10A NCAC 09 .0302 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 91 Completed Date: 4/22/2026 Age: From 0 To 9 Total Minutes: 450 Time In: 08:50 AM Time Out: 04:20 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. K. Mack, site administrator, and A. Perkins, Growth and Development Director, assisted me with the visit. Your program currently operates with a three-star license, issued 12/8/23, earning 5 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option of staff benefits and infrastructure of parent involvement. The sanitation inspection was completed November 10, 2025, with a “Superior” classification. The last fire inspection was conducted October 23, 2025, 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 seventy-nine percent as of April 21, 2026. The NC Secretary of State website was reviewed on April 21, 2026, and 4890 Old Tar Road, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. There has been a change in administrator, please provided the required documents by May 8, 2026. Seven groups of children were observed in the indoor and outdoor learning environments. Children enrolled in space A were received care according to individual needs including tummy time, bottle feedings, and napping. Children throughout the facility were engaged in whole group and small group activities, transitions, and free play. Staff were observed assisting children with personal care needs, doing small group activities, and assisting children with the learning materials. Lunch was observed and consisted of chicken warps, mixed vegetables, mixed fruit, and milk. The following violations were documented. 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 8/21/24 and the next inspection was completed on 10/23/25. A copy of the approved inspection report was provided during the visit, 4/22/26. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. A child, eight (8) years of age, exited space C and walked to the office, unattended by staff. .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. Hand washing was observed in space B when a child entered the classroom and following diapering. On two occasions children wet their hands, put soap on them, and immediately placed their hands under running water, therefore not properly washing their hands. 15A NCAC 18A .2803(c) 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 box of Lysol SMART Multi Purpose Cleaner concentrate was located in an unlocked cabinet, above five feet, in space G. .2820(b) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 3/30/26 had a TB test results on file dated 3/26/25, therefore was older than 12 months. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff employed on 9/9/25 did not have documentation of First Aid certification on file for review. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two (2) staff employed on 3/30/26 had documentation of five (5) hours of orientation during the first two weeks of employment. .1101(a)(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. One of fifteen emergency and identifying information records did not include a photograph. 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 1/12/24 had a health assessment on file dated 1/10/23. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 1/12/24 had an immunization record on file dated 4/3/24. 10A NCAC 09 .0302(d)(2) 1898 Staff did not complete the health and safety training within one year of employment. Staff employed on 6/23/23 did not have documentation of completion of one out of eleven health and safety training topics. .1102(a) 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. The violation(s) documented must be corrected immediately. On or before May 6, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Supervision-Proper supervision is essential to maintaining children’s safety. During the visit, a child, eight years of age, exited space C and went to the director’s office unaccompanied by staff. It was reported that the child has attempted to leave their assigned classroom in the past. Staff must position themselves strategically to see and hear all children, actively scan the environment, and avoid distractions such as mobile devices. Supervision includes anticipating potential risks, especially during transitions and high-traffic times. For children with specific needs, a heightened level of supervision is required. This may include assigning a primary staff member to closely monitor, maintaining proximity and implementing individualized safety plans. Environmental supports such as secured exits, visual cues, and clear boundaries are important. Staff should be trained to recognize triggers for elopement and use proactive strategies, such as offering structured choices and maintaining predictable routines. Communication among staff is critical so everyone is aware of the child’s needs and supervision plan at all times. Record Keeping- Accurate and up-to-date record keeping is a foundational requirement and key component of program accountability. Documentation of the completion of medication in child care was not on file for staff employed 6/23/23. You shared the staff had completed the health and safety training on the Moodle platform and during today’s visit was made aware the medication training must be registered for separately. Documentation of the orientation topic: Prevention and control of infectious diseases, including immunizations was not on file for two staff employed on 3/30/26. You shared that documentation of orientation was a clerical error. The staff did complete the training as you have an established orientation packet. Staff employed on 9/9/25 did not have documentation of First Aid certification on file for review. You shared the training card was filed under a different administrator and you became aware of this during today’s visit. As a reminder, Basic Life Support certification does not include First Aid training. Staff employed on 3/30/26 had TB test results dated 3/26/25. You shared the information was filed prior to the staff member reporting to the site. A child enrolled on 1/12/24 had a health assessment on file dated 1/10/23 and an immunization record dated 4/3/24. You shared the child was enrolled prior to you becoming the site administrator and you were informed the child enrolled in 2023 and updated the application and immunization records in 2024. An original application and immunization records to support the claim were not located during the visit. You shared your current practice is to have parents turn in a health assessment and immunization record on or before the first day of care, so you have time to review them. Be sure to look at the assessment date as well as the date the form was completed as these dates may differ. Revisit all the staff records to ensure all documentation, trainings, and certification are current and accurate. Continue with your current process for children’s records and review a selection of files weekly to be aware of records needed or if there are existing issues in the file. Fire Inspection-License child care centers must maintain compliance with fire safety regulations, which is ensured through an approved fire inspection. An inspection is required to be completed annually, and an approved inspection must be submitted to the Division within one week of the approved inspections. An inspection was completed on 8/21/24 and the next inspection was completed on 10/23/25. You reported that an inspection was attempted prior to 10/23/25, however some violations needed to be addressed before getting a passing inspection. You also stated that you were not aware an approved inspection must be submitted. We reviewed the requirement of child care rule 10A NCAC 09 .0304(a). We discussed having the fire system inspection at least one month prior to the inspection month to allow time for any correction and have an approved inspection in a timely manner. Consultation: Staff/Child Interactions- Effective communication with young children begins with intentional voice tone and language. Staff should use calm, warm and respectful tones that model the kinds of interactions expected in the classroom. Directions should be clear, concise, and developmentally appropriate. Sarcasm and negative phrasing should be avoided. Today, I observed staff using phrases such as “no” and “stop” in elevated, firm tones. For example, instead of saying “No, stop running,” staff can reframe the word: “Used walking feet inside.” This type of language supports the child’s understanding of expectations as well as promotes positive behavior. Caregivers can also narrate actions, label emotions, and engage in meaningful back-and forth conversations to build the child’s vocabulary and social-emotional skills. Materials-Providing a wide variety of materials in the indoor and outdoor environments is critical for supporting children’s development across all domains. Materials should be accessible to children, encouraging their independence and choice. Today I observed portable climbing structures and some portable toys. Remember the outdoor environment is an extension of the classroom. Outdoor materials should encourage gross motor activity including balls, bats or paddles, and buckets. Materials may also include art opportunities, space or imaginative play and science/nature. Pathways to the Stars- Your program is choosing the Program Assessment Pathway. Today we discussed where you are in the process. You plan to begin the three-month self-study no later than May 4, 2026. We reviewed the North Carolina Rated License Assessment Project (NCRLAP) website and the pages associated with the self-study and training opportunities. You have contacted the Martin-Pitt Partnership for Children to get assistance with the Environmental Rating Scales. Per our conversation, you plan to submit your Rated License Application in August 2026. Please be sure to communicate any of your needs or barriers as you move forward. Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 91 Completed Date: 4/22/2026 Age: From 0 To 9 Total Minutes: 450 Time In: 08:50 AM Time Out: 04:20 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. K. Mack, site administrator, and A. Perkins, Growth and Development Director, assisted me with the visit. Your program currently operates with a three-star license, issued 12/8/23, earning 5 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option of staff benefits and infrastructure of parent involvement. The sanitation inspection was completed November 10, 2025, with a “Superior” classification. The last fire inspection was conducted October 23, 2025, 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 seventy-nine percent as of April 21, 2026. The NC Secretary of State website was reviewed on April 21, 2026, and 4890 Old Tar Road, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. There has been a change in administrator, please provided the required documents by May 8, 2026. Seven groups of children were observed in the indoor and outdoor learning environments. Children enrolled in space A were received care according to individual needs including tummy time, bottle feedings, and napping. Children throughout the facility were engaged in whole group and small group activities, transitions, and free play. Staff were observed assisting children with personal care needs, doing small group activities, and assisting children with the learning materials. Lunch was observed and consisted of chicken warps, mixed vegetables, mixed fruit, and milk. The following violations were documented. 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 8/21/24 and the next inspection was completed on 10/23/25. A copy of the approved inspection report was provided during the visit, 4/22/26. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. A child, eight (8) years of age, exited space C and walked to the office, unattended by staff. .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. Hand washing was observed in space B when a child entered the classroom and following diapering. On two occasions children wet their hands, put soap on them, and immediately placed their hands under running water, therefore not properly washing their hands. 15A NCAC 18A .2803(c) 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 box of Lysol SMART Multi Purpose Cleaner concentrate was located in an unlocked cabinet, above five feet, in space G. .2820(b) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 3/30/26 had a TB test results on file dated 3/26/25, therefore was older than 12 months. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff employed on 9/9/25 did not have documentation of First Aid certification on file for review. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two (2) staff employed on 3/30/26 had documentation of five (5) hours of orientation during the first two weeks of employment. .1101(a)(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. One of fifteen emergency and identifying information records did not include a photograph. 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 1/12/24 had a health assessment on file dated 1/10/23. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 1/12/24 had an immunization record on file dated 4/3/24. 10A NCAC 09 .0302(d)(2) 1898 Staff did not complete the health and safety training within one year of employment. Staff employed on 6/23/23 did not have documentation of completion of one out of eleven health and safety training topics. .1102(a) 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. The violation(s) documented must be corrected immediately. On or before May 6, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Supervision-Proper supervision is essential to maintaining children’s safety. During the visit, a child, eight years of age, exited space C and went to the director’s office unaccompanied by staff. It was reported that the child has attempted to leave their assigned classroom in the past. Staff must position themselves strategically to see and hear all children, actively scan the environment, and avoid distractions such as mobile devices. Supervision includes anticipating potential risks, especially during transitions and high-traffic times. For children with specific needs, a heightened level of supervision is required. This may include assigning a primary staff member to closely monitor, maintaining proximity and implementing individualized safety plans. Environmental supports such as secured exits, visual cues, and clear boundaries are important. Staff should be trained to recognize triggers for elopement and use proactive strategies, such as offering structured choices and maintaining predictable routines. Communication among staff is critical so everyone is aware of the child’s needs and supervision plan at all times. Record Keeping- Accurate and up-to-date record keeping is a foundational requirement and key component of program accountability. Documentation of the completion of medication in child care was not on file for staff employed 6/23/23. You shared the staff had completed the health and safety training on the Moodle platform and during today’s visit was made aware the medication training must be registered for separately. Documentation of the orientation topic: Prevention and control of infectious diseases, including immunizations was not on file for two staff employed on 3/30/26. You shared that documentation of orientation was a clerical error. The staff did complete the training as you have an established orientation packet. Staff employed on 9/9/25 did not have documentation of First Aid certification on file for review. You shared the training card was filed under a different administrator and you became aware of this during today’s visit. As a reminder, Basic Life Support certification does not include First Aid training. Staff employed on 3/30/26 had TB test results dated 3/26/25. You shared the information was filed prior to the staff member reporting to the site. A child enrolled on 1/12/24 had a health assessment on file dated 1/10/23 and an immunization record dated 4/3/24. You shared the child was enrolled prior to you becoming the site administrator and you were informed the child enrolled in 2023 and updated the application and immunization records in 2024. An original application and immunization records to support the claim were not located during the visit. You shared your current practice is to have parents turn in a health assessment and immunization record on or before the first day of care, so you have time to review them. Be sure to look at the assessment date as well as the date the form was completed as these dates may differ. Revisit all the staff records to ensure all documentation, trainings, and certification are current and accurate. Continue with your current process for children’s records and review a selection of files weekly to be aware of records needed or if there are existing issues in the file. Fire Inspection-License child care centers must maintain compliance with fire safety regulations, which is ensured through an approved fire inspection. An inspection is required to be completed annually, and an approved inspection must be submitted to the Division within one week of the approved inspections. An inspection was completed on 8/21/24 and the next inspection was completed on 10/23/25. You reported that an inspection was attempted prior to 10/23/25, however some violations needed to be addressed before getting a passing inspection. You also stated that you were not aware an approved inspection must be submitted. We reviewed the requirement of child care rule 10A NCAC 09 .0304(a). We discussed having the fire system inspection at least one month prior to the inspection month to allow time for any correction and have an approved inspection in a timely manner. Consultation: Staff/Child Interactions- Effective communication with young children begins with intentional voice tone and language. Staff should use calm, warm and respectful tones that model the kinds of interactions expected in the classroom. Directions should be clear, concise, and developmentally appropriate. Sarcasm and negative phrasing should be avoided. Today, I observed staff using phrases such as “no” and “stop” in elevated, firm tones. For example, instead of saying “No, stop running,” staff can reframe the word: “Used walking feet inside.” This type of language supports the child’s understanding of expectations as well as promotes positive behavior. Caregivers can also narrate actions, label emotions, and engage in meaningful back-and forth conversations to build the child’s vocabulary and social-emotional skills. Materials-Providing a wide variety of materials in the indoor and outdoor environments is critical for supporting children’s development across all domains. Materials should be accessible to children, encouraging their independence and choice. Today I observed portable climbing structures and some portable toys. Remember the outdoor environment is an extension of the classroom. Outdoor materials should encourage gross motor activity including balls, bats or paddles, and buckets. Materials may also include art opportunities, space or imaginative play and science/nature. Pathways to the Stars- Your program is choosing the Program Assessment Pathway. Today we discussed where you are in the process. You plan to begin the three-month self-study no later than May 4, 2026. We reviewed the North Carolina Rated License Assessment Project (NCRLAP) website and the pages associated with the self-study and training opportunities. You have contacted the Martin-Pitt Partnership for Children to get assistance with the Environmental Rating Scales. Per our conversation, you plan to submit your Rated License Application in August 2026. Please be sure to communicate any of your needs or barriers as you move forward. Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 91 Completed Date: 4/22/2026 Age: From 0 To 9 Total Minutes: 450 Time In: 08:50 AM Time Out: 04:20 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. K. Mack, site administrator, and A. Perkins, Growth and Development Director, assisted me with the visit. Your program currently operates with a three-star license, issued 12/8/23, earning 5 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option of staff benefits and infrastructure of parent involvement. The sanitation inspection was completed November 10, 2025, with a “Superior” classification. The last fire inspection was conducted October 23, 2025, 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 seventy-nine percent as of April 21, 2026. The NC Secretary of State website was reviewed on April 21, 2026, and 4890 Old Tar Road, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. There has been a change in administrator, please provided the required documents by May 8, 2026. Seven groups of children were observed in the indoor and outdoor learning environments. Children enrolled in space A were received care according to individual needs including tummy time, bottle feedings, and napping. Children throughout the facility were engaged in whole group and small group activities, transitions, and free play. Staff were observed assisting children with personal care needs, doing small group activities, and assisting children with the learning materials. Lunch was observed and consisted of chicken warps, mixed vegetables, mixed fruit, and milk. The following violations were documented. 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 8/21/24 and the next inspection was completed on 10/23/25. A copy of the approved inspection report was provided during the visit, 4/22/26. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. A child, eight (8) years of age, exited space C and walked to the office, unattended by staff. .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. Hand washing was observed in space B when a child entered the classroom and following diapering. On two occasions children wet their hands, put soap on them, and immediately placed their hands under running water, therefore not properly washing their hands. 15A NCAC 18A .2803(c) 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 box of Lysol SMART Multi Purpose Cleaner concentrate was located in an unlocked cabinet, above five feet, in space G. .2820(b) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 3/30/26 had a TB test results on file dated 3/26/25, therefore was older than 12 months. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff employed on 9/9/25 did not have documentation of First Aid certification on file for review. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two (2) staff employed on 3/30/26 had documentation of five (5) hours of orientation during the first two weeks of employment. .1101(a)(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. One of fifteen emergency and identifying information records did not include a photograph. 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 1/12/24 had a health assessment on file dated 1/10/23. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 1/12/24 had an immunization record on file dated 4/3/24. 10A NCAC 09 .0302(d)(2) 1898 Staff did not complete the health and safety training within one year of employment. Staff employed on 6/23/23 did not have documentation of completion of one out of eleven health and safety training topics. .1102(a) 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. The violation(s) documented must be corrected immediately. On or before May 6, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Supervision-Proper supervision is essential to maintaining children’s safety. During the visit, a child, eight years of age, exited space C and went to the director’s office unaccompanied by staff. It was reported that the child has attempted to leave their assigned classroom in the past. Staff must position themselves strategically to see and hear all children, actively scan the environment, and avoid distractions such as mobile devices. Supervision includes anticipating potential risks, especially during transitions and high-traffic times. For children with specific needs, a heightened level of supervision is required. This may include assigning a primary staff member to closely monitor, maintaining proximity and implementing individualized safety plans. Environmental supports such as secured exits, visual cues, and clear boundaries are important. Staff should be trained to recognize triggers for elopement and use proactive strategies, such as offering structured choices and maintaining predictable routines. Communication among staff is critical so everyone is aware of the child’s needs and supervision plan at all times. Record Keeping- Accurate and up-to-date record keeping is a foundational requirement and key component of program accountability. Documentation of the completion of medication in child care was not on file for staff employed 6/23/23. You shared the staff had completed the health and safety training on the Moodle platform and during today’s visit was made aware the medication training must be registered for separately. Documentation of the orientation topic: Prevention and control of infectious diseases, including immunizations was not on file for two staff employed on 3/30/26. You shared that documentation of orientation was a clerical error. The staff did complete the training as you have an established orientation packet. Staff employed on 9/9/25 did not have documentation of First Aid certification on file for review. You shared the training card was filed under a different administrator and you became aware of this during today’s visit. As a reminder, Basic Life Support certification does not include First Aid training. Staff employed on 3/30/26 had TB test results dated 3/26/25. You shared the information was filed prior to the staff member reporting to the site. A child enrolled on 1/12/24 had a health assessment on file dated 1/10/23 and an immunization record dated 4/3/24. You shared the child was enrolled prior to you becoming the site administrator and you were informed the child enrolled in 2023 and updated the application and immunization records in 2024. An original application and immunization records to support the claim were not located during the visit. You shared your current practice is to have parents turn in a health assessment and immunization record on or before the first day of care, so you have time to review them. Be sure to look at the assessment date as well as the date the form was completed as these dates may differ. Revisit all the staff records to ensure all documentation, trainings, and certification are current and accurate. Continue with your current process for children’s records and review a selection of files weekly to be aware of records needed or if there are existing issues in the file. Fire Inspection-License child care centers must maintain compliance with fire safety regulations, which is ensured through an approved fire inspection. An inspection is required to be completed annually, and an approved inspection must be submitted to the Division within one week of the approved inspections. An inspection was completed on 8/21/24 and the next inspection was completed on 10/23/25. You reported that an inspection was attempted prior to 10/23/25, however some violations needed to be addressed before getting a passing inspection. You also stated that you were not aware an approved inspection must be submitted. We reviewed the requirement of child care rule 10A NCAC 09 .0304(a). We discussed having the fire system inspection at least one month prior to the inspection month to allow time for any correction and have an approved inspection in a timely manner. Consultation: Staff/Child Interactions- Effective communication with young children begins with intentional voice tone and language. Staff should use calm, warm and respectful tones that model the kinds of interactions expected in the classroom. Directions should be clear, concise, and developmentally appropriate. Sarcasm and negative phrasing should be avoided. Today, I observed staff using phrases such as “no” and “stop” in elevated, firm tones. For example, instead of saying “No, stop running,” staff can reframe the word: “Used walking feet inside.” This type of language supports the child’s understanding of expectations as well as promotes positive behavior. Caregivers can also narrate actions, label emotions, and engage in meaningful back-and forth conversations to build the child’s vocabulary and social-emotional skills. Materials-Providing a wide variety of materials in the indoor and outdoor environments is critical for supporting children’s development across all domains. Materials should be accessible to children, encouraging their independence and choice. Today I observed portable climbing structures and some portable toys. Remember the outdoor environment is an extension of the classroom. Outdoor materials should encourage gross motor activity including balls, bats or paddles, and buckets. Materials may also include art opportunities, space or imaginative play and science/nature. Pathways to the Stars- Your program is choosing the Program Assessment Pathway. Today we discussed where you are in the process. You plan to begin the three-month self-study no later than May 4, 2026. We reviewed the North Carolina Rated License Assessment Project (NCRLAP) website and the pages associated with the self-study and training opportunities. You have contacted the Martin-Pitt Partnership for Children to get assistance with the Environmental Rating Scales. Per our conversation, you plan to submit your Rated License Application in August 2026. Please be sure to communicate any of your needs or barriers as you move forward. Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 91 Completed Date: 4/22/2026 Age: From 0 To 9 Total Minutes: 450 Time In: 08:50 AM Time Out: 04:20 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. K. Mack, site administrator, and A. Perkins, Growth and Development Director, assisted me with the visit. Your program currently operates with a three-star license, issued 12/8/23, earning 5 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option of staff benefits and infrastructure of parent involvement. The sanitation inspection was completed November 10, 2025, with a “Superior” classification. The last fire inspection was conducted October 23, 2025, 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 seventy-nine percent as of April 21, 2026. The NC Secretary of State website was reviewed on April 21, 2026, and 4890 Old Tar Road, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. There has been a change in administrator, please provided the required documents by May 8, 2026. Seven groups of children were observed in the indoor and outdoor learning environments. Children enrolled in space A were received care according to individual needs including tummy time, bottle feedings, and napping. Children throughout the facility were engaged in whole group and small group activities, transitions, and free play. Staff were observed assisting children with personal care needs, doing small group activities, and assisting children with the learning materials. Lunch was observed and consisted of chicken warps, mixed vegetables, mixed fruit, and milk. The following violations were documented. 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 8/21/24 and the next inspection was completed on 10/23/25. A copy of the approved inspection report was provided during the visit, 4/22/26. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. A child, eight (8) years of age, exited space C and walked to the office, unattended by staff. .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. Hand washing was observed in space B when a child entered the classroom and following diapering. On two occasions children wet their hands, put soap on them, and immediately placed their hands under running water, therefore not properly washing their hands. 15A NCAC 18A .2803(c) 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 box of Lysol SMART Multi Purpose Cleaner concentrate was located in an unlocked cabinet, above five feet, in space G. .2820(b) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 3/30/26 had a TB test results on file dated 3/26/25, therefore was older than 12 months. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff employed on 9/9/25 did not have documentation of First Aid certification on file for review. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two (2) staff employed on 3/30/26 had documentation of five (5) hours of orientation during the first two weeks of employment. .1101(a)(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. One of fifteen emergency and identifying information records did not include a photograph. 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 1/12/24 had a health assessment on file dated 1/10/23. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 1/12/24 had an immunization record on file dated 4/3/24. 10A NCAC 09 .0302(d)(2) 1898 Staff did not complete the health and safety training within one year of employment. Staff employed on 6/23/23 did not have documentation of completion of one out of eleven health and safety training topics. .1102(a) 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. The violation(s) documented must be corrected immediately. On or before May 6, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Supervision-Proper supervision is essential to maintaining children’s safety. During the visit, a child, eight years of age, exited space C and went to the director’s office unaccompanied by staff. It was reported that the child has attempted to leave their assigned classroom in the past. Staff must position themselves strategically to see and hear all children, actively scan the environment, and avoid distractions such as mobile devices. Supervision includes anticipating potential risks, especially during transitions and high-traffic times. For children with specific needs, a heightened level of supervision is required. This may include assigning a primary staff member to closely monitor, maintaining proximity and implementing individualized safety plans. Environmental supports such as secured exits, visual cues, and clear boundaries are important. Staff should be trained to recognize triggers for elopement and use proactive strategies, such as offering structured choices and maintaining predictable routines. Communication among staff is critical so everyone is aware of the child’s needs and supervision plan at all times. Record Keeping- Accurate and up-to-date record keeping is a foundational requirement and key component of program accountability. Documentation of the completion of medication in child care was not on file for staff employed 6/23/23. You shared the staff had completed the health and safety training on the Moodle platform and during today’s visit was made aware the medication training must be registered for separately. Documentation of the orientation topic: Prevention and control of infectious diseases, including immunizations was not on file for two staff employed on 3/30/26. You shared that documentation of orientation was a clerical error. The staff did complete the training as you have an established orientation packet. Staff employed on 9/9/25 did not have documentation of First Aid certification on file for review. You shared the training card was filed under a different administrator and you became aware of this during today’s visit. As a reminder, Basic Life Support certification does not include First Aid training. Staff employed on 3/30/26 had TB test results dated 3/26/25. You shared the information was filed prior to the staff member reporting to the site. A child enrolled on 1/12/24 had a health assessment on file dated 1/10/23 and an immunization record dated 4/3/24. You shared the child was enrolled prior to you becoming the site administrator and you were informed the child enrolled in 2023 and updated the application and immunization records in 2024. An original application and immunization records to support the claim were not located during the visit. You shared your current practice is to have parents turn in a health assessment and immunization record on or before the first day of care, so you have time to review them. Be sure to look at the assessment date as well as the date the form was completed as these dates may differ. Revisit all the staff records to ensure all documentation, trainings, and certification are current and accurate. Continue with your current process for children’s records and review a selection of files weekly to be aware of records needed or if there are existing issues in the file. Fire Inspection-License child care centers must maintain compliance with fire safety regulations, which is ensured through an approved fire inspection. An inspection is required to be completed annually, and an approved inspection must be submitted to the Division within one week of the approved inspections. An inspection was completed on 8/21/24 and the next inspection was completed on 10/23/25. You reported that an inspection was attempted prior to 10/23/25, however some violations needed to be addressed before getting a passing inspection. You also stated that you were not aware an approved inspection must be submitted. We reviewed the requirement of child care rule 10A NCAC 09 .0304(a). We discussed having the fire system inspection at least one month prior to the inspection month to allow time for any correction and have an approved inspection in a timely manner. Consultation: Staff/Child Interactions- Effective communication with young children begins with intentional voice tone and language. Staff should use calm, warm and respectful tones that model the kinds of interactions expected in the classroom. Directions should be clear, concise, and developmentally appropriate. Sarcasm and negative phrasing should be avoided. Today, I observed staff using phrases such as “no” and “stop” in elevated, firm tones. For example, instead of saying “No, stop running,” staff can reframe the word: “Used walking feet inside.” This type of language supports the child’s understanding of expectations as well as promotes positive behavior. Caregivers can also narrate actions, label emotions, and engage in meaningful back-and forth conversations to build the child’s vocabulary and social-emotional skills. Materials-Providing a wide variety of materials in the indoor and outdoor environments is critical for supporting children’s development across all domains. Materials should be accessible to children, encouraging their independence and choice. Today I observed portable climbing structures and some portable toys. Remember the outdoor environment is an extension of the classroom. Outdoor materials should encourage gross motor activity including balls, bats or paddles, and buckets. Materials may also include art opportunities, space or imaginative play and science/nature. Pathways to the Stars- Your program is choosing the Program Assessment Pathway. Today we discussed where you are in the process. You plan to begin the three-month self-study no later than May 4, 2026. We reviewed the North Carolina Rated License Assessment Project (NCRLAP) website and the pages associated with the self-study and training opportunities. You have contacted the Martin-Pitt Partnership for Children to get assistance with the Environmental Rating Scales. Per our conversation, you plan to submit your Rated License Application in August 2026. Please be sure to communicate any of your needs or barriers as you move forward. Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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

