these materials will be ordered in the near future. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, 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 .2510 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 35 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 515 Time In: 08:25 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Crystal Alston, Director and Sheridan Avery, Assistant Director. Your program currently operates with a 4- Star license. Restrictions include first shift care, meets enhanced ratios, and meets enhanced space. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 85 % prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in games, activities, and conversations with their teachers, playing outdoors, participating in general routines, and eating lunch during the visit. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 4/22/2024. A sanitation inspection was completed 9/10/2024 with a Superior classification. The last fire inspection was conducted in July, 2024; the specific date could not be retrieved, as the facility's internet services were not functioning during my visit. Ms. Alston stated she would send me a copy of this fire inspection via email as soon as services were restored. Program records and required postings were monitored. A fire drill was conducted on 3/03/2025. A lockdown and shelter in place drill were documented on 3/05/2025; a live lockdown drill was also completed during the visit. An outdoor inspection was documented on 3/18/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for nine new staff members and one existing staff member were monitored during the visit. The files for five children enrolled were monitored during the visit as well. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program currently transports six children enrolled who are School Age from school each day. I monitored one (1) vehicle. I observed one 2003 microbus, license plate tag # AES1931. A No Smoking sign was observed posted inside the vehicle. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on this vehicle is due 6/30/2025, and the insurance is valid through 6/01/2025. The program does not participate in off-premise activities or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The posted activity plan in Space 3 was observed to be dated 3/31/25, and the activity plan posted in Space 4 was not current, per the director, and did not include a date. GS 110-91(12); .0508(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. Only one set of blocks not enough for at least three children to build was observed in Space 3; additional blocks were added during the visit to support enough for three children's play. In Space 5, an insufficient amount of blocks was available to support the play of three children; two additional types of blocks were added to this center during the visit. In Space 6, no blocks accessories were available to the children. Only crayons were available to children in the art center. During the visit, paint, paintbrushes, paper, chalk, and markers were added to the art center. Dinosaurs, animals, people, and another type of block were added to the blocks center. .0510(d)(1) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The posted breakfast menu included oatmeal and sliced apples; the children were served Chex and a banana. The substitution was not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The infant feeding plans for two children enrolled (one in Space 1 and one in Space 2) were observed to not include a parent signature. The infant feeding plan for one child enrolled in Space 1 was also observed to be incomplete and did not contain any information regarding approved foods for the child. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A door in Space 1 which connects the classroom to the laundry room was observed to be unlocked with the key stored in the lock. .2820(b) 847 Parent's medication authorization did not include required information. The topical medication authorization form for one child enrolled in Space 6 did not include a name or brand of diaper cream. The topical medication authorization form for one child enrolled in Space 6 did not include the criteria for the administration of the diaper cream. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The safe sleep logs for two children enrolled in Space 2 were observed not to have been completed on 4/08/25. One child was recorded in the parent app to sleep from 10:55 a.m. until 1:07 p.m. with no log completed. One child was recorded in the parent app to sleep from 4 p.m. to 5:05 p.m. with no log completed. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of staff orientation was not observed on file for one existing and nine new staff members. .1101(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguisher on the vehicle was not observed to be secured inside the vehicle. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The emergency information forms and photographs for two children of School Age were not observed on the vehicle used to transport the children. The emergency information forms were placed on the vehicle during the visit. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. The transportation authorization forms for two children of School Age were not observed on the vehicle used to transport the children. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Documentation of a current staff evaluation was not observed on file for one existing staff member. 10A NCAC 09 .0514(f) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A signed receipt of a discipline policy was not observed on file for one child enrolled. .1804(c) 1441 An individual responsible for both administering the program and planning and ensuring the implementation of the daily activities did not meet requirements for an administrator and/or complete BSAC training. A BSAC certification was not observed on file for the administrator of the program. 10A NCAC 09 .2510(f) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not include staff contact information for six staff members, the applications for eleven children enrolled, and blank incident reports. Staff contact information for the six staff members was added during the visit. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was observed to have been updated last on 5/08/2023. .0607(e) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. A EPR certification was not observed on file for the administrator of the program. .0607(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Training certificates for Health & Safety training topic #s 2 (Administration of medication, with standards for parental consent), 4 (Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic), and 5 (Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event) were not observed on file for review for one existing staff member. .1103(b) 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 4/23/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Due to the number and nature of violations during today’s visit, and unannounced follow-up visit will be made to monitor supervision and the correction of violations cited. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance documented during today’s visit: • The infant feeding plans for two children enrolled (one in Space 1 and one in Space 2) were observed to not include a parent signature. The infant feeding plan for one child enrolled in Space 1 was observed to be incomplete and did not contain any information regarding approved foods for the child. The safe sleep logs for two children enrolled in Space 2 were observed not to have been completed on 4/08/25. The emergency information forms and photographs for two children of School Age were not observed on the vehicle used to transport the children; the emergency information forms for both children were placed on the vehicle during the visit. The Emergency Preparedness and Response Plan was observed to have been updated last on 5/08/2023. The Ready to Go File did not include staff contact information for six staff members, the applications for eleven children enrolled, and blank incident reports; staff contact information for the six staff members was added during the visit. A BSAC and EPR certification were not observed on file for the administrator of the program. Ms. Alston stated she had attempted to register for the EPR training scheduled at Smart Start of Forsyth County offered on 3/18/2025, but was unable to register for the training due to a website technical issue. A signed receipt of a discipline policy was not observed on file for one child enrolled. Documentation of staff orientation was not observed on file for one existing and nine new staff members. Documentation of a current staff evaluation was not observed on file for one existing staff member. Training certificates for Health & Safety training topic #s 2 (Administration of medication, with standards for parental consent), 4 (Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic), and 5 (Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event) were not observed on file for review for one existing staff member; Ms. Alston stated the staff member completed each of these trainings, but they were unable to be pulled up electronically, due to the facility’s internet service being down. Ms. Alston stated she was unaware the other documentation was not current and/or on file. It is important for all staff to review the EPR plan each year so they remain familiar with all emergency safety practices and protocols in the event of an emergency. You may consider setting a reminder for next year to review this plan with all staff as soon as the plan is updated and within 12 months of the last EPR review. I sent Ms. Alston the registration link for an upcoming Southwestern Child Development Commission BSAC course during the visit. I also sent Ms. Alston a link of current local Emergency Preparedness and Response trainers during the visit. It is also imperative for all required child, staff and program file documentation to be current and on file at all times to ensure the health, safety, and quality of care of children enrolled. You may consider requesting a Technical Assistance session from your child care consultant in the near future to review requirements for all staff, child, and program records. • The fire extinguisher on the vehicle was not observed to be secured inside the vehicle. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were discussed with Ms. Alston: • 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN (1) and (3) in regard to goals when completing a professional development plan • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) regarding a standing authorization for topical medication for up to twelve months • Please submit all education (current and newly completed) to DCDEE Works for both new staff members (within six months of hire), and current staff members. • Please update and post the allergy list for each classroom. • Consider creating an art area which is accessible for children one year of age enrolled in Space 1. • Please remove the small toys observed inside the indoor air conditioning vent located in Space 1. • Whenever a staff member places a baby down for nap, please record “B” for Back the first time the infant safe sleep log is completed, even if the child immediately rolls to his/her side or stomach. Record “S” for Side or “T” for Tummy the next time the child is checked, according to the sleeping position adopted. Ms. Alston stated the corporation's Education Specialist has been working with the program for the past two months and has taken an inventory of all materials necessary to add to each classroom space. Ms. Alston stated these materials will be ordered in the near future. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 35 Completed Date: 4/9/2025 Age: From 0 To 5 Total Minutes: 515 Time In: 08:25 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Crystal Alston, Director and Sheridan Avery, Assistant Director. Your program currently operates with a 4- Star license. Restrictions include first shift care, meets enhanced ratios, and meets enhanced space. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 85 % prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in games, activities, and conversations with their teachers, playing outdoors, participating in general routines, and eating lunch during the visit. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 4/22/2024. A sanitation inspection was completed 9/10/2024 with a Superior classification. The last fire inspection was conducted in July, 2024; the specific date could not be retrieved, as the facility's internet services were not functioning during my visit. Ms. Alston stated she would send me a copy of this fire inspection via email as soon as services were restored. Program records and required postings were monitored. A fire drill was conducted on 3/03/2025. A lockdown and shelter in place drill were documented on 3/05/2025; a live lockdown drill was also completed during the visit. An outdoor inspection was documented on 3/18/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for nine new staff members and one existing staff member were monitored during the visit. The files for five children enrolled were monitored during the visit as well. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program currently transports six children enrolled who are School Age from school each day. I monitored one (1) vehicle. I observed one 2003 microbus, license plate tag # AES1931. A No Smoking sign was observed posted inside the vehicle. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspections and insurance. Your next inspection date on this vehicle is due 6/30/2025, and the insurance is valid through 6/01/2025. The program does not participate in off-premise activities or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The posted activity plan in Space 3 was observed to be dated 3/31/25, and the activity plan posted in Space 4 was not current, per the director, and did not include a date. GS 110-91(12); .0508(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. Only one set of blocks not enough for at least three children to build was observed in Space 3; additional blocks were added during the visit to support enough for three children's play. In Space 5, an insufficient amount of blocks was available to support the play of three children; two additional types of blocks were added to this center during the visit. In Space 6, no blocks accessories were available to the children. Only crayons were available to children in the art center. During the visit, paint, paintbrushes, paper, chalk, and markers were added to the art center. Dinosaurs, animals, people, and another type of block were added to the blocks center. .0510(d)(1) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The posted breakfast menu included oatmeal and sliced apples; the children were served Chex and a banana. The substitution was not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The infant feeding plans for two children enrolled (one in Space 1 and one in Space 2) were observed to not include a parent signature. The infant feeding plan for one child enrolled in Space 1 was also observed to be incomplete and did not contain any information regarding approved foods for the child. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A door in Space 1 which connects the classroom to the laundry room was observed to be unlocked with the key stored in the lock. .2820(b) 847 Parent's medication authorization did not include required information. The topical medication authorization form for one child enrolled in Space 6 did not include a name or brand of diaper cream. The topical medication authorization form for one child enrolled in Space 6 did not include the criteria for the administration of the diaper cream. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The safe sleep logs for two children enrolled in Space 2 were observed not to have been completed on 4/08/25. One child was recorded in the parent app to sleep from 10:55 a.m. until 1:07 p.m. with no log completed. One child was recorded in the parent app to sleep from 4 p.m. to 5:05 p.m. with no log completed. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of staff orientation was not observed on file for one existing and nine new staff members. .1101(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguisher on the vehicle was not observed to be secured inside the vehicle. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The emergency information forms and photographs for two children of School Age were not observed on the vehicle used to transport the children. The emergency information forms were placed on the vehicle during the visit. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. The transportation authorization forms for two children of School Age were not observed on the vehicle used to transport the children. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Documentation of a current staff evaluation was not observed on file for one existing staff member. 10A NCAC 09 .0514(f) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A signed receipt of a discipline policy was not observed on file for one child enrolled. .1804(c) 1441 An individual responsible for both administering the program and planning and ensuring the implementation of the daily activities did not meet requirements for an administrator and/or complete BSAC training. A BSAC certification was not observed on file for the administrator of the program. 10A NCAC 09 .2510(f) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not include staff contact information for six staff members, the applications for eleven children enrolled, and blank incident reports. Staff contact information for the six staff members was added during the visit. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was observed to have been updated last on 5/08/2023. .0607(e) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. A EPR certification was not observed on file for the administrator of the program. .0607(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Training certificates for Health & Safety training topic #s 2 (Administration of medication, with standards for parental consent), 4 (Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic), and 5 (Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event) were not observed on file for review for one existing staff member. .1103(b) 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 4/23/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Due to the number and nature of violations during today’s visit, and unannounced follow-up visit will be made to monitor supervision and the correction of violations cited. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance documented during today’s visit: • The infant feeding plans for two children enrolled (one in Space 1 and one in Space 2) were observed to not include a parent signature. The infant feeding plan for one child enrolled in Space 1 was observed to be incomplete and did not contain any information regarding approved foods for the child. The safe sleep logs for two children enrolled in Space 2 were observed not to have been completed on 4/08/25. The emergency information forms and photographs for two children of School Age were not observed on the vehicle used to transport the children; the emergency information forms for both children were placed on the vehicle during the visit. The Emergency Preparedness and Response Plan was observed to have been updated last on 5/08/2023. The Ready to Go File did not include staff contact information for six staff members, the applications for eleven children enrolled, and blank incident reports; staff contact information for the six staff members was added during the visit. A BSAC and EPR certification were not observed on file for the administrator of the program. Ms. Alston stated she had attempted to register for the EPR training scheduled at Smart Start of Forsyth County offered on 3/18/2025, but was unable to register for the training due to a website technical issue. A signed receipt of a discipline policy was not observed on file for one child enrolled. Documentation of staff orientation was not observed on file for one existing and nine new staff members. Documentation of a current staff evaluation was not observed on file for one existing staff member. Training certificates for Health & Safety training topic #s 2 (Administration of medication, with standards for parental consent), 4 (Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic), and 5 (Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event) were not observed on file for review for one existing staff member; Ms. Alston stated the staff member completed each of these trainings, but they were unable to be pulled up electronically, due to the facility’s internet service being down. Ms. Alston stated she was unaware the other documentation was not current and/or on file. It is important for all staff to review the EPR plan each year so they remain familiar with all emergency safety practices and protocols in the event of an emergency. You may consider setting a reminder for next year to review this plan with all staff as soon as the plan is updated and within 12 months of the last EPR review. I sent Ms. Alston the registration link for an upcoming Southwestern Child Development Commission BSAC course during the visit. I also sent Ms. Alston a link of current local Emergency Preparedness and Response trainers during the visit. It is also imperative for all required child, staff and program file documentation to be current and on file at all times to ensure the health, safety, and quality of care of children enrolled. You may consider requesting a Technical Assistance session from your child care consultant in the near future to review requirements for all staff, child, and program records. • The fire extinguisher on the vehicle was not observed to be secured inside the vehicle. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were discussed with Ms. Alston: • 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN (1) and (3) in regard to goals when completing a professional development plan • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) regarding a standing authorization for topical medication for up to twelve months • Please submit all education (current and newly completed) to DCDEE Works for both new staff members (within six months of hire), and current staff members. • Please update and post the allergy list for each classroom. • Consider creating an art area which is accessible for children one year of age enrolled in Space 1. • Please remove the small toys observed inside the indoor air conditioning vent located in Space 1. • Whenever a staff member places a baby down for nap, please record “B” for Back the first time the infant safe sleep log is completed, even if the child immediately rolls to his/her side or stomach. Record “S” for Side or “T” for Tummy the next time the child is checked, according to the sleeping position adopted. Ms. Alston stated the corporation's Education Specialist has been working with the program for the past two months and has taken an inventory of all materials necessary to add to each classroom space. Ms. Alston stated these materials will be ordered in the near future. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, 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: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: 1224-116L Visit Date: 12/12/2024 Number Present: 0 Completed Date: 12/12/2024 Age: From 0 To 0 Total Minutes: 260 Time In: 09:05 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Crystal Alston, Director. The allegation is as follows: There are concerns related to children in care not being adequately supervised. A child was found in the hallway unattended and crying. Your program currently operates with a 4-Star license effective 5/05/2023. Restrictions include 1st shift care, meets enhanced ratios, and meets enhanced space. The program’s compliance history was 85% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • Adequate / Approved Space • License Posted • General License Requirements There are concerns related to children in care not being adequately supervised. One staff member (not inclusive of Ms. Alston) was interviewed during the visit. Ms. Alston stated she was aware of the situation once I shared the allegation with her. Ms. Alston reported the following, in summary: A child three years of age had been sent inside by the staff member assigned to Space 3 because the child had left her coat inside. The child entered the building through Space 5 because the playground used by children three to five years of age (Playground 3) is able to be directly accessed through Space 5. The staff member assigned to Space 3 (who was on the playground) asked the staff member assigned to Space 5 to watch the child get her coat. At this time, a staff member who works part-time as a floater providing afternoon support entered Space 5 to relieve one of the two staff members, and the staff member assigned to Space 3 left for the day. Once this staff member left, the staff member assigned to Space 5 asked the floater to accompany the child to get her coat. During today’s visit, Ms. Alston and I viewed video footage for 11/15/2024 from approximately 4:08 p.m. through approximately 4:12 p.m. in relation to allegations of inappropriate supervision in the classroom for children three years of age. Video footage was reviewed of the main hallway of the facility and inside Space 3 (the classroom designated for children three years of age) and Space 5 (the classroom designated for children three to five years of age). Upon review of video footage, two staff members (the staff member assigned to Space 3 and the afternoon floater) were observed standing in or near the open doorway between Space 5 and Playground 3. The staff member assigned to Space 5 was observed watching the children outside from the doorway; the afternoon floater was observed standing just inside Space 5 talking to the other staff member. A child three years of age was observed to enter Space 5 at approximately 4:09 p.m. The child was observed to pass by both staff members and to walk through and exit the classroom. Neither staff member noticed the child walk out of the classroom. The child was observed to enter the hallway and to be seen and hugged by a child of School Age no longer enrolled in the program who was present in the building at the time with her parent. This child of School Age was observed coming out of Space 6, hugging the child, and re-entering Space 6. The staff member in Space 3 (who was relieved by the floater) was also seen entering the hallway just afterward and moving in the opposite direction of Space 3 toward the front office without noticing the child alone in the hallway. The child enrolled in Space 3 was then observed to walk into Space 3 at the same time a staff member supervising her children in the hallway bathroom was observed to lean out the bathroom door and look into the hallway toward Space 3. Approximately forty (40) seconds later, the staff member assigned to Space 6 (the classroom designated for children of School Age, which is located directly across the hall from Space 3) was observed to enter the hallway with the children enrolled of School Age and cross over to Space 3. The children's cubbies in Space 3 cannot be seen unless a staff member is standing at the door to Space 3. The staff member assigned to Space 6 was then observed to guide the child (now wearing her coat) enrolled in Space 3 back to Space 5 (and the staff members assigned to Space 3) to return to the playground. The child was not observed to be in distress during this time. The staff member in Space 5 and floater did not realize the child had left the classroom for approximately forty-five (45) seconds. The child was unsupervised by an adult for approximately one (1) minute, ten (10) seconds. Based on information received from interviews and the review of video footage, this allegation was substantiated. Ms. Alston stated no one had made her aware the situation involved a supervision issue with the child until I arrived today, and the parent of the child involved has not been notified, due to this. I observed in Space 3, the classroom for children three years of age and Space 5, the classroom for children three to five years of age, for thirty (30) minutes during today’s visit. Seven (7) children, three years of age, were present in Space 3 with one staff member. Eight (8) children three to five years of age were present today with one staff member. Staff in Space 3 were observed engaging in conversations with children as they cleaned up their toys prior to outdoor play, toileting routines, supporting children in getting their coats on, and transitioning outdoors for play. I observed the staff member use the Name-To-Face checklist and a walkie talkie to notify the office of each child’s name who was preparing to transition outdoors. I observed the staff member line each child up against the brick wall, once outside, while she walked the playground to check for any safety issues before the children began to play. I also observed the staff member count the children again and call each of their names individually using the Name-to-Face checklist to go and play. Further, I heard the staff member use a walkie talkie to notify Ms. Alston of each child’s name who was preparing to transition back inside from the playground when outdoor play was finished. Staff in Space 5 were observed engaging in conversations with children during toileting routines, supporting children in getting their coats on, and transitioning outdoors for play. I observed the staff member ask the children what they needed to do once they got outside, and the children said they needed to go to their safe zone. I observed the staff member use the Name-To-Face checklist prior to going outdoor. I observed her count each child once outside, and she walked the playground to check for any safety issues before the children began to play. I also observed the staff member count the children again and call each of their names individually using the Name-to-Face checklist to go and play. Further, I heard the staff member use a walkie talkie to notify Ms. Alston of each child’s name who was preparing to transition back inside from the playground when outdoor play was finished. Ms. Alston confirmed she received this notification via walkie talkie as well. Supervision was adequate during the visit. The following violation was cited during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. A child three years of age was unsupervised by an adult for approximately one (1) minute, ten (10) seconds. .1801(a)(1-5) 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. An unannounced follow-up visit will be conducted to monitor supervision requirements. During the visit, we discussed that repeated violations of this nature could lead to a more severe administrative action against your license. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 12/26/2024. 