NC GS 110-90 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 91 Completed Date: 4/22/2026 Age: From 0 To 9 Total Minutes: 450 Time In: 08:50 AM Time Out: 04:20 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. K. Mack, site administrator, and A. Perkins, Growth and Development Director, assisted me with the visit. Your program currently operates with a three-star license, issued 12/8/23, earning 5 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option of staff benefits and infrastructure of parent involvement. The sanitation inspection was completed November 10, 2025, with a “Superior” classification. The last fire inspection was conducted October 23, 2025, 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 seventy-nine percent as of April 21, 2026. The NC Secretary of State website was reviewed on April 21, 2026, and 4890 Old Tar Road, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. There has been a change in administrator, please provided the required documents by May 8, 2026. Seven groups of children were observed in the indoor and outdoor learning environments. Children enrolled in space A were received care according to individual needs including tummy time, bottle feedings, and napping. Children throughout the facility were engaged in whole group and small group activities, transitions, and free play. Staff were observed assisting children with personal care needs, doing small group activities, and assisting children with the learning materials. Lunch was observed and consisted of chicken warps, mixed vegetables, mixed fruit, and milk. The following violations were documented. 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 8/21/24 and the next inspection was completed on 10/23/25. A copy of the approved inspection report was provided during the visit, 4/22/26. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. A child, eight (8) years of age, exited space C and walked to the office, unattended by staff. .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. Hand washing was observed in space B when a child entered the classroom and following diapering. On two occasions children wet their hands, put soap on them, and immediately placed their hands under running water, therefore not properly washing their hands. 15A NCAC 18A .2803(c) 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 box of Lysol SMART Multi Purpose Cleaner concentrate was located in an unlocked cabinet, above five feet, in space G. .2820(b) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 3/30/26 had a TB test results on file dated 3/26/25, therefore was older than 12 months. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff employed on 9/9/25 did not have documentation of First Aid certification on file for review. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two (2) staff employed on 3/30/26 had documentation of five (5) hours of orientation during the first two weeks of employment. .1101(a)(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. One of fifteen emergency and identifying information records did not include a photograph. 10A NCAC 09 .1003(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 1/12/24 had a health assessment on file dated 1/10/23. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 1/12/24 had an immunization record on file dated 4/3/24. 10A NCAC 09 .0302(d)(2) 1898 Staff did not complete the health and safety training within one year of employment. Staff employed on 6/23/23 did not have documentation of completion of one out of eleven health and safety training topics. .1102(a) 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. The violation(s) documented must be corrected immediately. On or before May 6, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Supervision-Proper supervision is essential to maintaining children’s safety. During the visit, a child, eight years of age, exited space C and went to the director’s office unaccompanied by staff. It was reported that the child has attempted to leave their assigned classroom in the past. Staff must position themselves strategically to see and hear all children, actively scan the environment, and avoid distractions such as mobile devices. Supervision includes anticipating potential risks, especially during transitions and high-traffic times. For children with specific needs, a heightened level of supervision is required. This may include assigning a primary staff member to closely monitor, maintaining proximity and implementing individualized safety plans. Environmental supports such as secured exits, visual cues, and clear boundaries are important. Staff should be trained to recognize triggers for elopement and use proactive strategies, such as offering structured choices and maintaining predictable routines. Communication among staff is critical so everyone is aware of the child’s needs and supervision plan at all times. Record Keeping- Accurate and up-to-date record keeping is a foundational requirement and key component of program accountability. Documentation of the completion of medication in child care was not on file for staff employed 6/23/23. You shared the staff had completed the health and safety training on the Moodle platform and during today’s visit was made aware the medication training must be registered for separately. Documentation of the orientation topic: Prevention and control of infectious diseases, including immunizations was not on file for two staff employed on 3/30/26. You shared that documentation of orientation was a clerical error. The staff did complete the training as you have an established orientation packet. Staff employed on 9/9/25 did not have documentation of First Aid certification on file for review. You shared the training card was filed under a different administrator and you became aware of this during today’s visit. As a reminder, Basic Life Support certification does not include First Aid training. Staff employed on 3/30/26 had TB test results dated 3/26/25. You shared the information was filed prior to the staff member reporting to the site. A child enrolled on 1/12/24 had a health assessment on file dated 1/10/23 and an immunization record dated 4/3/24. You shared the child was enrolled prior to you becoming the site administrator and you were informed the child enrolled in 2023 and updated the application and immunization records in 2024. An original application and immunization records to support the claim were not located during the visit. You shared your current practice is to have parents turn in a health assessment and immunization record on or before the first day of care, so you have time to review them. Be sure to look at the assessment date as well as the date the form was completed as these dates may differ. Revisit all the staff records to ensure all documentation, trainings, and certification are current and accurate. Continue with your current process for children’s records and review a selection of files weekly to be aware of records needed or if there are existing issues in the file. Fire Inspection-License child care centers must maintain compliance with fire safety regulations, which is ensured through an approved fire inspection. An inspection is required to be completed annually, and an approved inspection must be submitted to the Division within one week of the approved inspections. An inspection was completed on 8/21/24 and the next inspection was completed on 10/23/25. You reported that an inspection was attempted prior to 10/23/25, however some violations needed to be addressed before getting a passing inspection. You also stated that you were not aware an approved inspection must be submitted. We reviewed the requirement of child care rule 10A NCAC 09 .0304(a). We discussed having the fire system inspection at least one month prior to the inspection month to allow time for any correction and have an approved inspection in a timely manner. Consultation: Staff/Child Interactions- Effective communication with young children begins with intentional voice tone and language. Staff should use calm, warm and respectful tones that model the kinds of interactions expected in the classroom. Directions should be clear, concise, and developmentally appropriate. Sarcasm and negative phrasing should be avoided. Today, I observed staff using phrases such as “no” and “stop” in elevated, firm tones. For example, instead of saying “No, stop running,” staff can reframe the word: “Used walking feet inside.” This type of language supports the child’s understanding of expectations as well as promotes positive behavior. Caregivers can also narrate actions, label emotions, and engage in meaningful back-and forth conversations to build the child’s vocabulary and social-emotional skills. Materials-Providing a wide variety of materials in the indoor and outdoor environments is critical for supporting children’s development across all domains. Materials should be accessible to children, encouraging their independence and choice. Today I observed portable climbing structures and some portable toys. Remember the outdoor environment is an extension of the classroom. Outdoor materials should encourage gross motor activity including balls, bats or paddles, and buckets. Materials may also include art opportunities, space or imaginative play and science/nature. Pathways to the Stars- Your program is choosing the Program Assessment Pathway. Today we discussed where you are in the process. You plan to begin the three-month self-study no later than May 4, 2026. We reviewed the North Carolina Rated License Assessment Project (NCRLAP) website and the pages associated with the self-study and training opportunities. You have contacted the Martin-Pitt Partnership for Children to get assistance with the Environmental Rating Scales. Per our conversation, you plan to submit your Rated License Application in August 2026. Please be sure to communicate any of your needs or barriers as you move forward. Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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 .0806 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0126-098L Visit Date: 1/22/2026 Number Present: 13 Completed Date: 1/22/2026 Age: From 4 To 5 Total Minutes: 157 Time In: 10:30 AM Time Out: 12:42 PM Time In: 02:50 PM Time Out: 03:15 PM 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 child care requirements. Jennifer Bradshaw Garrett, Child Care Consultant, accompanied me during the visit. The allegations are as follows: There are concerns that children are not being provided with adequate supervision. There are concerns that sanitation guidelines are not being followed. Enrollment: Space F Staff- A. Raysor Fourteen (14) children four years of age enrolled; eleven (11) children four years of age present Four (4) children five years of age enrolled; two (2) children five years of age present One group of children was observed in the indoor and outdoor environment. In the outdoor space, children were observed playing with the outdoor kitchen set, playing tag, and participating in teacher lead races. In the indoor environment, child transitioned to lunch by washing hands and sitting at the table. The staff read “Might Construction” as the group waited for lunch to be delivered to the classroom. Today’s menu consisted of chicken sandwiches, sweet potato fries, broccoli, and milk. Regarding the allegation that children are not being provided with adequate supervision, I completed classroom observations, reviewed live feed, interviewed the administrator and classroom staff. Previously recorded video footage was requested from on-site and off-site administration and was unavailable during the visit. Children were observed in the indoor and outdoor environment. The teacher positioned herself to be able to see and hear children in care. The staff walked about the in the indoor and outdoor spaces while observing children as they play and transitioned. It was reported that staff are to engage with children at all time, move about the spaces and be actively watching and listening to the children. Staff described supervision as “making sure no one gets hurt”, “make sure you know what children are doing”, and “keeping an eye on all of them”. Based on the above information the allegation was unconfirmed. Based on the information provided regarding concerns of the facility not following sanitation guidelines are not being followed. I completed classroom observations, reviewed live feed. Previously recorded video footage was requested from on-site and off-site administration and was unavailable during the visit. Additionally, I interviewed the administrator and caregivers regarding sanitation practices including toileting and diapering. It was reported that children go to the restroom when they ask to go. The staff encourages the group to go after mealtimes, before and after nap time and before going outside. Additionally, staff reported that if a child is in underwear but has nap time accidents, they are woken up after one hour to go to the restroom to prevent accidents. It was also reported that children in training pants, are checked upon arrival, check or changed after lunch time, when the child wakes up, and “a couple hours after nap”. The facility has a 9:00 am cut off arrival time. The posted schedule reflects lunch time as 11:15-11:45 and nap time as 12:00pm-2:15pm. It was observed that during handwashing, seven (7) children were observed getting soap and immediately placing their hands under the running water with out lathering. Based on the above information, this allegation was confirmed. The following violations were observed. Violation Number Comment Rule 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. It was reported that in training pants are checked upon arrival, checked or changed after lunch, checked or changed after nap, and then again a couple hours after nap. 10A NCAC 09 .0806(a) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. Staff was observed telling a child "I don't like it, 3, 2" and "Are you done? Turn it off, turn it off" as the child sat alone crying for nine (9) minutes. .1803(a)(9) 9995 A violation was found for which there is no item number. The exterior door of space F was propped open while the group was engaging in outdoor free play. This is a violation of sanitation rule 15A NCAC 18A .2831(c). Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 5, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Discipline- Conventional discipline too easily slides into punishment. For example, if we embarrass children by singling them out as part of our discipline strategy, this is punishment. Today, I observed one child sitting at the picnic table. The child was crying and screaming “I want to play” the staff periodically walked over to the child and reminded them that they do not play rough and asked the child “Are you done? Turn it off. Turn it off.” The child was observed seated at the table for nine (9) minutes before walking over to the group of children that were participating in a teacher lead race. When speaking with another child in the outdoor space, the staff said, “I don’t’ like it, 3, 2.” In the classroom space the teacher said “(child’s name), 3, 2, 1, put it in your cubby”, referring to the child’s coat. Punishment makes young children feel stressed, hurt, rejected, and angry; these feelings make it harder for children to learn emotional and social skills. Review child care rule section .1803 with your staff. Additional training and observations may be required. Toileting/Diapering-Children must be changed when they are soiled or wet. It was reported that children in training pants, are checked upon arrival, check or changed after lunch time, when the child wakes up, and “a couple hours after nap”. Review the sanitation requirements with staff and complete classroom observations to ensure practices are being followed as required. Door Propping- Propping the door open allows opportunity for pests to enter the building and poses a safety risk. The exterior door of space F was propped open with a chair. It was reported that there was no key for that exterior door and staff were not to prop it open. Staff were to close the door and walkie for assistance when they are ready to re-enter the building. Keep all exterior doors closed and obtain operational keys for staff and children to able to move freely in and out of the building. A violation was documented for failure to maintain compliance with discipline requirements. Violations of this nature directly impact the safety of the children while in your care. In addition, these types of violations have the greatest negative impact on your compliance history. During the visit, we discussed that confirmed complaints and repeated violations of this nature during consecutive visits may result in the issuance of an administrative action. A follow-up visit may be conducted in the near future to monitor compliance with child care requirements. Consultation: Sanitizing Hard Surfaces- It's important to follow standard cleaning procedures. To clean surfaces, use a product that is suitable for each surface and follow the instructions on the product label. When preparing for meals, cleaning and sanitizing immediately before use is best practice. Today it was observed tables were not cleaned before lunch was served. It was reported that the tables were cleaned and sanitized prior to going outside. The group was outside for approximately thirty minutes. Cleaning the tables too early allows opportunities for time for contaminants to make contact with the surface of the table used for meals. Clean surfaces with soap and water, and the spray sanitizing solution and allow for the appropriate contact time. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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.

NC GS 110-90 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0126-098L Visit Date: 1/22/2026 Number Present: 13 Completed Date: 1/22/2026 Age: From 4 To 5 Total Minutes: 157 Time In: 10:30 AM Time Out: 12:42 PM Time In: 02:50 PM Time Out: 03:15 PM 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 child care requirements. Jennifer Bradshaw Garrett, Child Care Consultant, accompanied me during the visit. The allegations are as follows: There are concerns that children are not being provided with adequate supervision. There are concerns that sanitation guidelines are not being followed. Enrollment: Space F Staff- A. Raysor Fourteen (14) children four years of age enrolled; eleven (11) children four years of age present Four (4) children five years of age enrolled; two (2) children five years of age present One group of children was observed in the indoor and outdoor environment. In the outdoor space, children were observed playing with the outdoor kitchen set, playing tag, and participating in teacher lead races. In the indoor environment, child transitioned to lunch by washing hands and sitting at the table. The staff read “Might Construction” as the group waited for lunch to be delivered to the classroom. Today’s menu consisted of chicken sandwiches, sweet potato fries, broccoli, and milk. Regarding the allegation that children are not being provided with adequate supervision, I completed classroom observations, reviewed live feed, interviewed the administrator and classroom staff. Previously recorded video footage was requested from on-site and off-site administration and was unavailable during the visit. Children were observed in the indoor and outdoor environment. The teacher positioned herself to be able to see and hear children in care. The staff walked about the in the indoor and outdoor spaces while observing children as they play and transitioned. It was reported that staff are to engage with children at all time, move about the spaces and be actively watching and listening to the children. Staff described supervision as “making sure no one gets hurt”, “make sure you know what children are doing”, and “keeping an eye on all of them”. Based on the above information the allegation was unconfirmed. Based on the information provided regarding concerns of the facility not following sanitation guidelines are not being followed. I completed classroom observations, reviewed live feed. Previously recorded video footage was requested from on-site and off-site administration and was unavailable during the visit. Additionally, I interviewed the administrator and caregivers regarding sanitation practices including toileting and diapering. It was reported that children go to the restroom when they ask to go. The staff encourages the group to go after mealtimes, before and after nap time and before going outside. Additionally, staff reported that if a child is in underwear but has nap time accidents, they are woken up after one hour to go to the restroom to prevent accidents. It was also reported that children in training pants, are checked upon arrival, check or changed after lunch time, when the child wakes up, and “a couple hours after nap”. The facility has a 9:00 am cut off arrival time. The posted schedule reflects lunch time as 11:15-11:45 and nap time as 12:00pm-2:15pm. It was observed that during handwashing, seven (7) children were observed getting soap and immediately placing their hands under the running water with out lathering. Based on the above information, this allegation was confirmed. The following violations were observed. Violation Number Comment Rule 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. It was reported that in training pants are checked upon arrival, checked or changed after lunch, checked or changed after nap, and then again a couple hours after nap. 10A NCAC 09 .0806(a) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. Staff was observed telling a child "I don't like it, 3, 2" and "Are you done? Turn it off, turn it off" as the child sat alone crying for nine (9) minutes. .1803(a)(9) 9995 A violation was found for which there is no item number. The exterior door of space F was propped open while the group was engaging in outdoor free play. This is a violation of sanitation rule 15A NCAC 18A .2831(c). Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 5, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Discipline- Conventional discipline too easily slides into punishment. For example, if we embarrass children by singling them out as part of our discipline strategy, this is punishment. Today, I observed one child sitting at the picnic table. The child was crying and screaming “I want to play” the staff periodically walked over to the child and reminded them that they do not play rough and asked the child “Are you done? Turn it off. Turn it off.” The child was observed seated at the table for nine (9) minutes before walking over to the group of children that were participating in a teacher lead race. When speaking with another child in the outdoor space, the staff said, “I don’t’ like it, 3, 2.” In the classroom space the teacher said “(child’s name), 3, 2, 1, put it in your cubby”, referring to the child’s coat. Punishment makes young children feel stressed, hurt, rejected, and angry; these feelings make it harder for children to learn emotional and social skills. Review child care rule section .1803 with your staff. Additional training and observations may be required. Toileting/Diapering-Children must be changed when they are soiled or wet. It was reported that children in training pants, are checked upon arrival, check or changed after lunch time, when the child wakes up, and “a couple hours after nap”. Review the sanitation requirements with staff and complete classroom observations to ensure practices are being followed as required. Door Propping- Propping the door open allows opportunity for pests to enter the building and poses a safety risk. The exterior door of space F was propped open with a chair. It was reported that there was no key for that exterior door and staff were not to prop it open. Staff were to close the door and walkie for assistance when they are ready to re-enter the building. Keep all exterior doors closed and obtain operational keys for staff and children to able to move freely in and out of the building. A violation was documented for failure to maintain compliance with discipline requirements. Violations of this nature directly impact the safety of the children while in your care. In addition, these types of violations have the greatest negative impact on your compliance history. During the visit, we discussed that confirmed complaints and repeated violations of this nature during consecutive visits may result in the issuance of an administrative action. A follow-up visit may be conducted in the near future to monitor compliance with child care requirements. Consultation: Sanitizing Hard Surfaces- It's important to follow standard cleaning procedures. To clean surfaces, use a product that is suitable for each surface and follow the instructions on the product label. When preparing for meals, cleaning and sanitizing immediately before use is best practice. Today it was observed tables were not cleaned before lunch was served. It was reported that the tables were cleaned and sanitized prior to going outside. The group was outside for approximately thirty minutes. Cleaning the tables too early allows opportunities for time for contaminants to make contact with the surface of the table used for meals. Clean surfaces with soap and water, and the spray sanitizing solution and allow for the appropriate contact time. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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 .0803 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 11/5/2025 Number Present: 63 Completed Date: 11/5/2025 Age: From 0 To 5 Total Minutes: 202 Time In: 01:38 PM Time Out: 05:00 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 child care requirements for a routine unannounced visit and to provide technical assistance on section .3200 of the child care rules. K. Mack, Director, assisted me with today’s visit. Your program currently operates with a three-star license, issued 12/8/23, earning 5 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option for meeting the staff benefits package and infrastructure of parent involvement standards. The center's compliance history was reviewed with the operator. The program’s compliance history was eight-one percent as of 11/3/25. The NC Secretary of State website was reviewed on 11/4/25 and 4890 Old Tar Road, LLC was listed as current- active. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. Six groups of children were observed in the indoor spaces. Children rested on their individual cots and in cribs. Staff sat with children that were not resting and provided quiet activities such as reading books for children that were not sleeping. When children woke from nap, teachers assisted the children with their routine care before having snack at the child sized tables. Files for new staff were reviewed. The following violations were observed. Violation Number Comment Rule 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. One canister of disinfectant wipes was stored in an unlocked cabinet in space D. One canister of disinfectant wipes, two spray bottles containing Fabuloso, and one bottle of Lysol Multipurpose spray was stored in a cabinet, using a child safety lock in space F. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One Xopenex inhaler was not accompanied with a medication authorization form. One Ventolin HFA inhaler had an authorization form that expired on 11/1/25. 10A NCAC 09 .0803(1)(a & b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff employed on 7/2/25 did not have documentation of orientation on file for review. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff employed on 7/2/25 and 7/21/25 did not have First Aid certification on file for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff employed on 7/2/25 and 7/21/25 did not have CPR certification on file for review. .1102(d) 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. The violation(s) documented must be corrected immediately. On or before 11/19/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Staff Records – Maintaining accurate documentation in your center is critical in demonstrating compliance with the child care rules and to ensuring that your staff meet the requirements to provide a healthy and safe environment for the children in their care. Documentation of orientation was not on file for staff employed on 7/21/25. The staff completed orientation under another administrator and the documentation form could not be located during the visit. You will have to redo orientation with the staff if the original documentation cannot be located. New orientation practices have been put in place since this staff was employed. Documentation of completion of First Aid and CPR training was not on file for staff employed on 7/2/25 and 7/21/25. We discussed your current orientation and documentation practices. You reported staff are registered for a First Aid and CPR training scheduled for 11/15/25. Medication Authorization- All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. One Xopenex inhaler was not accompanied with a medication authorization form. One Ventolin HFA inhaler had an authorization form that expired on 11/1/25. You stated that you have an assigned staff member to monitor the medications monthly. I strongly encourage you to review the child care rules regarding medication and share them with staff. It may be helpful to create a checklist for staff to assist them in making sure requirements regarding permission, storage and administration are met. I also encourage you to check the classroom medicine boxes on a regular basis as an additional monitoring measure. Storage of Hazardous Items- Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Today, one canister of disinfectant wipes was stored in an unlocked cabinet in space D. One canister of disinfectant wipes, two spray bottles containing Fabuloso, and one bottle of Lysol Multipurpose spray was stored in a cabinet, using a child safety lock in space F. Regular childproofing locks do not meet this requirement. A hazardous items storage poster was provided for you during the visit. Consultation: Pathways to the Stars- Pathways to the Stars- During the visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. You informed me that your facility will pursue Pathway #2: Classroom and Instructional Quality. Education Standards: Today we reviewed the education standards. All staff need to review and update their education in WORKS by February 2026. An application for Star Rated License is due to me by June 2026. Playground Inspections- When completing the outdoor inspections be sure to look for the wear and tear of the materials. During this time observe all stationary and portable materials. You may need to complete multiple inspections daily depending on the needs and usage of the areas, for example after the rain. Additional information: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. Licensing Fees- The 2025 annual license fee invoices were emailed to the facility address on file by November 3, 2025. Online payments will be due by December 3, 2025. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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.

NC GS 110-90 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 11/5/2025 Number Present: 63 Completed Date: 11/5/2025 Age: From 0 To 5 Total Minutes: 202 Time In: 01:38 PM Time Out: 05:00 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 child care requirements for a routine unannounced visit and to provide technical assistance on section .3200 of the child care rules. K. Mack, Director, assisted me with today’s visit. Your program currently operates with a three-star license, issued 12/8/23, earning 5 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option for meeting the staff benefits package and infrastructure of parent involvement standards. The center's compliance history was reviewed with the operator. The program’s compliance history was eight-one percent as of 11/3/25. The NC Secretary of State website was reviewed on 11/4/25 and 4890 Old Tar Road, LLC was listed as current- active. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. Six groups of children were observed in the indoor spaces. Children rested on their individual cots and in cribs. Staff sat with children that were not resting and provided quiet activities such as reading books for children that were not sleeping. When children woke from nap, teachers assisted the children with their routine care before having snack at the child sized tables. Files for new staff were reviewed. The following violations were observed. Violation Number Comment Rule 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. One canister of disinfectant wipes was stored in an unlocked cabinet in space D. One canister of disinfectant wipes, two spray bottles containing Fabuloso, and one bottle of Lysol Multipurpose spray was stored in a cabinet, using a child safety lock in space F. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One Xopenex inhaler was not accompanied with a medication authorization form. One Ventolin HFA inhaler had an authorization form that expired on 11/1/25. 10A NCAC 09 .0803(1)(a & b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff employed on 7/2/25 did not have documentation of orientation on file for review. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff employed on 7/2/25 and 7/21/25 did not have First Aid certification on file for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff employed on 7/2/25 and 7/21/25 did not have CPR certification on file for review. .1102(d) 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. The violation(s) documented must be corrected immediately. On or before 11/19/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Staff Records – Maintaining accurate documentation in your center is critical in demonstrating compliance with the child care rules and to ensuring that your staff meet the requirements to provide a healthy and safe environment for the children in their care. Documentation of orientation was not on file for staff employed on 7/21/25. The staff completed orientation under another administrator and the documentation form could not be located during the visit. You will have to redo orientation with the staff if the original documentation cannot be located. New orientation practices have been put in place since this staff was employed. Documentation of completion of First Aid and CPR training was not on file for staff employed on 7/2/25 and 7/21/25. We discussed your current orientation and documentation practices. You reported staff are registered for a First Aid and CPR training scheduled for 11/15/25. Medication Authorization- All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. One Xopenex inhaler was not accompanied with a medication authorization form. One Ventolin HFA inhaler had an authorization form that expired on 11/1/25. You stated that you have an assigned staff member to monitor the medications monthly. I strongly encourage you to review the child care rules regarding medication and share them with staff. It may be helpful to create a checklist for staff to assist them in making sure requirements regarding permission, storage and administration are met. I also encourage you to check the classroom medicine boxes on a regular basis as an additional monitoring measure. Storage of Hazardous Items- Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Today, one canister of disinfectant wipes was stored in an unlocked cabinet in space D. One canister of disinfectant wipes, two spray bottles containing Fabuloso, and one bottle of Lysol Multipurpose spray was stored in a cabinet, using a child safety lock in space F. Regular childproofing locks do not meet this requirement. A hazardous items storage poster was provided for you during the visit. Consultation: Pathways to the Stars- Pathways to the Stars- During the visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. You informed me that your facility will pursue Pathway #2: Classroom and Instructional Quality. Education Standards: Today we reviewed the education standards. All staff need to review and update their education in WORKS by February 2026. An application for Star Rated License is due to me by June 2026. Playground Inspections- When completing the outdoor inspections be sure to look for the wear and tear of the materials. During this time observe all stationary and portable materials. You may need to complete multiple inspections daily depending on the needs and usage of the areas, for example after the rain. Additional information: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. Licensing Fees- The 2025 annual license fee invoices were emailed to the facility address on file by November 3, 2025. Online payments will be due by December 3, 2025. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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

NC GS 110-90 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0525-194L Visit Date: 5/22/2025 Number Present: 25 Completed Date: 5/22/2025 Age: From 2 To 4 Total Minutes: 259 Time In: 10:26 AM Time Out: 02:45 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 child care requirements. The allegations are as follows: There are concerns that sanitation guidelines are not being followed. There are concerns that children developmental needs are not being met. There are concerns that parents or guardians were not allowed access to the center during operating hours. Enrollment: Space D: Staff-S. Lane, A. Hogdin Fifteen children, three years of age enrolled, fifteen children, three years of age present One child, four years of age enrolled, one child, four years of age present Space G: Staff-T. Williams, C. Joyner Fourteen children, two years of age enrolled, nine children, two years of age present Staff/child ratio, group size, and supervision were monitored. Children were observed in the indoor learning environment. Children were transitioning, participating in personal care routines and meal time. Lunch was observed and consisted of chicken and gravy, mashed potatoes, mixed vegetables, peaches, bread, and milk. Staff were observed moving about the spaces, assisting children with their personal care routines and cleaning the spaces. Based on the information provided regarding concerns of sanitation guidelines not being followed, classroom observations and select staff interviews were completed. Today I observed proper diapering procedure being followed. Proper handwashing techniques were used by children and staff. Staff used soapy water, clear water, and sanitizing solutions to clean the tables before and after meals. The hands of staff and children were washed following cleaning a child’s nose. It was reported that children were to wash their hands before and after meals, after outdoor play, after bathroom/diapering and when needed when hands are dirty. Toys are cleaned daily and a deep clean is done weekly. Daily checklists are completed and staff are to signoff on it when task are completed. Based on the above information, this allegation was unconfirmed. Regarding the allegation that children’s developmental needs are not being met, classroom observations and select staff were interviewed. It was reported that staff do assessments using the Frog Street Curriculum. Staff use this knowledge to do activities with the kids and build their skills. When concerns arise, they are shared with the administrator and then shared with families. If there are known needs, staff give the child more one on one and assist them with activities. Teachers assist children with toileting and diapering needs. Based on the above information the allegation was unconfirmed. Regarding the allegation that parents or guardians were not allowed access to the center during operating hours, select staff were interviewed. It was reported that there was a period of two weeks where the doorbell was not on the entrance door. The parent could not use the key pad to gain entry of the building and had to knock and wait to gain entry to the building. Based on the above information the allegation was confirmed. The following violations were observed. Violation Number Comment Rule 101 Parent or guardian of child was not allowed access to the center during operating hours for the purpose of contacting the child or evaluating the caregiving space at the center and the care provided. A parent was not allowed access to the center for a period of two weeks due to not being able to use the key pad and no doorbell was available. .0205(a) 853 Incident logs were not completed and maintained as required. The last entry on the incident log was 2/17/25. Additional reports beyond that date were present in the incident report book. .0802(g)(1-6) 1952 A copy of the incident report was not given to the parent. Eight incident reports did not contain a parent signature nor parent initials for refusing a copy of the report. .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. The violation(s) documented must be corrected immediately. On or before 6/5/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Parent Access- All parents and guardians must have access to the child care center to assess the facility and care being provided. A parent was not able to access the building during a period of time where there was no doorbell available. It was reported that the doorbell stopped working and the two week period was to wait for the new doorbell to arrive. Review your current practices to see if there is way to improve the accessibility and what accommodations can be made when the doorbell isn’t working properly. Incident Reports/Log- An incident report should be completed any time an incident occurs and the incident documented on the incident log. This log should include the name of the child, the date of the incident, the date the incident report was submitted to the Division, if applicable, and the name of the staff member who complete the incident report. An incident log must be cumulative, maintained in a separate file, and be available for review by a representative of the Division. The incident log reviewed today was incomplete, with the last entry documented as 2/17/25. Eight incident reports reviewed did not have parent signatures or initials. You reported that there are times it is difficult to get parents to sign the reports, but they are also notified in the ProCare app. We discussed your current practices for getting incident reports signed and logging them. Best practice would be to have the incident reports signed withing 24 hours and logged immediately. Please be reminded that confirmed complaints may result in the issuace of an adminstrative action. A follow up visit may be conducted in the near future to monitor complicance with child care requirements. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 76 Completed Date: 5/14/2025 Age: From 0 To 5 Total Minutes: 304 Time In: 09:11 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my May 7, 2025, Annual Compliance Visit. Six groups of children were observed in the indoor learning environment. Children enrolled in space A, were engaged in tummy time, napping and bottle feeding. In space B, children gathered on the floor with teachers, singing songs during group time. In spaces D, E, F, G, children were engaged in indoor free play with learning materials that were stored on low lying shelves for easy access. The following violations documented during the May 7, 2025, visit were monitored for compliance during this visit: #526-Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated April 14, 2025 to April 18, 2025. This is a violation of a requirement in 10A NCAC 09 .0901(b). Today, I observed menus posted in the lobby and kitchen that was dated from May 12-May 31, 2025. #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 A, a child arrived to the classroom and was sat in a highchair for meal time without washing their hands. This is a violation of a requirement in 15A NCAC 18A .2803(c). Today, I observed children in space F, that attempted to wash their hands, but there was no soap available. #805-Fire drills were not practiced monthly and/or the drill record was incomplete. The file drill log did not include documentation of a file drill for April 2025. This is a violation of a requirement in .0604(t); .0302(d)(5). No fire drill has occurred since the last visit. It was reported that on May 8, 2025, a monthly calendar invite has been created and upon completion of the drill, the administrator is required to submit the updated drill log to the facility Operations Manager. #807- A safe indoor and outdoor environment was not provided for the children. Four active wasp nest were observed in outdoor space #1, in the playhouse and on the eave of the building. This is a violation of a requirement in 10A NCAC 09 .0601(a). Today there was one active wasp nest on the eave of the building on outdoor space #1. There was also a water leak, with hanging drywall in space G. #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. One canister of Disinfectant Wipes and one bottle of Windex was stored in an unlocked cabinet of the unlocked bathroom in space A. This is a violation of a requirement in .2820(b). Today, there was one spray bottle of sanitizer, disinfectant, and soapy water on the counter, below five feet in space F. #841-Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One bottle of Benadryl was stored in an unlocked bookbag, above five feet, in space G. This is a violation of a requirement in 15A NCAC 18A .2820(d). The bottle of Benadryl was stored in a locked cabinet, near the sink, of space G. All other medications were stored as required. #859-Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation of a playground inspection for November 2024 and December 2024 was not on file for review. This is a violation of a requirement in .0605(q). No new playground inspections have been completed since the last visit. It was reported that a on May 8, 2025, calendar invite it set for each month and following the inspection, the documentation is sent to the Operations Manager for review. #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. Documentation for safe sleep checks for the months of April 2025 and May 2025 were not on file for review during the visit. This is a violation of a requirement in .0606(g). Safe sleep charts were available for review that were dated May 7, 2025 through May 14, 2025. A sleep chart was reviewed for a child that was asleep during the visit. The chart reflects the child went to sleep at 8:40am and woke up at 9:23 am. The chart did not reflect two checks that were required during that 43 minute time frame. #1048-All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Current First Aid certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. This is a violation of a requirement in .1102(c). First Aid cards were not available for the staff employed on 6/7/23, 2/5/24, and 2/3/25. It was reported that the staff completed the training in February 2025. Administration contacted the trainer on 5/7/25 and tech support concerning getting a copy of the cards. You are still working on a resolution. #1049- All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Current CPR certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. This is a violation of a requirement in .1102(d). CPR cards were not available for the staff employed on 6/7/23, 2/5/24, and 2/3/25. It was reported that the staff completed the training in February 2025. Administration contacted the trainer on 5/7/25 and tech support concerning getting a copy of the cards. You are still working on a resolution. #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. Staff employed 6/7/23 has ITS-SIDS training that expired on 3/29/25. This is a violation of a requirement in .1102(f). Staff employed on 6/7/23 has registered for an ITS-SIDS training on June 17, 2025. Registration confirmation was reviewed during the visit. #1321- Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for a child enrolled on 12/19/23 was dated 2/5/24. This is a violation of a requirement in GS110-91(1). It was reported that your current practice requires a health assessment for children upon enrollment. One file, of a newly enroll child, was reviewed and a medical exam was one file. #1323- Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization records on file for a child enrolled on 12/18/23 was dated 8/9/24. This is a violation of a requirement in 10A NCAC 09 .0302(d)(2). It was reported that your current practice requires a copy of immunizations records for children upon enrollment. One file, of a newly enrolled child, was reviewed and an immunization record was on file. #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 EPR Plan was last reviewed/revised on 4/29/24. This is a violation of a requirement in .0607(e). The EPR Plan was reviewed and revised on 5/7/25. It was reported that you are still developing a plan to maintain compliance. #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. An asthma action plan was not of file for a child enrolled in space E. This is a violation of a requirement in .0801(b). The inhaler is no longer present in space E. It was reported that the inhaler was returned to the family on 5/8/25 and you requested a copy of the asthma action plan to be returned with the medication if it is still needed. #1898-Staff did not complete the health and safety training within one year of employment. Staff employed on 11/6/23 and 5/6/24 did not complete the health and safety training within one year of employment. This is a violation of a requirement in .1102(a). Staff were employed on 11/6/23 and 5/6/24 have begun completing health and safety trainings. Copies of the completed trainings were on file for review. It was reported there are scheduled times for staff to have classroom coverage to be able to complete the trainings onsite. The following violations were documented today and included three (3) repeated violations as reflected in the violation customization. As stated in the May 7, 2025, visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. Today, item # 807 regarding a safe indoor and outdoor environment, #840 concerning storage of hazardous times, and #887 concerning the documentation of safe sleep checks were cited again. During the May 7, 2025 visit, item# 840 was corrected during the visit by locking the closet where the Windex and Disinfectant Wipes were stored. Today, I observed spray bottles of sanitizer solution, disinfectant solution, and soapy water solution present on the sink counter, below five feet, in space F. Technical assistance (TA) was provided during the May 7, 2025 visit and was recorded on the visit summary reviewed and left with you at the end of the visit. TA for item #807 including regular inspection outdoor space including while the space is in use. For item #887, TA included completing the checks and administrative staff completing periodic checks to ensure the check are documented as required. Repeat violations demonstrate a pattern of noncompliance and may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). You will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. As stated in the May 7, 2025, visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of six of the sixteen violations. Violations requiring additional time for correction, must be addressed immediately to ensure a safe environment for the children in your care. The following violations were documented: Violation Number Comment Rule 303 Children were not adequately supervised at all times. During a transition from outdoors to the classroom, six (6) children two years of age, passed through space G and entered space E for sixteen (16), where there was no staff present. .1801(a)(1-5) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. An empty soap bottle was stored above five feet in the bathroom of space F and three children did not have soap to use after using the bathroom. 15A NCAC 18A .2818(b) & (d) 807 A safe indoor and outdoor environment was not provided for the children. One active wasp nest was present on the eave of the building above the door to space B, on outdoor space #1. There was a ceiling leak with broken drywall in space G. 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 bottle of sanitizer solution, disinfectant solution, and soapy water solution, used for classroom cleaning, was stored on the sink counter, below five feet. .2820(b) 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. One safe sleep chart for a child asleep during the visit reflect the child falling asleep at 8:40 am and waking at 9:23 am. No other documentation of visual checks were documented. .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. The violation(s) documented must be corrected immediately. On or before May 28, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Supervision of Children- Supervising children is a critical component of ensuring the safety and well-being of all children. Staff must be actively engaged at all times for this to occur. Today, there were six children that left their teacher, who was in space G and entered space E, where there was no staff. The children were alone for sixteen (16) seconds until the administrator entered the room as she responded to the commotion hear in the hallway. Today, we discussed how the transitions from outdoor to indoor may need to be revised. Providing additional staff to groups serving younger children can help expedite the transition and provide more adults to supervise the children as they move from one space to another. Review Child Care Rule 10A NCAC 09 .1801 regarding supervision with all your staff. Storage of Hazardous Items- Please review child care rule 10A NCAC 09 .0604 regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. Today, the daily cleaning solutions were stored on the counter, next to the classroom sink. You stated that the classroom has designated space in the cabinet for the spray bottles to be stored. We discussed installing an open shelf, above five feet, for the bottles to be stored for easier access to the staff. Review the Hazardous Items Storage poster with your staff and provide copies for each classroom as a visual reminder. A copy was provided to you during the visit and additional copies can be found on the Division’s website under Provider Documents. Safe Sleep Checks- Safe sleep checks should be documented every 15 minutes to ensure consistent monitoring of infants, allowing for early detection of potential risks like distress or overheating. This documentation helps maintain accountability, improves communication among caregivers, and provides parents/guardians with access to information about their child's sleep patterns. Today, there was a 43 minute period where a safe sleep check was not documented. During the visit you gathered timers for the staff in space A, to use to remind them to complete and document safe sleep checks. Staff may benefit from additional training such as Prevention of Sudden Infant Death Syndrome and Use of Safe Sleeping Practices on DCDEE Moodle. Handwashing- Hand hygiene is the most important way to reduce the spread of infection. For hand washing to be effective, there must be access to warm running water, soap, and individual drying towels. During handwashing for children in space F did not have soap in the bathroom. Upon request, soap with provided to the children. Today, we discussed why the soap was being stored above five feet. We discussed installing a shelf or basket beside the sink to hold the dispensers for easy access. During your daily walk through of the building, check to ensure each space has the materials required to keep children healthy and safe. Safe Indoor/Outdoor environments- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. Today, there was an active wasp nest on outdoor space #1. There was a leaking ceiling with hanging dry wall in space G. You shared that the a workorder was put in on 5/7/25 for the wasp nest. A facilities maintenance member came to remove the nest on 5/12/25 and that remaining nest must have been omitted by mistake. Children did not use outdoor space #1 due to the rain. It was reported that a ceiling leak was discovered on 5/14/25 and a work order was placed by C. Toler. Upon your discovery of the ceiling, you closed the classroom and moved the children to a different space and confirmed the work order was put in. Technical assistance was provided about completing daily inspections of all indoor and outdoor spaces prior to being used by children to ensure they are hazard free. We talked about how staff are to report hazards and what step can be taken to ensure hazards are handled immediately. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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 .0302 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 76 Completed Date: 5/14/2025 Age: From 0 To 5 Total Minutes: 304 Time In: 09:11 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my May 7, 2025, Annual Compliance Visit. Six groups of children were observed in the indoor learning environment. Children enrolled in space A, were engaged in tummy time, napping and bottle feeding. In space B, children gathered on the floor with teachers, singing songs during group time. In spaces D, E, F, G, children were engaged in indoor free play with learning materials that were stored on low lying shelves for easy access. The following violations documented during the May 7, 2025, visit were monitored for compliance during this visit: #526-Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated April 14, 2025 to April 18, 2025. This is a violation of a requirement in 10A NCAC 09 .0901(b). Today, I observed menus posted in the lobby and kitchen that was dated from May 12-May 31, 2025. #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 A, a child arrived to the classroom and was sat in a highchair for meal time without washing their hands. This is a violation of a requirement in 15A NCAC 18A .2803(c). Today, I observed children in space F, that attempted to wash their hands, but there was no soap available. #805-Fire drills were not practiced monthly and/or the drill record was incomplete. The file drill log did not include documentation of a file drill for April 2025. This is a violation of a requirement in .0604(t); .0302(d)(5). No fire drill has occurred since the last visit. It was reported that on May 8, 2025, a monthly calendar invite has been created and upon completion of the drill, the administrator is required to submit the updated drill log to the facility Operations Manager. #807- A safe indoor and outdoor environment was not provided for the children. Four active wasp nest were observed in outdoor space #1, in the playhouse and on the eave of the building. This is a violation of a requirement in 10A NCAC 09 .0601(a). Today there was one active wasp nest on the eave of the building on outdoor space #1. There was also a water leak, with hanging drywall in space G. #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. One canister of Disinfectant Wipes and one bottle of Windex was stored in an unlocked cabinet of the unlocked bathroom in space A. This is a violation of a requirement in .2820(b). Today, there was one spray bottle of sanitizer, disinfectant, and soapy water on the counter, below five feet in space F. #841-Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One bottle of Benadryl was stored in an unlocked bookbag, above five feet, in space G. This is a violation of a requirement in 15A NCAC 18A .2820(d). The bottle of Benadryl was stored in a locked cabinet, near the sink, of space G. All other medications were stored as required. #859-Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation of a playground inspection for November 2024 and December 2024 was not on file for review. This is a violation of a requirement in .0605(q). No new playground inspections have been completed since the last visit. It was reported that a on May 8, 2025, calendar invite it set for each month and following the inspection, the documentation is sent to the Operations Manager for review. #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. Documentation for safe sleep checks for the months of April 2025 and May 2025 were not on file for review during the visit. This is a violation of a requirement in .0606(g). Safe sleep charts were available for review that were dated May 7, 2025 through May 14, 2025. A sleep chart was reviewed for a child that was asleep during the visit. The chart reflects the child went to sleep at 8:40am and woke up at 9:23 am. The chart did not reflect two checks that were required during that 43 minute time frame. #1048-All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Current First Aid certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. This is a violation of a requirement in .1102(c). First Aid cards were not available for the staff employed on 6/7/23, 2/5/24, and 2/3/25. It was reported that the staff completed the training in February 2025. Administration contacted the trainer on 5/7/25 and tech support concerning getting a copy of the cards. You are still working on a resolution. #1049- All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Current CPR certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. This is a violation of a requirement in .1102(d). CPR cards were not available for the staff employed on 6/7/23, 2/5/24, and 2/3/25. It was reported that the staff completed the training in February 2025. Administration contacted the trainer on 5/7/25 and tech support concerning getting a copy of the cards. You are still working on a resolution. #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. Staff employed 6/7/23 has ITS-SIDS training that expired on 3/29/25. This is a violation of a requirement in .1102(f). Staff employed on 6/7/23 has registered for an ITS-SIDS training on June 17, 2025. Registration confirmation was reviewed during the visit. #1321- Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for a child enrolled on 12/19/23 was dated 2/5/24. This is a violation of a requirement in GS110-91(1). It was reported that your current practice requires a health assessment for children upon enrollment. One file, of a newly enroll child, was reviewed and a medical exam was one file. #1323- Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization records on file for a child enrolled on 12/18/23 was dated 8/9/24. This is a violation of a requirement in 10A NCAC 09 .0302(d)(2). It was reported that your current practice requires a copy of immunizations records for children upon enrollment. One file, of a newly enrolled child, was reviewed and an immunization record was on file. #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 EPR Plan was last reviewed/revised on 4/29/24. This is a violation of a requirement in .0607(e). The EPR Plan was reviewed and revised on 5/7/25. It was reported that you are still developing a plan to maintain compliance. #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. An asthma action plan was not of file for a child enrolled in space E. This is a violation of a requirement in .0801(b). The inhaler is no longer present in space E. It was reported that the inhaler was returned to the family on 5/8/25 and you requested a copy of the asthma action plan to be returned with the medication if it is still needed. #1898-Staff did not complete the health and safety training within one year of employment. Staff employed on 11/6/23 and 5/6/24 did not complete the health and safety training within one year of employment. This is a violation of a requirement in .1102(a). Staff were employed on 11/6/23 and 5/6/24 have begun completing health and safety trainings. Copies of the completed trainings were on file for review. It was reported there are scheduled times for staff to have classroom coverage to be able to complete the trainings onsite. The following violations were documented today and included three (3) repeated violations as reflected in the violation customization. As stated in the May 7, 2025, visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. Today, item # 807 regarding a safe indoor and outdoor environment, #840 concerning storage of hazardous times, and #887 concerning the documentation of safe sleep checks were cited again. During the May 7, 2025 visit, item# 840 was corrected during the visit by locking the closet where the Windex and Disinfectant Wipes were stored. Today, I observed spray bottles of sanitizer solution, disinfectant solution, and soapy water solution present on the sink counter, below five feet, in space F. Technical assistance (TA) was provided during the May 7, 2025 visit and was recorded on the visit summary reviewed and left with you at the end of the visit. TA for item #807 including regular inspection outdoor space including while the space is in use. For item #887, TA included completing the checks and administrative staff completing periodic checks to ensure the check are documented as required. Repeat violations demonstrate a pattern of noncompliance and may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). You will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. As stated in the May 7, 2025, visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of six of the sixteen violations. Violations requiring additional time for correction, must be addressed immediately to ensure a safe environment for the children in your care. The following violations were documented: Violation Number Comment Rule 303 Children were not adequately supervised at all times. During a transition from outdoors to the classroom, six (6) children two years of age, passed through space G and entered space E for sixteen (16), where there was no staff present. .1801(a)(1-5) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. An empty soap bottle was stored above five feet in the bathroom of space F and three children did not have soap to use after using the bathroom. 15A NCAC 18A .2818(b) & (d) 807 A safe indoor and outdoor environment was not provided for the children. One active wasp nest was present on the eave of the building above the door to space B, on outdoor space #1. There was a ceiling leak with broken drywall in space G. 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 bottle of sanitizer solution, disinfectant solution, and soapy water solution, used for classroom cleaning, was stored on the sink counter, below five feet. .2820(b) 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. One safe sleep chart for a child asleep during the visit reflect the child falling asleep at 8:40 am and waking at 9:23 am. No other documentation of visual checks were documented. .