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 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Technical assistance provided during today’s visit: • A child three years of age was unsupervised by an adult for approximately one (1) minute, ten (10) seconds. It is imperative for staff to know where each child is located and be aware of the children's activities at all times and to be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. You may consider developing a plan for what will occur if this situation arises again with a child in care. Staff may consider contacting an administrator via walkie talkie to bring the coat to the playground. Staff may also consider asking an extra staff member not currently needed to maintain staff: child ratios to either bring the coat to the playground, or to supervise the children temporarily while the assigned staff member locates the coat. Staff may also consider, if necessary, bringing all children back indoors to get the coat before returning outdoors. Consultation provided during today’s visit: The following Child Care Rule was reviewed with Ms. Alston during the visit: 15A NCAC 18A .2803 HANDWASHING (e ) (6) • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: 0924-160L Visit Date: 9/23/2024 Number Present: 27 Completed Date: 9/24/2023 Age: From 0 To 5 Total Minutes: 430 Time In: 08:20 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Crystal Alston, Director and Yolanda Liberti, Assistant Director. I also spoke with Whitney Griffin, Regional Director, via phone during the visit. The allegations are as follows: There are concerns related to inadequate supervision in the classroom for one-year-old children. There are concerns that an incident report was not completed for a child who was injured while in care. There are concerns the posted staff/child ratio was not followed in the classroom for infants. There are concerns that a child was not attended to in a nurturing and appropriate manner or in keeping with the children’s developmental needs. Your program currently operates with a 4-Star license effective 5/05/2023. Restrictions include 1st shift care, meets enhanced ratios, and meets enhanced space. The program’s compliance history was 84% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • Adequate / Approved Space • License Posted • General License Requirements There are concerns related to inadequate supervision in the classroom for one-year-old children. Three staff members were interviewed during today’s visit. Ms. Alston is a new administrator at the program (as of 9/17/2024), and she stated she was in the process of following up with one parent regarding a recent concern the parent had expressed related to a potential bite. Mrs. Griffin stated a newly enrolled parent had mentioned to her a concern that her youngest child was bitten on 9/04/24. Mrs. Griffin stated she was not onsite at the program on this date. She stated she spoke with each staff member who provided care for the child on this date: the teacher in Space 2A (infants), the teacher in Space 1 (children one year of age), and the teacher who provided a lunch break and afternoon coverage for the teacher in Space 1; staff stated they were not aware of an incident occurring or of any children showing signs of distress. Mrs. Griffin stated she shared with the parent she would view video footage for 9/04/2024 and would contact the parent and provide her an incident report if an incident was observed to occur. Ms. Alston also contacted the parent on 9/20/2024 to follow up with the parent, as the child did not come to school. During this conversation, Ms. Alston asked if the parent had any pictures of a mark/marks on the child. Mrs. Griffin stated she and Ms. Alston also reviewed the video footage for 9/04/2024 together a second time on 9/20/24. Mrs. Griffin and Ms. Alston stated no biting incidents were observed in reviewing this footage. I observed in the classroom for children one year of age (Space 1) for thirty (30) minutes during today’s visit. Four (4) children, all one year of age, were present today with one staff member. The staff member was observed engaging in conversations and activities with children, singing songs and participating in fingerplays, supporting children in general routines, and engaging with children outdoors (after she checked the playground for potential hazards) during the visit. Children were participating in general routines, engaged in circle time, and playing outdoors. During a review of video footage on 9/04/2024, the staff member in Space 2A, the room for infants, was observed to be looking at her cell phone three separate times and scrolling through the screen on her watch once. During one time, an older infant came up behind an infant in a bouncy chair and hit the child on the head with a musical shaker; the staff member was sitting on the floor next to both children but did not notice this occur because she was looking at her phone. During another instance, the teacher was standing at the counter in the classroom looking at her phone with her back turned toward all five children. At another time, the teacher was sitting on the floor with the children on the carpet, facing away from the diaper table; an older infant crawled over to the diaper table behind her and proceeded to pull out greater than ten diapers from beneath the table without the teacher noticing. During a review of video footage on 9/16/2024, one staff member in Space 1, the room designated for children one year of age, was observed preparing to leave for the day. Another staff member was observed to be transitioning into the classroom, and her back was toward the children in the classroom. This staff member was observed to sweep something off the floor and was walking to put the broom away. Behind her, a child was observed to push another child to the floor, seeking to take a toy. Neither staff member noticed this occurrence. Based on the above information, this allegation was substantiated. There are concerns that an incident report was not completed for a child who was injured while in care. I asked Ms. Alston when incident reports are completed. Ms. Alston stated an incident report is completed any time an incident is observed to occur. She also stated parents are notified immediately via phone if an incident occurs on any part of a child’s body from the shoulders up, as well as if a bite occurs on any part of the body. Ms. Alston further stated she works to educate parents related to reasons children bite and requires staff to document specific details surrounding each biting incident to gather information regarding potential triggers. I observed documentation of all incident reports completed from September 1, 2024 to date during the visit. I asked Ms. Alston about the facility’s process for documenting situations in which a parent notices a mark, bruise, scratch, etc. in which staff did not observe a cause of occurrence. Ms. Alston stated wellness checks are completed for all children upon arrival each day. Staff reported no visible marks were observed on the child’s face at the time the incident involving a potential bite was reported by the parent during pick-up. Ms. Alston showed me photographs sent by the parent of the child’s face via email. The child was observed to have two arched red marks, potentially resembling bite marks, on his lower right cheek. An incident report for this child was not observed on file. Based on the above information, this allegation was substantiated. There are concerns the posted staff/child ratio was not followed in the classroom for infants. I asked Ms. Alston what procedures are followed to ensure classrooms remain within required staff: child ratios. Ms. Alston stated staff are scheduled to accommodate children’s arrival/departure times; name-to-face sheets are used to ensure teachers know how many children are in their classrooms at all times, and that she and Ms. Liberti will step in, as needed, to maintain ratios until another staff person arrives. Ms. Alston also stated children may transition to another classroom, and teachers may work an amended scheduled, when necessary. I observed arrival and departure logs and video footage in the infant room for the date of 9/04/24. No more than five infants and toddlers were observed to be in the classroom with one teacher. Ms. Alston also confirmed children one year of age only combine with infants in the afternoons and never combine with children two years of age or older. Based on the above information, this allegation was not substantiated. There are concerns that a child was not attended to in a nurturing and appropriate manner or in keeping with the children’s developmental needs. I asked staff how they respond when they see an infant or toddler upset or in distress, as well as strategies they use to calm children and support emotional regulation. Staff reported they approach the child in need of support, talk to them on their level, comfort them, and use toys and activities for redirection. During my classroom observations, I observed interactions between staff and children. Staff were consistently observed to be aware of and responsive to children’s physical and emotional needs. Based on the above information, this allegation was not substantiated. The following violations were cited during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. A staff member in Space 2A, the room for infants, was observed to be looking at her cell phone three separate times and scrolling through the screen on her watch once. During one time, an older infant came up behind an infant in a bouncy chair and hit the child on the head with a musical shaker; the staff member was sitting on the floor next to both children but did not notice this occur because she was looking at her phone. During another instance, the teacher was standing at the counter in the classroom looking at her phone with her back turned toward all five children. At another time, the teacher was sitting on the floor with the children on the carpet, facing away from the diaper table; an older infant crawled over to the diaper table behind her and proceeded to pull out greater than ten diapers from beneath the table without the teacher noticing. One staff member in Space 1, the room designated for children one year of age, was observed preparing to leave for the day. Another staff member was observed to sweep something off the floor and was walking to put the broom away. Behind her, a child was observed to push another child to the floor, seeking to take a toy. Neither staff member noticed this occurrence. .1801(a)(1-5) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One (1) incident report for a children enrolled was not available for review during today’s visit. .0802 (e) 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. An unannounced follow-up visit will be conducted to monitor supervision requirements. On 9/19/24, Ms. Griffin and I discussed the Written Warning received on Thursday, 9/17/24. Since the initiation of this Written Warning, two additional complaints have been received, and both have been substantiated, which could warrant a more stringent action. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/07/2024. 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 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Technical assistance provided during today’s visit: • One (1) incident report for a children enrolled was not available for review during today’s visit. It is important to fully complete all incident reports with required information any time an incident occurs (even if a mark is noticed at a later time) to ensure incidents are documented accurately and thoroughly for the parent and the facility. Ms. Alston stated an incident report was not complete because a mark was not observed by staff on the child’s face at the time the parent brought the incident to their attention. You may consider contacting Keturah Oglesby, Child Care Health Consultant, to conduct coaching and/or training with your staff in regards to incident reporting. • A staff member in Space 2A, the room for infants, was observed to be looking at her cell phone three separate times and scrolling through the screen on her watch once. During one time, an older infant came up behind an infant in a bouncy chair and hit the child on the head with a musical shaker; the staff member was sitting on the floor next to both children but did not notice this occur because she was looking at her phone. During another instance, the teacher was standing at the counter in the classroom looking at her phone with her back turned toward all five children. At another time, the teacher was sitting on the floor with the children on the carpet, facing away from the diaper table; an older infant crawled over to the diaper table behind her and proceeded to pull out greater than ten diapers from beneath the table without the teacher noticing. One staff member in Space 1, the room designated for children one year of age, was observed preparing to leave for the day. Another staff member was observed to sweep something off the floor and was walking to put the broom away. Behind her, a child was observed to push another child to the floor, seeking to take a toy. Neither staff member noticed this occurrence. It is critical staff can see and hear children at all times and be able to respond to their needs quickly. You may consider on-going 1:1 coaching and in-class role modeling of supervision for new and existing staff members working in classrooms designated for infants and toddlers. Consultation 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 reviewed with Ms. Alston during the visit: o 15A NCAC 18A .2822 TOYS, EQUIPMENT AND FURNITURE (a) At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: 0824-241L Visit Date: 9/6/2024 Number Present: 0 Completed Date: 9/6/2024 Age: From 0 To 0 Total Minutes: 295 Time In: 09:05 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Announced The purpose of today’s unannounced visit was to monitor additional video regarding alleged violations of childcare requirements to finalize a complaint visit conducted on 8/27/2024. This visit was conducted by Cara McKeown-Stewart and Emily Lamquaye, Childcare Consultants with Whitney Griffin, Regional Director. During today’s visit, Ms. Griffin, Ms. Lamquaye and I viewed video footage for two different dates in mid-August which had been previously inaccessible in relation to allegations of inappropriate discipline in the classroom for children three years of age and that children were not attended to in a nurturing and appropriate manner or in keeping with the children’s developmental needs. On two separate dates, two different children were observed to be sent to sit in their cubbies for disciplinary reasons. One child was observed playing at the lunch table during the first half of the lunch period and knocked over a cup of milk. The staff member was observed to pick up the lunch plates for two children (the child who knocked the milk over and one other child sitting across the table), due to milk seeping under the plates. The staff member was observed pointing to the cubbies and talking to the child who knocked over the milk. The child who knocked over the milk was observed walking to a cubby and sitting inside the cubby. This child sat inside the cubby with no activities available to engage with for approximately 14 minutes. Neither child received a new plate of food to eat. On another date, a child was observed to have finished lunch and was standing next to the table, waiting to be called to throw away the lunch plate. The child was observed touching a piece of leftover food on the plate, and a piece of this food fell, landing on the floor. The staff member was observed both pointing at the child, and then pointing to the section of cubbies. The child was observed crying, walking to the cubby and sitting down inside it. The child sat inside the cubby with no activities to engage with for approximately 13 minutes. The facility’s discipline policy was reviewed, and it states, in part, the following: “We use prompting, redirection, suggestions, offer choices, and work with children to develop problem-solving skills. The facility prohibits the use of inappropriate discipline practices on the premises by families or staff. Corporal punishment/ inappropriate discipline includes, but is not limited to: … use of food as reward or punishment, isolation…” Based upon video footage, interviews, observations, and collateral information, the allegation of inappropriate discipline in the classroom for children three years of age is substantiated. Based upon video footage, interviews, observations, and collateral information, the allegation that children were not attended to in a nurturing and appropriate manner or in keeping with the children’s developmental needs is not substantiated. The following violations were cited during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Nine children under the age of five were observed to be eating lunch; greater than five times, the staff member could either not visually supervise four of the children while eating because the children’s backs were toward her, or the staff member had her back turned toward the all of the children eating lunch while she was completing a classroom administrative task. .1801(a)(1-5) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Nine children were observed to transition from the carpet in the classroom to the lunch table for lunch without washing their hands. 15A NCAC 18A .2803(c) 872 Appropriate discipline practices were not followed. Time out was used to discipline a child and is not included as an approved method of discipline in the program’s discipline policy which was confirmed by the regional manager for this facility. On one date, one child was observed to be sent to sit in a cubby for time out for 14 minutes with no activities for engagement. On another date, a different child was observed to be sent to sit in a cubby for time out for 13 minutes with no activities for engagement. The amount of time the children were placed in time out was not appropriate. .1803 907 Discipline was related to food, rest or toileting. One child was observed playing at the lunch table during the first half of the lunch period and knocked over a cup of milk. The staff member was observed to pick up the lunch plates for two children (the child who knocked the milk over and one other child sitting across the table), due to milk seeping under the plates. Neither child received a new plate of food to eat. .1803(a)(4-6) 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. An unannounced follow-up visit may be conducted to monitor requirements regarding discipline. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. During the visit, we discussed that a substantiated complaint may lead to an administrative action against your license. I also discussed with Mrs. Griffin during today’s visit that the facility would be receiving an Administration Action issued by the DCDEE following the substantiated complaint visit on 6/25/2024. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/20/2024. 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 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Technical Assistance Provided During Today's Visit: One child was observed playing at the lunch table during the first half of the lunch period and knocked over a cup of milk. The staff member was observed to pick up the lunch plates for two children (the child who knocked the milk over and one other child sitting across the table), due to milk seeping under the plates. The staff member was observed pointing to the cubbies and talking to the child who knocked over the milk. The child who knocked over the milk was observed walking to a cubby and sitting inside the cubby. This child sat inside the cubby with no activities available to engage with for approximately 14 minutes. Neither child received a new plate of food to eat. It is essential for young children to have enough to eat for each meal. Ms. Griffin stated the staff member will be receiving specific organizational training and coaching as it relates to appropriate discipline, as well as a full review of the program’s discipline policy. Ms. Griffin further stated the staff member will complete a regional in-person training tomorrow morning on curriculum, classroom management, and developmentally appropriate practices. Nine children under the age of five were observed to be eating lunch. Greater than five times, the staff member could either not visually supervise four of the children while eating because the children’s backs were toward her, or the staff member had her back turned toward the all of the children eating lunch while she was completing a classroom administrative task. Because choking is silent, it is critical for staff to closely monitor and supervise children under five years of age while eating by being able to see and hear them at all times. Ms. Griffin stated the staff member will be receiving specific organizational training and coaching as it relates to active supervision. You may also consider temporarily adding an additional staff member to this classroom during meal times for additional supervision and support. Nine children were observed to transition from the carpet in the classroom to the lunch table for lunch without washing their hands. It is critical for children to follow required hand washing procedures to minimize the spread of germs and infections diseases. Ms. Griffin stated all staff attended a staff meeting/training on 8/29/24 with Michelle Bell, Environmental Health Supervisor, to review sanitation requirements, inclusive of, but not limited to proper handwashing procedures and practices. Consultation Provided to and Discussed with Ms. Griffin During Today’s Visit: • Please review the contents of your corporate policy for discipline with all staff. • This HELPLINE will offer guidance to teachers and providers dealing with challenging behaviors as soon as they need the support and assistance. Please see link below and attached flyer: https://mailchi.mp/c698573cdce8/newsblast-for-ccrrs-in-north-carolina-6227800?e=0157f79327 • The contact information for Keturah Oglesby, Smart Start of Forsyth County, who is the Child Care Health Consultant for Forsyth County, is: (336) 714-4370 or keturaho@smartstart-fc.org . • Challenging behaviors decrease when: children have a choice of activities available at all times; children are able to choose their own activity centers to play in and whom to play with; when all materials in a center are accessible for play; and when staff consistently engage in and are involved in their play. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: 0824-241L Visit Date: 8/27/2024 Number Present: 33 Completed Date: 8/27/2024 Age: From 0 To 5 Total Minutes: 380 Time In: 09:10 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Yolanda Liberti, Assistant Director. I also spoke with Whitney Griffin, Regional Manager, via phone during the visit. The allegations are as follows: There are concerns related to the facility not having an administrator onsite. There are concerns of inappropriate discipline in the classroom for three year old children. There is a concern that children were not attended to in a nurturing and appropriate manner or in keeping with the children’s developmental needs. Your program currently operates with a 4-Star license effective 5/05/2023. Restrictions include 1st shift care, meets enhanced ratios, and meets enhanced space. The program’s compliance history was 84% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • Adequate / Approved Space • License Posted • General License Requirements There are concerns related to the facility not having an administrator onsite. Ms. Liberti stated the director’s position has been vacant since 7/26/2024; Ms. Griffin stated she is actively interviewing for this position. Ms. Liberti meets the requirements for an administrator and is onsite 30 hours or more per week. Based on the above information, this allegation was not substantiated. There are concerns of inappropriate discipline in the classroom for children three years of age. This allegation will remain open until all video footage can be reviewed. There is a concern that children were not attended to in a nurturing and appropriate manner or in keeping with the children’s developmental needs. During the visit, I observed in Space 4, the classroom designated for children three years of age, for approximately 30 minutes. Ms. Liberti stated this classroom re-opened on 8/12/24. I observed ten (10) children in care with one staff member. I observed children engaged in free play with developmentally appropriate blocks materials and materials in the art and manipulative centers. I observed the staff member using a timer to indicate when children rotated centers and engaging in conversations with children enrolled. I also observed children participating in general routines and hand washing. This allegation will remain open until all video footage can be reviewed. The following violation was cited during today’s visit: Violation Number Comment Rule 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING states: Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. Two children were observed to put soap on their hands and immediately rinse off the soap without rubbing their hands together. Three children were observed to turn the water off without using a paper towel. 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. An unannounced follow-up visit may be conducted to monitor video footage. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/10/2024. 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 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Technical Assistance Provided During Today's Visit: Two children were observed to put soap on their hands and immediately rinse off the soap without rubbing their hands together. Three children were observed to turn the water off without using a paper towel. The staff member stated hand washing was not normally so chaotic and that she had several children enrolled in another classroom visiting her classroom today. It is critical for children to follow required hand washing procedures to minimize the spread of germs and infections diseases. The teacher, Assistant Director, and I discussed that supervision during hand washing may be easier if children can bring a quiet activity, such as a book, with them when waiting to use the bathroom. You may consider supervising one group of children (boys or girls) during toileting first, while the other group is supervised and engaged in a quiet activity in the hallway. This would allow you to directly supervise handwashing procedures and assist each group of children, where necessary. Consultation Provided During Today’s Visit: • Please review the contents of your corporate policy for discipline with all staff. • This HELPLINE will offer guidance to teachers and providers dealing with challenging behaviors as soon as they need the support and assistance. Please see link below and attached flyer: https://mailchi.mp/c698573cdce8/newsblast-for-ccrrs-in-north-carolina-6227800?e=0157f79327 • The contact information for Keturah Oglesby, Smart Start of Forsyth County, who is the Child Care Health Consultant for Forsyth County, is: (336) 714-4370 or keturaho@smartstart-fc.org . • Challenging behaviors decrease when: children have a choice of activities available at all times; children are able to choose their own activity centers to play in and whom to play with; when all materials in a center are accessible for play; and when staff consistently engage in and are involved in their play. • You may consider using music only when it has a specific purpose, for example, for music & movement activities or during naptime, so children and teachers do not have to raise their voices over music to be heard and quality conversations can be had. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0802 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: 0624-236L Visit Date: 6/25/2024 Number Present: 53 Completed Date: 6/25/2024 Age: From 0 To 8 Total Minutes: 333 Time In: 09:42 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tisa Singleton, Director. I also spoke with Whitney Griffin, Regional Director, via phone during the visit. The allegations are as follows: There are concerns related to children in care not being adequately supervised. There are concerns that incident reports are not provided when a child is injured. There are concerns of medications not being provided to a child. There are concerns of children’s records missing. There are concerns children are not being cared for in a nurturing/caring manner. Your program currently operates with a 4-Star license effective 5/05/2023. Restrictions include 1st shift care, meets enhanced ratios, and meets enhanced space. The program’s compliance history was 84% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • Adequate / Approved Space • License Posted • General License Requirements There are concerns related to children in care not being adequately supervised. One staff member (not inclusive of Ms. Singleton) was interviewed during the visit. Ms. Singleton stated no one had made her aware of any concerns related to the complaint allegations recently. I observed in the classroom for children one and two years of age (Space 1) for thirty (30) minutes during today’s visit. Twelve (12) children, eight (8) children one year of age, and four (4) children two years of age were present today with two staff members. Staff were observed engaging in conversations with children, supporting children in general routines, and preparing cots for nap. Children were eating lunch, engaged in general routines, and preparing to lay down for nap. One child could not be seen by staff while eating lunch. The child was sitting with his back turned to staff. One staff member was engaged in laying out cots, hand washing and diaper changes with children who were finished eating. The other staff member was laying out cots and serving children more food from a food cart if they were still hungry at the table closest to the sinks. This staff member walked around the first table to supervise, but did not walk around the second table and was unable to see the one child with his back turned to her while he was eating. Two children were observed eating cracker crumbs off the floor during the visit; staff did not notice this occur. One child was observed to have finished lunch, have his hands washed before nap, and then eat from another child’s plate who had recently finished eating. Staff did not notice this occur until I mentioned it. At that time, the child and the plate were removed from the area, and the child was taken to have his hands washed. Five children’s cots were observed to have children who were not assigned to the cots climb on them with their shoes on. Staff did not notice this occurred two of the five times this happened. The sheets on each of these five cots were not changed before the children who were assigned to the cots laid down on them. Based on the above information, this allegation was substantiated. There are concerns that incident reports are not provided when a child is injured. I asked Ms. Singleton when incident reports are completed. Ms. Singleton stated an incident report is completed any time an incident is observed to occur. She also stated parents are notified immediately via phone if an incident occurs on any part of a child’s body from the shoulders up. I observed documentation of all incident reports completed from March, 2024 to date during the visit. I asked Ms. Singleton about the facility’s process for documenting situations in which a parent notices a mark, bruise, scratch, etc. in which staff did not observe a cause of occurrence. Ms. Singleton stated wellness checks are completed for all children upon arrival each day. A staff member shared that if a mark is noticed upon arrival, she will make the parent aware of the mark and ask how it occurred. The staff member stated if a mark is noticed after the parent leaves the classroom, she will notify the parent via the Line Leader app (the facility’s parent communication app) of the mark, send the parent a picture of the mark, and ask how it occurred. Ms. Singleton and staff confirmed an incident report is also completed in these circumstances. Wellness checks were not available for review during today’s visit. I asked Ms. Singleton about the process followed when a child is bitten by another child. Ms. Singleton shared (and staff confirmed) staff notify her of the occurrence via walkie talkie after separating the child from the biter, comforting him/her, and cleaning the injured area. Ms. Singleton stated she goes to the classroom to check on the child and observe the bite mark. She stated she ensures appropriate First Aid is administered to the child and notifies the parent via phone of the occurrence. After the parent has been notified, she stated an incident report is completed and that the parent receives a copy, and the facility maintains a copy in the incident log binder. Ms. Singleton stated she had requested a Bite Log be started for Space 1 (the classroom for children one and two years of age) soon after her arrival to the program, due to a child who had begun to engage in repetitive biting. An incident report for one child who was documented as being bitten on 5/10/2024 on the Bite Log did not have a completed incident report on file. Based upon a review of the incident log and collateral information provided, an incident report for an additional three incidents occurring with a child was not on file for review. All communication and photographs between parents and teachers via the Line Leader app was not available for review during today’s visit. Based on the above information, this allegation was substantiated. There are concerns of medications not being provided to a child. I observed all prescription medication authorization forms and prescription medication administration logs from March, 2024 to date, for children enrolled during the visit. Based on the above information, this allegation was not substantiated. There are concerns of children’s records missing. I asked Ms. Singleton if parents volunteer at the program and what types of duties volunteers help with. Ms. Singleton stated the facility does welcome parent volunteers, but that she has not had any since she began her role with the program at the end of April. She shared parent volunteers help put out cots in the classrooms, take sheets off cots or crib mattresses, serve milk at meals, clean and sanitize tables, and read to children enrolled. Ms. Singleton stated children’s records are kept locked in her office (I observed this during the visit) and that parents do not have access to these records at any time. Based on the above information, this allegation was not substantiated. There are concerns children are not being cared for in a nurturing/caring manner. I asked Ms. Singleton to share with me the circumstances in which a child’s face or clothing must be cleaned or changed, as well as how and when this occurs. Ms. Singleton shared children’s faces are cleaned whenever there is something on them, inclusive of, but not limited to a runny nose, tear stains, or food residue. She stated this is an on-going process throughout the day and that Kleenex is typically used for runny noses while moist baby wipes are used for any residue which may be sticky or dried. Ms. Singleton further added children’s clothing is changed whenever it is soiled, inclusive of, but not limited to, a leaking diaper, a toileting accident, if a child gets muddy or dirty on the playground, after a particularly messy lunch or food spill, or if a parent requests the child to be changed more often or for a special event, as long as this frequency is reasonable in nature. I observed staff wiping the noses of children enrolled and then washing their hands during my visit. Based on the above information, this allegation was not substantiated. The following violations were cited during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. One child could not be seen by staff while eating lunch. The child was sitting with his back turned to staff. Two children were observed eating cracker crumbs off the floor during the visit; staff did not notice this occur. .1801(a)(1-5) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Four incident reports for children enrolled were not observed on file for review. .0802 (e) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (f) states Linens shall be kept clean, in good repair, and stored with the mat or cot that the linens are assigned to or stored apart from the mattress or cot in a manner that keeps the linens used for each child separate from the linens belonging to other children. Linens shall be laundered between users, when soiled, and otherwise once per week. Five children’s cots were observed to have children who were not assigned to the cots climb on them with their shoes on. The sheets on each of these five cots were not changed before the children who were assigned to the cots laid down on them. 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. An unannounced follow-up visit will be conducted to monitor supervision requirements. During the visit, we discussed that repeated violations of this nature during consecutive visits may lead to an administrative action against your license. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 7/09/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Technical assistance provided during today’s visit: • Four (4) incident reports for children enrolled were not available for review during today’s visit. It is important to fully complete all incident reports with required information any time an incident occurs to ensure incidents are documented accurately and thoroughly for the parent and the facility. Ms. Singleton stated she was unaware documentation of these incidents was not on file. Ms. Singleton also reiterated that two copies of each completed incident report are made once information is submitted via that tablets. I thoroughly reviewed 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) with Ms. Singleton, and emailed this portion of Child Care Rule to the facility email address. • One child one year of age could not be seen by staff while eating lunch. Two children were observed eating cracker crumbs off the floor. It is imperative children under five years of age can be heard AND seen while eating to ensure their health and safety at all times; choking is silent. You may consider having both teachers remain at the tables with children until they are finished eating. As they finish eating, you may consider having staff wipe children’s hands with wet baby wipes until they can be thoroughly washed at the sink and removing children’s plates and any obvious food spilled from the table and floor immediately, prior to washing hands, changing diapers, laying out cots, and finishing cleaning the tables and floors. • Five children’s cots were observed to have children who were not assigned to the cots climb on them with their shoes on. It is important to follow all sanitation requirements to ensure children remain healthy and to minimize the spread of germs. You may consider laying each cot out individually as each child is ready to lay down. You may also consider contacting Smart Start of Forsyth County for support in aligning Child Care Rule requirements and NCRLAP recommendations for best practice. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: 0624-236L Visit Date: 6/25/2024 Number Present: 53 Completed Date: 6/25/2024 Age: From 0 To 8 Total Minutes: 333 Time In: 09:42 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tisa Singleton, Director. I also spoke with Whitney Griffin, Regional Director, via phone during the visit. The allegations are as follows: There are concerns related to children in care not being adequately supervised. There are concerns that incident reports are not provided when a child is injured. There are concerns of medications not being provided to a child. There are concerns of children’s records missing. There are concerns children are not being cared for in a nurturing/caring manner. Your program currently operates with a 4-Star license effective 5/05/2023. Restrictions include 1st shift care, meets enhanced ratios, and meets enhanced space. The program’s compliance history was 84% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • Adequate / Approved Space • License Posted • General License Requirements There are concerns related to children in care not being adequately supervised. One staff member (not inclusive of Ms. Singleton) was interviewed during the visit. Ms. Singleton stated no one had made her aware of any concerns related to the complaint allegations recently. I observed in the classroom for children one and two years of age (Space 1) for thirty (30) minutes during today’s visit. Twelve (12) children, eight (8) children one year of age, and four (4) children two years of age were present today with two staff members. Staff were observed engaging in conversations with children, supporting children in general routines, and preparing cots for nap. Children were eating lunch, engaged in general routines, and preparing to lay down for nap. One child could not be seen by staff while eating lunch. The child was sitting with his back turned to staff. One staff member was engaged in laying out cots, hand washing and diaper changes with children who were finished eating. The other staff member was laying out cots and serving children more food from a food cart if they were still hungry at the table closest to the sinks. This staff member walked around the first table to supervise, but did not walk around the second table and was unable to see the one child with his back turned to her while he was eating. Two children were observed eating cracker crumbs off the floor during the visit; staff did not notice this occur. One child was observed to have finished lunch, have his hands washed before nap, and then eat from another child’s plate who had recently finished eating. Staff did not notice this occur until I mentioned it. At that time, the child and the plate were removed from the area, and the child was taken to have his hands washed. Five children’s cots were observed to have children who were not assigned to the cots climb on them with their shoes on. Staff did not notice this occurred two of the five times this happened. The sheets on each of these five cots were not changed before the children who were assigned to the cots laid down on them. Based on the above information, this allegation was substantiated. There are concerns that incident reports are not provided when a child is injured. I asked Ms. Singleton when incident reports are completed. Ms. Singleton stated an incident report is completed any time an incident is observed to occur. She also stated parents are notified immediately via phone if an incident occurs on any part of a child’s body from the shoulders up. I observed documentation of all incident reports completed from March, 2024 to date during the visit. I asked Ms. Singleton about the facility’s process for documenting situations in which a parent notices a mark, bruise, scratch, etc. in which staff did not observe a cause of occurrence. Ms. Singleton stated wellness checks are completed for all children upon arrival each day. A staff member shared that if a mark is noticed upon arrival, she will make the parent aware of the mark and ask how it occurred. The staff member stated if a mark is noticed after the parent leaves the classroom, she will notify the parent via the Line Leader app (the facility’s parent communication app) of the mark, send the parent a picture of the mark, and ask how it occurred. Ms. Singleton and staff confirmed an incident report is also completed in these circumstances. Wellness checks were not available for review during today’s visit. I asked Ms. Singleton about the process followed when a child is bitten by another child. Ms. Singleton shared (and staff confirmed) staff notify her of the occurrence via walkie talkie after separating the child from the biter, comforting him/her, and cleaning the injured area. Ms. Singleton stated she goes to the classroom to check on the child and observe the bite mark. She stated she ensures appropriate First Aid is administered to the child and notifies the parent via phone of the occurrence. After the parent has been notified, she stated an incident report is completed and that the parent receives a copy, and the facility maintains a copy in the incident log binder. Ms. Singleton stated she had requested a Bite Log be started for Space 1 (the classroom for children one and two years of age) soon after her arrival to the program, due to a child who had begun to engage in repetitive biting. An incident report for one child who was documented as being bitten on 5/10/2024 on the Bite Log did not have a completed incident report on file. Based upon a review of the incident log and collateral information provided, an incident report for an additional three incidents occurring with a child was not on file for review. All communication and photographs between parents and teachers via the Line Leader app was not available for review during today’s visit. Based on the above information, this allegation was substantiated. There are concerns of medications not being provided to a child. I observed all prescription medication authorization forms and prescription medication administration logs from March, 2024 to date, for children enrolled during the visit. Based on the above information, this allegation was not substantiated. There are concerns of children’s records missing. I asked Ms. Singleton if parents volunteer at the program and what types of duties volunteers help with. Ms. Singleton stated the facility does welcome parent volunteers, but that she has not had any since she began her role with the program at the end of April. She shared parent volunteers help put out cots in the classrooms, take sheets off cots or crib mattresses, serve milk at meals, clean and sanitize tables, and read to children enrolled. Ms. Singleton stated children’s records are kept locked in her office (I observed this during the visit) and that parents do not have access to these records at any time. Based on the above information, this allegation was not substantiated. There are concerns children are not being cared for in a nurturing/caring manner. I asked Ms. Singleton to share with me the circumstances in which a child’s face or clothing must be cleaned or changed, as well as how and when this occurs. Ms. Singleton shared children’s faces are cleaned whenever there is something on them, inclusive of, but not limited to a runny nose, tear stains, or food residue. She stated this is an on-going process throughout the day and that Kleenex is typically used for runny noses while moist baby wipes are used for any residue which may be sticky or dried. Ms. Singleton further added children’s clothing is changed whenever it is soiled, inclusive of, but not limited to, a leaking diaper, a toileting accident, if a child gets muddy or dirty on the playground, after a particularly messy lunch or food spill, or if a parent requests the child to be changed more often or for a special event, as long as this frequency is reasonable in nature. I observed staff wiping the noses of children enrolled and then washing their hands during my visit. Based on the above information, this allegation was not substantiated. The following violations were cited during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. One child could not be seen by staff while eating lunch. The child was sitting with his back turned to staff. Two children were observed eating cracker crumbs off the floor during the visit; staff did not notice this occur. .1801(a)(1-5) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Four incident reports for children enrolled were not observed on file for review. .0802 (e) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (f) states Linens shall be kept clean, in good repair, and stored with the mat or cot that the linens are assigned to or stored apart from the mattress or cot in a manner that keeps the linens used for each child separate from the linens belonging to other children. Linens shall be laundered between users, when soiled, and otherwise once per week. Five children’s cots were observed to have children who were not assigned to the cots climb on them with their shoes on. The sheets on each of these five cots were not changed before the children who were assigned to the cots laid down on them. 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. An unannounced follow-up visit will be conducted to monitor supervision requirements. During the visit, we discussed that repeated violations of this nature during consecutive visits may lead to an administrative action against your license. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 7/09/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Technical assistance provided during today’s visit: • Four (4) incident reports for children enrolled were not available for review during today’s visit. It is important to fully complete all incident reports with required information any time an incident occurs to ensure incidents are documented accurately and thoroughly for the parent and the facility. Ms. Singleton stated she was unaware documentation of these incidents was not on file. Ms. Singleton also reiterated that two copies of each completed incident report are made once information is submitted via that tablets. I thoroughly reviewed 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) with Ms. Singleton, and emailed this portion of Child Care Rule to the facility email address. • One child one year of age could not be seen by staff while eating lunch. Two children were observed eating cracker crumbs off the floor. It is imperative children under five years of age can be heard AND seen while eating to ensure their health and safety at all times; choking is silent. You may consider having both teachers remain at the tables with children until they are finished eating. As they finish eating, you may consider having staff wipe children’s hands with wet baby wipes until they can be thoroughly washed at the sink and removing children’s plates and any obvious food spilled from the table and floor immediately, prior to washing hands, changing diapers, laying out cots, and finishing cleaning the tables and floors. • Five children’s cots were observed to have children who were not assigned to the cots climb on them with their shoes on. It is important to follow all sanitation requirements to ensure children remain healthy and to minimize the spread of germs. You may consider laying each cot out individually as each child is ready to lay down. You may also consider contacting Smart Start of Forsyth County for support in aligning Child Care Rule requirements and NCRLAP recommendations for best practice. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/22/2024 Number Present: 48 Completed Date: 4/22/2024 Age: From 0 To 5 Total Minutes: 550 Time In: 08:20 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Whitney Griffin, Regional Director, assisted me with the visit. Your program currently operates with a four-star license, issued August 9, 2019, earning 4 points in the education component, 6 points in the program standards component (meeting all enhanced requirements) and 1 quality point for the facility offering a staff benefits package and offering and infrastructure of parent involvement. The sanitation inspection was completed 8/07/2023 with a “Superior” classification. The last fire inspection was conducted October 30, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of April 22nd, 2024. All programs are required to maintain 75% compliance. The NC Secretary of State website was reviewed on April 21, 2024 and The Sunshine House, Inc. – N.C. was listed as current- active. Upon arrival, the license was posted. Seven classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, playing outdoors, and eating lunch during the visit. I observed interactions between staff and children. All playground and outdoor learning environments were monitored during the visit. A covered, three-foot pool was observed within the outdoor play area, padlocked, and surrounded by a four-foot fence. Ms. Griffin stated that she does not plan to utilize this pool, but will notify me prior to doing so if this changes. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored and found to be in compliance. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted at the main entrance of the building. This program does not currently participate in aquatic activities or off-premise activities. This program does transport children who are School Age enrolled at this time. One mini bus, Registration Tag # AES-1931, is used to transport twelve (12) children from school. I monitored the bus for all transportation requirements. The registration is current and will not expire until November, 2024. The insurance card was observed to be current and does not expire until 6/30/2024. Staff training worksheets were submitted during the visit. I monitored the files for three new staff members and for one existing staff member. Children’s Records forms were completed during the visit. The files for seven children enrolled were monitored. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 3/20/2024. A lockdown drill was completed on 2/28/2024. A playground inspection was completed on 3/20/2024. The EPR plan was updated on 5/08/2023, and the Ready To Go file was observed. The following violations were cited during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Current lesson plans were not observed in Spaces 1 and 3 (posted lesson plans were dated 4/1/24 – 4/5/24), and a lesson plan was not observed posted in Space 6. GS 110-91(12); .0508(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In Space 7, the literacy center did not contain sufficient materials to allow at least three children to use the area; only books were available in this activity center. .0510(d)(1) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The infant feeding schedules for two children enrolled were not observed to have been signed by a parent. .0902(a) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One staff member in Space 1 was observed not to wash her hands prior to preparing breakfast for children; the staff member did not wash her hands before beginning to place a pair of food preparation gloves on her hands. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by toddlers, a drain pipe hole at the base of the building was observed to be sharp to the touch in three areas. The stationary play structure on this playground was observed to have red paint flaking off of it; small paint flakes were observed in the mulch at the base of this structure in two areas. The metal ring securing the base of a down spout on the playground used by preschool children was observed to be heavily rusted. Seven metal border tacks were observed to be raised and not flush with the border, creating a potential entanglement hazard. The base of a plastic wheelbarrow on this playground was observed to be cracked and sharp to the touch. The left side of both sets of stairs on the stationary play structure on the playground used by toddlers were observed to be splitting. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings, was observed greater than five feet from the ground, but in unlocked storage, in the bathroom to the right of Space 5, used by children enrolled. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 7, plastic tape was observed to be coming detached from a shelf, accessible to children under three years of age. Also in Space 7, a set of foam puzzles were observed accessible to children under three years of age, and teeth marks were observed on greater than five of these foam pieces. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A record of Staff Orientation was not observed on file for one new staff member. .1101(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The emergency contact information for two children being transported did not include a photograph. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff development plan and current annual evaluation were not observed on file for one existing staff member. 10A NCAC 09 .0514(f) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The signed Discipline Policy receipt for one child enrolled did not contain a date of enrollment. .1804(b) 1820 The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. The EPR plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. .0607(d)(7) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready To Go file was observed; information for twelve (12) children enrolled, the applications of all children enrolled, emergency medication authorizations and instructions and an action plan for one child enrolled with special health care needs, a list of any known food allergies of children and staff, and emergency contact information for five staff members were not on file for review. .0607(d)(10) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Two new staff members were not certified in CPR/FA within 90 days of employment; one staff member was employed on 12/16/2023 and was certified in CPR/FA on 3/26/2024, and the second staff member was employed on 6/26/2023 and was certified in CPR/FA on 11/18/2023. .1102(c-d) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A completed record of Health & Safety training was not on file for one existing staff member; only topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, had been completed. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/06/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The EPR plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. The Ready To Go file was observed; information for twelve (12) children enrolled, the applications of all children enrolled, emergency medication authorizations and instructions and an action plan for one child enrolled with special health care needs, a list of any known food allergies of children and staff, and emergency contact information for five staff members were not on file for review. The emergency contact information for two children being transported did not include a photograph. A completed record of Health & Safety training was not on file for one existing staff member; only topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, had been completed. A staff development plan and current annual evaluation were not observed on file for one existing staff member. A record of Staff Orientation was not observed on file for one new staff member. Two new staff members were not certified in CPR/FA within 90 days of employment; one staff member was employed on 12/16/2023 and was certified in CPR/FA on 3/26/2024, and the second staff member was employed on 6/26/2023 and was certified in CPR/FA on 11/18/2023. The infant feeding schedules for two children enrolled were not observed to have been signed by a parent. The signed Discipline Policy receipt for one child enrolled did not contain a date of enrollment. Current lesson plans were not observed in Spaces 1 and 3 (posted lesson plans were dated 4/1/24 – 4/5/24), and a lesson plan was not observed posted in Space 6. Ms. Griffin stated the Assistant Director and Director are no longer employed at this facility. She stated she has been consistently working to review and update all program, child, and staff files as quickly as possible. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality of care of children enrolled. You may consider creating a routine schedule for monitoring all program, staff, and children’s files to ensure all records remain complete and current. In Space 7, the literacy center did not contain sufficient materials to allow at least three children to use the area; only books were available in this activity center. Ms. Griffin stated a materials order will be placed within the next week. It is important for children to have a variety of learning materials to choose from during their guided and free play. You may consider adding additional materials to all learning centers in Space 7 and monitoring other classrooms to ensure each center has sufficient materials. One staff member in Space 1 was observed not to wash her hands prior to preparing breakfast for children; the staff member did not wash her hands before beginning to place a pair of food preparation gloves on her hands. I asked the staff member to wash her hands, and she immediately did so. It is important to practice proper hand washing at all times to minimize cross-contamination and maximize safety for children and staff. I recommend Ms. Griffin review Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with all staff. It is important for all sanitation guidelines to be followed to minimize the transmission of germs and cross-contamination. In Space 7, plastic tape was observed to be coming detached from a shelf, accessible to children under three years of age. Also in Space 7, a set of foam puzzles were observed accessible to children under three years of age, and teeth marks were observed on greater than five of these foam pieces. Each of these issues was corrected during the visit. On the playground used by toddlers, a drain pipe hole at the base of the building was observed to be sharp to the touch in three areas. The stationary play structure on this playground was observed to have red paint flaking off of it; small paint flakes were observed in the mulch at the base of this structure in two areas. The metal ring securing the base of a down spout on the playground used by preschool children was observed to be heavily rusted. Seven metal border tacks were observed to be raised and not flush with the border, creating a potential entanglement hazard. The base of a plastic wheelbarrow on this playground was observed to be cracked and sharp to the touch. The left side of both sets of stairs on the stationary play structure on the playground used by toddlers were observed to be splitting. Ms. Griffin stated she was not aware these were issues on the playground. It is important for all areas (indoor and outdoor) accessed by children to be safe. You may consider creating a plan for monitoring the indoor and outdoor learning environments daily, prior to children arriving for care or accessing the outdoor learning environment. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings, was observed greater than five feet from the ground, but in unlocked storage, in the bathroom to the right of Space 5, used by children enrolled. I brought these wipes to Ms. Griffin, and she placed them into locked storage during the visit. Consultation Provided During the Visit: • The following Child Care Rules were reviewed with Ms. Griffin during the visit: 10A NCAC 09 .0510 ACTIVITY AREAS (d) (g) regarding sufficient materials 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) (Child Care Sanitation Rule) regarding brush 15A NCAC 18A .2818 LAVATORIES (d) (Child Care Sanitation Rule) regarding soap 10A NCAC 09 .1003 SAFE PROCEDURES (i) regarding Written Authorization to Transport Ms. Ramos must complete 20 hours of on-going training by 4/27/2024; I will monitor these trainings on a subsequent visit. Ms. Griffin and I discussed she would update the EMC and EPR plan to reflect current administration contact information. I also requested Ms. Griffin update the Pre-Service Requirements for Administrators form and Legal Designee form for the facility due to the administrative changes; she stated she would do so. • Please always document on Safe Sleep Records that an infant has been placed on his/her back, even if the child immediately rolls onto his/her stomach from the back position. After 15 minutes, you can record the new position that the infant is resting in. On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Griffin confirmed during today’s visit that the email was received and provided information that she will enroll in testing by tomorrow, 4/23/2024. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0510 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/22/2024 Number Present: 48 Completed Date: 4/22/2024 Age: From 0 To 5 Total Minutes: 550 Time In: 08:20 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Whitney Griffin, Regional Director, assisted me with the visit. Your program currently operates with a four-star license, issued August 9, 2019, earning 4 points in the education component, 6 points in the program standards component (meeting all enhanced requirements) and 1 quality point for the facility offering a staff benefits package and offering and infrastructure of parent involvement. The sanitation inspection was completed 8/07/2023 with a “Superior” classification. The last fire inspection was conducted October 30, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of April 22nd, 2024. All programs are required to maintain 75% compliance. The NC Secretary of State website was reviewed on April 21, 2024 and The Sunshine House, Inc. – N.C. was listed as current- active. Upon arrival, the license was posted. Seven classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, playing outdoors, and eating lunch during the visit. I observed interactions between staff and children. All playground and outdoor learning environments were monitored during the visit. A covered, three-foot pool was observed within the outdoor play area, padlocked, and surrounded by a four-foot fence. Ms. Griffin stated that she does not plan to utilize this pool, but will notify me prior to doing so if this changes. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored and found to be in compliance. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted at the main entrance of the building. This program does not currently participate in aquatic activities or off-premise activities. This program does transport children who are School Age enrolled at this time. One mini bus, Registration Tag # AES-1931, is used to transport twelve (12) children from school. I monitored the bus for all transportation requirements. The registration is current and will not expire until November, 2024. The insurance card was observed to be current and does not expire until 6/30/2024. Staff training worksheets were submitted during the visit. I monitored the files for three new staff members and for one existing staff member. Children’s Records forms were completed during the visit. The files for seven children enrolled were monitored. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 3/20/2024. A lockdown drill was completed on 2/28/2024. A playground inspection was completed on 3/20/2024. The EPR plan was updated on 5/08/2023, and the Ready To Go file was observed. The following violations were cited during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Current lesson plans were not observed in Spaces 1 and 3 (posted lesson plans were dated 4/1/24 – 4/5/24), and a lesson plan was not observed posted in Space 6. GS 110-91(12); .0508(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In Space 7, the literacy center did not contain sufficient materials to allow at least three children to use the area; only books were available in this activity center. .0510(d)(1) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The infant feeding schedules for two children enrolled were not observed to have been signed by a parent. .0902(a) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One staff member in Space 1 was observed not to wash her hands prior to preparing breakfast for children; the staff member did not wash her hands before beginning to place a pair of food preparation gloves on her hands. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by toddlers, a drain pipe hole at the base of the building was observed to be sharp to the touch in three areas. The stationary play structure on this playground was observed to have red paint flaking off of it; small paint flakes were observed in the mulch at the base of this structure in two areas. The metal ring securing the base of a down spout on the playground used by preschool children was observed to be heavily rusted. Seven metal border tacks were observed to be raised and not flush with the border, creating a potential entanglement hazard. The base of a plastic wheelbarrow on this playground was observed to be cracked and sharp to the touch. The left side of both sets of stairs on the stationary play structure on the playground used by toddlers were observed to be splitting. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings, was observed greater than five feet from the ground, but in unlocked storage, in the bathroom to the right of Space 5, used by children enrolled. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 7, plastic tape was observed to be coming detached from a shelf, accessible to children under three years of age. Also in Space 7, a set of foam puzzles were observed accessible to children under three years of age, and teeth marks were observed on greater than five of these foam pieces. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A record of Staff Orientation was not observed on file for one new staff member. .1101(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The emergency contact information for two children being transported did not include a photograph. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff development plan and current annual evaluation were not observed on file for one existing staff member. 10A NCAC 09 .0514(f) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The signed Discipline Policy receipt for one child enrolled did not contain a date of enrollment. .1804(b) 1820 The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. The EPR plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. .0607(d)(7) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready To Go file was observed; information for twelve (12) children enrolled, the applications of all children enrolled, emergency medication authorizations and instructions and an action plan for one child enrolled with special health care needs, a list of any known food allergies of children and staff, and emergency contact information for five staff members were not on file for review. .0607(d)(10) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Two new staff members were not certified in CPR/FA within 90 days of employment; one staff member was employed on 12/16/2023 and was certified in CPR/FA on 3/26/2024, and the second staff member was employed on 6/26/2023 and was certified in CPR/FA on 11/18/2023. .1102(c-d) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A completed record of Health & Safety training was not on file for one existing staff member; only topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, had been completed. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/06/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The EPR plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. The Ready To Go file was observed; information for twelve (12) children enrolled, the applications of all children enrolled, emergency medication authorizations and instructions and an action plan for one child enrolled with special health care needs, a list of any known food allergies of children and staff, and emergency contact information for five staff members were not on file for review. The emergency contact information for two children being transported did not include a photograph. A completed record of Health & Safety training was not on file for one existing staff member; only topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, had been completed. A staff development plan and current annual evaluation were not observed on file for one existing staff member. A record of Staff Orientation was not observed on file for one new staff member. Two new staff members were not certified in CPR/FA within 90 days of employment; one staff member was employed on 12/16/2023 and was certified in CPR/FA on 3/26/2024, and the second staff member was employed on 6/26/2023 and was certified in CPR/FA on 11/18/2023. The infant feeding schedules for two children enrolled were not observed to have been signed by a parent. The signed Discipline Policy receipt for one child enrolled did not contain a date of enrollment. Current lesson plans were not observed in Spaces 1 and 3 (posted lesson plans were dated 4/1/24 – 4/5/24), and a lesson plan was not observed posted in Space 6. Ms. Griffin stated the Assistant Director and Director are no longer employed at this facility. She stated she has been consistently working to review and update all program, child, and staff files as quickly as possible. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality of care of children enrolled. You may consider creating a routine schedule for monitoring all program, staff, and children’s files to ensure all records remain complete and current. In Space 7, the literacy center did not contain sufficient materials to allow at least three children to use the area; only books were available in this activity center. Ms. Griffin stated a materials order will be placed within the next week. It is important for children to have a variety of learning materials to choose from during their guided and free play. You may consider adding additional materials to all learning centers in Space 7 and monitoring other classrooms to ensure each center has sufficient materials. One staff member in Space 1 was observed not to wash her hands prior to preparing breakfast for children; the staff member did not wash her hands before beginning to place a pair of food preparation gloves on her hands. I asked the staff member to wash her hands, and she immediately did so. It is important to practice proper hand washing at all times to minimize cross-contamination and maximize safety for children and staff. I recommend Ms. Griffin review Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with all staff. It is important for all sanitation guidelines to be followed to minimize the transmission of germs and cross-contamination. In Space 7, plastic tape was observed to be coming detached from a shelf, accessible to children under three years of age. Also in Space 7, a set of foam puzzles were observed accessible to children under three years of age, and teeth marks were observed on greater than five of these foam pieces. Each of these issues was corrected during the visit. On the playground used by toddlers, a drain pipe hole at the base of the building was observed to be sharp to the touch in three areas. The stationary play structure on this playground was observed to have red paint flaking off of it; small paint flakes were observed in the mulch at the base of this structure in two areas. The metal ring securing the base of a down spout on the playground used by preschool children was observed to be heavily rusted. Seven metal border tacks were observed to be raised and not flush with the border, creating a potential entanglement hazard. The base of a plastic wheelbarrow on this playground was observed to be cracked and sharp to the touch. The left side of both sets of stairs on the stationary play structure on the playground used by toddlers were observed to be splitting. Ms. Griffin stated she was not aware these were issues on the playground. It is important for all areas (indoor and outdoor) accessed by children to be safe. You may consider creating a plan for monitoring the indoor and outdoor learning environments daily, prior to children arriving for care or accessing the outdoor learning environment. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings, was observed greater than five feet from the ground, but in unlocked storage, in the bathroom to the right of Space 5, used by children enrolled. I brought these wipes to Ms. Griffin, and she placed them into locked storage during the visit. Consultation Provided During the Visit: • The following Child Care Rules were reviewed with Ms. Griffin during the visit: 10A NCAC 09 .0510 ACTIVITY AREAS (d) (g) regarding sufficient materials 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) (Child Care Sanitation Rule) regarding brush 15A NCAC 18A .2818 LAVATORIES (d) (Child Care Sanitation Rule) regarding soap 10A NCAC 09 .1003 SAFE PROCEDURES (i) regarding Written Authorization to Transport Ms. Ramos must complete 20 hours of on-going training by 4/27/2024; I will monitor these trainings on a subsequent visit. Ms. Griffin and I discussed she would update the EMC and EPR plan to reflect current administration contact information. I also requested Ms. Griffin update the Pre-Service Requirements for Administrators form and Legal Designee form for the facility due to the administrative changes; she stated she would do so. • Please always document on Safe Sleep Records that an infant has been placed on his/her back, even if the child immediately rolls onto his/her stomach from the back position. After 15 minutes, you can record the new position that the infant is resting in. On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Griffin confirmed during today’s visit that the email was received and provided information that she will enroll in testing by tomorrow, 4/23/2024. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/22/2024 Number Present: 48 Completed Date: 4/22/2024 Age: From 0 To 5 Total Minutes: 550 Time In: 08:20 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Whitney Griffin, Regional Director, assisted me with the visit. Your program currently operates with a four-star license, issued August 9, 2019, earning 4 points in the education component, 6 points in the program standards component (meeting all enhanced requirements) and 1 quality point for the facility offering a staff benefits package and offering and infrastructure of parent involvement. The sanitation inspection was completed 8/07/2023 with a “Superior” classification. The last fire inspection was conducted October 30, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of April 22nd, 2024. All programs are required to maintain 75% compliance. The NC Secretary of State website was reviewed on April 21, 2024 and The Sunshine House, Inc. – N.C. was listed as current- active. Upon arrival, the license was posted. Seven classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, playing outdoors, and eating lunch during the visit. I observed interactions between staff and children. All playground and outdoor learning environments were monitored during the visit. A covered, three-foot pool was observed within the outdoor play area, padlocked, and surrounded by a four-foot fence. Ms. Griffin stated that she does not plan to utilize this pool, but will notify me prior to doing so if this changes. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored and found to be in compliance. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted at the main entrance of the building. This program does not currently participate in aquatic activities or off-premise activities. This program does transport children who are School Age enrolled at this time. One mini bus, Registration Tag # AES-1931, is used to transport twelve (12) children from school. I monitored the bus for all transportation requirements. The registration is current and will not expire until November, 2024. The insurance card was observed to be current and does not expire until 6/30/2024. Staff training worksheets were submitted during the visit. I monitored the files for three new staff members and for one existing staff member. Children’s Records forms were completed during the visit. The files for seven children enrolled were monitored. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 3/20/2024. A lockdown drill was completed on 2/28/2024. A playground inspection was completed on 3/20/2024. The EPR plan was updated on 5/08/2023, and the Ready To Go file was observed. The following violations were cited during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Current lesson plans were not observed in Spaces 1 and 3 (posted lesson plans were dated 4/1/24 – 4/5/24), and a lesson plan was not observed posted in Space 6. GS 110-91(12); .0508(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In Space 7, the literacy center did not contain sufficient materials to allow at least three children to use the area; only books were available in this activity center. .0510(d)(1) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The infant feeding schedules for two children enrolled were not observed to have been signed by a parent. .0902(a) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One staff member in Space 1 was observed not to wash her hands prior to preparing breakfast for children; the staff member did not wash her hands before beginning to place a pair of food preparation gloves on her hands. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by toddlers, a drain pipe hole at the base of the building was observed to be sharp to the touch in three areas. The stationary play structure on this playground was observed to have red paint flaking off of it; small paint flakes were observed in the mulch at the base of this structure in two areas. The metal ring securing the base of a down spout on the playground used by preschool children was observed to be heavily rusted. Seven metal border tacks were observed to be raised and not flush with the border, creating a potential entanglement hazard. The base of a plastic wheelbarrow on this playground was observed to be cracked and sharp to the touch. The left side of both sets of stairs on the stationary play structure on the playground used by toddlers were observed to be splitting. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings, was observed greater than five feet from the ground, but in unlocked storage, in the bathroom to the right of Space 5, used by children enrolled. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 7, plastic tape was observed to be coming detached from a shelf, accessible to children under three years of age. Also in Space 7, a set of foam puzzles were observed accessible to children under three years of age, and teeth marks were observed on greater than five of these foam pieces. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A record of Staff Orientation was not observed on file for one new staff member. .1101(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The emergency contact information for two children being transported did not include a photograph. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff development plan and current annual evaluation were not observed on file for one existing staff member. 10A NCAC 09 .0514(f) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The signed Discipline Policy receipt for one child enrolled did not contain a date of enrollment. .1804(b) 1820 The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. The EPR plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. .0607(d)(7) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready To Go file was observed; information for twelve (12) children enrolled, the applications of all children enrolled, emergency medication authorizations and instructions and an action plan for one child enrolled with special health care needs, a list of any known food allergies of children and staff, and emergency contact information for five staff members were not on file for review. .0607(d)(10) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Two new staff members were not certified in CPR/FA within 90 days of employment; one staff member was employed on 12/16/2023 and was certified in CPR/FA on 3/26/2024, and the second staff member was employed on 6/26/2023 and was certified in CPR/FA on 11/18/2023. .1102(c-d) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A completed record of Health & Safety training was not on file for one existing staff member; only topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, had been completed. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/06/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The EPR plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. The Ready To Go file was observed; information for twelve (12) children enrolled, the applications of all children enrolled, emergency medication authorizations and instructions and an action plan for one child enrolled with special health care needs, a list of any known food allergies of children and staff, and emergency contact information for five staff members were not on file for review. The emergency contact information for two children being transported did not include a photograph. A completed record of Health & Safety training was not on file for one existing staff member; only topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, had been completed. A staff development plan and current annual evaluation were not observed on file for one existing staff member. A record of Staff Orientation was not observed on file for one new staff member. Two new staff members were not certified in CPR/FA within 90 days of employment; one staff member was employed on 12/16/2023 and was certified in CPR/FA on 3/26/2024, and the second staff member was employed on 6/26/2023 and was certified in CPR/FA on 11/18/2023. The infant feeding schedules for two children enrolled were not observed to have been signed by a parent. The signed Discipline Policy receipt for one child enrolled did not contain a date of enrollment. Current lesson plans were not observed in Spaces 1 and 3 (posted lesson plans were dated 4/1/24 – 4/5/24), and a lesson plan was not observed posted in Space 6. Ms. Griffin stated the Assistant Director and Director are no longer employed at this facility. She stated she has been consistently working to review and update all program, child, and staff files as quickly as possible. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality of care of children enrolled. You may consider creating a routine schedule for monitoring all program, staff, and children’s files to ensure all records remain complete and current. In Space 7, the literacy center did not contain sufficient materials to allow at least three children to use the area; only books were available in this activity center. Ms. Griffin stated a materials order will be placed within the next week. It is important for children to have a variety of learning materials to choose from during their guided and free play. You may consider adding additional materials to all learning centers in Space 7 and monitoring other classrooms to ensure each center has sufficient materials. One staff member in Space 1 was observed not to wash her hands prior to preparing breakfast for children; the staff member did not wash her hands before beginning to place a pair of food preparation gloves on her hands. I asked the staff member to wash her hands, and she immediately did so. It is important to practice proper hand washing at all times to minimize cross-contamination and maximize safety for children and staff. I recommend Ms. Griffin review Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with all staff. It is important for all sanitation guidelines to be followed to minimize the transmission of germs and cross-contamination. In Space 7, plastic tape was observed to be coming detached from a shelf, accessible to children under three years of age. Also in Space 7, a set of foam puzzles were observed accessible to children under three years of age, and teeth marks were observed on greater than five of these foam pieces. Each of these issues was corrected during the visit. On the playground used by toddlers, a drain pipe hole at the base of the building was observed to be sharp to the touch in three areas. The stationary play structure on this playground was observed to have red paint flaking off of it; small paint flakes were observed in the mulch at the base of this structure in two areas. The metal ring securing the base of a down spout on the playground used by preschool children was observed to be heavily rusted. Seven metal border tacks were observed to be raised and not flush with the border, creating a potential entanglement hazard. The base of a plastic wheelbarrow on this playground was observed to be cracked and sharp to the touch. The left side of both sets of stairs on the stationary play structure on the playground used by toddlers were observed to be splitting. Ms. Griffin stated she was not aware these were issues on the playground. It is important for all areas (indoor and outdoor) accessed by children to be safe. You may consider creating a plan for monitoring the indoor and outdoor learning environments daily, prior to children arriving for care or accessing the outdoor learning environment. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings, was observed greater than five feet from the ground, but in unlocked storage, in the bathroom to the right of Space 5, used by children enrolled. I brought these wipes to Ms. Griffin, and she placed them into locked storage during the visit. Consultation Provided During the Visit: • The following Child Care Rules were reviewed with Ms. Griffin during the visit: 10A NCAC 09 .0510 ACTIVITY AREAS (d) (g) regarding sufficient materials 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) (Child Care Sanitation Rule) regarding brush 15A NCAC 18A .2818 LAVATORIES (d) (Child Care Sanitation Rule) regarding soap 10A NCAC 09 .1003 SAFE PROCEDURES (i) regarding Written Authorization to Transport Ms. Ramos must complete 20 hours of on-going training by 4/27/2024; I will monitor these trainings on a subsequent visit. Ms. Griffin and I discussed she would update the EMC and EPR plan to reflect current administration contact information. I also requested Ms. Griffin update the Pre-Service Requirements for Administrators form and Legal Designee form for the facility due to the administrative changes; she stated she would do so. • Please always document on Safe Sleep Records that an infant has been placed on his/her back, even if the child immediately rolls onto his/her stomach from the back position. After 15 minutes, you can record the new position that the infant is resting in. On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Griffin confirmed during today’s visit that the email was received and provided information that she will enroll in testing by tomorrow, 4/23/2024. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/22/2024 Number Present: 48 Completed Date: 4/22/2024 Age: From 0 To 5 Total Minutes: 550 Time In: 08:20 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Whitney Griffin, Regional Director, assisted me with the visit. Your program currently operates with a four-star license, issued August 9, 2019, earning 4 points in the education component, 6 points in the program standards component (meeting all enhanced requirements) and 1 quality point for the facility offering a staff benefits package and offering and infrastructure of parent involvement. The sanitation inspection was completed 8/07/2023 with a “Superior” classification. The last fire inspection was conducted October 30, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of April 22nd, 2024. All programs are required to maintain 75% compliance. The NC Secretary of State website was reviewed on April 21, 2024 and The Sunshine House, Inc. – N.C. was listed as current- active. Upon arrival, the license was posted. Seven classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, playing outdoors, and eating lunch during the visit. I observed interactions between staff and children. All playground and outdoor learning environments were monitored during the visit. A covered, three-foot pool was observed within the outdoor play area, padlocked, and surrounded by a four-foot fence. Ms. Griffin stated that she does not plan to utilize this pool, but will notify me prior to doing so if this changes. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored and found to be in compliance. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted at the main entrance of the building. This program does not currently participate in aquatic activities or off-premise activities. This program does transport children who are School Age enrolled at this time. One mini bus, Registration Tag # AES-1931, is used to transport twelve (12) children from school. I monitored the bus for all transportation requirements. The registration is current and will not expire until November, 2024. The insurance card was observed to be current and does not expire until 6/30/2024. Staff training worksheets were submitted during the visit. I monitored the files for three new staff members and for one existing staff member. Children’s Records forms were completed during the visit. The files for seven children enrolled were monitored. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 3/20/2024. A lockdown drill was completed on 2/28/2024. A playground inspection was completed on 3/20/2024. The EPR plan was updated on 5/08/2023, and the Ready To Go file was observed. The following violations were cited during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Current lesson plans were not observed in Spaces 1 and 3 (posted lesson plans were dated 4/1/24 – 4/5/24), and a lesson plan was not observed posted in Space 6. GS 110-91(12); .0508(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In Space 7, the literacy center did not contain sufficient materials to allow at least three children to use the area; only books were available in this activity center. .0510(d)(1) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The infant feeding schedules for two children enrolled were not observed to have been signed by a parent. .0902(a) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One staff member in Space 1 was observed not to wash her hands prior to preparing breakfast for children; the staff member did not wash her hands before beginning to place a pair of food preparation gloves on her hands. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by toddlers, a drain pipe hole at the base of the building was observed to be sharp to the touch in three areas. The stationary play structure on this playground was observed to have red paint flaking off of it; small paint flakes were observed in the mulch at the base of this structure in two areas. The metal ring securing the base of a down spout on the playground used by preschool children was observed to be heavily rusted. Seven metal border tacks were observed to be raised and not flush with the border, creating a potential entanglement hazard. The base of a plastic wheelbarrow on this playground was observed to be cracked and sharp to the touch. The left side of both sets of stairs on the stationary play structure on the playground used by toddlers were observed to be splitting. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings, was observed greater than five feet from the ground, but in unlocked storage, in the bathroom to the right of Space 5, used by children enrolled. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 7, plastic tape was observed to be coming detached from a shelf, accessible to children under three years of age. Also in Space 7, a set of foam puzzles were observed accessible to children under three years of age, and teeth marks were observed on greater than five of these foam pieces. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A record of Staff Orientation was not observed on file for one new staff member. .1101(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The emergency contact information for two children being transported did not include a photograph. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff development plan and current annual evaluation were not observed on file for one existing staff member. 10A NCAC 09 .0514(f) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The signed Discipline Policy receipt for one child enrolled did not contain a date of enrollment. .1804(b) 1820 The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. The EPR plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. .0607(d)(7) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready To Go file was observed; information for twelve (12) children enrolled, the applications of all children enrolled, emergency medication authorizations and instructions and an action plan for one child enrolled with special health care needs, a list of any known food allergies of children and staff, and emergency contact information for five staff members were not on file for review. .0607(d)(10) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Two new staff members were not certified in CPR/FA within 90 days of employment; one staff member was employed on 12/16/2023 and was certified in CPR/FA on 3/26/2024, and the second staff member was employed on 6/26/2023 and was certified in CPR/FA on 11/18/2023. .1102(c-d) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A completed record of Health & Safety training was not on file for one existing staff member; only topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, had been completed. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/06/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The EPR plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. The Ready To Go file was observed; information for twelve (12) children enrolled, the applications of all children enrolled, emergency medication authorizations and instructions and an action plan for one child enrolled with special health care needs, a list of any known food allergies of children and staff, and emergency contact information for five staff members were not on file for review. The emergency contact information for two children being transported did not include a photograph. A completed record of Health & Safety training was not on file for one existing staff member; only topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, had been completed. A staff development plan and current annual evaluation were not observed on file for one existing staff member. A record of Staff Orientation was not observed on file for one new staff member. Two new staff members were not certified in CPR/FA within 90 days of employment; one staff member was employed on 12/16/2023 and was certified in CPR/FA on 3/26/2024, and the second staff member was employed on 6/26/2023 and was certified in CPR/FA on 11/18/2023. The infant feeding schedules for two children enrolled were not observed to have been signed by a parent. The signed Discipline Policy receipt for one child enrolled did not contain a date of enrollment. Current lesson plans were not observed in Spaces 1 and 3 (posted lesson plans were dated 4/1/24 – 4/5/24), and a lesson plan was not observed posted in Space 6. Ms. Griffin stated the Assistant Director and Director are no longer employed at this facility. She stated she has been consistently working to review and update all program, child, and staff files as quickly as possible. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality of care of children enrolled. You may consider creating a routine schedule for monitoring all program, staff, and children’s files to ensure all records remain complete and current. In Space 7, the literacy center did not contain sufficient materials to allow at least three children to use the area; only books were available in this activity center. Ms. Griffin stated a materials order will be placed within the next week. It is important for children to have a variety of learning materials to choose from during their guided and free play. You may consider adding additional materials to all learning centers in Space 7 and monitoring other classrooms to ensure each center has sufficient materials. One staff member in Space 1 was observed not to wash her hands prior to preparing breakfast for children; the staff member did not wash her hands before beginning to place a pair of food preparation gloves on her hands. I asked the staff member to wash her hands, and she immediately did so. It is important to practice proper hand washing at all times to minimize cross-contamination and maximize safety for children and staff. I recommend Ms. Griffin review Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with all staff. It is important for all sanitation guidelines to be followed to minimize the transmission of germs and cross-contamination. In Space 7, plastic tape was observed to be coming detached from a shelf, accessible to children under three years of age. Also in Space 7, a set of foam puzzles were observed accessible to children under three years of age, and teeth marks were observed on greater than five of these foam pieces. Each of these issues was corrected during the visit. On the playground used by toddlers, a drain pipe hole at the base of the building was observed to be sharp to the touch in three areas. The stationary play structure on this playground was observed to have red paint flaking off of it; small paint flakes were observed in the mulch at the base of this structure in two areas. The metal ring securing the base of a down spout on the playground used by preschool children was observed to be heavily rusted. Seven metal border tacks were observed to be raised and not flush with the border, creating a potential entanglement hazard. The base of a plastic wheelbarrow on this playground was observed to be cracked and sharp to the touch. The left side of both sets of stairs on the stationary play structure on the playground used by toddlers were observed to be splitting. Ms. Griffin stated she was not aware these were issues on the playground. It is important for all areas (indoor and outdoor) accessed by children to be safe. You may consider creating a plan for monitoring the indoor and outdoor learning environments daily, prior to children arriving for care or accessing the outdoor learning environment. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings, was observed greater than five feet from the ground, but in unlocked storage, in the bathroom to the right of Space 5, used by children enrolled. I brought these wipes to Ms. Griffin, and she placed them into locked storage during the visit. Consultation Provided During the Visit: • The following Child Care Rules were reviewed with Ms. Griffin during the visit: 10A NCAC 09 .0510 ACTIVITY AREAS (d) (g) regarding sufficient materials 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) (Child Care Sanitation Rule) regarding brush 15A NCAC 18A .2818 LAVATORIES (d) (Child Care Sanitation Rule) regarding soap 10A NCAC 09 .1003 SAFE PROCEDURES (i) regarding Written Authorization to Transport Ms. Ramos must complete 20 hours of on-going training by 4/27/2024; I will monitor these trainings on a subsequent visit. Ms. Griffin and I discussed she would update the EMC and EPR plan to reflect current administration contact information. I also requested Ms. Griffin update the Pre-Service Requirements for Administrators form and Legal Designee form for the facility due to the administrative changes; she stated she would do so. • Please always document on Safe Sleep Records that an infant has been placed on his/her back, even if the child immediately rolls onto his/her stomach from the back position. After 15 minutes, you can record the new position that the infant is resting in. On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Griffin confirmed during today’s visit that the email was received and provided information that she will enroll in testing by tomorrow, 4/23/2024. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/22/2024 Number Present: 48 Completed Date: 4/22/2024 Age: From 0 To 5 Total Minutes: 550 Time In: 08:20 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Whitney Griffin, Regional Director, assisted me with the visit. Your program currently operates with a four-star license, issued August 9, 2019, earning 4 points in the education component, 6 points in the program standards component (meeting all enhanced requirements) and 1 quality point for the facility offering a staff benefits package and offering and infrastructure of parent involvement. The sanitation inspection was completed 8/07/2023 with a “Superior” classification. The last fire inspection was conducted October 30, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of April 22nd, 2024. All programs are required to maintain 75% compliance. The NC Secretary of State website was reviewed on April 21, 2024 and The Sunshine House, Inc. – N.C. was listed as current- active. Upon arrival, the license was posted. Seven classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, playing outdoors, and eating lunch during the visit. I observed interactions between staff and children. All playground and outdoor learning environments were monitored during the visit. A covered, three-foot pool was observed within the outdoor play area, padlocked, and surrounded by a four-foot fence. Ms. Griffin stated that she does not plan to utilize this pool, but will notify me prior to doing so if this changes. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored and found to be in compliance. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted at the main entrance of the building. This program does not currently participate in aquatic activities or off-premise activities. This program does transport children who are School Age enrolled at this time. One mini bus, Registration Tag # AES-1931, is used to transport twelve (12) children from school. I monitored the bus for all transportation requirements. The registration is current and will not expire until November, 2024. The insurance card was observed to be current and does not expire until 6/30/2024. Staff training worksheets were submitted during the visit. I monitored the files for three new staff members and for one existing staff member. Children’s Records forms were completed during the visit. The files for seven children enrolled were monitored. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 3/20/2024. A lockdown drill was completed on 2/28/2024. A playground inspection was completed on 3/20/2024. The EPR plan was updated on 5/08/2023, and the Ready To Go file was observed. The following violations were cited during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Current lesson plans were not observed in Spaces 1 and 3 (posted lesson plans were dated 4/1/24 – 4/5/24), and a lesson plan was not observed posted in Space 6. GS 110-91(12); .0508(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In Space 7, the literacy center did not contain sufficient materials to allow at least three children to use the area; only books were available in this activity center. .0510(d)(1) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The infant feeding schedules for two children enrolled were not observed to have been signed by a parent. .0902(a) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One staff member in Space 1 was observed not to wash her hands prior to preparing breakfast for children; the staff member did not wash her hands before beginning to place a pair of food preparation gloves on her hands. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by toddlers, a drain pipe hole at the base of the building was observed to be sharp to the touch in three areas. The stationary play structure on this playground was observed to have red paint flaking off of it; small paint flakes were observed in the mulch at the base of this structure in two areas. The metal ring securing the base of a down spout on the playground used by preschool children was observed to be heavily rusted. Seven metal border tacks were observed to be raised and not flush with the border, creating a potential entanglement hazard. The base of a plastic wheelbarrow on this playground was observed to be cracked and sharp to the touch. The left side of both sets of stairs on the stationary play structure on the playground used by toddlers were observed to be splitting. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings, was observed greater than five feet from the ground, but in unlocked storage, in the bathroom to the right of Space 5, used by children enrolled. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 7, plastic tape was observed to be coming detached from a shelf, accessible to children under three years of age. Also in Space 7, a set of foam puzzles were observed accessible to children under three years of age, and teeth marks were observed on greater than five of these foam pieces. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A record of Staff Orientation was not observed on file for one new staff member. .1101(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The emergency contact information for two children being transported did not include a photograph. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff development plan and current annual evaluation were not observed on file for one existing staff member. 10A NCAC 09 .0514(f) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The signed Discipline Policy receipt for one child enrolled did not contain a date of enrollment. .1804(b) 1820 The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. The EPR plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. .0607(d)(7) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready To Go file was observed; information for twelve (12) children enrolled, the applications of all children enrolled, emergency medication authorizations and instructions and an action plan for one child enrolled with special health care needs, a list of any known food allergies of children and staff, and emergency contact information for five staff members were not on file for review. .0607(d)(10) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Two new staff members were not certified in CPR/FA within 90 days of employment; one staff member was employed on 12/16/2023 and was certified in CPR/FA on 3/26/2024, and the second staff member was employed on 6/26/2023 and was certified in CPR/FA on 11/18/2023. .1102(c-d) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A completed record of Health & Safety training was not on file for one existing staff member; only topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, had been completed. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/06/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The EPR plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. The Ready To Go file was observed; information for twelve (12) children enrolled, the applications of all children enrolled, emergency medication authorizations and instructions and an action plan for one child enrolled with special health care needs, a list of any known food allergies of children and staff, and emergency contact information for five staff members were not on file for review. The emergency contact information for two children being transported did not include a photograph. A completed record of Health & Safety training was not on file for one existing staff member; only topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, had been completed. A staff development plan and current annual evaluation were not observed on file for one existing staff member. A record of Staff Orientation was not observed on file for one new staff member. Two new staff members were not certified in CPR/FA within 90 days of employment; one staff member was employed on 12/16/2023 and was certified in CPR/FA on 3/26/2024, and the second staff member was employed on 6/26/2023 and was certified in CPR/FA on 11/18/2023. The infant feeding schedules for two children enrolled were not observed to have been signed by a parent. The signed Discipline Policy receipt for one child enrolled did not contain a date of enrollment. Current lesson plans were not observed in Spaces 1 and 3 (posted lesson plans were dated 4/1/24 – 4/5/24), and a lesson plan was not observed posted in Space 6. Ms. Griffin stated the Assistant Director and Director are no longer employed at this facility. She stated she has been consistently working to review and update all program, child, and staff files as quickly as possible. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality of care of children enrolled. You may consider creating a routine schedule for monitoring all program, staff, and children’s files to ensure all records remain complete and current. In Space 7, the literacy center did not contain sufficient materials to allow at least three children to use the area; only books were available in this activity center. Ms. Griffin stated a materials order will be placed within the next week. It is important for children to have a variety of learning materials to choose from during their guided and free play. You may consider adding additional materials to all learning centers in Space 7 and monitoring other classrooms to ensure each center has sufficient materials. One staff member in Space 1 was observed not to wash her hands prior to preparing breakfast for children; the staff member did not wash her hands before beginning to place a pair of food preparation gloves on her hands. I asked the staff member to wash her hands, and she immediately did so. It is important to practice proper hand washing at all times to minimize cross-contamination and maximize safety for children and staff. I recommend Ms. Griffin review Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with all staff. It is important for all sanitation guidelines to be followed to minimize the transmission of germs and cross-contamination. In Space 7, plastic tape was observed to be coming detached from a shelf, accessible to children under three years of age. Also in Space 7, a set of foam puzzles were observed accessible to children under three years of age, and teeth marks were observed on greater than five of these foam pieces. Each of these issues was corrected during the visit. On the playground used by toddlers, a drain pipe hole at the base of the building was observed to be sharp to the touch in three areas. The stationary play structure on this playground was observed to have red paint flaking off of it; small paint flakes were observed in the mulch at the base of this structure in two areas. The metal ring securing the base of a down spout on the playground used by preschool children was observed to be heavily rusted. Seven metal border tacks were observed to be raised and not flush with the border, creating a potential entanglement hazard. The base of a plastic wheelbarrow on this playground was observed to be cracked and sharp to the touch. The left side of both sets of stairs on the stationary play structure on the playground used by toddlers were observed to be splitting. Ms. Griffin stated she was not aware these were issues on the playground. It is important for all areas (indoor and outdoor) accessed by children to be safe. You may consider creating a plan for monitoring the indoor and outdoor learning environments daily, prior to children arriving for care or accessing the outdoor learning environment. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings, was observed greater than five feet from the ground, but in unlocked storage, in the bathroom to the right of Space 5, used by children enrolled. I brought these wipes to Ms. Griffin, and she placed them into locked storage during the visit. Consultation Provided During the Visit: • The following Child Care Rules were reviewed with Ms. Griffin during the visit: 10A NCAC 09 .0510 ACTIVITY AREAS (d) (g) regarding sufficient materials 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) (Child Care Sanitation Rule) regarding brush 15A NCAC 18A .2818 LAVATORIES (d) (Child Care Sanitation Rule) regarding soap 10A NCAC 09 .1003 SAFE PROCEDURES (i) regarding Written Authorization to Transport Ms. Ramos must complete 20 hours of on-going training by 4/27/2024; I will monitor these trainings on a subsequent visit. Ms. Griffin and I discussed she would update the EMC and EPR plan to reflect current administration contact information. I also requested Ms. Griffin update the Pre-Service Requirements for Administrators form and Legal Designee form for the facility due to the administrative changes; she stated she would do so. • Please always document on Safe Sleep Records that an infant has been placed on his/her back, even if the child immediately rolls onto his/her stomach from the back position. After 15 minutes, you can record the new position that the infant is resting in. On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Griffin confirmed during today’s visit that the email was received and provided information that she will enroll in testing by tomorrow, 4/23/2024. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/22/2024 Number Present: 48 Completed Date: 4/22/2024 Age: From 0 To 5 Total Minutes: 550 Time In: 08:20 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Whitney Griffin, Regional Director, assisted me with the visit. Your program currently operates with a four-star license, issued August 9, 2019, earning 4 points in the education component, 6 points in the program standards component (meeting all enhanced requirements) and 1 quality point for the facility offering a staff benefits package and offering and infrastructure of parent involvement. The sanitation inspection was completed 8/07/2023 with a “Superior” classification. The last fire inspection was conducted October 30, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of April 22nd, 2024. All programs are required to maintain 75% compliance. The NC Secretary of State website was reviewed on April 21, 2024 and The Sunshine House, Inc. – N.C. was listed as current- active. Upon arrival, the license was posted. Seven classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, playing outdoors, and eating lunch during the visit. I observed interactions between staff and children. All playground and outdoor learning environments were monitored during the visit. A covered, three-foot pool was observed within the outdoor play area, padlocked, and surrounded by a four-foot fence. Ms. Griffin stated that she does not plan to utilize this pool, but will notify me prior to doing so if this changes. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored and found to be in compliance. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted at the main entrance of the building. This program does not currently participate in aquatic activities or off-premise activities. This program does transport children who are School Age enrolled at this time. One mini bus, Registration Tag # AES-1931, is used to transport twelve (12) children from school. I monitored the bus for all transportation requirements. The registration is current and will not expire until November, 2024. The insurance card was observed to be current and does not expire until 6/30/2024. Staff training worksheets were submitted during the visit. I monitored the files for three new staff members and for one existing staff member. Children’s Records forms were completed during the visit. The files for seven children enrolled were monitored. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 3/20/2024. A lockdown drill was completed on 2/28/2024. A playground inspection was completed on 3/20/2024. The EPR plan was updated on 5/08/2023, and the Ready To Go file was observed. The following violations were cited during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Current lesson plans were not observed in Spaces 1 and 3 (posted lesson plans were dated 4/1/24 – 4/5/24), and a lesson plan was not observed posted in Space 6. GS 110-91(12); .0508(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In Space 7, the literacy center did not contain sufficient materials to allow at least three children to use the area; only books were available in this activity center. .0510(d)(1) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The infant feeding schedules for two children enrolled were not observed to have been signed by a parent. .0902(a) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One staff member in Space 1 was observed not to wash her hands prior to preparing breakfast for children; the staff member did not wash her hands before beginning to place a pair of food preparation gloves on her hands. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by toddlers, a drain pipe hole at the base of the building was observed to be sharp to the touch in three areas. The stationary play structure on this playground was observed to have red paint flaking off of it; small paint flakes were observed in the mulch at the base of this structure in two areas. The metal ring securing the base of a down spout on the playground used by preschool children was observed to be heavily rusted. Seven metal border tacks were observed to be raised and not flush with the border, creating a potential entanglement hazard. The base of a plastic wheelbarrow on this playground was observed to be cracked and sharp to the touch. The left side of both sets of stairs on the stationary play structure on the playground used by toddlers were observed to be splitting. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings, was observed greater than five feet from the ground, but in unlocked storage, in the bathroom to the right of Space 5, used by children enrolled. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 7, plastic tape was observed to be coming detached from a shelf, accessible to children under three years of age. Also in Space 7, a set of foam puzzles were observed accessible to children under three years of age, and teeth marks were observed on greater than five of these foam pieces. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A record of Staff Orientation was not observed on file for one new staff member. .1101(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The emergency contact information for two children being transported did not include a photograph. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff development plan and current annual evaluation were not observed on file for one existing staff member. 10A NCAC 09 .0514(f) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The signed Discipline Policy receipt for one child enrolled did not contain a date of enrollment. .1804(b) 1820 The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. The EPR plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. .0607(d)(7) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready To Go file was observed; information for twelve (12) children enrolled, the applications of all children enrolled, emergency medication authorizations and instructions and an action plan for one child enrolled with special health care needs, a list of any known food allergies of children and staff, and emergency contact information for five staff members were not on file for review. .0607(d)(10) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Two new staff members were not certified in CPR/FA within 90 days of employment; one staff member was employed on 12/16/2023 and was certified in CPR/FA on 3/26/2024, and the second staff member was employed on 6/26/2023 and was certified in CPR/FA on 11/18/2023. .1102(c-d) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A completed record of Health & Safety training was not on file for one existing staff member; only topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, had been completed. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/06/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The EPR plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. The Ready To Go file was observed; information for twelve (12) children enrolled, the applications of all children enrolled, emergency medication authorizations and instructions and an action plan for one child enrolled with special health care needs, a list of any known food allergies of children and staff, and emergency contact information for five staff members were not on file for review. The emergency contact information for two children being transported did not include a photograph. A completed record of Health & Safety training was not on file for one existing staff member; only topic #10, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, had been completed. A staff development plan and current annual evaluation were not observed on file for one existing staff member. A record of Staff Orientation was not observed on file for one new staff member. Two new staff members were not certified in CPR/FA within 90 days of employment; one staff member was employed on 12/16/2023 and was certified in CPR/FA on 3/26/2024, and the second staff member was employed on 6/26/2023 and was certified in CPR/FA on 11/18/2023. The infant feeding schedules for two children enrolled were not observed to have been signed by a parent. The signed Discipline Policy receipt for one child enrolled did not contain a date of enrollment. Current lesson plans were not observed in Spaces 1 and 3 (posted lesson plans were dated 4/1/24 – 4/5/24), and a lesson plan was not observed posted in Space 6. Ms. Griffin stated the Assistant Director and Director are no longer employed at this facility. She stated she has been consistently working to review and update all program, child, and staff files as quickly as possible. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality of care of children enrolled. You may consider creating a routine schedule for monitoring all program, staff, and children’s files to ensure all records remain complete and current. In Space 7, the literacy center did not contain sufficient materials to allow at least three children to use the area; only books were available in this activity center. Ms. Griffin stated a materials order will be placed within the next week. It is important for children to have a variety of learning materials to choose from during their guided and free play. You may consider adding additional materials to all learning centers in Space 7 and monitoring other classrooms to ensure each center has sufficient materials. One staff member in Space 1 was observed not to wash her hands prior to preparing breakfast for children; the staff member did not wash her hands before beginning to place a pair of food preparation gloves on her hands. I asked the staff member to wash her hands, and she immediately did so. It is important to practice proper hand washing at all times to minimize cross-contamination and maximize safety for children and staff. I recommend Ms. Griffin review Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with all staff. It is important for all sanitation guidelines to be followed to minimize the transmission of germs and cross-contamination. In Space 7, plastic tape was observed to be coming detached from a shelf, accessible to children under three years of age. Also in Space 7, a set of foam puzzles were observed accessible to children under three years of age, and teeth marks were observed on greater than five of these foam pieces. Each of these issues was corrected during the visit. On the playground used by toddlers, a drain pipe hole at the base of the building was observed to be sharp to the touch in three areas. The stationary play structure on this playground was observed to have red paint flaking off of it; small paint flakes were observed in the mulch at the base of this structure in two areas. The metal ring securing the base of a down spout on the playground used by preschool children was observed to be heavily rusted. Seven metal border tacks were observed to be raised and not flush with the border, creating a potential entanglement hazard. The base of a plastic wheelbarrow on this playground was observed to be cracked and sharp to the touch. The left side of both sets of stairs on the stationary play structure on the playground used by toddlers were observed to be splitting. Ms. Griffin stated she was not aware these were issues on the playground. It is important for all areas (indoor and outdoor) accessed by children to be safe. You may consider creating a plan for monitoring the indoor and outdoor learning environments daily, prior to children arriving for care or accessing the outdoor learning environment. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings, was observed greater than five feet from the ground, but in unlocked storage, in the bathroom to the right of Space 5, used by children enrolled. I brought these wipes to Ms. Griffin, and she placed them into locked storage during the visit. Consultation Provided During the Visit: • The following Child Care Rules were reviewed with Ms. Griffin during the visit: 10A NCAC 09 .0510 ACTIVITY AREAS (d) (g) regarding sufficient materials 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) (Child Care Sanitation Rule) regarding brush 15A NCAC 18A .2818 LAVATORIES (d) (Child Care Sanitation Rule) regarding soap 10A NCAC 09 .1003 SAFE PROCEDURES (i) regarding Written Authorization to Transport Ms. Ramos must complete 20 hours of on-going training by 4/27/2024; I will monitor these trainings on a subsequent visit. Ms. Griffin and I discussed she would update the EMC and EPR plan to reflect current administration contact information. I also requested Ms. Griffin update the Pre-Service Requirements for Administrators form and Legal Designee form for the facility due to the administrative changes; she stated she would do so. • Please always document on Safe Sleep Records that an infant has been placed on his/her back, even if the child immediately rolls onto his/her stomach from the back position. After 15 minutes, you can record the new position that the infant is resting in. On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Griffin confirmed during today’s visit that the email was received and provided information that she will enroll in testing by tomorrow, 4/23/2024. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: 0124-281L Visit Date: 2/13/2024 Number Present: 52 Completed Date: 2/13/2024 Age: From 0 To 10 Total Minutes: 230 Time In: 01:10 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced An unannounced follow-up visit was conducted at this childcare center to verify correction of violations documented during a complaint visit on 2/07/2023. Today’s visit was conducted by Cara McKeown-Stewart, childcare consultant with Laquanta Baxter, Director. Today, the following items were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • Permit Restrictions The license was observed, and the restrictions were found in compliance. Upon arrival, five infants were being cared for by one staff member. I observed in the classroom for 50 minutes. Supervision was adequate during the visit. The following violations documented during the complaint visit on 2/07/2023 were monitored for compliance during this visit: • Item 303: Children were not adequately supervised at all times. The teacher in the room for infants was not within reach of infants while they ate and was not positioned so she could see the children while they ate. While changing a diaper, the teacher did not visually scan the classroom to supervise the other four children in the classroom. The following violations were documented today: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. A teacher was observed to wash her hands prior to feeding an infant a bottle, but she did not wash the infant’s hands prior to feeding the child the bottle. 15A NCAC 18A .2803(c) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The teacher did not document compliance with visually checking on three sleeping infants for a 45-minute period during the visit. .0606(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/27/2024. 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 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Technical assistance provided during today’s visit: A teacher was observed to wash her hands prior to feeding another infant a bottle, but she did not wash the infant’s hands prior to feeding the child the bottle. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. The teacher washed the child’s hands when I mentioned the need for handwashing in the circumstance. I recommend staff be trained on Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with specific attention focused on the hand washing process and when hands should be washed for children and staff. • The teacher did not document compliance with visually checking on three sleeping infants for a 45-minute period during the visit. Three infants were observed sleeping when I entered the classroom. One infant woke up approximately five minutes after I entered the room; this infant did not have a recorded sleep time. The most recently recorded visual check times of the other two sleeping infants were 1:30 p.m. and 1:15 p.m., respectively. The first infant woke up at 1:47 p.m., and the second infant woke up at 1:55 p.m. It is important for infants to be checked visually every 15 minutes to ensure their safety during naps. The teacher updated the sleep records when I mentioned this. I recommend staff be trained on Child Care Rule 10A NCAC 09 .0606 SAFE SLEEP PRACTICES with specific attention focused on staff who do not routinely care for infants. I also recommend considering setting a timer every 15 minutes when infants are sleeping as a reminder to visually check them. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulation If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: 0124-281L Visit Date: 2/13/2024 Number Present: 52 Completed Date: 2/13/2024 Age: From 0 To 10 Total Minutes: 230 Time In: 01:10 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced An unannounced follow-up visit was conducted at this childcare center to verify correction of violations documented during a complaint visit on 2/07/2023. Today’s visit was conducted by Cara McKeown-Stewart, childcare consultant with Laquanta Baxter, Director. Today, the following items were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • Permit Restrictions The license was observed, and the restrictions were found in compliance. Upon arrival, five infants were being cared for by one staff member. I observed in the classroom for 50 minutes. Supervision was adequate during the visit. The following violations documented during the complaint visit on 2/07/2023 were monitored for compliance during this visit: • Item 303: Children were not adequately supervised at all times. The teacher in the room for infants was not within reach of infants while they ate and was not positioned so she could see the children while they ate. While changing a diaper, the teacher did not visually scan the classroom to supervise the other four children in the classroom. The following violations were documented today: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. A teacher was observed to wash her hands prior to feeding an infant a bottle, but she did not wash the infant’s hands prior to feeding the child the bottle. 15A NCAC 18A .2803(c) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The teacher did not document compliance with visually checking on three sleeping infants for a 45-minute period during the visit. .0606(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 2/27/2024. 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 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Technical assistance provided during today’s visit: A teacher was observed to wash her hands prior to feeding another infant a bottle, but she did not wash the infant’s hands prior to feeding the child the bottle. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. The teacher washed the child’s hands when I mentioned the need for handwashing in the circumstance. I recommend staff be trained on Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with specific attention focused on the hand washing process and when hands should be washed for children and staff. • The teacher did not document compliance with visually checking on three sleeping infants for a 45-minute period during the visit. Three infants were observed sleeping when I entered the classroom. One infant woke up approximately five minutes after I entered the room; this infant did not have a recorded sleep time. The most recently recorded visual check times of the other two sleeping infants were 1:30 p.m. and 1:15 p.m., respectively. The first infant woke up at 1:47 p.m., and the second infant woke up at 1:55 p.m. It is important for infants to be checked visually every 15 minutes to ensure their safety during naps. The teacher updated the sleep records when I mentioned this. I recommend staff be trained on Child Care Rule 10A NCAC 09 .0606 SAFE SLEEP PRACTICES with specific attention focused on staff who do not routinely care for infants. I also recommend considering setting a timer every 15 minutes when infants are sleeping as a reminder to visually check them. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulation 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 .1801 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: AUDREY DAVIS Operation Type: Center Case Number: 0124-281L Visit Date: 2/7/2024 Number Present: 62 Completed Date: 2/7/2024 Age: From 0 To 10 Total Minutes: 360 Time In: 10:30 AM Time Out: 01:30 PM Time In: 03:00 PM Time Out: 06:00 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this visit was to investigate a complaint report alleging inadequate supervision for infants; and a concern that incident reports are not written for children injured while in care. This visit was conducted by Audrey Davis, child care consultant with Laquanta Baxter, center director. The complaint report included information regarding a child receiving injuries to the child’s face on 1/22/24 that were not reported to the parent at child pickup and an incident report was not provided. During today’s visit, I viewed video footage for the entire day of 1/22/24. The video footage was limiting due to it did not include any audio/ sound. Although I did see instances where children were in close contact and may have bumped each other, I was unable to hear any cries and did not see any evidence of children hurting each other, or any falls or knocks that may have caused injury. I spent one hour in the classroom for infants today where I observed the teacher providing care for five (5) infants. I observed the children having free play using developmentally appropriate toys and materials. The children played in close proximity with one another which often included bumping into and falling onto each other in keeping with their developmental age. The teacher interacted positively with each child in care, sat with children on the floor when possible, responded quickly to children’s needs including routine care needs such as diapering and feeding. The classroom was well organized and arranged so that during play time, the teacher could see and/ or hear the children. Two tasks that repeatedly took the teacher away from the group of children were inputting information into the tablet regarding naps, feeding, and diapering; and trips to the changing table to change diapers as needed. When using the tablet the teacher sometimes positioned herself so she faced the direction where children played, and other times her back was to the children as she used the tablet. When changing diapers, the teacher consistently gave her full attention to the child on the changing table and I did not observe her visually scanning the classroom to see what the other four children were doing although she was able to hear them. I observed one incident that occurred while the teacher changed a child’s diaper as follows - a child under age one, climbed onto a seating device where a smaller infant sat and began pulling the smaller infant’s hair and face for up to 30 seconds. The smaller infant was visibly in distress although the teacher was unaware this was occurring until the smaller infant began to cry out. When the infant cried, the teacher responded immediately by taking the child off the changing table and rushed to remove the child off the infant reminding the child that “we don’t hurt our friends”. According to child care rule 10A NCAC 09 .1801 adequate supervision shall mean that staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; staff must interact with the children while moving about the indoor or outdoor area; staff must know where each child is located and be aware of the children's activities at all times; staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and staff must be able to see and hear children aged birth to five years old while the children are eating. Due to the age and capability of the youngest infant in the group compared to the mobility of the older infants, when changing diapers and inputting data into the tablet, adequate supervision would have required the teacher to be able to both hear and see the children at all times to assure the safety of the smallest infants. Also, during lunch time, two children – one age 1 and the other under age one were placed at a child-size table to eat. The table was placed where the teacher could not see the children if she was tending to a child in the main area of the room where the toys and cribs are located. From the changing table, one child’s back was turned so the teacher was unable to see the child’s face while the child ate. The last clause of the supervision rule states that staff must be able to see and hear children aged birth to five years old while the children are eating. Based on these two incidents, the allegation regarding inadequate supervision was substantiated during today's visit. During my classroom observation today, I observed a child stumble and fall hitting the child’s head on the floor. I observed that staff wrote an incident report when this occurred and a phone call was made to the child’s parent. An incident report was also written for the child who’s face and hair was pulled by another child during my observation. I observed the facility's incident log showing 12 incidents occurred in January with copies of the incident reports on file. Due to incident reports provided as a result of incidents that occurred during my visit today and my review of facility records, the portion of the allegation regarding incident reports not provided when children are injured was not substantiated today. One violation was documented as follows: Violation Number Comment Rule 303 Children were not adequately supervised at all times. The teacher in the room for infants was not within reach of infants while they ate and was not positioned so she could see the children while they ate. While changing a diaper, the teacher did not visually scan the classroom to supervise the other four children in the classroom. .1801(a)(1-5) A follow-up visit will be made in the near future to verify compliance with child care requirements regarding supervision of infants. Technical Assistance: I recommend that you have a support staff go into the infant room during meal times to assist. Also, speak with the teacher about the importance of visually scanning the room when doing tasks that take her away from the group. It is DCDEE procedure that when a complaint report regarding supervision is substantiated an administrative action is also recommended which will provide you with additional resources and support. If you have questions regarding this visit, you may reach me at (336)317-6514 or you may contact my supervisor Pam Hauser at Pamela.Hauser@dhhs.nc.gov Thank you for your time and assistance today. 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 .1721 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: 0124-083L Visit Date: 1/12/2024 Number Present: 0 Completed Date: 1/12/2024 Age: From 0 To 0 Total Minutes: 245 Time In: 10:55 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Chasity Riley, Assistant Director, and Laquanta Baxter, Director. The allegations are as follows: There is a concern related to adequate supervision in the classroom for infants, that an infant is not allowed to participate in developmentally appropriate activities, and that children were not cared for in a nurturing/caring environment. Your program currently operates with a 4-Star license effective 5/05/2023. Restrictions include 1st shift care, meets enhanced ratios, and meets enhanced space. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • Adequate / Approved Space • License Posted • General License Requirements There is a concern related to adequate supervision in the classroom for infants. Ms. Riley stated a current parent of an infant who is enrolled at the facility had notified administration a complaint was made to the DCDEE. She stated the parent had shared concerns prior regarding the number of times she had observed scratch marks or red marks on the child’s face or head. Ms. Riley stated the infant is an older, more mobile infant who is learning to pull up and is prone to losing balance during this stage of development. Ms. Riley stated the parent expressed a specific concern regarding a recent incident report dated 1/03/2024. The report indicated the teacher observed a scratch mark on the infant’s face following a round of diaper changes. The incident report also indicated Ms. Baxter had added the parent observed two bumps on the child’s face at pick-up, one on the child’s forehead, and one at the corner of the child’s right eye. Ms. Baxter and Ms. Riley reported in the video footage the teacher placed the infant in an infant-appropriate seat near her while she changed diapers. They stated a toddler who enjoys playing with the infant came over to the chair to talk to him. They reported that during several parts of the video, the toddler gently touched the infant’s face and cupped his hands gently around both sides of the infant’s face. Ms. Riley said she observed both children smiling and laughing during these interactions. The teacher and Ms. Baxter and Ms. Riley reported they did not observe an injury occur to the child during this time. I reviewed the video footage of this time period during the visit, and I observed the same information provided by the teacher, Ms. Riley, and Ms. Baxter. During today’s visit, I also observed Space 2; five (5) infants were observed to be in care in the infant classroom with one teacher. Ms. Riley stated in the afternoons during the last hour of the day, infants and toddlers are combined. She stated infant room staff will place a baby in an infant-appropriate portable chair near the changing table so the staff member can supervise during diaper changes for a period of less than 15 minutes; she also stated the staff member will talk to the infant or give the infant a toy or book during this time. Based on the above information, this allegation was not substantiated. There is a concern that an infant is not allowed to participate in developmentally appropriate activities. I asked Ms. Riley how staff ensure all children have access to developmentally appropriate activities throughout the day. Ms. Riley stated all classroom centers and activities are open to infants at all times. She stated one infant enrolled has a doctor’s note on file stating the infant must remain upright during both solid and liquid feedings, as well as for twenty to thirty minutes after feeding, due to acid reflux. She shared infant room staff provide the infant a book, activity, or toys to play with during the twenty to thirty minutes the infant must remain upright after eating, if the child is sitting in a high chair or approved feeding apparatus. I reviewed this doctor’s note in the child’s file. I asked the teacher providing care (who also provides daily care for infants from 3:30 p.m. until the facility closes) how she ensures infants have access to developmentally appropriate activities. The staff member stated she will either hold the child upright herself after a feeding if she is able and and read the infant a book, or she will provide the infant a toy to explore while she tends to other classroom responsibilities. Based on the above information, this allegation was not substantiated. There is a concern that children were not cared for in a nurturing/caring environment. I observed the teacher rocking one infant to sleep in a rocking chair. One child over age one was observed sleeping on a cot. Three infants were observed in cribs in preparation for a nap. Two infants were awake (one was sitting up and one was pulling up), and one infant was sleeping. Based on the above information, as well as the video footage reviewed, this allegation was not substantiated. Six incident reports were reviewed on file for one child enrolled. One incident report did not include documentation of who informed the parent of the incident. One incident report did not include a time of when the parent was informed of the incident. One incident report did not include documentation of who informed the parent or when the parent was informed of the incident. Three incident reports did not include steps taken to prevent reoccurrence. The following violations were cited during today’s visit: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Six incident reports were reviewed on file for one child enrolled. One incident report did not include documentation of who informed the parent of the incident. One incident report did not include a time of when the parent was informed of the incident. One incident report did not include documentation of who informed the parent or when the parent was informed of the incident. Three incident reports did not include steps taken to prevent reoccurrence. .0802 (e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 1/26/2024. 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 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Six incident reports were reviewed on file for a child enrolled. One incident report did not have documented who informed the parent of the incident. One incident report did not have a time of when the parent was informed of the incident. One incident report did not have documented who informed the parent or when the parent was informed of the incident. Three incident reports did not include steps taken to prevent reoccurrence. It is important to fully complete all incident reports with required information to ensure incidents are documented accurately and thoroughly for the parent and the facility. Ms. Baxter stated she is aware staff need further training on how to complete incident reports. She further stated she is planning to conduct this training classroom by classroom during naptime within the next week. I thoroughly reviewed 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (3) with Ms. Baxter and Ms. Riley, and emailed this portion of Child Care Rule to the facility email address. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: 0124-083L Visit Date: 1/12/2024 Number Present: 0 Completed Date: 1/12/2024 Age: From 0 To 0 Total Minutes: 245 Time In: 10:55 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Chasity Riley, Assistant Director, and Laquanta Baxter, Director. The allegations are as follows: There is a concern related to adequate supervision in the classroom for infants, that an infant is not allowed to participate in developmentally appropriate activities, and that children were not cared for in a nurturing/caring environment. Your program currently operates with a 4-Star license effective 5/05/2023. Restrictions include 1st shift care, meets enhanced ratios, and meets enhanced space. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • Adequate / Approved Space • License Posted • General License Requirements There is a concern related to adequate supervision in the classroom for infants. Ms. Riley stated a current parent of an infant who is enrolled at the facility had notified administration a complaint was made to the DCDEE. She stated the parent had shared concerns prior regarding the number of times she had observed scratch marks or red marks on the child’s face or head. Ms. Riley stated the infant is an older, more mobile infant who is learning to pull up and is prone to losing balance during this stage of development. Ms. Riley stated the parent expressed a specific concern regarding a recent incident report dated 1/03/2024. The report indicated the teacher observed a scratch mark on the infant’s face following a round of diaper changes. The incident report also indicated Ms. Baxter had added the parent observed two bumps on the child’s face at pick-up, one on the child’s forehead, and one at the corner of the child’s right eye. Ms. Baxter and Ms. Riley reported in the video footage the teacher placed the infant in an infant-appropriate seat near her while she changed diapers. They stated a toddler who enjoys playing with the infant came over to the chair to talk to him. They reported that during several parts of the video, the toddler gently touched the infant’s face and cupped his hands gently around both sides of the infant’s face. Ms. Riley said she observed both children smiling and laughing during these interactions. The teacher and Ms. Baxter and Ms. Riley reported they did not observe an injury occur to the child during this time. I reviewed the video footage of this time period during the visit, and I observed the same information provided by the teacher, Ms. Riley, and Ms. Baxter. During today’s visit, I also observed Space 2; five (5) infants were observed to be in care in the infant classroom with one teacher. Ms. Riley stated in the afternoons during the last hour of the day, infants and toddlers are combined. She stated infant room staff will place a baby in an infant-appropriate portable chair near the changing table so the staff member can supervise during diaper changes for a period of less than 15 minutes; she also stated the staff member will talk to the infant or give the infant a toy or book during this time. Based on the above information, this allegation was not substantiated. There is a concern that an infant is not allowed to participate in developmentally appropriate activities. I asked Ms. Riley how staff ensure all children have access to developmentally appropriate activities throughout the day. Ms. Riley stated all classroom centers and activities are open to infants at all times. She stated one infant enrolled has a doctor’s note on file stating the infant must remain upright during both solid and liquid feedings, as well as for twenty to thirty minutes after feeding, due to acid reflux. She shared infant room staff provide the infant a book, activity, or toys to play with during the twenty to thirty minutes the infant must remain upright after eating, if the child is sitting in a high chair or approved feeding apparatus. I reviewed this doctor’s note in the child’s file. I asked the teacher providing care (who also provides daily care for infants from 3:30 p.m. until the facility closes) how she ensures infants have access to developmentally appropriate activities. The staff member stated she will either hold the child upright herself after a feeding if she is able and and read the infant a book, or she will provide the infant a toy to explore while she tends to other classroom responsibilities. Based on the above information, this allegation was not substantiated. There is a concern that children were not cared for in a nurturing/caring environment. I observed the teacher rocking one infant to sleep in a rocking chair. One child over age one was observed sleeping on a cot. Three infants were observed in cribs in preparation for a nap. Two infants were awake (one was sitting up and one was pulling up), and one infant was sleeping. Based on the above information, as well as the video footage reviewed, this allegation was not substantiated. Six incident reports were reviewed on file for one child enrolled. One incident report did not include documentation of who informed the parent of the incident. One incident report did not include a time of when the parent was informed of the incident. One incident report did not include documentation of who informed the parent or when the parent was informed of the incident. Three incident reports did not include steps taken to prevent reoccurrence. The following violations were cited during today’s visit: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Six incident reports were reviewed on file for one child enrolled. One incident report did not include documentation of who informed the parent of the incident. One incident report did not include a time of when the parent was informed of the incident. One incident report did not include documentation of who informed the parent or when the parent was informed of the incident. Three incident reports did not include steps taken to prevent reoccurrence. .0802 (e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 1/26/2024. 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 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Six incident reports were reviewed on file for a child enrolled. One incident report did not have documented who informed the parent of the incident. One incident report did not have a time of when the parent was informed of the incident. One incident report did not have documented who informed the parent or when the parent was informed of the incident. Three incident reports did not include steps taken to prevent reoccurrence. It is important to fully complete all incident reports with required information to ensure incidents are documented accurately and thoroughly for the parent and the facility. Ms. Baxter stated she is aware staff need further training on how to complete incident reports. She further stated she is planning to conduct this training classroom by classroom during naptime within the next week. I thoroughly reviewed 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (3) with Ms. Baxter and Ms. Riley, and emailed this portion of Child Care Rule to the facility email address. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/9/2023 Number Present: 35 Completed Date: 10/9/2023 Age: From 0 To 5 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Laquanta Baxter, Director, and Chasity Riley, Assistant Director, assisted me with the visit. Your program currently operates with a 4-Star license effective May 5, 2023. Restrictions include 1st shift care and meets all enhanced ratios and enhanced space. The program’s compliance history was 85% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • S/C Ratios • CPR • First Aid • Special Training • CBC Completed • ITS-SIDS Training • Emergency Medical Care Plan • Administering Medication • Storage of Hazardous Substances • Storage of Medication • General Safety • Discipline • Adequate/Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A First Aid information sheet including first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites was not posted for referral. Also in Space 5, greater than three foam blocks were observed to either have teeth marks or missing pieces. Additionally, in Space 3, the blocks and literacy centers did not have a sufficient amount of materials for at least three children to use the area regardless of whether the children choose the same or different activities. On the playground used by children four years old and older, a yellow cracked plastic bin, sharp to the touch, was observed inside a small stationary structure and a yellow piece of plastic, sharp to the touch, was observed on the ground. Ms. Riley removed this bucket and piece of plastic from the play area during the visit. On the playground used for children three years of age, the O-rings and bolts connecting each of four chains to each of two tire swings were observed to be rusting. A cracked, broken Frisbee, sharp to the touch was also observed inside a toy bin; Ms. Riley removed this Frisbee from the play area during the visit. On the playground used by infants and toddlers, both sets of stairs of the stationary climbing structure were observed to be cracked in greater than three areas across both sets of stairs, each of which have metal exposed which was observed to be beginning to rust. Ms. Baxter and Ms. Riley stated all three playgrounds will be renovated soon, but not all at the same time. I stated a revised playground schedule and plan will need to be developed as each playground is renovated to ensure all children continue to receive daily outdoor time, as required by Child Care Rule 10A NCAC 09 .0508. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines, engaging in conversations and activities with their teachers, playing outdoors, and eating lunch during the visit. One new staff member was reported at this program since the last visit. The file for this staff member was monitored. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items was monitored today. In Space 6, a can of aerosol shaving cream and a bag of treated seed labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage on two classroom shelves. Each of these items was placed into approved storage during the visit. A playground inspection was recorded on 9/06/2023. A fire drill was recorded on 9/13/2023. A lockdown drill for the facility was recorded on 8/31/23. The most recent fire inspection was completed on 8/19/2022. Ms. Riley contacted the Assistant Fire Marshal during the visit to request next steps for scheduling a fire inspection. I observed a sanitation inspection was last conducted on 8/07/2023 earning a Superior classification. Ms. Riley stated the program does not currently participate in off-premise activities, or participate in aquatic activities. Ms. Riley stated the program provides transportation to and from school via one bus (Bus #3633). Written transportation permission from parents did not include when and where each child is to be transported, the expected time of departure and arrival, and the transportation provider. Identifying information for all children being transported did not include a current photograph. The Ready to Go file did not contain blank incident reports or staff contact information. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was completed on 8/19/2022. 10A NCAC 09 .0304(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In Space 4, the blocks and literacy centers did not have a sufficient amount of materials for at least three children to use the area regardless of whether the children choose the same or different activities. .0510(d)(1) 721 All equipment and furnishings were not in good repair. In Space 4, greater than three foam blocks were observed to either have teeth marks or missing pieces. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children four years old and older, a yellow cracked plastic bin, sharp to the touch, was observed inside a small stationary structure and a yellow piece of plastic, sharp to the touch, was observed on the ground. On the playground used for children three years of age, the O-rings and bolts connecting each of four chains to each of two tire swings were observed to be rusting. A cracked, broken Frisbee, sharp to the touch was also observed inside a toy bin. On the playground used by infants and toddlers, both sets of stairs of the stationary climbing structure were observed to be cracked in greater than three areas across both sets of stairs, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid information sheet including first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites was not posted for referral. .0802(h) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 6, a can of aerosol shaving cream and a bag of treated seed labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage on two classroom shelves. .2820(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Identifying information for all children being transported did not include a current photograph. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Written transportation permission from parents did not include when and where each child is to be transported, the expected time of departure and arrival, and the transportation provider. .1003(i)(j) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain blank incident reports or staff contact information. .0607(d)(10) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/23/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • The following Child Care Rules were thoroughly reviewed and discussed with Ms. Baxter during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff 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 staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (Child Care Sanitation Rule) (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained in a manner which does not encourage the harborage of vermin. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. • 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 remember to post a cot list in all classrooms to clearly identify individual sleep spaces. • Please ensure the volume of music used in the classroom for infants is low and developmentally appropriate in nature. • I recommend trash bags are tied securely to the trash can in rooms with children under three years of age enrolled. - Please update your Emergency Medical Care Plan to the current year's date if nothing on the plan has changed. • Please monitor all border ties in the outdoor play area to ensure they remain flush with the border. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please monitor the fencing surrounding each playground for debris and trash prior to children using these areas. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please access and post a copy of the First Aid poster in the following link in a prominent area in the facility: https://healthychildcare.unc.edu/resources/posters/ • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . 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, Child Care Consultant (336) 408-4849 cara.mckeown@dhh.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 .0304 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/9/2023 Number Present: 35 Completed Date: 10/9/2023 Age: From 0 To 5 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Laquanta Baxter, Director, and Chasity Riley, Assistant Director, assisted me with the visit. Your program currently operates with a 4-Star license effective May 5, 2023. Restrictions include 1st shift care and meets all enhanced ratios and enhanced space. The program’s compliance history was 85% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • S/C Ratios • CPR • First Aid • Special Training • CBC Completed • ITS-SIDS Training • Emergency Medical Care Plan • Administering Medication • Storage of Hazardous Substances • Storage of Medication • General Safety • Discipline • Adequate/Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A First Aid information sheet including first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites was not posted for referral. Also in Space 5, greater than three foam blocks were observed to either have teeth marks or missing pieces. Additionally, in Space 3, the blocks and literacy centers did not have a sufficient amount of materials for at least three children to use the area regardless of whether the children choose the same or different activities. On the playground used by children four years old and older, a yellow cracked plastic bin, sharp to the touch, was observed inside a small stationary structure and a yellow piece of plastic, sharp to the touch, was observed on the ground. Ms. Riley removed this bucket and piece of plastic from the play area during the visit. On the playground used for children three years of age, the O-rings and bolts connecting each of four chains to each of two tire swings were observed to be rusting. A cracked, broken Frisbee, sharp to the touch was also observed inside a toy bin; Ms. Riley removed this Frisbee from the play area during the visit. On the playground used by infants and toddlers, both sets of stairs of the stationary climbing structure were observed to be cracked in greater than three areas across both sets of stairs, each of which have metal exposed which was observed to be beginning to rust. Ms. Baxter and Ms. Riley stated all three playgrounds will be renovated soon, but not all at the same time. I stated a revised playground schedule and plan will need to be developed as each playground is renovated to ensure all children continue to receive daily outdoor time, as required by Child Care Rule 10A NCAC 09 .0508. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines, engaging in conversations and activities with their teachers, playing outdoors, and eating lunch during the visit. One new staff member was reported at this program since the last visit. The file for this staff member was monitored. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items was monitored today. In Space 6, a can of aerosol shaving cream and a bag of treated seed labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage on two classroom shelves. Each of these items was placed into approved storage during the visit. A playground inspection was recorded on 9/06/2023. A fire drill was recorded on 9/13/2023. A lockdown drill for the facility was recorded on 8/31/23. The most recent fire inspection was completed on 8/19/2022. Ms. Riley contacted the Assistant Fire Marshal during the visit to request next steps for scheduling a fire inspection. I observed a sanitation inspection was last conducted on 8/07/2023 earning a Superior classification. Ms. Riley stated the program does not currently participate in off-premise activities, or participate in aquatic activities. Ms. Riley stated the program provides transportation to and from school via one bus (Bus #3633). Written transportation permission from parents did not include when and where each child is to be transported, the expected time of departure and arrival, and the transportation provider. Identifying information for all children being transported did not include a current photograph. The Ready to Go file did not contain blank incident reports or staff contact information. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was completed on 8/19/2022. 10A NCAC 09 .0304(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In Space 4, the blocks and literacy centers did not have a sufficient amount of materials for at least three children to use the area regardless of whether the children choose the same or different activities. .0510(d)(1) 721 All equipment and furnishings were not in good repair. In Space 4, greater than three foam blocks were observed to either have teeth marks or missing pieces. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children four years old and older, a yellow cracked plastic bin, sharp to the touch, was observed inside a small stationary structure and a yellow piece of plastic, sharp to the touch, was observed on the ground. On the playground used for children three years of age, the O-rings and bolts connecting each of four chains to each of two tire swings were observed to be rusting. A cracked, broken Frisbee, sharp to the touch was also observed inside a toy bin. On the playground used by infants and toddlers, both sets of stairs of the stationary climbing structure were observed to be cracked in greater than three areas across both sets of stairs, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid information sheet including first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites was not posted for referral. .0802(h) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 6, a can of aerosol shaving cream and a bag of treated seed labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage on two classroom shelves. .2820(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Identifying information for all children being transported did not include a current photograph. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Written transportation permission from parents did not include when and where each child is to be transported, the expected time of departure and arrival, and the transportation provider. .1003(i)(j) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain blank incident reports or staff contact information. .0607(d)(10) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/23/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • The following Child Care Rules were thoroughly reviewed and discussed with Ms. Baxter during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff 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 staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (Child Care Sanitation Rule) (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained in a manner which does not encourage the harborage of vermin. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. • 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 remember to post a cot list in all classrooms to clearly identify individual sleep spaces. • Please ensure the volume of music used in the classroom for infants is low and developmentally appropriate in nature. • I recommend trash bags are tied securely to the trash can in rooms with children under three years of age enrolled. - Please update your Emergency Medical Care Plan to the current year's date if nothing on the plan has changed. • Please monitor all border ties in the outdoor play area to ensure they remain flush with the border. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please monitor the fencing surrounding each playground for debris and trash prior to children using these areas. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please access and post a copy of the First Aid poster in the following link in a prominent area in the facility: https://healthychildcare.unc.edu/resources/posters/ • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . 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, Child Care Consultant (336) 408-4849 cara.mckeown@dhh.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 .0508 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/9/2023 Number Present: 35 Completed Date: 10/9/2023 Age: From 0 To 5 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Laquanta Baxter, Director, and Chasity Riley, Assistant Director, assisted me with the visit. Your program currently operates with a 4-Star license effective May 5, 2023. Restrictions include 1st shift care and meets all enhanced ratios and enhanced space. The program’s compliance history was 85% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • S/C Ratios • CPR • First Aid • Special Training • CBC Completed • ITS-SIDS Training • Emergency Medical Care Plan • Administering Medication • Storage of Hazardous Substances • Storage of Medication • General Safety • Discipline • Adequate/Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A First Aid information sheet including first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites was not posted for referral. Also in Space 5, greater than three foam blocks were observed to either have teeth marks or missing pieces. Additionally, in Space 3, the blocks and literacy centers did not have a sufficient amount of materials for at least three children to use the area regardless of whether the children choose the same or different activities. On the playground used by children four years old and older, a yellow cracked plastic bin, sharp to the touch, was observed inside a small stationary structure and a yellow piece of plastic, sharp to the touch, was observed on the ground. Ms. Riley removed this bucket and piece of plastic from the play area during the visit. On the playground used for children three years of age, the O-rings and bolts connecting each of four chains to each of two tire swings were observed to be rusting. A cracked, broken Frisbee, sharp to the touch was also observed inside a toy bin; Ms. Riley removed this Frisbee from the play area during the visit. On the playground used by infants and toddlers, both sets of stairs of the stationary climbing structure were observed to be cracked in greater than three areas across both sets of stairs, each of which have metal exposed which was observed to be beginning to rust. Ms. Baxter and Ms. Riley stated all three playgrounds will be renovated soon, but not all at the same time. I stated a revised playground schedule and plan will need to be developed as each playground is renovated to ensure all children continue to receive daily outdoor time, as required by Child Care Rule 10A NCAC 09 .0508. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines, engaging in conversations and activities with their teachers, playing outdoors, and eating lunch during the visit. One new staff member was reported at this program since the last visit. The file for this staff member was monitored. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items was monitored today. In Space 6, a can of aerosol shaving cream and a bag of treated seed labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage on two classroom shelves. Each of these items was placed into approved storage during the visit. A playground inspection was recorded on 9/06/2023. A fire drill was recorded on 9/13/2023. A lockdown drill for the facility was recorded on 8/31/23. The most recent fire inspection was completed on 8/19/2022. Ms. Riley contacted the Assistant Fire Marshal during the visit to request next steps for scheduling a fire inspection. I observed a sanitation inspection was last conducted on 8/07/2023 earning a Superior classification. Ms. Riley stated the program does not currently participate in off-premise activities, or participate in aquatic activities. Ms. Riley stated the program provides transportation to and from school via one bus (Bus #3633). Written transportation permission from parents did not include when and where each child is to be transported, the expected time of departure and arrival, and the transportation provider. Identifying information for all children being transported did not include a current photograph. The Ready to Go file did not contain blank incident reports or staff contact information. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was completed on 8/19/2022. 10A NCAC 09 .0304(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In Space 4, the blocks and literacy centers did not have a sufficient amount of materials for at least three children to use the area regardless of whether the children choose the same or different activities. .0510(d)(1) 721 All equipment and furnishings were not in good repair. In Space 4, greater than three foam blocks were observed to either have teeth marks or missing pieces. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children four years old and older, a yellow cracked plastic bin, sharp to the touch, was observed inside a small stationary structure and a yellow piece of plastic, sharp to the touch, was observed on the ground. On the playground used for children three years of age, the O-rings and bolts connecting each of four chains to each of two tire swings were observed to be rusting. A cracked, broken Frisbee, sharp to the touch was also observed inside a toy bin. On the playground used by infants and toddlers, both sets of stairs of the stationary climbing structure were observed to be cracked in greater than three areas across both sets of stairs, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid information sheet including first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites was not posted for referral. .0802(h) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 6, a can of aerosol shaving cream and a bag of treated seed labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage on two classroom shelves. .2820(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Identifying information for all children being transported did not include a current photograph. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Written transportation permission from parents did not include when and where each child is to be transported, the expected time of departure and arrival, and the transportation provider. .1003(i)(j) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain blank incident reports or staff contact information. .0607(d)(10) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/23/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • The following Child Care Rules were thoroughly reviewed and discussed with Ms. Baxter during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff 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 staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (Child Care Sanitation Rule) (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained in a manner which does not encourage the harborage of vermin. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. • 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 remember to post a cot list in all classrooms to clearly identify individual sleep spaces. • Please ensure the volume of music used in the classroom for infants is low and developmentally appropriate in nature. • I recommend trash bags are tied securely to the trash can in rooms with children under three years of age enrolled. - Please update your Emergency Medical Care Plan to the current year's date if nothing on the plan has changed. • Please monitor all border ties in the outdoor play area to ensure they remain flush with the border. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please monitor the fencing surrounding each playground for debris and trash prior to children using these areas. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please access and post a copy of the First Aid poster in the following link in a prominent area in the facility: https://healthychildcare.unc.edu/resources/posters/ • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . 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, Child Care Consultant (336) 408-4849 cara.mckeown@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/9/2023 Number Present: 35 Completed Date: 10/9/2023 Age: From 0 To 5 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Laquanta Baxter, Director, and Chasity Riley, Assistant Director, assisted me with the visit. Your program currently operates with a 4-Star license effective May 5, 2023. Restrictions include 1st shift care and meets all enhanced ratios and enhanced space. The program’s compliance history was 85% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • S/C Ratios • CPR • First Aid • Special Training • CBC Completed • ITS-SIDS Training • Emergency Medical Care Plan • Administering Medication • Storage of Hazardous Substances • Storage of Medication • General Safety • Discipline • Adequate/Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A First Aid information sheet including first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites was not posted for referral. Also in Space 5, greater than three foam blocks were observed to either have teeth marks or missing pieces. Additionally, in Space 3, the blocks and literacy centers did not have a sufficient amount of materials for at least three children to use the area regardless of whether the children choose the same or different activities. On the playground used by children four years old and older, a yellow cracked plastic bin, sharp to the touch, was observed inside a small stationary structure and a yellow piece of plastic, sharp to the touch, was observed on the ground. Ms. Riley removed this bucket and piece of plastic from the play area during the visit. On the playground used for children three years of age, the O-rings and bolts connecting each of four chains to each of two tire swings were observed to be rusting. A cracked, broken Frisbee, sharp to the touch was also observed inside a toy bin; Ms. Riley removed this Frisbee from the play area during the visit. On the playground used by infants and toddlers, both sets of stairs of the stationary climbing structure were observed to be cracked in greater than three areas across both sets of stairs, each of which have metal exposed which was observed to be beginning to rust. Ms. Baxter and Ms. Riley stated all three playgrounds will be renovated soon, but not all at the same time. I stated a revised playground schedule and plan will need to be developed as each playground is renovated to ensure all children continue to receive daily outdoor time, as required by Child Care Rule 10A NCAC 09 .0508. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines, engaging in conversations and activities with their teachers, playing outdoors, and eating lunch during the visit. One new staff member was reported at this program since the last visit. The file for this staff member was monitored. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items was monitored today. In Space 6, a can of aerosol shaving cream and a bag of treated seed labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage on two classroom shelves. Each of these items was placed into approved storage during the visit. A playground inspection was recorded on 9/06/2023. A fire drill was recorded on 9/13/2023. A lockdown drill for the facility was recorded on 8/31/23. The most recent fire inspection was completed on 8/19/2022. Ms. Riley contacted the Assistant Fire Marshal during the visit to request next steps for scheduling a fire inspection. I observed a sanitation inspection was last conducted on 8/07/2023 earning a Superior classification. Ms. Riley stated the program does not currently participate in off-premise activities, or participate in aquatic activities. Ms. Riley stated the program provides transportation to and from school via one bus (Bus #3633). Written transportation permission from parents did not include when and where each child is to be transported, the expected time of departure and arrival, and the transportation provider. Identifying information for all children being transported did not include a current photograph. The Ready to Go file did not contain blank incident reports or staff contact information. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was completed on 8/19/2022. 10A NCAC 09 .0304(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In Space 4, the blocks and literacy centers did not have a sufficient amount of materials for at least three children to use the area regardless of whether the children choose the same or different activities. .0510(d)(1) 721 All equipment and furnishings were not in good repair. In Space 4, greater than three foam blocks were observed to either have teeth marks or missing pieces. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children four years old and older, a yellow cracked plastic bin, sharp to the touch, was observed inside a small stationary structure and a yellow piece of plastic, sharp to the touch, was observed on the ground. On the playground used for children three years of age, the O-rings and bolts connecting each of four chains to each of two tire swings were observed to be rusting. A cracked, broken Frisbee, sharp to the touch was also observed inside a toy bin. On the playground used by infants and toddlers, both sets of stairs of the stationary climbing structure were observed to be cracked in greater than three areas across both sets of stairs, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid information sheet including first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites was not posted for referral. .0802(h) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 6, a can of aerosol shaving cream and a bag of treated seed labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage on two classroom shelves. .2820(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Identifying information for all children being transported did not include a current photograph. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Written transportation permission from parents did not include when and where each child is to be transported, the expected time of departure and arrival, and the transportation provider. .1003(i)(j) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain blank incident reports or staff contact information. .0607(d)(10) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/23/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • The following Child Care Rules were thoroughly reviewed and discussed with Ms. Baxter during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff 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 staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (Child Care Sanitation Rule) (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained in a manner which does not encourage the harborage of vermin. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. • 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 remember to post a cot list in all classrooms to clearly identify individual sleep spaces. • Please ensure the volume of music used in the classroom for infants is low and developmentally appropriate in nature. • I recommend trash bags are tied securely to the trash can in rooms with children under three years of age enrolled. - Please update your Emergency Medical Care Plan to the current year's date if nothing on the plan has changed. • Please monitor all border ties in the outdoor play area to ensure they remain flush with the border. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please monitor the fencing surrounding each playground for debris and trash prior to children using these areas. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please access and post a copy of the First Aid poster in the following link in a prominent area in the facility: https://healthychildcare.unc.edu/resources/posters/ • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . 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, Child Care Consultant (336) 408-4849 cara.mckeown@dhh.