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. The violation(s) documented must be corrected immediately. On or before May 28, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Supervision of Children- Supervising children is a critical component of ensuring the safety and well-being of all children. Staff must be actively engaged at all times for this to occur. Today, there were six children that left their teacher, who was in space G and entered space E, where there was no staff. The children were alone for sixteen (16) seconds until the administrator entered the room as she responded to the commotion hear in the hallway. Today, we discussed how the transitions from outdoor to indoor may need to be revised. Providing additional staff to groups serving younger children can help expedite the transition and provide more adults to supervise the children as they move from one space to another. Review Child Care Rule 10A NCAC 09 .1801 regarding supervision with all your staff. Storage of Hazardous Items- Please review child care rule 10A NCAC 09 .0604 regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. Today, the daily cleaning solutions were stored on the counter, next to the classroom sink. You stated that the classroom has designated space in the cabinet for the spray bottles to be stored. We discussed installing an open shelf, above five feet, for the bottles to be stored for easier access to the staff. Review the Hazardous Items Storage poster with your staff and provide copies for each classroom as a visual reminder. A copy was provided to you during the visit and additional copies can be found on the Division’s website under Provider Documents. Safe Sleep Checks- Safe sleep checks should be documented every 15 minutes to ensure consistent monitoring of infants, allowing for early detection of potential risks like distress or overheating. This documentation helps maintain accountability, improves communication among caregivers, and provides parents/guardians with access to information about their child's sleep patterns. Today, there was a 43 minute period where a safe sleep check was not documented. During the visit you gathered timers for the staff in space A, to use to remind them to complete and document safe sleep checks. Staff may benefit from additional training such as Prevention of Sudden Infant Death Syndrome and Use of Safe Sleeping Practices on DCDEE Moodle. Handwashing- Hand hygiene is the most important way to reduce the spread of infection. For hand washing to be effective, there must be access to warm running water, soap, and individual drying towels. During handwashing for children in space F did not have soap in the bathroom. Upon request, soap with provided to the children. Today, we discussed why the soap was being stored above five feet. We discussed installing a shelf or basket beside the sink to hold the dispensers for easy access. During your daily walk through of the building, check to ensure each space has the materials required to keep children healthy and safe. Safe Indoor/Outdoor environments- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. Today, there was an active wasp nest on outdoor space #1. There was a leaking ceiling with hanging dry wall in space G. You shared that the a workorder was put in on 5/7/25 for the wasp nest. A facilities maintenance member came to remove the nest on 5/12/25 and that remaining nest must have been omitted by mistake. Children did not use outdoor space #1 due to the rain. It was reported that a ceiling leak was discovered on 5/14/25 and a work order was placed by C. Toler. Upon your discovery of the ceiling, you closed the classroom and moved the children to a different space and confirmed the work order was put in. Technical assistance was provided about completing daily inspections of all indoor and outdoor spaces prior to being used by children to ensure they are hazard free. We talked about how staff are to report hazards and what step can be taken to ensure hazards are handled immediately. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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 .0601 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 76 Completed Date: 5/14/2025 Age: From 0 To 5 Total Minutes: 304 Time In: 09:11 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my May 7, 2025, Annual Compliance Visit. Six groups of children were observed in the indoor learning environment. Children enrolled in space A, were engaged in tummy time, napping and bottle feeding. In space B, children gathered on the floor with teachers, singing songs during group time. In spaces D, E, F, G, children were engaged in indoor free play with learning materials that were stored on low lying shelves for easy access. The following violations documented during the May 7, 2025, visit were monitored for compliance during this visit: #526-Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated April 14, 2025 to April 18, 2025. This is a violation of a requirement in 10A NCAC 09 .0901(b). Today, I observed menus posted in the lobby and kitchen that was dated from May 12-May 31, 2025. #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 A, a child arrived to the classroom and was sat in a highchair for meal time without washing their hands. This is a violation of a requirement in 15A NCAC 18A .2803(c). Today, I observed children in space F, that attempted to wash their hands, but there was no soap available. #805-Fire drills were not practiced monthly and/or the drill record was incomplete. The file drill log did not include documentation of a file drill for April 2025. This is a violation of a requirement in .0604(t); .0302(d)(5). No fire drill has occurred since the last visit. It was reported that on May 8, 2025, a monthly calendar invite has been created and upon completion of the drill, the administrator is required to submit the updated drill log to the facility Operations Manager. #807- A safe indoor and outdoor environment was not provided for the children. Four active wasp nest were observed in outdoor space #1, in the playhouse and on the eave of the building. This is a violation of a requirement in 10A NCAC 09 .0601(a). Today there was one active wasp nest on the eave of the building on outdoor space #1. There was also a water leak, with hanging drywall in space G. #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. One canister of Disinfectant Wipes and one bottle of Windex was stored in an unlocked cabinet of the unlocked bathroom in space A. This is a violation of a requirement in .2820(b). Today, there was one spray bottle of sanitizer, disinfectant, and soapy water on the counter, below five feet in space F. #841-Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One bottle of Benadryl was stored in an unlocked bookbag, above five feet, in space G. This is a violation of a requirement in 15A NCAC 18A .2820(d). The bottle of Benadryl was stored in a locked cabinet, near the sink, of space G. All other medications were stored as required. #859-Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation of a playground inspection for November 2024 and December 2024 was not on file for review. This is a violation of a requirement in .0605(q). No new playground inspections have been completed since the last visit. It was reported that a on May 8, 2025, calendar invite it set for each month and following the inspection, the documentation is sent to the Operations Manager for review. #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. Documentation for safe sleep checks for the months of April 2025 and May 2025 were not on file for review during the visit. This is a violation of a requirement in .0606(g). Safe sleep charts were available for review that were dated May 7, 2025 through May 14, 2025. A sleep chart was reviewed for a child that was asleep during the visit. The chart reflects the child went to sleep at 8:40am and woke up at 9:23 am. The chart did not reflect two checks that were required during that 43 minute time frame. #1048-All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Current First Aid certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. This is a violation of a requirement in .1102(c). First Aid cards were not available for the staff employed on 6/7/23, 2/5/24, and 2/3/25. It was reported that the staff completed the training in February 2025. Administration contacted the trainer on 5/7/25 and tech support concerning getting a copy of the cards. You are still working on a resolution. #1049- All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Current CPR certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. This is a violation of a requirement in .1102(d). CPR cards were not available for the staff employed on 6/7/23, 2/5/24, and 2/3/25. It was reported that the staff completed the training in February 2025. Administration contacted the trainer on 5/7/25 and tech support concerning getting a copy of the cards. You are still working on a resolution. #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. Staff employed 6/7/23 has ITS-SIDS training that expired on 3/29/25. This is a violation of a requirement in .1102(f). Staff employed on 6/7/23 has registered for an ITS-SIDS training on June 17, 2025. Registration confirmation was reviewed during the visit. #1321- Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for a child enrolled on 12/19/23 was dated 2/5/24. This is a violation of a requirement in GS110-91(1). It was reported that your current practice requires a health assessment for children upon enrollment. One file, of a newly enroll child, was reviewed and a medical exam was one file. #1323- Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization records on file for a child enrolled on 12/18/23 was dated 8/9/24. This is a violation of a requirement in 10A NCAC 09 .0302(d)(2). It was reported that your current practice requires a copy of immunizations records for children upon enrollment. One file, of a newly enrolled child, was reviewed and an immunization record was on file. #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 EPR Plan was last reviewed/revised on 4/29/24. This is a violation of a requirement in .0607(e). The EPR Plan was reviewed and revised on 5/7/25. It was reported that you are still developing a plan to maintain compliance. #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. An asthma action plan was not of file for a child enrolled in space E. This is a violation of a requirement in .0801(b). The inhaler is no longer present in space E. It was reported that the inhaler was returned to the family on 5/8/25 and you requested a copy of the asthma action plan to be returned with the medication if it is still needed. #1898-Staff did not complete the health and safety training within one year of employment. Staff employed on 11/6/23 and 5/6/24 did not complete the health and safety training within one year of employment. This is a violation of a requirement in .1102(a). Staff were employed on 11/6/23 and 5/6/24 have begun completing health and safety trainings. Copies of the completed trainings were on file for review. It was reported there are scheduled times for staff to have classroom coverage to be able to complete the trainings onsite. The following violations were documented today and included three (3) repeated violations as reflected in the violation customization. As stated in the May 7, 2025, visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. Today, item # 807 regarding a safe indoor and outdoor environment, #840 concerning storage of hazardous times, and #887 concerning the documentation of safe sleep checks were cited again. During the May 7, 2025 visit, item# 840 was corrected during the visit by locking the closet where the Windex and Disinfectant Wipes were stored. Today, I observed spray bottles of sanitizer solution, disinfectant solution, and soapy water solution present on the sink counter, below five feet, in space F. Technical assistance (TA) was provided during the May 7, 2025 visit and was recorded on the visit summary reviewed and left with you at the end of the visit. TA for item #807 including regular inspection outdoor space including while the space is in use. For item #887, TA included completing the checks and administrative staff completing periodic checks to ensure the check are documented as required. Repeat violations demonstrate a pattern of noncompliance and may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). You will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. As stated in the May 7, 2025, visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of six of the sixteen violations. Violations requiring additional time for correction, must be addressed immediately to ensure a safe environment for the children in your care. The following violations were documented: Violation Number Comment Rule 303 Children were not adequately supervised at all times. During a transition from outdoors to the classroom, six (6) children two years of age, passed through space G and entered space E for sixteen (16), where there was no staff present. .1801(a)(1-5) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. An empty soap bottle was stored above five feet in the bathroom of space F and three children did not have soap to use after using the bathroom. 15A NCAC 18A .2818(b) & (d) 807 A safe indoor and outdoor environment was not provided for the children. One active wasp nest was present on the eave of the building above the door to space B, on outdoor space #1. There was a ceiling leak with broken drywall in space G. 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 bottle of sanitizer solution, disinfectant solution, and soapy water solution, used for classroom cleaning, was stored on the sink counter, below five feet. .2820(b) 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. One safe sleep chart for a child asleep during the visit reflect the child falling asleep at 8:40 am and waking at 9:23 am. No other documentation of visual checks were documented. .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. The violation(s) documented must be corrected immediately. On or before May 28, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Supervision of Children- Supervising children is a critical component of ensuring the safety and well-being of all children. Staff must be actively engaged at all times for this to occur. Today, there were six children that left their teacher, who was in space G and entered space E, where there was no staff. The children were alone for sixteen (16) seconds until the administrator entered the room as she responded to the commotion hear in the hallway. Today, we discussed how the transitions from outdoor to indoor may need to be revised. Providing additional staff to groups serving younger children can help expedite the transition and provide more adults to supervise the children as they move from one space to another. Review Child Care Rule 10A NCAC 09 .1801 regarding supervision with all your staff. Storage of Hazardous Items- Please review child care rule 10A NCAC 09 .0604 regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. Today, the daily cleaning solutions were stored on the counter, next to the classroom sink. You stated that the classroom has designated space in the cabinet for the spray bottles to be stored. We discussed installing an open shelf, above five feet, for the bottles to be stored for easier access to the staff. Review the Hazardous Items Storage poster with your staff and provide copies for each classroom as a visual reminder. A copy was provided to you during the visit and additional copies can be found on the Division’s website under Provider Documents. Safe Sleep Checks- Safe sleep checks should be documented every 15 minutes to ensure consistent monitoring of infants, allowing for early detection of potential risks like distress or overheating. This documentation helps maintain accountability, improves communication among caregivers, and provides parents/guardians with access to information about their child's sleep patterns. Today, there was a 43 minute period where a safe sleep check was not documented. During the visit you gathered timers for the staff in space A, to use to remind them to complete and document safe sleep checks. Staff may benefit from additional training such as Prevention of Sudden Infant Death Syndrome and Use of Safe Sleeping Practices on DCDEE Moodle. Handwashing- Hand hygiene is the most important way to reduce the spread of infection. For hand washing to be effective, there must be access to warm running water, soap, and individual drying towels. During handwashing for children in space F did not have soap in the bathroom. Upon request, soap with provided to the children. Today, we discussed why the soap was being stored above five feet. We discussed installing a shelf or basket beside the sink to hold the dispensers for easy access. During your daily walk through of the building, check to ensure each space has the materials required to keep children healthy and safe. Safe Indoor/Outdoor environments- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. Today, there was an active wasp nest on outdoor space #1. There was a leaking ceiling with hanging dry wall in space G. You shared that the a workorder was put in on 5/7/25 for the wasp nest. A facilities maintenance member came to remove the nest on 5/12/25 and that remaining nest must have been omitted by mistake. Children did not use outdoor space #1 due to the rain. It was reported that a ceiling leak was discovered on 5/14/25 and a work order was placed by C. Toler. Upon your discovery of the ceiling, you closed the classroom and moved the children to a different space and confirmed the work order was put in. Technical assistance was provided about completing daily inspections of all indoor and outdoor spaces prior to being used by children to ensure they are hazard free. We talked about how staff are to report hazards and what step can be taken to ensure hazards are handled immediately. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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 .0604 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 76 Completed Date: 5/14/2025 Age: From 0 To 5 Total Minutes: 304 Time In: 09:11 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my May 7, 2025, Annual Compliance Visit. Six groups of children were observed in the indoor learning environment. Children enrolled in space A, were engaged in tummy time, napping and bottle feeding. In space B, children gathered on the floor with teachers, singing songs during group time. In spaces D, E, F, G, children were engaged in indoor free play with learning materials that were stored on low lying shelves for easy access. The following violations documented during the May 7, 2025, visit were monitored for compliance during this visit: #526-Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated April 14, 2025 to April 18, 2025. This is a violation of a requirement in 10A NCAC 09 .0901(b). Today, I observed menus posted in the lobby and kitchen that was dated from May 12-May 31, 2025. #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 A, a child arrived to the classroom and was sat in a highchair for meal time without washing their hands. This is a violation of a requirement in 15A NCAC 18A .2803(c). Today, I observed children in space F, that attempted to wash their hands, but there was no soap available. #805-Fire drills were not practiced monthly and/or the drill record was incomplete. The file drill log did not include documentation of a file drill for April 2025. This is a violation of a requirement in .0604(t); .0302(d)(5). No fire drill has occurred since the last visit. It was reported that on May 8, 2025, a monthly calendar invite has been created and upon completion of the drill, the administrator is required to submit the updated drill log to the facility Operations Manager. #807- A safe indoor and outdoor environment was not provided for the children. Four active wasp nest were observed in outdoor space #1, in the playhouse and on the eave of the building. This is a violation of a requirement in 10A NCAC 09 .0601(a). Today there was one active wasp nest on the eave of the building on outdoor space #1. There was also a water leak, with hanging drywall in space G. #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. One canister of Disinfectant Wipes and one bottle of Windex was stored in an unlocked cabinet of the unlocked bathroom in space A. This is a violation of a requirement in .2820(b). Today, there was one spray bottle of sanitizer, disinfectant, and soapy water on the counter, below five feet in space F. #841-Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One bottle of Benadryl was stored in an unlocked bookbag, above five feet, in space G. This is a violation of a requirement in 15A NCAC 18A .2820(d). The bottle of Benadryl was stored in a locked cabinet, near the sink, of space G. All other medications were stored as required. #859-Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation of a playground inspection for November 2024 and December 2024 was not on file for review. This is a violation of a requirement in .0605(q). No new playground inspections have been completed since the last visit. It was reported that a on May 8, 2025, calendar invite it set for each month and following the inspection, the documentation is sent to the Operations Manager for review. #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. Documentation for safe sleep checks for the months of April 2025 and May 2025 were not on file for review during the visit. This is a violation of a requirement in .0606(g). Safe sleep charts were available for review that were dated May 7, 2025 through May 14, 2025. A sleep chart was reviewed for a child that was asleep during the visit. The chart reflects the child went to sleep at 8:40am and woke up at 9:23 am. The chart did not reflect two checks that were required during that 43 minute time frame. #1048-All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Current First Aid certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. This is a violation of a requirement in .1102(c). First Aid cards were not available for the staff employed on 6/7/23, 2/5/24, and 2/3/25. It was reported that the staff completed the training in February 2025. Administration contacted the trainer on 5/7/25 and tech support concerning getting a copy of the cards. You are still working on a resolution. #1049- All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Current CPR certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. This is a violation of a requirement in .1102(d). CPR cards were not available for the staff employed on 6/7/23, 2/5/24, and 2/3/25. It was reported that the staff completed the training in February 2025. Administration contacted the trainer on 5/7/25 and tech support concerning getting a copy of the cards. You are still working on a resolution. #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. Staff employed 6/7/23 has ITS-SIDS training that expired on 3/29/25. This is a violation of a requirement in .1102(f). Staff employed on 6/7/23 has registered for an ITS-SIDS training on June 17, 2025. Registration confirmation was reviewed during the visit. #1321- Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for a child enrolled on 12/19/23 was dated 2/5/24. This is a violation of a requirement in GS110-91(1). It was reported that your current practice requires a health assessment for children upon enrollment. One file, of a newly enroll child, was reviewed and a medical exam was one file. #1323- Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization records on file for a child enrolled on 12/18/23 was dated 8/9/24. This is a violation of a requirement in 10A NCAC 09 .0302(d)(2). It was reported that your current practice requires a copy of immunizations records for children upon enrollment. One file, of a newly enrolled child, was reviewed and an immunization record was on file. #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 EPR Plan was last reviewed/revised on 4/29/24. This is a violation of a requirement in .0607(e). The EPR Plan was reviewed and revised on 5/7/25. It was reported that you are still developing a plan to maintain compliance. #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. An asthma action plan was not of file for a child enrolled in space E. This is a violation of a requirement in .0801(b). The inhaler is no longer present in space E. It was reported that the inhaler was returned to the family on 5/8/25 and you requested a copy of the asthma action plan to be returned with the medication if it is still needed. #1898-Staff did not complete the health and safety training within one year of employment. Staff employed on 11/6/23 and 5/6/24 did not complete the health and safety training within one year of employment. This is a violation of a requirement in .1102(a). Staff were employed on 11/6/23 and 5/6/24 have begun completing health and safety trainings. Copies of the completed trainings were on file for review. It was reported there are scheduled times for staff to have classroom coverage to be able to complete the trainings onsite. The following violations were documented today and included three (3) repeated violations as reflected in the violation customization. As stated in the May 7, 2025, visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. Today, item # 807 regarding a safe indoor and outdoor environment, #840 concerning storage of hazardous times, and #887 concerning the documentation of safe sleep checks were cited again. During the May 7, 2025 visit, item# 840 was corrected during the visit by locking the closet where the Windex and Disinfectant Wipes were stored. Today, I observed spray bottles of sanitizer solution, disinfectant solution, and soapy water solution present on the sink counter, below five feet, in space F. Technical assistance (TA) was provided during the May 7, 2025 visit and was recorded on the visit summary reviewed and left with you at the end of the visit. TA for item #807 including regular inspection outdoor space including while the space is in use. For item #887, TA included completing the checks and administrative staff completing periodic checks to ensure the check are documented as required. Repeat violations demonstrate a pattern of noncompliance and may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). You will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. As stated in the May 7, 2025, visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of six of the sixteen violations. Violations requiring additional time for correction, must be addressed immediately to ensure a safe environment for the children in your care. The following violations were documented: Violation Number Comment Rule 303 Children were not adequately supervised at all times. During a transition from outdoors to the classroom, six (6) children two years of age, passed through space G and entered space E for sixteen (16), where there was no staff present. .1801(a)(1-5) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. An empty soap bottle was stored above five feet in the bathroom of space F and three children did not have soap to use after using the bathroom. 15A NCAC 18A .2818(b) & (d) 807 A safe indoor and outdoor environment was not provided for the children. One active wasp nest was present on the eave of the building above the door to space B, on outdoor space #1. There was a ceiling leak with broken drywall in space G. 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 bottle of sanitizer solution, disinfectant solution, and soapy water solution, used for classroom cleaning, was stored on the sink counter, below five feet. .2820(b) 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. One safe sleep chart for a child asleep during the visit reflect the child falling asleep at 8:40 am and waking at 9:23 am. No other documentation of visual checks were documented. .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. The violation(s) documented must be corrected immediately. On or before May 28, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Supervision of Children- Supervising children is a critical component of ensuring the safety and well-being of all children. Staff must be actively engaged at all times for this to occur. Today, there were six children that left their teacher, who was in space G and entered space E, where there was no staff. The children were alone for sixteen (16) seconds until the administrator entered the room as she responded to the commotion hear in the hallway. Today, we discussed how the transitions from outdoor to indoor may need to be revised. Providing additional staff to groups serving younger children can help expedite the transition and provide more adults to supervise the children as they move from one space to another. Review Child Care Rule 10A NCAC 09 .1801 regarding supervision with all your staff. Storage of Hazardous Items- Please review child care rule 10A NCAC 09 .0604 regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. Today, the daily cleaning solutions were stored on the counter, next to the classroom sink. You stated that the classroom has designated space in the cabinet for the spray bottles to be stored. We discussed installing an open shelf, above five feet, for the bottles to be stored for easier access to the staff. Review the Hazardous Items Storage poster with your staff and provide copies for each classroom as a visual reminder. A copy was provided to you during the visit and additional copies can be found on the Division’s website under Provider Documents. Safe Sleep Checks- Safe sleep checks should be documented every 15 minutes to ensure consistent monitoring of infants, allowing for early detection of potential risks like distress or overheating. This documentation helps maintain accountability, improves communication among caregivers, and provides parents/guardians with access to information about their child's sleep patterns. Today, there was a 43 minute period where a safe sleep check was not documented. During the visit you gathered timers for the staff in space A, to use to remind them to complete and document safe sleep checks. Staff may benefit from additional training such as Prevention of Sudden Infant Death Syndrome and Use of Safe Sleeping Practices on DCDEE Moodle. Handwashing- Hand hygiene is the most important way to reduce the spread of infection. For hand washing to be effective, there must be access to warm running water, soap, and individual drying towels. During handwashing for children in space F did not have soap in the bathroom. Upon request, soap with provided to the children. Today, we discussed why the soap was being stored above five feet. We discussed installing a shelf or basket beside the sink to hold the dispensers for easy access. During your daily walk through of the building, check to ensure each space has the materials required to keep children healthy and safe. Safe Indoor/Outdoor environments- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. Today, there was an active wasp nest on outdoor space #1. There was a leaking ceiling with hanging dry wall in space G. You shared that the a workorder was put in on 5/7/25 for the wasp nest. A facilities maintenance member came to remove the nest on 5/12/25 and that remaining nest must have been omitted by mistake. Children did not use outdoor space #1 due to the rain. It was reported that a ceiling leak was discovered on 5/14/25 and a work order was placed by C. Toler. Upon your discovery of the ceiling, you closed the classroom and moved the children to a different space and confirmed the work order was put in. Technical assistance was provided about completing daily inspections of all indoor and outdoor spaces prior to being used by children to ensure they are hazard free. We talked about how staff are to report hazards and what step can be taken to ensure hazards are handled immediately. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 76 Completed Date: 5/14/2025 Age: From 0 To 5 Total Minutes: 304 Time In: 09:11 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my May 7, 2025, Annual Compliance Visit. Six groups of children were observed in the indoor learning environment. Children enrolled in space A, were engaged in tummy time, napping and bottle feeding. In space B, children gathered on the floor with teachers, singing songs during group time. In spaces D, E, F, G, children were engaged in indoor free play with learning materials that were stored on low lying shelves for easy access. The following violations documented during the May 7, 2025, visit were monitored for compliance during this visit: #526-Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated April 14, 2025 to April 18, 2025. This is a violation of a requirement in 10A NCAC 09 .0901(b). Today, I observed menus posted in the lobby and kitchen that was dated from May 12-May 31, 2025. #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 A, a child arrived to the classroom and was sat in a highchair for meal time without washing their hands. This is a violation of a requirement in 15A NCAC 18A .2803(c). Today, I observed children in space F, that attempted to wash their hands, but there was no soap available. #805-Fire drills were not practiced monthly and/or the drill record was incomplete. The file drill log did not include documentation of a file drill for April 2025. This is a violation of a requirement in .0604(t); .0302(d)(5). No fire drill has occurred since the last visit. It was reported that on May 8, 2025, a monthly calendar invite has been created and upon completion of the drill, the administrator is required to submit the updated drill log to the facility Operations Manager. #807- A safe indoor and outdoor environment was not provided for the children. Four active wasp nest were observed in outdoor space #1, in the playhouse and on the eave of the building. This is a violation of a requirement in 10A NCAC 09 .0601(a). Today there was one active wasp nest on the eave of the building on outdoor space #1. There was also a water leak, with hanging drywall in space G. #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. One canister of Disinfectant Wipes and one bottle of Windex was stored in an unlocked cabinet of the unlocked bathroom in space A. This is a violation of a requirement in .2820(b). Today, there was one spray bottle of sanitizer, disinfectant, and soapy water on the counter, below five feet in space F. #841-Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One bottle of Benadryl was stored in an unlocked bookbag, above five feet, in space G. This is a violation of a requirement in 15A NCAC 18A .2820(d). The bottle of Benadryl was stored in a locked cabinet, near the sink, of space G. All other medications were stored as required. #859-Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation of a playground inspection for November 2024 and December 2024 was not on file for review. This is a violation of a requirement in .0605(q). No new playground inspections have been completed since the last visit. It was reported that a on May 8, 2025, calendar invite it set for each month and following the inspection, the documentation is sent to the Operations Manager for review. #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. Documentation for safe sleep checks for the months of April 2025 and May 2025 were not on file for review during the visit. This is a violation of a requirement in .0606(g). Safe sleep charts were available for review that were dated May 7, 2025 through May 14, 2025. A sleep chart was reviewed for a child that was asleep during the visit. The chart reflects the child went to sleep at 8:40am and woke up at 9:23 am. The chart did not reflect two checks that were required during that 43 minute time frame. #1048-All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Current First Aid certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. This is a violation of a requirement in .1102(c). First Aid cards were not available for the staff employed on 6/7/23, 2/5/24, and 2/3/25. It was reported that the staff completed the training in February 2025. Administration contacted the trainer on 5/7/25 and tech support concerning getting a copy of the cards. You are still working on a resolution. #1049- All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Current CPR certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. This is a violation of a requirement in .1102(d). CPR cards were not available for the staff employed on 6/7/23, 2/5/24, and 2/3/25. It was reported that the staff completed the training in February 2025. Administration contacted the trainer on 5/7/25 and tech support concerning getting a copy of the cards. You are still working on a resolution. #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. Staff employed 6/7/23 has ITS-SIDS training that expired on 3/29/25. This is a violation of a requirement in .1102(f). Staff employed on 6/7/23 has registered for an ITS-SIDS training on June 17, 2025. Registration confirmation was reviewed during the visit. #1321- Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for a child enrolled on 12/19/23 was dated 2/5/24. This is a violation of a requirement in GS110-91(1). It was reported that your current practice requires a health assessment for children upon enrollment. One file, of a newly enroll child, was reviewed and a medical exam was one file. #1323- Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization records on file for a child enrolled on 12/18/23 was dated 8/9/24. This is a violation of a requirement in 10A NCAC 09 .0302(d)(2). It was reported that your current practice requires a copy of immunizations records for children upon enrollment. One file, of a newly enrolled child, was reviewed and an immunization record was on file. #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 EPR Plan was last reviewed/revised on 4/29/24. This is a violation of a requirement in .0607(e). The EPR Plan was reviewed and revised on 5/7/25. It was reported that you are still developing a plan to maintain compliance. #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. An asthma action plan was not of file for a child enrolled in space E. This is a violation of a requirement in .0801(b). The inhaler is no longer present in space E. It was reported that the inhaler was returned to the family on 5/8/25 and you requested a copy of the asthma action plan to be returned with the medication if it is still needed. #1898-Staff did not complete the health and safety training within one year of employment. Staff employed on 11/6/23 and 5/6/24 did not complete the health and safety training within one year of employment. This is a violation of a requirement in .1102(a). Staff were employed on 11/6/23 and 5/6/24 have begun completing health and safety trainings. Copies of the completed trainings were on file for review. It was reported there are scheduled times for staff to have classroom coverage to be able to complete the trainings onsite. The following violations were documented today and included three (3) repeated violations as reflected in the violation customization. As stated in the May 7, 2025, visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. Today, item # 807 regarding a safe indoor and outdoor environment, #840 concerning storage of hazardous times, and #887 concerning the documentation of safe sleep checks were cited again. During the May 7, 2025 visit, item# 840 was corrected during the visit by locking the closet where the Windex and Disinfectant Wipes were stored. Today, I observed spray bottles of sanitizer solution, disinfectant solution, and soapy water solution present on the sink counter, below five feet, in space F. Technical assistance (TA) was provided during the May 7, 2025 visit and was recorded on the visit summary reviewed and left with you at the end of the visit. TA for item #807 including regular inspection outdoor space including while the space is in use. For item #887, TA included completing the checks and administrative staff completing periodic checks to ensure the check are documented as required. Repeat violations demonstrate a pattern of noncompliance and may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). You will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. As stated in the May 7, 2025, visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of six of the sixteen violations. Violations requiring additional time for correction, must be addressed immediately to ensure a safe environment for the children in your care. The following violations were documented: Violation Number Comment Rule 303 Children were not adequately supervised at all times. During a transition from outdoors to the classroom, six (6) children two years of age, passed through space G and entered space E for sixteen (16), where there was no staff present. .1801(a)(1-5) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. An empty soap bottle was stored above five feet in the bathroom of space F and three children did not have soap to use after using the bathroom. 15A NCAC 18A .2818(b) & (d) 807 A safe indoor and outdoor environment was not provided for the children. One active wasp nest was present on the eave of the building above the door to space B, on outdoor space #1. There was a ceiling leak with broken drywall in space G. 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 bottle of sanitizer solution, disinfectant solution, and soapy water solution, used for classroom cleaning, was stored on the sink counter, below five feet. .2820(b) 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. One safe sleep chart for a child asleep during the visit reflect the child falling asleep at 8:40 am and waking at 9:23 am. No other documentation of visual checks were documented. .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. The violation(s) documented must be corrected immediately. On or before May 28, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Supervision of Children- Supervising children is a critical component of ensuring the safety and well-being of all children. Staff must be actively engaged at all times for this to occur. Today, there were six children that left their teacher, who was in space G and entered space E, where there was no staff. The children were alone for sixteen (16) seconds until the administrator entered the room as she responded to the commotion hear in the hallway. Today, we discussed how the transitions from outdoor to indoor may need to be revised. Providing additional staff to groups serving younger children can help expedite the transition and provide more adults to supervise the children as they move from one space to another. Review Child Care Rule 10A NCAC 09 .1801 regarding supervision with all your staff. Storage of Hazardous Items- Please review child care rule 10A NCAC 09 .0604 regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. Today, the daily cleaning solutions were stored on the counter, next to the classroom sink. You stated that the classroom has designated space in the cabinet for the spray bottles to be stored. We discussed installing an open shelf, above five feet, for the bottles to be stored for easier access to the staff. Review the Hazardous Items Storage poster with your staff and provide copies for each classroom as a visual reminder. A copy was provided to you during the visit and additional copies can be found on the Division’s website under Provider Documents. Safe Sleep Checks- Safe sleep checks should be documented every 15 minutes to ensure consistent monitoring of infants, allowing for early detection of potential risks like distress or overheating. This documentation helps maintain accountability, improves communication among caregivers, and provides parents/guardians with access to information about their child's sleep patterns. Today, there was a 43 minute period where a safe sleep check was not documented. During the visit you gathered timers for the staff in space A, to use to remind them to complete and document safe sleep checks. Staff may benefit from additional training such as Prevention of Sudden Infant Death Syndrome and Use of Safe Sleeping Practices on DCDEE Moodle. Handwashing- Hand hygiene is the most important way to reduce the spread of infection. For hand washing to be effective, there must be access to warm running water, soap, and individual drying towels. During handwashing for children in space F did not have soap in the bathroom. Upon request, soap with provided to the children. Today, we discussed why the soap was being stored above five feet. We discussed installing a shelf or basket beside the sink to hold the dispensers for easy access. During your daily walk through of the building, check to ensure each space has the materials required to keep children healthy and safe. Safe Indoor/Outdoor environments- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. Today, there was an active wasp nest on outdoor space #1. There was a leaking ceiling with hanging dry wall in space G. You shared that the a workorder was put in on 5/7/25 for the wasp nest. A facilities maintenance member came to remove the nest on 5/12/25 and that remaining nest must have been omitted by mistake. Children did not use outdoor space #1 due to the rain. It was reported that a ceiling leak was discovered on 5/14/25 and a work order was placed by C. Toler. Upon your discovery of the ceiling, you closed the classroom and moved the children to a different space and confirmed the work order was put in. Technical assistance was provided about completing daily inspections of all indoor and outdoor spaces prior to being used by children to ensure they are hazard free. We talked about how staff are to report hazards and what step can be taken to ensure hazards are handled immediately. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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 .1801 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 76 Completed Date: 5/14/2025 Age: From 0 To 5 Total Minutes: 304 Time In: 09:11 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my May 7, 2025, Annual Compliance Visit. Six groups of children were observed in the indoor learning environment. Children enrolled in space A, were engaged in tummy time, napping and bottle feeding. In space B, children gathered on the floor with teachers, singing songs during group time. In spaces D, E, F, G, children were engaged in indoor free play with learning materials that were stored on low lying shelves for easy access. The following violations documented during the May 7, 2025, visit were monitored for compliance during this visit: #526-Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated April 14, 2025 to April 18, 2025. This is a violation of a requirement in 10A NCAC 09 .0901(b). Today, I observed menus posted in the lobby and kitchen that was dated from May 12-May 31, 2025. #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 A, a child arrived to the classroom and was sat in a highchair for meal time without washing their hands. This is a violation of a requirement in 15A NCAC 18A .2803(c). Today, I observed children in space F, that attempted to wash their hands, but there was no soap available. #805-Fire drills were not practiced monthly and/or the drill record was incomplete. The file drill log did not include documentation of a file drill for April 2025. This is a violation of a requirement in .0604(t); .0302(d)(5). No fire drill has occurred since the last visit. It was reported that on May 8, 2025, a monthly calendar invite has been created and upon completion of the drill, the administrator is required to submit the updated drill log to the facility Operations Manager. #807- A safe indoor and outdoor environment was not provided for the children. Four active wasp nest were observed in outdoor space #1, in the playhouse and on the eave of the building. This is a violation of a requirement in 10A NCAC 09 .0601(a). Today there was one active wasp nest on the eave of the building on outdoor space #1. There was also a water leak, with hanging drywall in space G. #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. One canister of Disinfectant Wipes and one bottle of Windex was stored in an unlocked cabinet of the unlocked bathroom in space A. This is a violation of a requirement in .2820(b). Today, there was one spray bottle of sanitizer, disinfectant, and soapy water on the counter, below five feet in space F. #841-Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One bottle of Benadryl was stored in an unlocked bookbag, above five feet, in space G. This is a violation of a requirement in 15A NCAC 18A .2820(d). The bottle of Benadryl was stored in a locked cabinet, near the sink, of space G. All other medications were stored as required. #859-Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation of a playground inspection for November 2024 and December 2024 was not on file for review. This is a violation of a requirement in .0605(q). No new playground inspections have been completed since the last visit. It was reported that a on May 8, 2025, calendar invite it set for each month and following the inspection, the documentation is sent to the Operations Manager for review. #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. Documentation for safe sleep checks for the months of April 2025 and May 2025 were not on file for review during the visit. This is a violation of a requirement in .0606(g). Safe sleep charts were available for review that were dated May 7, 2025 through May 14, 2025. A sleep chart was reviewed for a child that was asleep during the visit. The chart reflects the child went to sleep at 8:40am and woke up at 9:23 am. The chart did not reflect two checks that were required during that 43 minute time frame. #1048-All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Current First Aid certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. This is a violation of a requirement in .1102(c). First Aid cards were not available for the staff employed on 6/7/23, 2/5/24, and 2/3/25. It was reported that the staff completed the training in February 2025. Administration contacted the trainer on 5/7/25 and tech support concerning getting a copy of the cards. You are still working on a resolution. #1049- All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Current CPR certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. This is a violation of a requirement in .1102(d). CPR cards were not available for the staff employed on 6/7/23, 2/5/24, and 2/3/25. It was reported that the staff completed the training in February 2025. Administration contacted the trainer on 5/7/25 and tech support concerning getting a copy of the cards. You are still working on a resolution. #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. Staff employed 6/7/23 has ITS-SIDS training that expired on 3/29/25. This is a violation of a requirement in .1102(f). Staff employed on 6/7/23 has registered for an ITS-SIDS training on June 17, 2025. Registration confirmation was reviewed during the visit. #1321- Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for a child enrolled on 12/19/23 was dated 2/5/24. This is a violation of a requirement in GS110-91(1). It was reported that your current practice requires a health assessment for children upon enrollment. One file, of a newly enroll child, was reviewed and a medical exam was one file. #1323- Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization records on file for a child enrolled on 12/18/23 was dated 8/9/24. This is a violation of a requirement in 10A NCAC 09 .0302(d)(2). It was reported that your current practice requires a copy of immunizations records for children upon enrollment. One file, of a newly enrolled child, was reviewed and an immunization record was on file. #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 EPR Plan was last reviewed/revised on 4/29/24. This is a violation of a requirement in .0607(e). The EPR Plan was reviewed and revised on 5/7/25. It was reported that you are still developing a plan to maintain compliance. #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. An asthma action plan was not of file for a child enrolled in space E. This is a violation of a requirement in .0801(b). The inhaler is no longer present in space E. It was reported that the inhaler was returned to the family on 5/8/25 and you requested a copy of the asthma action plan to be returned with the medication if it is still needed. #1898-Staff did not complete the health and safety training within one year of employment. Staff employed on 11/6/23 and 5/6/24 did not complete the health and safety training within one year of employment. This is a violation of a requirement in .1102(a). Staff were employed on 11/6/23 and 5/6/24 have begun completing health and safety trainings. Copies of the completed trainings were on file for review. It was reported there are scheduled times for staff to have classroom coverage to be able to complete the trainings onsite. The following violations were documented today and included three (3) repeated violations as reflected in the violation customization. As stated in the May 7, 2025, visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. Today, item # 807 regarding a safe indoor and outdoor environment, #840 concerning storage of hazardous times, and #887 concerning the documentation of safe sleep checks were cited again. During the May 7, 2025 visit, item# 840 was corrected during the visit by locking the closet where the Windex and Disinfectant Wipes were stored. Today, I observed spray bottles of sanitizer solution, disinfectant solution, and soapy water solution present on the sink counter, below five feet, in space F. Technical assistance (TA) was provided during the May 7, 2025 visit and was recorded on the visit summary reviewed and left with you at the end of the visit. TA for item #807 including regular inspection outdoor space including while the space is in use. For item #887, TA included completing the checks and administrative staff completing periodic checks to ensure the check are documented as required. Repeat violations demonstrate a pattern of noncompliance and may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). You will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. As stated in the May 7, 2025, visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of six of the sixteen violations. Violations requiring additional time for correction, must be addressed immediately to ensure a safe environment for the children in your care. The following violations were documented: Violation Number Comment Rule 303 Children were not adequately supervised at all times. During a transition from outdoors to the classroom, six (6) children two years of age, passed through space G and entered space E for sixteen (16), where there was no staff present. .1801(a)(1-5) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. An empty soap bottle was stored above five feet in the bathroom of space F and three children did not have soap to use after using the bathroom. 15A NCAC 18A .2818(b) & (d) 807 A safe indoor and outdoor environment was not provided for the children. One active wasp nest was present on the eave of the building above the door to space B, on outdoor space #1. There was a ceiling leak with broken drywall in space G. 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 bottle of sanitizer solution, disinfectant solution, and soapy water solution, used for classroom cleaning, was stored on the sink counter, below five feet. .2820(b) 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. One safe sleep chart for a child asleep during the visit reflect the child falling asleep at 8:40 am and waking at 9:23 am. No other documentation of visual checks were documented. .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. The violation(s) documented must be corrected immediately. On or before May 28, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Supervision of Children- Supervising children is a critical component of ensuring the safety and well-being of all children. Staff must be actively engaged at all times for this to occur. Today, there were six children that left their teacher, who was in space G and entered space E, where there was no staff. The children were alone for sixteen (16) seconds until the administrator entered the room as she responded to the commotion hear in the hallway. Today, we discussed how the transitions from outdoor to indoor may need to be revised. Providing additional staff to groups serving younger children can help expedite the transition and provide more adults to supervise the children as they move from one space to another. Review Child Care Rule 10A NCAC 09 .1801 regarding supervision with all your staff. Storage of Hazardous Items- Please review child care rule 10A NCAC 09 .0604 regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. Today, the daily cleaning solutions were stored on the counter, next to the classroom sink. You stated that the classroom has designated space in the cabinet for the spray bottles to be stored. We discussed installing an open shelf, above five feet, for the bottles to be stored for easier access to the staff. Review the Hazardous Items Storage poster with your staff and provide copies for each classroom as a visual reminder. A copy was provided to you during the visit and additional copies can be found on the Division’s website under Provider Documents. Safe Sleep Checks- Safe sleep checks should be documented every 15 minutes to ensure consistent monitoring of infants, allowing for early detection of potential risks like distress or overheating. This documentation helps maintain accountability, improves communication among caregivers, and provides parents/guardians with access to information about their child's sleep patterns. Today, there was a 43 minute period where a safe sleep check was not documented. During the visit you gathered timers for the staff in space A, to use to remind them to complete and document safe sleep checks. Staff may benefit from additional training such as Prevention of Sudden Infant Death Syndrome and Use of Safe Sleeping Practices on DCDEE Moodle. Handwashing- Hand hygiene is the most important way to reduce the spread of infection. For hand washing to be effective, there must be access to warm running water, soap, and individual drying towels. During handwashing for children in space F did not have soap in the bathroom. Upon request, soap with provided to the children. Today, we discussed why the soap was being stored above five feet. We discussed installing a shelf or basket beside the sink to hold the dispensers for easy access. During your daily walk through of the building, check to ensure each space has the materials required to keep children healthy and safe. Safe Indoor/Outdoor environments- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. Today, there was an active wasp nest on outdoor space #1. There was a leaking ceiling with hanging dry wall in space G. You shared that the a workorder was put in on 5/7/25 for the wasp nest. A facilities maintenance member came to remove the nest on 5/12/25 and that remaining nest must have been omitted by mistake. Children did not use outdoor space #1 due to the rain. It was reported that a ceiling leak was discovered on 5/14/25 and a work order was placed by C. Toler. Upon your discovery of the ceiling, you closed the classroom and moved the children to a different space and confirmed the work order was put in. Technical assistance was provided about completing daily inspections of all indoor and outdoor spaces prior to being used by children to ensure they are hazard free. We talked about how staff are to report hazards and what step can be taken to ensure hazards are handled immediately. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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 .2204 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 76 Completed Date: 5/14/2025 Age: From 0 To 5 Total Minutes: 304 Time In: 09:11 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my May 7, 2025, Annual Compliance Visit. Six groups of children were observed in the indoor learning environment. Children enrolled in space A, were engaged in tummy time, napping and bottle feeding. In space B, children gathered on the floor with teachers, singing songs during group time. In spaces D, E, F, G, children were engaged in indoor free play with learning materials that were stored on low lying shelves for easy access. The following violations documented during the May 7, 2025, visit were monitored for compliance during this visit: #526-Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated April 14, 2025 to April 18, 2025. This is a violation of a requirement in 10A NCAC 09 .0901(b). Today, I observed menus posted in the lobby and kitchen that was dated from May 12-May 31, 2025. #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 A, a child arrived to the classroom and was sat in a highchair for meal time without washing their hands. This is a violation of a requirement in 15A NCAC 18A .2803(c). Today, I observed children in space F, that attempted to wash their hands, but there was no soap available. #805-Fire drills were not practiced monthly and/or the drill record was incomplete. The file drill log did not include documentation of a file drill for April 2025. This is a violation of a requirement in .0604(t); .0302(d)(5). No fire drill has occurred since the last visit. It was reported that on May 8, 2025, a monthly calendar invite has been created and upon completion of the drill, the administrator is required to submit the updated drill log to the facility Operations Manager. #807- A safe indoor and outdoor environment was not provided for the children. Four active wasp nest were observed in outdoor space #1, in the playhouse and on the eave of the building. This is a violation of a requirement in 10A NCAC 09 .0601(a). Today there was one active wasp nest on the eave of the building on outdoor space #1. There was also a water leak, with hanging drywall in space G. #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. One canister of Disinfectant Wipes and one bottle of Windex was stored in an unlocked cabinet of the unlocked bathroom in space A. This is a violation of a requirement in .2820(b). Today, there was one spray bottle of sanitizer, disinfectant, and soapy water on the counter, below five feet in space F. #841-Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One bottle of Benadryl was stored in an unlocked bookbag, above five feet, in space G. This is a violation of a requirement in 15A NCAC 18A .2820(d). The bottle of Benadryl was stored in a locked cabinet, near the sink, of space G. All other medications were stored as required. #859-Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation of a playground inspection for November 2024 and December 2024 was not on file for review. This is a violation of a requirement in .0605(q). No new playground inspections have been completed since the last visit. It was reported that a on May 8, 2025, calendar invite it set for each month and following the inspection, the documentation is sent to the Operations Manager for review. #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. Documentation for safe sleep checks for the months of April 2025 and May 2025 were not on file for review during the visit. This is a violation of a requirement in .0606(g). Safe sleep charts were available for review that were dated May 7, 2025 through May 14, 2025. A sleep chart was reviewed for a child that was asleep during the visit. The chart reflects the child went to sleep at 8:40am and woke up at 9:23 am. The chart did not reflect two checks that were required during that 43 minute time frame. #1048-All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Current First Aid certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. This is a violation of a requirement in .1102(c). First Aid cards were not available for the staff employed on 6/7/23, 2/5/24, and 2/3/25. It was reported that the staff completed the training in February 2025. Administration contacted the trainer on 5/7/25 and tech support concerning getting a copy of the cards. You are still working on a resolution. #1049- All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Current CPR certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. This is a violation of a requirement in .1102(d). CPR cards were not available for the staff employed on 6/7/23, 2/5/24, and 2/3/25. It was reported that the staff completed the training in February 2025. Administration contacted the trainer on 5/7/25 and tech support concerning getting a copy of the cards. You are still working on a resolution. #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. Staff employed 6/7/23 has ITS-SIDS training that expired on 3/29/25. This is a violation of a requirement in .1102(f). Staff employed on 6/7/23 has registered for an ITS-SIDS training on June 17, 2025. Registration confirmation was reviewed during the visit. #1321- Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for a child enrolled on 12/19/23 was dated 2/5/24. This is a violation of a requirement in GS110-91(1). It was reported that your current practice requires a health assessment for children upon enrollment. One file, of a newly enroll child, was reviewed and a medical exam was one file. #1323- Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization records on file for a child enrolled on 12/18/23 was dated 8/9/24. This is a violation of a requirement in 10A NCAC 09 .0302(d)(2). It was reported that your current practice requires a copy of immunizations records for children upon enrollment. One file, of a newly enrolled child, was reviewed and an immunization record was on file. #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 EPR Plan was last reviewed/revised on 4/29/24. This is a violation of a requirement in .0607(e). The EPR Plan was reviewed and revised on 5/7/25. It was reported that you are still developing a plan to maintain compliance. #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. An asthma action plan was not of file for a child enrolled in space E. This is a violation of a requirement in .0801(b). The inhaler is no longer present in space E. It was reported that the inhaler was returned to the family on 5/8/25 and you requested a copy of the asthma action plan to be returned with the medication if it is still needed. #1898-Staff did not complete the health and safety training within one year of employment. Staff employed on 11/6/23 and 5/6/24 did not complete the health and safety training within one year of employment. This is a violation of a requirement in .1102(a). Staff were employed on 11/6/23 and 5/6/24 have begun completing health and safety trainings. Copies of the completed trainings were on file for review. It was reported there are scheduled times for staff to have classroom coverage to be able to complete the trainings onsite. The following violations were documented today and included three (3) repeated violations as reflected in the violation customization. As stated in the May 7, 2025, visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. Today, item # 807 regarding a safe indoor and outdoor environment, #840 concerning storage of hazardous times, and #887 concerning the documentation of safe sleep checks were cited again. During the May 7, 2025 visit, item# 840 was corrected during the visit by locking the closet where the Windex and Disinfectant Wipes were stored. Today, I observed spray bottles of sanitizer solution, disinfectant solution, and soapy water solution present on the sink counter, below five feet, in space F. Technical assistance (TA) was provided during the May 7, 2025 visit and was recorded on the visit summary reviewed and left with you at the end of the visit. TA for item #807 including regular inspection outdoor space including while the space is in use. For item #887, TA included completing the checks and administrative staff completing periodic checks to ensure the check are documented as required. Repeat violations demonstrate a pattern of noncompliance and may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). You will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. As stated in the May 7, 2025, visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of six of the sixteen violations. Violations requiring additional time for correction, must be addressed immediately to ensure a safe environment for the children in your care. The following violations were documented: Violation Number Comment Rule 303 Children were not adequately supervised at all times. During a transition from outdoors to the classroom, six (6) children two years of age, passed through space G and entered space E for sixteen (16), where there was no staff present. .1801(a)(1-5) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. An empty soap bottle was stored above five feet in the bathroom of space F and three children did not have soap to use after using the bathroom. 15A NCAC 18A .2818(b) & (d) 807 A safe indoor and outdoor environment was not provided for the children. One active wasp nest was present on the eave of the building above the door to space B, on outdoor space #1. There was a ceiling leak with broken drywall in space G. 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 bottle of sanitizer solution, disinfectant solution, and soapy water solution, used for classroom cleaning, was stored on the sink counter, below five feet. .2820(b) 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. One safe sleep chart for a child asleep during the visit reflect the child falling asleep at 8:40 am and waking at 9:23 am. No other documentation of visual checks were documented. .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. The violation(s) documented must be corrected immediately. On or before May 28, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Supervision of Children- Supervising children is a critical component of ensuring the safety and well-being of all children. Staff must be actively engaged at all times for this to occur. Today, there were six children that left their teacher, who was in space G and entered space E, where there was no staff. The children were alone for sixteen (16) seconds until the administrator entered the room as she responded to the commotion hear in the hallway. Today, we discussed how the transitions from outdoor to indoor may need to be revised. Providing additional staff to groups serving younger children can help expedite the transition and provide more adults to supervise the children as they move from one space to another. Review Child Care Rule 10A NCAC 09 .1801 regarding supervision with all your staff. Storage of Hazardous Items- Please review child care rule 10A NCAC 09 .0604 regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. Today, the daily cleaning solutions were stored on the counter, next to the classroom sink. You stated that the classroom has designated space in the cabinet for the spray bottles to be stored. We discussed installing an open shelf, above five feet, for the bottles to be stored for easier access to the staff. Review the Hazardous Items Storage poster with your staff and provide copies for each classroom as a visual reminder. A copy was provided to you during the visit and additional copies can be found on the Division’s website under Provider Documents. Safe Sleep Checks- Safe sleep checks should be documented every 15 minutes to ensure consistent monitoring of infants, allowing for early detection of potential risks like distress or overheating. This documentation helps maintain accountability, improves communication among caregivers, and provides parents/guardians with access to information about their child's sleep patterns. Today, there was a 43 minute period where a safe sleep check was not documented. During the visit you gathered timers for the staff in space A, to use to remind them to complete and document safe sleep checks. Staff may benefit from additional training such as Prevention of Sudden Infant Death Syndrome and Use of Safe Sleeping Practices on DCDEE Moodle. Handwashing- Hand hygiene is the most important way to reduce the spread of infection. For hand washing to be effective, there must be access to warm running water, soap, and individual drying towels. During handwashing for children in space F did not have soap in the bathroom. Upon request, soap with provided to the children. Today, we discussed why the soap was being stored above five feet. We discussed installing a shelf or basket beside the sink to hold the dispensers for easy access. During your daily walk through of the building, check to ensure each space has the materials required to keep children healthy and safe. Safe Indoor/Outdoor environments- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. Today, there was an active wasp nest on outdoor space #1. There was a leaking ceiling with hanging dry wall in space G. You shared that the a workorder was put in on 5/7/25 for the wasp nest. A facilities maintenance member came to remove the nest on 5/12/25 and that remaining nest must have been omitted by mistake. Children did not use outdoor space #1 due to the rain. It was reported that a ceiling leak was discovered on 5/14/25 and a work order was placed by C. Toler. Upon your discovery of the ceiling, you closed the classroom and moved the children to a different space and confirmed the work order was put in. Technical assistance was provided about completing daily inspections of all indoor and outdoor spaces prior to being used by children to ensure they are hazard free. We talked about how staff are to report hazards and what step can be taken to ensure hazards are handled immediately. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 76 Completed Date: 5/14/2025 Age: From 0 To 5 Total Minutes: 304 Time In: 09:11 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my May 7, 2025, Annual Compliance Visit. Six groups of children were observed in the indoor learning environment. Children enrolled in space A, were engaged in tummy time, napping and bottle feeding. In space B, children gathered on the floor with teachers, singing songs during group time. In spaces D, E, F, G, children were engaged in indoor free play with learning materials that were stored on low lying shelves for easy access. The following violations documented during the May 7, 2025, visit were monitored for compliance during this visit: #526-Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated April 14, 2025 to April 18, 2025. This is a violation of a requirement in 10A NCAC 09 .0901(b). Today, I observed menus posted in the lobby and kitchen that was dated from May 12-May 31, 2025. #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 A, a child arrived to the classroom and was sat in a highchair for meal time without washing their hands. This is a violation of a requirement in 15A NCAC 18A .2803(c). Today, I observed children in space F, that attempted to wash their hands, but there was no soap available. #805-Fire drills were not practiced monthly and/or the drill record was incomplete. The file drill log did not include documentation of a file drill for April 2025. This is a violation of a requirement in .0604(t); .0302(d)(5). No fire drill has occurred since the last visit. It was reported that on May 8, 2025, a monthly calendar invite has been created and upon completion of the drill, the administrator is required to submit the updated drill log to the facility Operations Manager. #807- A safe indoor and outdoor environment was not provided for the children. Four active wasp nest were observed in outdoor space #1, in the playhouse and on the eave of the building. This is a violation of a requirement in 10A NCAC 09 .0601(a). Today there was one active wasp nest on the eave of the building on outdoor space #1. There was also a water leak, with hanging drywall in space G. #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. One canister of Disinfectant Wipes and one bottle of Windex was stored in an unlocked cabinet of the unlocked bathroom in space A. This is a violation of a requirement in .2820(b). Today, there was one spray bottle of sanitizer, disinfectant, and soapy water on the counter, below five feet in space F. #841-Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One bottle of Benadryl was stored in an unlocked bookbag, above five feet, in space G. This is a violation of a requirement in 15A NCAC 18A .2820(d). The bottle of Benadryl was stored in a locked cabinet, near the sink, of space G. All other medications were stored as required. #859-Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation of a playground inspection for November 2024 and December 2024 was not on file for review. This is a violation of a requirement in .0605(q). No new playground inspections have been completed since the last visit. It was reported that a on May 8, 2025, calendar invite it set for each month and following the inspection, the documentation is sent to the Operations Manager for review. #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. Documentation for safe sleep checks for the months of April 2025 and May 2025 were not on file for review during the visit. This is a violation of a requirement in .0606(g). Safe sleep charts were available for review that were dated May 7, 2025 through May 14, 2025. A sleep chart was reviewed for a child that was asleep during the visit. The chart reflects the child went to sleep at 8:40am and woke up at 9:23 am. The chart did not reflect two checks that were required during that 43 minute time frame. #1048-All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Current First Aid certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. This is a violation of a requirement in .1102(c). First Aid cards were not available for the staff employed on 6/7/23, 2/5/24, and 2/3/25. It was reported that the staff completed the training in February 2025. Administration contacted the trainer on 5/7/25 and tech support concerning getting a copy of the cards. You are still working on a resolution. #1049- All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Current CPR certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. This is a violation of a requirement in .1102(d). CPR cards were not available for the staff employed on 6/7/23, 2/5/24, and 2/3/25. It was reported that the staff completed the training in February 2025. Administration contacted the trainer on 5/7/25 and tech support concerning getting a copy of the cards. You are still working on a resolution. #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. Staff employed 6/7/23 has ITS-SIDS training that expired on 3/29/25. This is a violation of a requirement in .1102(f). Staff employed on 6/7/23 has registered for an ITS-SIDS training on June 17, 2025. Registration confirmation was reviewed during the visit. #1321- Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for a child enrolled on 12/19/23 was dated 2/5/24. This is a violation of a requirement in GS110-91(1). It was reported that your current practice requires a health assessment for children upon enrollment. One file, of a newly enroll child, was reviewed and a medical exam was one file. #1323- Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization records on file for a child enrolled on 12/18/23 was dated 8/9/24. This is a violation of a requirement in 10A NCAC 09 .0302(d)(2). It was reported that your current practice requires a copy of immunizations records for children upon enrollment. One file, of a newly enrolled child, was reviewed and an immunization record was on file. #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 EPR Plan was last reviewed/revised on 4/29/24. This is a violation of a requirement in .0607(e). The EPR Plan was reviewed and revised on 5/7/25. It was reported that you are still developing a plan to maintain compliance. #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. An asthma action plan was not of file for a child enrolled in space E. This is a violation of a requirement in .0801(b). The inhaler is no longer present in space E. It was reported that the inhaler was returned to the family on 5/8/25 and you requested a copy of the asthma action plan to be returned with the medication if it is still needed. #1898-Staff did not complete the health and safety training within one year of employment. Staff employed on 11/6/23 and 5/6/24 did not complete the health and safety training within one year of employment. This is a violation of a requirement in .1102(a). Staff were employed on 11/6/23 and 5/6/24 have begun completing health and safety trainings. Copies of the completed trainings were on file for review. It was reported there are scheduled times for staff to have classroom coverage to be able to complete the trainings onsite. The following violations were documented today and included three (3) repeated violations as reflected in the violation customization. As stated in the May 7, 2025, visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. Today, item # 807 regarding a safe indoor and outdoor environment, #840 concerning storage of hazardous times, and #887 concerning the documentation of safe sleep checks were cited again. During the May 7, 2025 visit, item# 840 was corrected during the visit by locking the closet where the Windex and Disinfectant Wipes were stored. Today, I observed spray bottles of sanitizer solution, disinfectant solution, and soapy water solution present on the sink counter, below five feet, in space F. Technical assistance (TA) was provided during the May 7, 2025 visit and was recorded on the visit summary reviewed and left with you at the end of the visit. TA for item #807 including regular inspection outdoor space including while the space is in use. For item #887, TA included completing the checks and administrative staff completing periodic checks to ensure the check are documented as required. Repeat violations demonstrate a pattern of noncompliance and may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). You will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. As stated in the May 7, 2025, visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of six of the sixteen violations. Violations requiring additional time for correction, must be addressed immediately to ensure a safe environment for the children in your care. The following violations were documented: Violation Number Comment Rule 303 Children were not adequately supervised at all times. During a transition from outdoors to the classroom, six (6) children two years of age, passed through space G and entered space E for sixteen (16), where there was no staff present. .1801(a)(1-5) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. An empty soap bottle was stored above five feet in the bathroom of space F and three children did not have soap to use after using the bathroom. 15A NCAC 18A .2818(b) & (d) 807 A safe indoor and outdoor environment was not provided for the children. One active wasp nest was present on the eave of the building above the door to space B, on outdoor space #1. There was a ceiling leak with broken drywall in space G. 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 bottle of sanitizer solution, disinfectant solution, and soapy water solution, used for classroom cleaning, was stored on the sink counter, below five feet. .2820(b) 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. One safe sleep chart for a child asleep during the visit reflect the child falling asleep at 8:40 am and waking at 9:23 am. No other documentation of visual checks were documented. .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. The violation(s) documented must be corrected immediately. On or before May 28, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Supervision of Children- Supervising children is a critical component of ensuring the safety and well-being of all children. Staff must be actively engaged at all times for this to occur. Today, there were six children that left their teacher, who was in space G and entered space E, where there was no staff. The children were alone for sixteen (16) seconds until the administrator entered the room as she responded to the commotion hear in the hallway. Today, we discussed how the transitions from outdoor to indoor may need to be revised. Providing additional staff to groups serving younger children can help expedite the transition and provide more adults to supervise the children as they move from one space to another. Review Child Care Rule 10A NCAC 09 .1801 regarding supervision with all your staff. Storage of Hazardous Items- Please review child care rule 10A NCAC 09 .0604 regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. Today, the daily cleaning solutions were stored on the counter, next to the classroom sink. You stated that the classroom has designated space in the cabinet for the spray bottles to be stored. We discussed installing an open shelf, above five feet, for the bottles to be stored for easier access to the staff. Review the Hazardous Items Storage poster with your staff and provide copies for each classroom as a visual reminder. A copy was provided to you during the visit and additional copies can be found on the Division’s website under Provider Documents. Safe Sleep Checks- Safe sleep checks should be documented every 15 minutes to ensure consistent monitoring of infants, allowing for early detection of potential risks like distress or overheating. This documentation helps maintain accountability, improves communication among caregivers, and provides parents/guardians with access to information about their child's sleep patterns. Today, there was a 43 minute period where a safe sleep check was not documented. During the visit you gathered timers for the staff in space A, to use to remind them to complete and document safe sleep checks. Staff may benefit from additional training such as Prevention of Sudden Infant Death Syndrome and Use of Safe Sleeping Practices on DCDEE Moodle. Handwashing- Hand hygiene is the most important way to reduce the spread of infection. For hand washing to be effective, there must be access to warm running water, soap, and individual drying towels. During handwashing for children in space F did not have soap in the bathroom. Upon request, soap with provided to the children. Today, we discussed why the soap was being stored above five feet. We discussed installing a shelf or basket beside the sink to hold the dispensers for easy access. During your daily walk through of the building, check to ensure each space has the materials required to keep children healthy and safe. Safe Indoor/Outdoor environments- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. Today, there was an active wasp nest on outdoor space #1. There was a leaking ceiling with hanging dry wall in space G. You shared that the a workorder was put in on 5/7/25 for the wasp nest. A facilities maintenance member came to remove the nest on 5/12/25 and that remaining nest must have been omitted by mistake. Children did not use outdoor space #1 due to the rain. It was reported that a ceiling leak was discovered on 5/14/25 and a work order was placed by C. Toler. Upon your discovery of the ceiling, you closed the classroom and moved the children to a different space and confirmed the work order was put in. Technical assistance was provided about completing daily inspections of all indoor and outdoor spaces prior to being used by children to ensure they are hazard free. We talked about how staff are to report hazards and what step can be taken to ensure hazards are handled immediately. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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

NC GS 110-90 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 76 Completed Date: 5/14/2025 Age: From 0 To 5 Total Minutes: 304 Time In: 09:11 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my May 7, 2025, Annual Compliance Visit. Six groups of children were observed in the indoor learning environment. Children enrolled in space A, were engaged in tummy time, napping and bottle feeding. In space B, children gathered on the floor with teachers, singing songs during group time. In spaces D, E, F, G, children were engaged in indoor free play with learning materials that were stored on low lying shelves for easy access. The following violations documented during the May 7, 2025, visit were monitored for compliance during this visit: #526-Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated April 14, 2025 to April 18, 2025. This is a violation of a requirement in 10A NCAC 09 .0901(b). Today, I observed menus posted in the lobby and kitchen that was dated from May 12-May 31, 2025. #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 A, a child arrived to the classroom and was sat in a highchair for meal time without washing their hands. This is a violation of a requirement in 15A NCAC 18A .2803(c). Today, I observed children in space F, that attempted to wash their hands, but there was no soap available. #805-Fire drills were not practiced monthly and/or the drill record was incomplete. The file drill log did not include documentation of a file drill for April 2025. This is a violation of a requirement in .0604(t); .0302(d)(5). No fire drill has occurred since the last visit. It was reported that on May 8, 2025, a monthly calendar invite has been created and upon completion of the drill, the administrator is required to submit the updated drill log to the facility Operations Manager. #807- A safe indoor and outdoor environment was not provided for the children. Four active wasp nest were observed in outdoor space #1, in the playhouse and on the eave of the building. This is a violation of a requirement in 10A NCAC 09 .0601(a). Today there was one active wasp nest on the eave of the building on outdoor space #1. There was also a water leak, with hanging drywall in space G. #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. One canister of Disinfectant Wipes and one bottle of Windex was stored in an unlocked cabinet of the unlocked bathroom in space A. This is a violation of a requirement in .2820(b). Today, there was one spray bottle of sanitizer, disinfectant, and soapy water on the counter, below five feet in space F. #841-Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One bottle of Benadryl was stored in an unlocked bookbag, above five feet, in space G. This is a violation of a requirement in 15A NCAC 18A .2820(d). The bottle of Benadryl was stored in a locked cabinet, near the sink, of space G. All other medications were stored as required. #859-Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation of a playground inspection for November 2024 and December 2024 was not on file for review. This is a violation of a requirement in .0605(q). No new playground inspections have been completed since the last visit. It was reported that a on May 8, 2025, calendar invite it set for each month and following the inspection, the documentation is sent to the Operations Manager for review. #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. Documentation for safe sleep checks for the months of April 2025 and May 2025 were not on file for review during the visit. This is a violation of a requirement in .0606(g). Safe sleep charts were available for review that were dated May 7, 2025 through May 14, 2025. A sleep chart was reviewed for a child that was asleep during the visit. The chart reflects the child went to sleep at 8:40am and woke up at 9:23 am. The chart did not reflect two checks that were required during that 43 minute time frame. #1048-All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Current First Aid certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. This is a violation of a requirement in .1102(c). First Aid cards were not available for the staff employed on 6/7/23, 2/5/24, and 2/3/25. It was reported that the staff completed the training in February 2025. Administration contacted the trainer on 5/7/25 and tech support concerning getting a copy of the cards. You are still working on a resolution. #1049- All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Current CPR certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. This is a violation of a requirement in .1102(d). CPR cards were not available for the staff employed on 6/7/23, 2/5/24, and 2/3/25. It was reported that the staff completed the training in February 2025. Administration contacted the trainer on 5/7/25 and tech support concerning getting a copy of the cards. You are still working on a resolution. #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. Staff employed 6/7/23 has ITS-SIDS training that expired on 3/29/25. This is a violation of a requirement in .1102(f). Staff employed on 6/7/23 has registered for an ITS-SIDS training on June 17, 2025. Registration confirmation was reviewed during the visit. #1321- Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for a child enrolled on 12/19/23 was dated 2/5/24. This is a violation of a requirement in GS110-91(1). It was reported that your current practice requires a health assessment for children upon enrollment. One file, of a newly enroll child, was reviewed and a medical exam was one file. #1323- Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization records on file for a child enrolled on 12/18/23 was dated 8/9/24. This is a violation of a requirement in 10A NCAC 09 .0302(d)(2). It was reported that your current practice requires a copy of immunizations records for children upon enrollment. One file, of a newly enrolled child, was reviewed and an immunization record was on file. #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 EPR Plan was last reviewed/revised on 4/29/24. This is a violation of a requirement in .0607(e). The EPR Plan was reviewed and revised on 5/7/25. It was reported that you are still developing a plan to maintain compliance. #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. An asthma action plan was not of file for a child enrolled in space E. This is a violation of a requirement in .0801(b). The inhaler is no longer present in space E. It was reported that the inhaler was returned to the family on 5/8/25 and you requested a copy of the asthma action plan to be returned with the medication if it is still needed. #1898-Staff did not complete the health and safety training within one year of employment. Staff employed on 11/6/23 and 5/6/24 did not complete the health and safety training within one year of employment. This is a violation of a requirement in .1102(a). Staff were employed on 11/6/23 and 5/6/24 have begun completing health and safety trainings. Copies of the completed trainings were on file for review. It was reported there are scheduled times for staff to have classroom coverage to be able to complete the trainings onsite. The following violations were documented today and included three (3) repeated violations as reflected in the violation customization. As stated in the May 7, 2025, visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. Today, item # 807 regarding a safe indoor and outdoor environment, #840 concerning storage of hazardous times, and #887 concerning the documentation of safe sleep checks were cited again. During the May 7, 2025 visit, item# 840 was corrected during the visit by locking the closet where the Windex and Disinfectant Wipes were stored. Today, I observed spray bottles of sanitizer solution, disinfectant solution, and soapy water solution present on the sink counter, below five feet, in space F. Technical assistance (TA) was provided during the May 7, 2025 visit and was recorded on the visit summary reviewed and left with you at the end of the visit. TA for item #807 including regular inspection outdoor space including while the space is in use. For item #887, TA included completing the checks and administrative staff completing periodic checks to ensure the check are documented as required. Repeat violations demonstrate a pattern of noncompliance and may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). You will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. As stated in the May 7, 2025, visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of six of the sixteen violations. Violations requiring additional time for correction, must be addressed immediately to ensure a safe environment for the children in your care. The following violations were documented: Violation Number Comment Rule 303 Children were not adequately supervised at all times. During a transition from outdoors to the classroom, six (6) children two years of age, passed through space G and entered space E for sixteen (16), where there was no staff present. .1801(a)(1-5) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. An empty soap bottle was stored above five feet in the bathroom of space F and three children did not have soap to use after using the bathroom. 15A NCAC 18A .2818(b) & (d) 807 A safe indoor and outdoor environment was not provided for the children. One active wasp nest was present on the eave of the building above the door to space B, on outdoor space #1. There was a ceiling leak with broken drywall in space G. 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 bottle of sanitizer solution, disinfectant solution, and soapy water solution, used for classroom cleaning, was stored on the sink counter, below five feet. .2820(b) 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. One safe sleep chart for a child asleep during the visit reflect the child falling asleep at 8:40 am and waking at 9:23 am. No other documentation of visual checks were documented. .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. The violation(s) documented must be corrected immediately. On or before May 28, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Supervision of Children- Supervising children is a critical component of ensuring the safety and well-being of all children. Staff must be actively engaged at all times for this to occur. Today, there were six children that left their teacher, who was in space G and entered space E, where there was no staff. The children were alone for sixteen (16) seconds until the administrator entered the room as she responded to the commotion hear in the hallway. Today, we discussed how the transitions from outdoor to indoor may need to be revised. Providing additional staff to groups serving younger children can help expedite the transition and provide more adults to supervise the children as they move from one space to another. Review Child Care Rule 10A NCAC 09 .1801 regarding supervision with all your staff. Storage of Hazardous Items- Please review child care rule 10A NCAC 09 .0604 regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. Today, the daily cleaning solutions were stored on the counter, next to the classroom sink. You stated that the classroom has designated space in the cabinet for the spray bottles to be stored. We discussed installing an open shelf, above five feet, for the bottles to be stored for easier access to the staff. Review the Hazardous Items Storage poster with your staff and provide copies for each classroom as a visual reminder. A copy was provided to you during the visit and additional copies can be found on the Division’s website under Provider Documents. Safe Sleep Checks- Safe sleep checks should be documented every 15 minutes to ensure consistent monitoring of infants, allowing for early detection of potential risks like distress or overheating. This documentation helps maintain accountability, improves communication among caregivers, and provides parents/guardians with access to information about their child's sleep patterns. Today, there was a 43 minute period where a safe sleep check was not documented. During the visit you gathered timers for the staff in space A, to use to remind them to complete and document safe sleep checks. Staff may benefit from additional training such as Prevention of Sudden Infant Death Syndrome and Use of Safe Sleeping Practices on DCDEE Moodle. Handwashing- Hand hygiene is the most important way to reduce the spread of infection. For hand washing to be effective, there must be access to warm running water, soap, and individual drying towels. During handwashing for children in space F did not have soap in the bathroom. Upon request, soap with provided to the children. Today, we discussed why the soap was being stored above five feet. We discussed installing a shelf or basket beside the sink to hold the dispensers for easy access. During your daily walk through of the building, check to ensure each space has the materials required to keep children healthy and safe. Safe Indoor/Outdoor environments- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. Today, there was an active wasp nest on outdoor space #1. There was a leaking ceiling with hanging dry wall in space G. You shared that the a workorder was put in on 5/7/25 for the wasp nest. A facilities maintenance member came to remove the nest on 5/12/25 and that remaining nest must have been omitted by mistake. Children did not use outdoor space #1 due to the rain. It was reported that a ceiling leak was discovered on 5/14/25 and a work order was placed by C. Toler. Upon your discovery of the ceiling, you closed the classroom and moved the children to a different space and confirmed the work order was put in. Technical assistance was provided about completing daily inspections of all indoor and outdoor spaces prior to being used by children to ensure they are hazard free. We talked about how staff are to report hazards and what step can be taken to ensure hazards are handled immediately. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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 .0601 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 73 Completed Date: 5/7/2025 Age: From 0 To 5 Total Minutes: 417 Time In: 08:28 AM Time Out: 03:25 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. Your program currently operates with a three-star license, issued 12/8/23, earning 5 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option of staff benefits and infrastructure of parent involvement. The sanitation inspection was completed 2/10/25 with a “Superior” classification. The last fire inspection was conducted 8/21/24 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 nine percent as of 5/6/25. The NC Secretary of State website was reviewed on 5/6/25 and 4890 Old Tar Road, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. There has been a change in administrator, please provided the required documents by May 15, 2025. Six groups of children were observed in the indoor and outdoor learning environments. Children enrolled in space A were received care according to individual needs including tummy time, napping, and feeding. In spaces E, F, and G, children were engaged in indoor free play with blocks, books, and dramatic play materials. Staff were observed assisting children with personal care needs, doing small group activities and moving about spaces. Children enrolled in space B and D engaging in outdoor free play with stationary climbing structure, and ride on toys. Lunch was observed and consisted of spaghetti with beef, toss salad, pears, and milk. The following violations were documented. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated April 14, 2025 to April 18, 2025. 10A NCAC 09 .0901(b) 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 A, child arrived the classroom and was sat in a highchair for meal time without washing their hands. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The file drill log did not include documentation of a file drill for April 2025. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Four active wasp nest were observed in outdoor space #1, in the playhouse and on the eave of the building. 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. One canister of Disinfectant Wipes and one bottle of Windex was stored in an unlocked cabinet of the unlocked bathroom in space A. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One bottle of Benadryl was stored in an unlocked bookbag, above five feet, in space G. 15A NCAC 18A .2820(d) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation of a playground inspection for November 2024 and December 2024 was not on file for review. .0605(q) 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. Documentation for safe sleep checks for the months of April 2025 and May 2025 were not on file for review during the visit. .0606(g) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Current First Aid certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Current CPR certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. .1102(d) 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. Staff employed 6/7/23 has ITS-SIDS training that expired on 3/29/25. .1102(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for a child enrolled on 12/19/23 was dated 2/5/24. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization records on file for a child enrolled on 12/18/23 was dated 8/9/24. 10A NCAC 09 .0302(d)(2) 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 EPR Plan was last reviewed/revised on 4/29/24. .0607(e) 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. An asthma action plan was not of file for a child enrolled in space E. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff employed on 11/6/23 and 5/6/24 did not complete the health and safety training within one year of employment. .1102(a) 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. The violation(s) documented must be corrected immediately. On or before 5/21/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Staff Records- Maintaining accurate documentation in your center is critical in demonstrating compliance with the child care rules and to ensuring that your staff meet the requirements to provide a healthy and safe environment for the children in their care. Staff employed 11/6/23 and 5/6/24 did not complete health and safety training within the first year of employment. You shared the staff have started the trainings but did not complete all the trainings in the series. Staff employed 6/7/23 did not complete their three year ITS-SIDS recertification. You stated that because the staff is now in an administrator role, you were not aware they still were required to have the training. Staff employed on 2/3/25 did not complete First Aid/CPR training withing the first 90 days of employment. Staff employed on 6/7/23 and 2/19/24 had a First Aid/CPR certification on file that expired 2/2025. You shared that staff completed First Aid/ CPR training in February 2025 but did not provide you with a copy of their card or certificate. You attempted to obtain the cards from the staff and trainer. Cards were not obtained by the conclusion of the visit. Today, we discussed your current practices for monitoring and tracking trainings. Develop a consistent practice to review trainings at least monthly to ensure all trainings are completed in a timely manner. Children’s Records- One of the eleven children’s records reviewed contained medical reports and immunization records that are dated beyond 30 days of enrollment. You stated that your current practice is to have parents provide medical reports and immunization records on or before the child’s first day of care. Review children’s records regularly to ensure the records contain the required documents. Medication- Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. Today I observed an albuterol inhaler with no medical action plan and Benadryl that was not properly stored. You shared that the medical action plans are stored in the classroom and in the child’s file, but you were not aware it was missing. You share that Benadryl is part of an allergy action plan for the child enrolled in space G, and because of that it could be stored as other emergency medications. Today, technical assistance was provided about medication storage and medication monitoring. Review medications regularly to ensure you have the required documentation and that medications are stored as required. Safe Sleep Checks- There are about 3,500 sleep-related deaths among US babies each year. Child care providers can maintain safer sleep environments for babies that help prevent SIDS. Caregivers must visually check sleeping infants at least every fifteen (15) minutes. Each check needs to be recorded and those records maintained for at least 30 days after the recording month. Sleep charts for dates beyond March 31, 2025 were not available for review during the visit. It was reported that staff record children’s naps on the ProCare app, however, it does not reflect a check of at least every 15 minutes. Technical assistance was provided concerning doing periodic check of the safe sleep check record to ensure they are be documented consistently. Storage of Hazardous Items- There are over two million human poison exposures reported to poison centers every year. Children under six years of age account for over half of those potential poisonings. One canister of Disinfectant Wipes and one bottle of Windex was in an unlocked cabinet in the bathroom of space A. These items are required to be kept in locked storage. Posting reminders, creating labels and a daily walk through prior to children’s arrival can help you in preventing this violation in the future. Outdoor Inspections- Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials within the play site, and to ensure that appropriate repairs are made as soon as possible. Regularity of inspections can be assured by assigning a staff member to check all play equipment to make certain that it is safe for children. Observations should be made while the children are playing too, to spot any maintenance problems and correct them as soon as possible. There were four active wasp nest in outdoor space #1 and the documentation of an inspection for November 2024 and December 2024 was not on file for review. You stated that you do have playground inspections completed monthly, and the documentation must have been misplaced. Be sure to do daily inspections as well and as the weather is changing be sure to look for things such as insect activity and the accumulation of mold and mildew. Fire Drills- Records of monthly fire drills must be maintained. There must be at least one unannounced fire drill monthly and it should be conducted at a different time each month. Drills should be held at unexpected times and under varying conditions to simulate the unusual conditions that occur in case of fire. You stated that at drill was conducted on April 29, 2025, at 10:22am by the new administrator. She showed correspondence with a colleague stating the drill was completed. We discussed documenting events as they occur to maintain current and accurate records. Additional Comments: Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. NCID- Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deepsleep). The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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 .0302 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 73 Completed Date: 5/7/2025 Age: From 0 To 5 Total Minutes: 417 Time In: 08:28 AM Time Out: 03:25 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. Your program currently operates with a three-star license, issued 12/8/23, earning 5 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option of staff benefits and infrastructure of parent involvement. The sanitation inspection was completed 2/10/25 with a “Superior” classification. The last fire inspection was conducted 8/21/24 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 nine percent as of 5/6/25. The NC Secretary of State website was reviewed on 5/6/25 and 4890 Old Tar Road, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. There has been a change in administrator, please provided the required documents by May 15, 2025. Six groups of children were observed in the indoor and outdoor learning environments. Children enrolled in space A were received care according to individual needs including tummy time, napping, and feeding. In spaces E, F, and G, children were engaged in indoor free play with blocks, books, and dramatic play materials. Staff were observed assisting children with personal care needs, doing small group activities and moving about spaces. Children enrolled in space B and D engaging in outdoor free play with stationary climbing structure, and ride on toys. Lunch was observed and consisted of spaghetti with beef, toss salad, pears, and milk. The following violations were documented. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated April 14, 2025 to April 18, 2025. 10A NCAC 09 .0901(b) 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 A, child arrived the classroom and was sat in a highchair for meal time without washing their hands. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The file drill log did not include documentation of a file drill for April 2025. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Four active wasp nest were observed in outdoor space #1, in the playhouse and on the eave of the building. 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. One canister of Disinfectant Wipes and one bottle of Windex was stored in an unlocked cabinet of the unlocked bathroom in space A. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One bottle of Benadryl was stored in an unlocked bookbag, above five feet, in space G. 15A NCAC 18A .2820(d) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation of a playground inspection for November 2024 and December 2024 was not on file for review. .0605(q) 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. Documentation for safe sleep checks for the months of April 2025 and May 2025 were not on file for review during the visit. .0606(g) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Current First Aid certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Current CPR certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. .1102(d) 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. Staff employed 6/7/23 has ITS-SIDS training that expired on 3/29/25. .1102(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for a child enrolled on 12/19/23 was dated 2/5/24. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization records on file for a child enrolled on 12/18/23 was dated 8/9/24. 10A NCAC 09 .0302(d)(2) 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 EPR Plan was last reviewed/revised on 4/29/24. .0607(e) 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. An asthma action plan was not of file for a child enrolled in space E. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff employed on 11/6/23 and 5/6/24 did not complete the health and safety training within one year of employment. .1102(a) 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. The violation(s) documented must be corrected immediately. On or before 5/21/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Staff Records- Maintaining accurate documentation in your center is critical in demonstrating compliance with the child care rules and to ensuring that your staff meet the requirements to provide a healthy and safe environment for the children in their care. Staff employed 11/6/23 and 5/6/24 did not complete health and safety training within the first year of employment. You shared the staff have started the trainings but did not complete all the trainings in the series. Staff employed 6/7/23 did not complete their three year ITS-SIDS recertification. You stated that because the staff is now in an administrator role, you were not aware they still were required to have the training. Staff employed on 2/3/25 did not complete First Aid/CPR training withing the first 90 days of employment. Staff employed on 6/7/23 and 2/19/24 had a First Aid/CPR certification on file that expired 2/2025. You shared that staff completed First Aid/ CPR training in February 2025 but did not provide you with a copy of their card or certificate. You attempted to obtain the cards from the staff and trainer. Cards were not obtained by the conclusion of the visit. Today, we discussed your current practices for monitoring and tracking trainings. Develop a consistent practice to review trainings at least monthly to ensure all trainings are completed in a timely manner. Children’s Records- One of the eleven children’s records reviewed contained medical reports and immunization records that are dated beyond 30 days of enrollment. You stated that your current practice is to have parents provide medical reports and immunization records on or before the child’s first day of care. Review children’s records regularly to ensure the records contain the required documents. Medication- Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. Today I observed an albuterol inhaler with no medical action plan and Benadryl that was not properly stored. You shared that the medical action plans are stored in the classroom and in the child’s file, but you were not aware it was missing. You share that Benadryl is part of an allergy action plan for the child enrolled in space G, and because of that it could be stored as other emergency medications. Today, technical assistance was provided about medication storage and medication monitoring. Review medications regularly to ensure you have the required documentation and that medications are stored as required. Safe Sleep Checks- There are about 3,500 sleep-related deaths among US babies each year. Child care providers can maintain safer sleep environments for babies that help prevent SIDS. Caregivers must visually check sleeping infants at least every fifteen (15) minutes. Each check needs to be recorded and those records maintained for at least 30 days after the recording month. Sleep charts for dates beyond March 31, 2025 were not available for review during the visit. It was reported that staff record children’s naps on the ProCare app, however, it does not reflect a check of at least every 15 minutes. Technical assistance was provided concerning doing periodic check of the safe sleep check record to ensure they are be documented consistently. Storage of Hazardous Items- There are over two million human poison exposures reported to poison centers every year. Children under six years of age account for over half of those potential poisonings. One canister of Disinfectant Wipes and one bottle of Windex was in an unlocked cabinet in the bathroom of space A. These items are required to be kept in locked storage. Posting reminders, creating labels and a daily walk through prior to children’s arrival can help you in preventing this violation in the future. Outdoor Inspections- Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials within the play site, and to ensure that appropriate repairs are made as soon as possible. Regularity of inspections can be assured by assigning a staff member to check all play equipment to make certain that it is safe for children. Observations should be made while the children are playing too, to spot any maintenance problems and correct them as soon as possible. There were four active wasp nest in outdoor space #1 and the documentation of an inspection for November 2024 and December 2024 was not on file for review. You stated that you do have playground inspections completed monthly, and the documentation must have been misplaced. Be sure to do daily inspections as well and as the weather is changing be sure to look for things such as insect activity and the accumulation of mold and mildew. Fire Drills- Records of monthly fire drills must be maintained. There must be at least one unannounced fire drill monthly and it should be conducted at a different time each month. Drills should be held at unexpected times and under varying conditions to simulate the unusual conditions that occur in case of fire. You stated that at drill was conducted on April 29, 2025, at 10:22am by the new administrator. She showed correspondence with a colleague stating the drill was completed. We discussed documenting events as they occur to maintain current and accurate records. Additional Comments: Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. NCID- Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deepsleep). The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 73 Completed Date: 5/7/2025 Age: From 0 To 5 Total Minutes: 417 Time In: 08:28 AM Time Out: 03:25 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. Your program currently operates with a three-star license, issued 12/8/23, earning 5 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option of staff benefits and infrastructure of parent involvement. The sanitation inspection was completed 2/10/25 with a “Superior” classification. The last fire inspection was conducted 8/21/24 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 nine percent as of 5/6/25. The NC Secretary of State website was reviewed on 5/6/25 and 4890 Old Tar Road, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. There has been a change in administrator, please provided the required documents by May 15, 2025. Six groups of children were observed in the indoor and outdoor learning environments. Children enrolled in space A were received care according to individual needs including tummy time, napping, and feeding. In spaces E, F, and G, children were engaged in indoor free play with blocks, books, and dramatic play materials. Staff were observed assisting children with personal care needs, doing small group activities and moving about spaces. Children enrolled in space B and D engaging in outdoor free play with stationary climbing structure, and ride on toys. Lunch was observed and consisted of spaghetti with beef, toss salad, pears, and milk. The following violations were documented. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated April 14, 2025 to April 18, 2025. 10A NCAC 09 .0901(b) 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 A, child arrived the classroom and was sat in a highchair for meal time without washing their hands. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The file drill log did not include documentation of a file drill for April 2025. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Four active wasp nest were observed in outdoor space #1, in the playhouse and on the eave of the building. 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. One canister of Disinfectant Wipes and one bottle of Windex was stored in an unlocked cabinet of the unlocked bathroom in space A. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One bottle of Benadryl was stored in an unlocked bookbag, above five feet, in space G. 15A NCAC 18A .2820(d) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation of a playground inspection for November 2024 and December 2024 was not on file for review. .0605(q) 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. Documentation for safe sleep checks for the months of April 2025 and May 2025 were not on file for review during the visit. .0606(g) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Current First Aid certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Current CPR certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. .1102(d) 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. Staff employed 6/7/23 has ITS-SIDS training that expired on 3/29/25. .1102(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for a child enrolled on 12/19/23 was dated 2/5/24. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization records on file for a child enrolled on 12/18/23 was dated 8/9/24. 10A NCAC 09 .0302(d)(2) 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 EPR Plan was last reviewed/revised on 4/29/24. .0607(e) 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. An asthma action plan was not of file for a child enrolled in space E. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff employed on 11/6/23 and 5/6/24 did not complete the health and safety training within one year of employment. .1102(a) 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. The violation(s) documented must be corrected immediately. On or before 5/21/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Staff Records- Maintaining accurate documentation in your center is critical in demonstrating compliance with the child care rules and to ensuring that your staff meet the requirements to provide a healthy and safe environment for the children in their care. Staff employed 11/6/23 and 5/6/24 did not complete health and safety training within the first year of employment. You shared the staff have started the trainings but did not complete all the trainings in the series. Staff employed 6/7/23 did not complete their three year ITS-SIDS recertification. You stated that because the staff is now in an administrator role, you were not aware they still were required to have the training. Staff employed on 2/3/25 did not complete First Aid/CPR training withing the first 90 days of employment. Staff employed on 6/7/23 and 2/19/24 had a First Aid/CPR certification on file that expired 2/2025. You shared that staff completed First Aid/ CPR training in February 2025 but did not provide you with a copy of their card or certificate. You attempted to obtain the cards from the staff and trainer. Cards were not obtained by the conclusion of the visit. Today, we discussed your current practices for monitoring and tracking trainings. Develop a consistent practice to review trainings at least monthly to ensure all trainings are completed in a timely manner. Children’s Records- One of the eleven children’s records reviewed contained medical reports and immunization records that are dated beyond 30 days of enrollment. You stated that your current practice is to have parents provide medical reports and immunization records on or before the child’s first day of care. Review children’s records regularly to ensure the records contain the required documents. Medication- Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. Today I observed an albuterol inhaler with no medical action plan and Benadryl that was not properly stored. You shared that the medical action plans are stored in the classroom and in the child’s file, but you were not aware it was missing. You share that Benadryl is part of an allergy action plan for the child enrolled in space G, and because of that it could be stored as other emergency medications. Today, technical assistance was provided about medication storage and medication monitoring. Review medications regularly to ensure you have the required documentation and that medications are stored as required. Safe Sleep Checks- There are about 3,500 sleep-related deaths among US babies each year. Child care providers can maintain safer sleep environments for babies that help prevent SIDS. Caregivers must visually check sleeping infants at least every fifteen (15) minutes. Each check needs to be recorded and those records maintained for at least 30 days after the recording month. Sleep charts for dates beyond March 31, 2025 were not available for review during the visit. It was reported that staff record children’s naps on the ProCare app, however, it does not reflect a check of at least every 15 minutes. Technical assistance was provided concerning doing periodic check of the safe sleep check record to ensure they are be documented consistently. Storage of Hazardous Items- There are over two million human poison exposures reported to poison centers every year. Children under six years of age account for over half of those potential poisonings. One canister of Disinfectant Wipes and one bottle of Windex was in an unlocked cabinet in the bathroom of space A. These items are required to be kept in locked storage. Posting reminders, creating labels and a daily walk through prior to children’s arrival can help you in preventing this violation in the future. Outdoor Inspections- Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials within the play site, and to ensure that appropriate repairs are made as soon as possible. Regularity of inspections can be assured by assigning a staff member to check all play equipment to make certain that it is safe for children. Observations should be made while the children are playing too, to spot any maintenance problems and correct them as soon as possible. There were four active wasp nest in outdoor space #1 and the documentation of an inspection for November 2024 and December 2024 was not on file for review. You stated that you do have playground inspections completed monthly, and the documentation must have been misplaced. Be sure to do daily inspections as well and as the weather is changing be sure to look for things such as insect activity and the accumulation of mold and mildew. Fire Drills- Records of monthly fire drills must be maintained. There must be at least one unannounced fire drill monthly and it should be conducted at a different time each month. Drills should be held at unexpected times and under varying conditions to simulate the unusual conditions that occur in case of fire. You stated that at drill was conducted on April 29, 2025, at 10:22am by the new administrator. She showed correspondence with a colleague stating the drill was completed. We discussed documenting events as they occur to maintain current and accurate records. Additional Comments: Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. NCID- Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deepsleep). The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 73 Completed Date: 5/7/2025 Age: From 0 To 5 Total Minutes: 417 Time In: 08:28 AM Time Out: 03:25 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. Your program currently operates with a three-star license, issued 12/8/23, earning 5 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option of staff benefits and infrastructure of parent involvement. The sanitation inspection was completed 2/10/25 with a “Superior” classification. The last fire inspection was conducted 8/21/24 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 nine percent as of 5/6/25. The NC Secretary of State website was reviewed on 5/6/25 and 4890 Old Tar Road, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. There has been a change in administrator, please provided the required documents by May 15, 2025. Six groups of children were observed in the indoor and outdoor learning environments. Children enrolled in space A were received care according to individual needs including tummy time, napping, and feeding. In spaces E, F, and G, children were engaged in indoor free play with blocks, books, and dramatic play materials. Staff were observed assisting children with personal care needs, doing small group activities and moving about spaces. Children enrolled in space B and D engaging in outdoor free play with stationary climbing structure, and ride on toys. Lunch was observed and consisted of spaghetti with beef, toss salad, pears, and milk. The following violations were documented. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated April 14, 2025 to April 18, 2025. 10A NCAC 09 .0901(b) 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 A, child arrived the classroom and was sat in a highchair for meal time without washing their hands. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The file drill log did not include documentation of a file drill for April 2025. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Four active wasp nest were observed in outdoor space #1, in the playhouse and on the eave of the building. 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. One canister of Disinfectant Wipes and one bottle of Windex was stored in an unlocked cabinet of the unlocked bathroom in space A. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One bottle of Benadryl was stored in an unlocked bookbag, above five feet, in space G. 15A NCAC 18A .2820(d) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation of a playground inspection for November 2024 and December 2024 was not on file for review. .0605(q) 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. Documentation for safe sleep checks for the months of April 2025 and May 2025 were not on file for review during the visit. .0606(g) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Current First Aid certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Current CPR certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. .1102(d) 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. Staff employed 6/7/23 has ITS-SIDS training that expired on 3/29/25. .1102(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for a child enrolled on 12/19/23 was dated 2/5/24. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization records on file for a child enrolled on 12/18/23 was dated 8/9/24. 10A NCAC 09 .0302(d)(2) 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 EPR Plan was last reviewed/revised on 4/29/24. .0607(e) 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. An asthma action plan was not of file for a child enrolled in space E. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff employed on 11/6/23 and 5/6/24 did not complete the health and safety training within one year of employment. .1102(a) 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. The violation(s) documented must be corrected immediately. On or before 5/21/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Staff Records- Maintaining accurate documentation in your center is critical in demonstrating compliance with the child care rules and to ensuring that your staff meet the requirements to provide a healthy and safe environment for the children in their care. Staff employed 11/6/23 and 5/6/24 did not complete health and safety training within the first year of employment. You shared the staff have started the trainings but did not complete all the trainings in the series. Staff employed 6/7/23 did not complete their three year ITS-SIDS recertification. You stated that because the staff is now in an administrator role, you were not aware they still were required to have the training. Staff employed on 2/3/25 did not complete First Aid/CPR training withing the first 90 days of employment. Staff employed on 6/7/23 and 2/19/24 had a First Aid/CPR certification on file that expired 2/2025. You shared that staff completed First Aid/ CPR training in February 2025 but did not provide you with a copy of their card or certificate. You attempted to obtain the cards from the staff and trainer. Cards were not obtained by the conclusion of the visit. Today, we discussed your current practices for monitoring and tracking trainings. Develop a consistent practice to review trainings at least monthly to ensure all trainings are completed in a timely manner. Children’s Records- One of the eleven children’s records reviewed contained medical reports and immunization records that are dated beyond 30 days of enrollment. You stated that your current practice is to have parents provide medical reports and immunization records on or before the child’s first day of care. Review children’s records regularly to ensure the records contain the required documents. Medication- Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. Today I observed an albuterol inhaler with no medical action plan and Benadryl that was not properly stored. You shared that the medical action plans are stored in the classroom and in the child’s file, but you were not aware it was missing. You share that Benadryl is part of an allergy action plan for the child enrolled in space G, and because of that it could be stored as other emergency medications. Today, technical assistance was provided about medication storage and medication monitoring. Review medications regularly to ensure you have the required documentation and that medications are stored as required. Safe Sleep Checks- There are about 3,500 sleep-related deaths among US babies each year. Child care providers can maintain safer sleep environments for babies that help prevent SIDS. Caregivers must visually check sleeping infants at least every fifteen (15) minutes. Each check needs to be recorded and those records maintained for at least 30 days after the recording month. Sleep charts for dates beyond March 31, 2025 were not available for review during the visit. It was reported that staff record children’s naps on the ProCare app, however, it does not reflect a check of at least every 15 minutes. Technical assistance was provided concerning doing periodic check of the safe sleep check record to ensure they are be documented consistently. Storage of Hazardous Items- There are over two million human poison exposures reported to poison centers every year. Children under six years of age account for over half of those potential poisonings. One canister of Disinfectant Wipes and one bottle of Windex was in an unlocked cabinet in the bathroom of space A. These items are required to be kept in locked storage. Posting reminders, creating labels and a daily walk through prior to children’s arrival can help you in preventing this violation in the future. Outdoor Inspections- Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials within the play site, and to ensure that appropriate repairs are made as soon as possible. Regularity of inspections can be assured by assigning a staff member to check all play equipment to make certain that it is safe for children. Observations should be made while the children are playing too, to spot any maintenance problems and correct them as soon as possible. There were four active wasp nest in outdoor space #1 and the documentation of an inspection for November 2024 and December 2024 was not on file for review. You stated that you do have playground inspections completed monthly, and the documentation must have been misplaced. Be sure to do daily inspections as well and as the weather is changing be sure to look for things such as insect activity and the accumulation of mold and mildew. Fire Drills- Records of monthly fire drills must be maintained. There must be at least one unannounced fire drill monthly and it should be conducted at a different time each month. Drills should be held at unexpected times and under varying conditions to simulate the unusual conditions that occur in case of fire. You stated that at drill was conducted on April 29, 2025, at 10:22am by the new administrator. She showed correspondence with a colleague stating the drill was completed. We discussed documenting events as they occur to maintain current and accurate records. Additional Comments: Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. NCID- Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deepsleep). The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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

NC GS 110-90 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 73 Completed Date: 5/7/2025 Age: From 0 To 5 Total Minutes: 417 Time In: 08:28 AM Time Out: 03:25 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. Your program currently operates with a three-star license, issued 12/8/23, earning 5 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option of staff benefits and infrastructure of parent involvement. The sanitation inspection was completed 2/10/25 with a “Superior” classification. The last fire inspection was conducted 8/21/24 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 nine percent as of 5/6/25. The NC Secretary of State website was reviewed on 5/6/25 and 4890 Old Tar Road, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. There has been a change in administrator, please provided the required documents by May 15, 2025. Six groups of children were observed in the indoor and outdoor learning environments. Children enrolled in space A were received care according to individual needs including tummy time, napping, and feeding. In spaces E, F, and G, children were engaged in indoor free play with blocks, books, and dramatic play materials. Staff were observed assisting children with personal care needs, doing small group activities and moving about spaces. Children enrolled in space B and D engaging in outdoor free play with stationary climbing structure, and ride on toys. Lunch was observed and consisted of spaghetti with beef, toss salad, pears, and milk. The following violations were documented. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated April 14, 2025 to April 18, 2025. 10A NCAC 09 .0901(b) 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 A, child arrived the classroom and was sat in a highchair for meal time without washing their hands. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The file drill log did not include documentation of a file drill for April 2025. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Four active wasp nest were observed in outdoor space #1, in the playhouse and on the eave of the building. 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. One canister of Disinfectant Wipes and one bottle of Windex was stored in an unlocked cabinet of the unlocked bathroom in space A. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One bottle of Benadryl was stored in an unlocked bookbag, above five feet, in space G. 15A NCAC 18A .2820(d) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation of a playground inspection for November 2024 and December 2024 was not on file for review. .0605(q) 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. Documentation for safe sleep checks for the months of April 2025 and May 2025 were not on file for review during the visit. .0606(g) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Current First Aid certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Current CPR certification was not on file for staff employed on 6/7/23, 2/5/24, and 2/3/25. .1102(d) 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. Staff employed 6/7/23 has ITS-SIDS training that expired on 3/29/25. .1102(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for a child enrolled on 12/19/23 was dated 2/5/24. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization records on file for a child enrolled on 12/18/23 was dated 8/9/24. 10A NCAC 09 .0302(d)(2) 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 EPR Plan was last reviewed/revised on 4/29/24. .0607(e) 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. An asthma action plan was not of file for a child enrolled in space E. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. Staff employed on 11/6/23 and 5/6/24 did not complete the health and safety training within one year of employment. .1102(a) 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. The violation(s) documented must be corrected immediately. On or before 5/21/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Staff Records- Maintaining accurate documentation in your center is critical in demonstrating compliance with the child care rules and to ensuring that your staff meet the requirements to provide a healthy and safe environment for the children in their care. Staff employed 11/6/23 and 5/6/24 did not complete health and safety training within the first year of employment. You shared the staff have started the trainings but did not complete all the trainings in the series. Staff employed 6/7/23 did not complete their three year ITS-SIDS recertification. You stated that because the staff is now in an administrator role, you were not aware they still were required to have the training. Staff employed on 2/3/25 did not complete First Aid/CPR training withing the first 90 days of employment. Staff employed on 6/7/23 and 2/19/24 had a First Aid/CPR certification on file that expired 2/2025. You shared that staff completed First Aid/ CPR training in February 2025 but did not provide you with a copy of their card or certificate. You attempted to obtain the cards from the staff and trainer. Cards were not obtained by the conclusion of the visit. Today, we discussed your current practices for monitoring and tracking trainings. Develop a consistent practice to review trainings at least monthly to ensure all trainings are completed in a timely manner. Children’s Records- One of the eleven children’s records reviewed contained medical reports and immunization records that are dated beyond 30 days of enrollment. You stated that your current practice is to have parents provide medical reports and immunization records on or before the child’s first day of care. Review children’s records regularly to ensure the records contain the required documents. Medication- Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. Today I observed an albuterol inhaler with no medical action plan and Benadryl that was not properly stored. You shared that the medical action plans are stored in the classroom and in the child’s file, but you were not aware it was missing. You share that Benadryl is part of an allergy action plan for the child enrolled in space G, and because of that it could be stored as other emergency medications. Today, technical assistance was provided about medication storage and medication monitoring. Review medications regularly to ensure you have the required documentation and that medications are stored as required. Safe Sleep Checks- There are about 3,500 sleep-related deaths among US babies each year. Child care providers can maintain safer sleep environments for babies that help prevent SIDS. Caregivers must visually check sleeping infants at least every fifteen (15) minutes. Each check needs to be recorded and those records maintained for at least 30 days after the recording month. Sleep charts for dates beyond March 31, 2025 were not available for review during the visit. It was reported that staff record children’s naps on the ProCare app, however, it does not reflect a check of at least every 15 minutes. Technical assistance was provided concerning doing periodic check of the safe sleep check record to ensure they are be documented consistently. Storage of Hazardous Items- There are over two million human poison exposures reported to poison centers every year. Children under six years of age account for over half of those potential poisonings. One canister of Disinfectant Wipes and one bottle of Windex was in an unlocked cabinet in the bathroom of space A. These items are required to be kept in locked storage. Posting reminders, creating labels and a daily walk through prior to children’s arrival can help you in preventing this violation in the future. Outdoor Inspections- Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials within the play site, and to ensure that appropriate repairs are made as soon as possible. Regularity of inspections can be assured by assigning a staff member to check all play equipment to make certain that it is safe for children. Observations should be made while the children are playing too, to spot any maintenance problems and correct them as soon as possible. There were four active wasp nest in outdoor space #1 and the documentation of an inspection for November 2024 and December 2024 was not on file for review. You stated that you do have playground inspections completed monthly, and the documentation must have been misplaced. Be sure to do daily inspections as well and as the weather is changing be sure to look for things such as insect activity and the accumulation of mold and mildew. Fire Drills- Records of monthly fire drills must be maintained. There must be at least one unannounced fire drill monthly and it should be conducted at a different time each month. Drills should be held at unexpected times and under varying conditions to simulate the unusual conditions that occur in case of fire. You stated that at drill was conducted on April 29, 2025, at 10:22am by the new administrator. She showed correspondence with a colleague stating the drill was completed. We discussed documenting events as they occur to maintain current and accurate records. Additional Comments: Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. NCID- Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deepsleep). The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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