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 .0607 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/9/2023 Number Present: 35 Completed Date: 10/9/2023 Age: From 0 To 5 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Laquanta Baxter, Director, and Chasity Riley, Assistant Director, assisted me with the visit. Your program currently operates with a 4-Star license effective May 5, 2023. Restrictions include 1st shift care and meets all enhanced ratios and enhanced space. The program’s compliance history was 85% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • S/C Ratios • CPR • First Aid • Special Training • CBC Completed • ITS-SIDS Training • Emergency Medical Care Plan • Administering Medication • Storage of Hazardous Substances • Storage of Medication • General Safety • Discipline • Adequate/Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A First Aid information sheet including first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites was not posted for referral. Also in Space 5, greater than three foam blocks were observed to either have teeth marks or missing pieces. Additionally, in Space 3, the blocks and literacy centers did not have a sufficient amount of materials for at least three children to use the area regardless of whether the children choose the same or different activities. On the playground used by children four years old and older, a yellow cracked plastic bin, sharp to the touch, was observed inside a small stationary structure and a yellow piece of plastic, sharp to the touch, was observed on the ground. Ms. Riley removed this bucket and piece of plastic from the play area during the visit. On the playground used for children three years of age, the O-rings and bolts connecting each of four chains to each of two tire swings were observed to be rusting. A cracked, broken Frisbee, sharp to the touch was also observed inside a toy bin; Ms. Riley removed this Frisbee from the play area during the visit. On the playground used by infants and toddlers, both sets of stairs of the stationary climbing structure were observed to be cracked in greater than three areas across both sets of stairs, each of which have metal exposed which was observed to be beginning to rust. Ms. Baxter and Ms. Riley stated all three playgrounds will be renovated soon, but not all at the same time. I stated a revised playground schedule and plan will need to be developed as each playground is renovated to ensure all children continue to receive daily outdoor time, as required by Child Care Rule 10A NCAC 09 .0508. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines, engaging in conversations and activities with their teachers, playing outdoors, and eating lunch during the visit. One new staff member was reported at this program since the last visit. The file for this staff member was monitored. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items was monitored today. In Space 6, a can of aerosol shaving cream and a bag of treated seed labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage on two classroom shelves. Each of these items was placed into approved storage during the visit. A playground inspection was recorded on 9/06/2023. A fire drill was recorded on 9/13/2023. A lockdown drill for the facility was recorded on 8/31/23. The most recent fire inspection was completed on 8/19/2022. Ms. Riley contacted the Assistant Fire Marshal during the visit to request next steps for scheduling a fire inspection. I observed a sanitation inspection was last conducted on 8/07/2023 earning a Superior classification. Ms. Riley stated the program does not currently participate in off-premise activities, or participate in aquatic activities. Ms. Riley stated the program provides transportation to and from school via one bus (Bus #3633). Written transportation permission from parents did not include when and where each child is to be transported, the expected time of departure and arrival, and the transportation provider. Identifying information for all children being transported did not include a current photograph. The Ready to Go file did not contain blank incident reports or staff contact information. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was completed on 8/19/2022. 10A NCAC 09 .0304(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In Space 4, the blocks and literacy centers did not have a sufficient amount of materials for at least three children to use the area regardless of whether the children choose the same or different activities. .0510(d)(1) 721 All equipment and furnishings were not in good repair. In Space 4, greater than three foam blocks were observed to either have teeth marks or missing pieces. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children four years old and older, a yellow cracked plastic bin, sharp to the touch, was observed inside a small stationary structure and a yellow piece of plastic, sharp to the touch, was observed on the ground. On the playground used for children three years of age, the O-rings and bolts connecting each of four chains to each of two tire swings were observed to be rusting. A cracked, broken Frisbee, sharp to the touch was also observed inside a toy bin. On the playground used by infants and toddlers, both sets of stairs of the stationary climbing structure were observed to be cracked in greater than three areas across both sets of stairs, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid information sheet including first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites was not posted for referral. .0802(h) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 6, a can of aerosol shaving cream and a bag of treated seed labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage on two classroom shelves. .2820(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Identifying information for all children being transported did not include a current photograph. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Written transportation permission from parents did not include when and where each child is to be transported, the expected time of departure and arrival, and the transportation provider. .1003(i)(j) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain blank incident reports or staff contact information. .0607(d)(10) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/23/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • The following Child Care Rules were thoroughly reviewed and discussed with Ms. Baxter during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff 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 staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (Child Care Sanitation Rule) (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained in a manner which does not encourage the harborage of vermin. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. • 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 remember to post a cot list in all classrooms to clearly identify individual sleep spaces. • Please ensure the volume of music used in the classroom for infants is low and developmentally appropriate in nature. • I recommend trash bags are tied securely to the trash can in rooms with children under three years of age enrolled. - Please update your Emergency Medical Care Plan to the current year's date if nothing on the plan has changed. • Please monitor all border ties in the outdoor play area to ensure they remain flush with the border. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please monitor the fencing surrounding each playground for debris and trash prior to children using these areas. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please access and post a copy of the First Aid poster in the following link in a prominent area in the facility: https://healthychildcare.unc.edu/resources/posters/ • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . 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, Child Care Consultant (336) 408-4849 cara.mckeown@dhh.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 .1003 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/9/2023 Number Present: 35 Completed Date: 10/9/2023 Age: From 0 To 5 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Laquanta Baxter, Director, and Chasity Riley, Assistant Director, assisted me with the visit. Your program currently operates with a 4-Star license effective May 5, 2023. Restrictions include 1st shift care and meets all enhanced ratios and enhanced space. The program’s compliance history was 85% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • S/C Ratios • CPR • First Aid • Special Training • CBC Completed • ITS-SIDS Training • Emergency Medical Care Plan • Administering Medication • Storage of Hazardous Substances • Storage of Medication • General Safety • Discipline • Adequate/Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A First Aid information sheet including first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites was not posted for referral. Also in Space 5, greater than three foam blocks were observed to either have teeth marks or missing pieces. Additionally, in Space 3, the blocks and literacy centers did not have a sufficient amount of materials for at least three children to use the area regardless of whether the children choose the same or different activities. On the playground used by children four years old and older, a yellow cracked plastic bin, sharp to the touch, was observed inside a small stationary structure and a yellow piece of plastic, sharp to the touch, was observed on the ground. Ms. Riley removed this bucket and piece of plastic from the play area during the visit. On the playground used for children three years of age, the O-rings and bolts connecting each of four chains to each of two tire swings were observed to be rusting. A cracked, broken Frisbee, sharp to the touch was also observed inside a toy bin; Ms. Riley removed this Frisbee from the play area during the visit. On the playground used by infants and toddlers, both sets of stairs of the stationary climbing structure were observed to be cracked in greater than three areas across both sets of stairs, each of which have metal exposed which was observed to be beginning to rust. Ms. Baxter and Ms. Riley stated all three playgrounds will be renovated soon, but not all at the same time. I stated a revised playground schedule and plan will need to be developed as each playground is renovated to ensure all children continue to receive daily outdoor time, as required by Child Care Rule 10A NCAC 09 .0508. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines, engaging in conversations and activities with their teachers, playing outdoors, and eating lunch during the visit. One new staff member was reported at this program since the last visit. The file for this staff member was monitored. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items was monitored today. In Space 6, a can of aerosol shaving cream and a bag of treated seed labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage on two classroom shelves. Each of these items was placed into approved storage during the visit. A playground inspection was recorded on 9/06/2023. A fire drill was recorded on 9/13/2023. A lockdown drill for the facility was recorded on 8/31/23. The most recent fire inspection was completed on 8/19/2022. Ms. Riley contacted the Assistant Fire Marshal during the visit to request next steps for scheduling a fire inspection. I observed a sanitation inspection was last conducted on 8/07/2023 earning a Superior classification. Ms. Riley stated the program does not currently participate in off-premise activities, or participate in aquatic activities. Ms. Riley stated the program provides transportation to and from school via one bus (Bus #3633). Written transportation permission from parents did not include when and where each child is to be transported, the expected time of departure and arrival, and the transportation provider. Identifying information for all children being transported did not include a current photograph. The Ready to Go file did not contain blank incident reports or staff contact information. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was completed on 8/19/2022. 10A NCAC 09 .0304(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In Space 4, the blocks and literacy centers did not have a sufficient amount of materials for at least three children to use the area regardless of whether the children choose the same or different activities. .0510(d)(1) 721 All equipment and furnishings were not in good repair. In Space 4, greater than three foam blocks were observed to either have teeth marks or missing pieces. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children four years old and older, a yellow cracked plastic bin, sharp to the touch, was observed inside a small stationary structure and a yellow piece of plastic, sharp to the touch, was observed on the ground. On the playground used for children three years of age, the O-rings and bolts connecting each of four chains to each of two tire swings were observed to be rusting. A cracked, broken Frisbee, sharp to the touch was also observed inside a toy bin. On the playground used by infants and toddlers, both sets of stairs of the stationary climbing structure were observed to be cracked in greater than three areas across both sets of stairs, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid information sheet including first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites was not posted for referral. .0802(h) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 6, a can of aerosol shaving cream and a bag of treated seed labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage on two classroom shelves. .2820(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Identifying information for all children being transported did not include a current photograph. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Written transportation permission from parents did not include when and where each child is to be transported, the expected time of departure and arrival, and the transportation provider. .1003(i)(j) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain blank incident reports or staff contact information. .0607(d)(10) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/23/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • The following Child Care Rules were thoroughly reviewed and discussed with Ms. Baxter during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff 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 staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (Child Care Sanitation Rule) (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained in a manner which does not encourage the harborage of vermin. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. • 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 remember to post a cot list in all classrooms to clearly identify individual sleep spaces. • Please ensure the volume of music used in the classroom for infants is low and developmentally appropriate in nature. • I recommend trash bags are tied securely to the trash can in rooms with children under three years of age enrolled. - Please update your Emergency Medical Care Plan to the current year's date if nothing on the plan has changed. • Please monitor all border ties in the outdoor play area to ensure they remain flush with the border. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please monitor the fencing surrounding each playground for debris and trash prior to children using these areas. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please access and post a copy of the First Aid poster in the following link in a prominent area in the facility: https://healthychildcare.unc.edu/resources/posters/ • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . 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, Child Care Consultant (336) 408-4849 cara.mckeown@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/9/2023 Number Present: 35 Completed Date: 10/9/2023 Age: From 0 To 5 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Laquanta Baxter, Director, and Chasity Riley, Assistant Director, assisted me with the visit. Your program currently operates with a 4-Star license effective May 5, 2023. Restrictions include 1st shift care and meets all enhanced ratios and enhanced space. The program’s compliance history was 85% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • S/C Ratios • CPR • First Aid • Special Training • CBC Completed • ITS-SIDS Training • Emergency Medical Care Plan • Administering Medication • Storage of Hazardous Substances • Storage of Medication • General Safety • Discipline • Adequate/Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A First Aid information sheet including first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites was not posted for referral. Also in Space 5, greater than three foam blocks were observed to either have teeth marks or missing pieces. Additionally, in Space 3, the blocks and literacy centers did not have a sufficient amount of materials for at least three children to use the area regardless of whether the children choose the same or different activities. On the playground used by children four years old and older, a yellow cracked plastic bin, sharp to the touch, was observed inside a small stationary structure and a yellow piece of plastic, sharp to the touch, was observed on the ground. Ms. Riley removed this bucket and piece of plastic from the play area during the visit. On the playground used for children three years of age, the O-rings and bolts connecting each of four chains to each of two tire swings were observed to be rusting. A cracked, broken Frisbee, sharp to the touch was also observed inside a toy bin; Ms. Riley removed this Frisbee from the play area during the visit. On the playground used by infants and toddlers, both sets of stairs of the stationary climbing structure were observed to be cracked in greater than three areas across both sets of stairs, each of which have metal exposed which was observed to be beginning to rust. Ms. Baxter and Ms. Riley stated all three playgrounds will be renovated soon, but not all at the same time. I stated a revised playground schedule and plan will need to be developed as each playground is renovated to ensure all children continue to receive daily outdoor time, as required by Child Care Rule 10A NCAC 09 .0508. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines, engaging in conversations and activities with their teachers, playing outdoors, and eating lunch during the visit. One new staff member was reported at this program since the last visit. The file for this staff member was monitored. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items was monitored today. In Space 6, a can of aerosol shaving cream and a bag of treated seed labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage on two classroom shelves. Each of these items was placed into approved storage during the visit. A playground inspection was recorded on 9/06/2023. A fire drill was recorded on 9/13/2023. A lockdown drill for the facility was recorded on 8/31/23. The most recent fire inspection was completed on 8/19/2022. Ms. Riley contacted the Assistant Fire Marshal during the visit to request next steps for scheduling a fire inspection. I observed a sanitation inspection was last conducted on 8/07/2023 earning a Superior classification. Ms. Riley stated the program does not currently participate in off-premise activities, or participate in aquatic activities. Ms. Riley stated the program provides transportation to and from school via one bus (Bus #3633). Written transportation permission from parents did not include when and where each child is to be transported, the expected time of departure and arrival, and the transportation provider. Identifying information for all children being transported did not include a current photograph. The Ready to Go file did not contain blank incident reports or staff contact information. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was completed on 8/19/2022. 10A NCAC 09 .0304(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In Space 4, the blocks and literacy centers did not have a sufficient amount of materials for at least three children to use the area regardless of whether the children choose the same or different activities. .0510(d)(1) 721 All equipment and furnishings were not in good repair. In Space 4, greater than three foam blocks were observed to either have teeth marks or missing pieces. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children four years old and older, a yellow cracked plastic bin, sharp to the touch, was observed inside a small stationary structure and a yellow piece of plastic, sharp to the touch, was observed on the ground. On the playground used for children three years of age, the O-rings and bolts connecting each of four chains to each of two tire swings were observed to be rusting. A cracked, broken Frisbee, sharp to the touch was also observed inside a toy bin. On the playground used by infants and toddlers, both sets of stairs of the stationary climbing structure were observed to be cracked in greater than three areas across both sets of stairs, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid information sheet including first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites was not posted for referral. .0802(h) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 6, a can of aerosol shaving cream and a bag of treated seed labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage on two classroom shelves. .2820(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Identifying information for all children being transported did not include a current photograph. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Written transportation permission from parents did not include when and where each child is to be transported, the expected time of departure and arrival, and the transportation provider. .1003(i)(j) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain blank incident reports or staff contact information. .0607(d)(10) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/23/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • The following Child Care Rules were thoroughly reviewed and discussed with Ms. Baxter during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff 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 staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (Child Care Sanitation Rule) (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained in a manner which does not encourage the harborage of vermin. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. • 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 remember to post a cot list in all classrooms to clearly identify individual sleep spaces. • Please ensure the volume of music used in the classroom for infants is low and developmentally appropriate in nature. • I recommend trash bags are tied securely to the trash can in rooms with children under three years of age enrolled. - Please update your Emergency Medical Care Plan to the current year's date if nothing on the plan has changed. • Please monitor all border ties in the outdoor play area to ensure they remain flush with the border. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please monitor the fencing surrounding each playground for debris and trash prior to children using these areas. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please access and post a copy of the First Aid poster in the following link in a prominent area in the facility: https://healthychildcare.unc.edu/resources/posters/ • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . 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, Child Care Consultant (336) 408-4849 cara.mckeown@dhh.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: THE SUNSHINE HOUSE, INC. Facility ID: 34000141 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/9/2023 Number Present: 35 Completed Date: 10/9/2023 Age: From 0 To 5 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Laquanta Baxter, Director, and Chasity Riley, Assistant Director, assisted me with the visit. Your program currently operates with a 4-Star license effective May 5, 2023. Restrictions include 1st shift care and meets all enhanced ratios and enhanced space. The program’s compliance history was 85% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • S/C Ratios • CPR • First Aid • Special Training • CBC Completed • ITS-SIDS Training • Emergency Medical Care Plan • Administering Medication • Storage of Hazardous Substances • Storage of Medication • General Safety • Discipline • Adequate/Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A First Aid information sheet including first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites was not posted for referral. Also in Space 5, greater than three foam blocks were observed to either have teeth marks or missing pieces. Additionally, in Space 3, the blocks and literacy centers did not have a sufficient amount of materials for at least three children to use the area regardless of whether the children choose the same or different activities. On the playground used by children four years old and older, a yellow cracked plastic bin, sharp to the touch, was observed inside a small stationary structure and a yellow piece of plastic, sharp to the touch, was observed on the ground. Ms. Riley removed this bucket and piece of plastic from the play area during the visit. On the playground used for children three years of age, the O-rings and bolts connecting each of four chains to each of two tire swings were observed to be rusting. A cracked, broken Frisbee, sharp to the touch was also observed inside a toy bin; Ms. Riley removed this Frisbee from the play area during the visit. On the playground used by infants and toddlers, both sets of stairs of the stationary climbing structure were observed to be cracked in greater than three areas across both sets of stairs, each of which have metal exposed which was observed to be beginning to rust. Ms. Baxter and Ms. Riley stated all three playgrounds will be renovated soon, but not all at the same time. I stated a revised playground schedule and plan will need to be developed as each playground is renovated to ensure all children continue to receive daily outdoor time, as required by Child Care Rule 10A NCAC 09 .0508. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines, engaging in conversations and activities with their teachers, playing outdoors, and eating lunch during the visit. One new staff member was reported at this program since the last visit. The file for this staff member was monitored. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items was monitored today. In Space 6, a can of aerosol shaving cream and a bag of treated seed labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage on two classroom shelves. Each of these items was placed into approved storage during the visit. A playground inspection was recorded on 9/06/2023. A fire drill was recorded on 9/13/2023. A lockdown drill for the facility was recorded on 8/31/23. The most recent fire inspection was completed on 8/19/2022. Ms. Riley contacted the Assistant Fire Marshal during the visit to request next steps for scheduling a fire inspection. I observed a sanitation inspection was last conducted on 8/07/2023 earning a Superior classification. Ms. Riley stated the program does not currently participate in off-premise activities, or participate in aquatic activities. Ms. Riley stated the program provides transportation to and from school via one bus (Bus #3633). Written transportation permission from parents did not include when and where each child is to be transported, the expected time of departure and arrival, and the transportation provider. Identifying information for all children being transported did not include a current photograph. The Ready to Go file did not contain blank incident reports or staff contact information. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was completed on 8/19/2022. 10A NCAC 09 .0304(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In Space 4, the blocks and literacy centers did not have a sufficient amount of materials for at least three children to use the area regardless of whether the children choose the same or different activities. .0510(d)(1) 721 All equipment and furnishings were not in good repair. In Space 4, greater than three foam blocks were observed to either have teeth marks or missing pieces. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children four years old and older, a yellow cracked plastic bin, sharp to the touch, was observed inside a small stationary structure and a yellow piece of plastic, sharp to the touch, was observed on the ground. On the playground used for children three years of age, the O-rings and bolts connecting each of four chains to each of two tire swings were observed to be rusting. A cracked, broken Frisbee, sharp to the touch was also observed inside a toy bin. On the playground used by infants and toddlers, both sets of stairs of the stationary climbing structure were observed to be cracked in greater than three areas across both sets of stairs, each of which have metal exposed which was observed to be beginning to rust. 10A NCAC 09 .0601(a) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid information sheet including first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites was not posted for referral. .0802(h) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 6, a can of aerosol shaving cream and a bag of treated seed labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage on two classroom shelves. .2820(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Identifying information for all children being transported did not include a current photograph. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Written transportation permission from parents did not include when and where each child is to be transported, the expected time of departure and arrival, and the transportation provider. .1003(i)(j) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain blank incident reports or staff contact information. .0607(d)(10) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/23/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • The following Child Care Rules were thoroughly reviewed and discussed with Ms. Baxter during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff 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 staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (Child Care Sanitation Rule) (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained in a manner which does not encourage the harborage of vermin. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. • 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 remember to post a cot list in all classrooms to clearly identify individual sleep spaces. • Please ensure the volume of music used in the classroom for infants is low and developmentally appropriate in nature. • I recommend trash bags are tied securely to the trash can in rooms with children under three years of age enrolled. - Please update your Emergency Medical Care Plan to the current year's date if nothing on the plan has changed. • Please monitor all border ties in the outdoor play area to ensure they remain flush with the border. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please monitor the fencing surrounding each playground for debris and trash prior to children using these areas. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please access and post a copy of the First Aid poster in the following link in a prominent area in the facility: https://healthychildcare.unc.edu/resources/posters/ • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . 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, Child Care Consultant (336) 408-4849 cara.mckeown@dhh.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