NC GS 110-90 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 64 Completed Date: 11/14/2024 Age: From 0 To 4 Total Minutes: 202 Time In: 12:18 PM 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 child care requirements for a routine unannounced visit. A. Perkins, Director, assisted me with today’s visit. Your program currently operates with a three-star license, issued 12/8/23, earning 5 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option for meeting the staff benefits package and infrastructure of parent involvement standards. The center's compliance history was reviewed with the operator. The program’s compliance history was eight-five percent as of 11/12/24. The NC Secretary of State website was reviewed on 11/12/24 and 4890 Old Tar Road, LLC was listed as current- active. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. Six groups of children were observed in the indoor spaces. Children rested on their individual cots and in cribs. Staff sat with children that were not resting. Children enrolled in space F were given small toys to play with on their cots as others rest. Children enrolled in space A received care upon their individual needs. When children woke from nap, teachers assisted the children with their routine care before having snack at the child sized tables. Files for new staff were reviewed. Fire and sanitation inspections remain current. The following violations were observed. Violation Number Comment Rule 618 Diaper changing surfaces were not kept free of storage. One container with a child's change of clothes, five folded cot sheets, and a box of gloves was stored on the changing table in space E. 15A NCAC 18A .2819(b) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Outdoor area #2 contained one chip bag, several tissues, a glove, and three broken toys. 15A NCAC 18A .2832(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One tube of Desitin was located in the tray of the changing table, below five feet, in space E. 15A NCAC 18A .2820(d) 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. The violation(s) documented must be corrected immediately. On or before 11/28/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Medication Storage- Medications must be properly stored at all time. When you are done using a medication, be sure to return it to its proper storage place. Today I observed one tube of Desitin being stored in the tray of the changing table. Additional items, including cot sheets and children’s changes of clothes. The surface of the changing table must be clean and free of items and debris at all times. Thank you for speaking with staff during the visit and having the table cleared. Playground Inspections- Prior to use, completed a daily inspection of the outdoor area. Staff should work with the children, teaching them to help clean up after themselves. Staff should also report any broken items to center administrators to take further action is necessary. Consultation: Staff/Child Interactions- Today you shared with me that you wish to go through scales in the near future. During the visit we discussed ways to prepare for the environmental rating scales. You shared with me that you are currently working with the local QUEST Consultant and your focus is staff-child interactions. As you prepare, visit NCRLAP.org for resources and training opportunities for you and your staff. Take a look at NCRLAP 211: Language and Interactions for the ECERS-3 and NCRLAP 212: Language and Interactions for the ITERS-3. Additional information: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. Licensing Fees- Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility address on file by November 30, 2024. Online payments will be due by December 31, 2024. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. Natural Learning Initiative has created resources, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience and growth of all children. You can explore and use these resources on their website https://naturalearning.org/resources. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Per the Clean Classrooms for Carolina Kids website you have completed all required tests and are waiting for your Lead Based Paint and Asbestos results. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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 .0605 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/22/2024 Number Present: 61 Completed Date: 5/22/2024 Age: From 0 To 5 Total Minutes: 410 Time In: 08:50 AM Time Out: 03:40 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. A. Perkins, director, assisted me with the visit. Your program currently operates with a three-star license, issued 12/8/23, earning 5 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option of staff benefits and infrastructure of parent involvement. The sanitation inspection was completed 2/6/24 with a “Superior” classification. The last fire inspection was conducted 7/17/23 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 four percent as of 5/21/24. The NC Secretary of State website was reviewed on 5/21/24 and 4890 Old Tar Road, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. Five groups of children were observed in the indoor and outdoor learning environments. You visited each indoor and outdoor space with me. Children enrolled in space A were received care according to individual needs including tummy time, diapering, and bottle feeding. Children enrolled in spaces B and F engaged in indoor free play. Children enrolled in spaces D and E engaging in outdoor free play with the sensory table, the climbing structures, and pots and pans. Teachers were observed talking and play with the children, singing songs, and reading stories. Proper hand washing techniques were observed. Lunch was observed and consisted of cheese ravioli, peas and carrots, apples, and milk. The following violations were documented. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Mulch in the fall zone under the stationary structure of outdoor space #2, measures one inch in depth. .0605(j) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Documentation of First Aid training was not available, for review for staff employed on 9/7/23. .1102(c) 1106 Each adult and child was not restrained by appropriate individual belt/device. There were no booster seats available for use on van #1, that transports five children under eight years of age. GS 110-91(13) 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. Documentation of completion of Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for staff M. Roberson. .1102(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. The violation(s) documented must be corrected immediately. On or before 6/5/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Safety Seats- Safety restraints are effective in reducing death and injury when they are used properly. The best car safety seat is one that fits in the vehicle being used, fits the child being transported, has never been in a crash, and is used correctly every time. Today I observed no booster seats on the van that transports five children under the age of eight. You shared that you had disposed of the previous booster seats as they had expired and was advised that they did not need to be replaced. I shared with you the G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Provide at least five booster seats for the children currently using the van. Protective Surfacing- Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of the height a child falls from and the material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Today we discussed fall zones on the preschool playground. The mulch by the slides is not the appropriate six inches of loose surfacing. We discussed adding more mulch to the area to ensure that the depth of the mulch is a resilient six inches. Refer to 10A NCAC 09 .0605(h)(i). Additional Comments: Rated License- Your program is in cohort #2. During your preparation year, July 1, 2024-June 30, 2025, you may have the Environment Rating Scales completed, review the ITERS-R and ECERS-R by obtaining the manuals for each classroom and looking for assessment related resources at ncrlap.org. Request technical assistance and training for your staff from the Martin-Pitt Partnership for Children. You can request and complete the Environmental Rating Scales (ERS) assessment during your preparation year. If your scores help you meet or exceed your current star rating and you are ready to move forward with your rated license assessment, you may choose to do so during your preparation year. Your preparation year is also the time to work on staff education and ensure that DCDEE Works accounts are completed and up to date for staff members. Encourage staff to enroll in additional college coursework to meet or increase points in Education. TEACH Scholarships are available to help staff pay for educational expenses. Go to https://www.childcareservices.org/programs/teach-north-carolina/. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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.

GS 110-91 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/22/2024 Number Present: 61 Completed Date: 5/22/2024 Age: From 0 To 5 Total Minutes: 410 Time In: 08:50 AM Time Out: 03:40 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. A. Perkins, director, assisted me with the visit. Your program currently operates with a three-star license, issued 12/8/23, earning 5 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option of staff benefits and infrastructure of parent involvement. The sanitation inspection was completed 2/6/24 with a “Superior” classification. The last fire inspection was conducted 7/17/23 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 four percent as of 5/21/24. The NC Secretary of State website was reviewed on 5/21/24 and 4890 Old Tar Road, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. Five groups of children were observed in the indoor and outdoor learning environments. You visited each indoor and outdoor space with me. Children enrolled in space A were received care according to individual needs including tummy time, diapering, and bottle feeding. Children enrolled in spaces B and F engaged in indoor free play. Children enrolled in spaces D and E engaging in outdoor free play with the sensory table, the climbing structures, and pots and pans. Teachers were observed talking and play with the children, singing songs, and reading stories. Proper hand washing techniques were observed. Lunch was observed and consisted of cheese ravioli, peas and carrots, apples, and milk. The following violations were documented. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Mulch in the fall zone under the stationary structure of outdoor space #2, measures one inch in depth. .0605(j) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Documentation of First Aid training was not available, for review for staff employed on 9/7/23. .1102(c) 1106 Each adult and child was not restrained by appropriate individual belt/device. There were no booster seats available for use on van #1, that transports five children under eight years of age. GS 110-91(13) 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. Documentation of completion of Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for staff M. Roberson. .1102(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. The violation(s) documented must be corrected immediately. On or before 6/5/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Safety Seats- Safety restraints are effective in reducing death and injury when they are used properly. The best car safety seat is one that fits in the vehicle being used, fits the child being transported, has never been in a crash, and is used correctly every time. Today I observed no booster seats on the van that transports five children under the age of eight. You shared that you had disposed of the previous booster seats as they had expired and was advised that they did not need to be replaced. I shared with you the G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Provide at least five booster seats for the children currently using the van. Protective Surfacing- Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of the height a child falls from and the material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Today we discussed fall zones on the preschool playground. The mulch by the slides is not the appropriate six inches of loose surfacing. We discussed adding more mulch to the area to ensure that the depth of the mulch is a resilient six inches. Refer to 10A NCAC 09 .0605(h)(i). Additional Comments: Rated License- Your program is in cohort #2. During your preparation year, July 1, 2024-June 30, 2025, you may have the Environment Rating Scales completed, review the ITERS-R and ECERS-R by obtaining the manuals for each classroom and looking for assessment related resources at ncrlap.org. Request technical assistance and training for your staff from the Martin-Pitt Partnership for Children. You can request and complete the Environmental Rating Scales (ERS) assessment during your preparation year. If your scores help you meet or exceed your current star rating and you are ready to move forward with your rated license assessment, you may choose to do so during your preparation year. Your preparation year is also the time to work on staff education and ensure that DCDEE Works accounts are completed and up to date for staff members. Encourage staff to enroll in additional college coursework to meet or increase points in Education. TEACH Scholarships are available to help staff pay for educational expenses. Go to https://www.childcareservices.org/programs/teach-north-carolina/. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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

NC GS 110-90 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/22/2024 Number Present: 61 Completed Date: 5/22/2024 Age: From 0 To 5 Total Minutes: 410 Time In: 08:50 AM Time Out: 03:40 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. A. Perkins, director, assisted me with the visit. Your program currently operates with a three-star license, issued 12/8/23, earning 5 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option of staff benefits and infrastructure of parent involvement. The sanitation inspection was completed 2/6/24 with a “Superior” classification. The last fire inspection was conducted 7/17/23 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 four percent as of 5/21/24. The NC Secretary of State website was reviewed on 5/21/24 and 4890 Old Tar Road, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. Five groups of children were observed in the indoor and outdoor learning environments. You visited each indoor and outdoor space with me. Children enrolled in space A were received care according to individual needs including tummy time, diapering, and bottle feeding. Children enrolled in spaces B and F engaged in indoor free play. Children enrolled in spaces D and E engaging in outdoor free play with the sensory table, the climbing structures, and pots and pans. Teachers were observed talking and play with the children, singing songs, and reading stories. Proper hand washing techniques were observed. Lunch was observed and consisted of cheese ravioli, peas and carrots, apples, and milk. The following violations were documented. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Mulch in the fall zone under the stationary structure of outdoor space #2, measures one inch in depth. .0605(j) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Documentation of First Aid training was not available, for review for staff employed on 9/7/23. .1102(c) 1106 Each adult and child was not restrained by appropriate individual belt/device. There were no booster seats available for use on van #1, that transports five children under eight years of age. GS 110-91(13) 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. Documentation of completion of Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for staff M. Roberson. .1102(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. The violation(s) documented must be corrected immediately. On or before 6/5/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Safety Seats- Safety restraints are effective in reducing death and injury when they are used properly. The best car safety seat is one that fits in the vehicle being used, fits the child being transported, has never been in a crash, and is used correctly every time. Today I observed no booster seats on the van that transports five children under the age of eight. You shared that you had disposed of the previous booster seats as they had expired and was advised that they did not need to be replaced. I shared with you the G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Provide at least five booster seats for the children currently using the van. Protective Surfacing- Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of the height a child falls from and the material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Today we discussed fall zones on the preschool playground. The mulch by the slides is not the appropriate six inches of loose surfacing. We discussed adding more mulch to the area to ensure that the depth of the mulch is a resilient six inches. Refer to 10A NCAC 09 .0605(h)(i). Additional Comments: Rated License- Your program is in cohort #2. During your preparation year, July 1, 2024-June 30, 2025, you may have the Environment Rating Scales completed, review the ITERS-R and ECERS-R by obtaining the manuals for each classroom and looking for assessment related resources at ncrlap.org. Request technical assistance and training for your staff from the Martin-Pitt Partnership for Children. You can request and complete the Environmental Rating Scales (ERS) assessment during your preparation year. If your scores help you meet or exceed your current star rating and you are ready to move forward with your rated license assessment, you may choose to do so during your preparation year. Your preparation year is also the time to work on staff education and ensure that DCDEE Works accounts are completed and up to date for staff members. Encourage staff to enroll in additional college coursework to meet or increase points in Education. TEACH Scholarships are available to help staff pay for educational expenses. Go to https://www.childcareservices.org/programs/teach-north-carolina/. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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 .0803 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 11/9/2023 Number Present: 40 Completed Date: 11/9/2023 Age: From 0 To 4 Total Minutes: 155 Time In: 12:10 PM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during the third temporary time period visit. You, A. Perkins, administrator, assisted me with the visit. This facility was issued a temporary license on 6/7/2023 with a restriction of daytime care only. During this visit, we walked through the entire facility observing the indoor and outdoor environment, but a full assessment was not completed for each space. The facility was assessed for supervision, staff/child ratio, and health and safety requirements. Children were observed resting on linen covered cots and in approved cribs. Program records, including fire drills and monthly outdoor area inspections were complete and current. New staff records were reviewed to ensure compliance. Violations observed during the 7/20/23 and 10/3/23 temporary time period visits have been confirmed corrected. Three violations were observed today and must be corrected immediately. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A medication authorization form was not on file for seizure medication Valtoco in space C. 10A NCAC 09 .0803(1)(a & b) 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. Two infant children were observed resting in cribs. Sleep charts were available, charts for the two infants resting was not documented. .0606(g) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented shelter in place or lockdown drill on the emergency drill log was 7/19/23. .0604(u);.0302(d)(8) 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. The violation(s) documented must be corrected immediately. On or before November 23, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Safe Sleep: Documenting the supervision that is provided for sleeping infants is one way to reduce the risk of Sudden Infant Death Syndrome (SIDS). The use of sleep charts is identified in your center’s ITS-SIDS policy. Sleep charts are part of the center’s program records and must be kept on file and available for review. Sleep charts were available for infants enrolled in space A. Two infant children were observed resting. Sleep charts for the two infants were not updated. Check sleep charts weekly to ensure they are completed daily for infants in care. Medication: No drug or medication may be administered to any child without specific written instructions from the child's parent/guardian, a physician, or other authorized health professional. In space C a seizure action plan was on file and reviewed medication authorization form was not on file for seizure medication Valtoco. Have the parent/guardian complete the form and attach to the action plan. Emergency Drills: You must conduct either a shelter-in-place or a lockdown drill every three months. Consider marking your calendar as a reminder of when drills are due. The last emergency drill was completed on 7/19/23 based on the emergency documentation log. We discussed the rule requirement. Rated License Summary: You elected to not complete the rated license assessment during the temporary time period. A permanent license will be issued to you at the end of the temporary time period. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@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.

NC GS 110-90 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 11/9/2023 Number Present: 40 Completed Date: 11/9/2023 Age: From 0 To 4 Total Minutes: 155 Time In: 12:10 PM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during the third temporary time period visit. You, A. Perkins, administrator, assisted me with the visit. This facility was issued a temporary license on 6/7/2023 with a restriction of daytime care only. During this visit, we walked through the entire facility observing the indoor and outdoor environment, but a full assessment was not completed for each space. The facility was assessed for supervision, staff/child ratio, and health and safety requirements. Children were observed resting on linen covered cots and in approved cribs. Program records, including fire drills and monthly outdoor area inspections were complete and current. New staff records were reviewed to ensure compliance. Violations observed during the 7/20/23 and 10/3/23 temporary time period visits have been confirmed corrected. Three violations were observed today and must be corrected immediately. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A medication authorization form was not on file for seizure medication Valtoco in space C. 10A NCAC 09 .0803(1)(a & b) 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. Two infant children were observed resting in cribs. Sleep charts were available, charts for the two infants resting was not documented. .0606(g) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented shelter in place or lockdown drill on the emergency drill log was 7/19/23. .0604(u);.0302(d)(8) 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. The violation(s) documented must be corrected immediately. On or before November 23, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Safe Sleep: Documenting the supervision that is provided for sleeping infants is one way to reduce the risk of Sudden Infant Death Syndrome (SIDS). The use of sleep charts is identified in your center’s ITS-SIDS policy. Sleep charts are part of the center’s program records and must be kept on file and available for review. Sleep charts were available for infants enrolled in space A. Two infant children were observed resting. Sleep charts for the two infants were not updated. Check sleep charts weekly to ensure they are completed daily for infants in care. Medication: No drug or medication may be administered to any child without specific written instructions from the child's parent/guardian, a physician, or other authorized health professional. In space C a seizure action plan was on file and reviewed medication authorization form was not on file for seizure medication Valtoco. Have the parent/guardian complete the form and attach to the action plan. Emergency Drills: You must conduct either a shelter-in-place or a lockdown drill every three months. Consider marking your calendar as a reminder of when drills are due. The last emergency drill was completed on 7/19/23 based on the emergency documentation log. We discussed the rule requirement. Rated License Summary: You elected to not complete the rated license assessment during the temporary time period. A permanent license will be issued to you at the end of the temporary time period. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@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 .0713 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: MEGAN BROWN Operation Type: Center Case Number: 1023-098L Visit Date: 10/16/2023 Number Present: 41 Completed Date: 10/16/2023 Age: From 0 To 4 Total Minutes: 217 Time In: 08:18 AM Time Out: 11:55 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was and to obtain information regarding alleged violations of child care requirements as a result of additional information received and to verify correction of violation documented during my 10/12/23 complaint visit. The allegations are as follows: There are concerns that staff/child ratios aren't being followed. Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. The temporary license and emergency care plan were posted. Files for selected staff were reviewed. Throughout the classroom spaces children were observed in transition to and from eating breakfast. Handwashing was observed. Breakfast included egg and cheese on an English muffin, strawberries, and milk. Children under the age one received care meeting their individual needs, including feeding. Based on the information provided regarding concerns that staff/child ratios aren't being followed. I observed staff designated to classroom spaces A, B, D, and E. Space C is designated for school age children who were not present during the visit, space F was not in use, and space G is designated as gross motor space. Seven staff members were present along with the owner. In space A, two teachers were caring for eight (8) children, seven (7) children under one years old and one (1) child two years of age. I informed the owner that a child two years of age was present in space A. You were unaware that the child was present in the classroom space. You immediately transitioned the child to space D. I requested rosters for the classroom spaces. Staff provided enrollment for each classroom space. Based on enrollment information and updated classroom rosters provided, there were discrepancies in enrollment reported and classroom rosters. I reviewed sign in sheets for children present in spaces D and E. It was reported that due to recent staff changes there has been a changes in enrollment with and without notice to staff. Based on observations this allegation is confirmed. The following violations documented during the 10/12/23 visit were monitored for compliance during this visit: 886- The temperature in a room where infants aged 12 months or younger where sleeping exceeded 75 degrees. In space A the thermometer read 79 degrees Fahrenheit, two infant children rested in approved cribs. Today the thermostat outside of space A and B read 70 degrees Fahrenheit and was switched off. You informed me that the thermometer in space A was not working, and you removed the thermometer from the space. During the visit Glenn’s Heating Air Conditioning and Electrical company arrived during the visit to service the unit. You stated that the air conditioning unit works, however it freezes when running and will continue to freeze until the part is replaced. You have temporary cooling units that will be brought to the facility today until the air conditioning unit parts are replaced. We discussed getting a thermometer in space A immediately to monitor the temperature. You left the facility to go purchase a thermometer. The following violation was observed. Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. In space A two staff members cared for eight (8) children, seven (7) under one years of age and one (1) child two years of age. 10A NCAC 09 .0713(a)(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. The violation(s) documented must be corrected immediately. On or before October 30, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with violations documented: Staff/Child Ratio: Research has verified that staff-child ratios and group sizes are important quality indicators. Staff-child ratio refers to the maximum number of children who may be supervised by one staff member. In any multi age group situation, the staff/child ratio for the youngest child in the group shall be maintained for the entire group. Children under one year of age shall be kept separate from children two years of age and over. Today two staff in space A cared for eight (8) children, seven (7) children under one year of age and one (1) child two years of age. You immediately moved the child two years of age to another classroom space. You updated classroom rosters during todays’ visit. We discussed transitions of children between classroom spaces is documented electronically, but you were currently unable to access the devices used. We discussed using written transition log until you gain accesses to devices. Additional Comments: Technical assistance (TA) was provided for item #882 during the 10/12/23 visit and was recorded on the visit summary reviewed and left with you at the end of the visit in addition to the comments above. Repeat violations demonstrate a pattern of noncompliance and may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). You will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@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 .2204 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: MEGAN BROWN Operation Type: Center Case Number: 1023-098L Visit Date: 10/16/2023 Number Present: 41 Completed Date: 10/16/2023 Age: From 0 To 4 Total Minutes: 217 Time In: 08:18 AM Time Out: 11:55 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was and to obtain information regarding alleged violations of child care requirements as a result of additional information received and to verify correction of violation documented during my 10/12/23 complaint visit. The allegations are as follows: There are concerns that staff/child ratios aren't being followed. Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. The temporary license and emergency care plan were posted. Files for selected staff were reviewed. Throughout the classroom spaces children were observed in transition to and from eating breakfast. Handwashing was observed. Breakfast included egg and cheese on an English muffin, strawberries, and milk. Children under the age one received care meeting their individual needs, including feeding. Based on the information provided regarding concerns that staff/child ratios aren't being followed. I observed staff designated to classroom spaces A, B, D, and E. Space C is designated for school age children who were not present during the visit, space F was not in use, and space G is designated as gross motor space. Seven staff members were present along with the owner. In space A, two teachers were caring for eight (8) children, seven (7) children under one years old and one (1) child two years of age. I informed the owner that a child two years of age was present in space A. You were unaware that the child was present in the classroom space. You immediately transitioned the child to space D. I requested rosters for the classroom spaces. Staff provided enrollment for each classroom space. Based on enrollment information and updated classroom rosters provided, there were discrepancies in enrollment reported and classroom rosters. I reviewed sign in sheets for children present in spaces D and E. It was reported that due to recent staff changes there has been a changes in enrollment with and without notice to staff. Based on observations this allegation is confirmed. The following violations documented during the 10/12/23 visit were monitored for compliance during this visit: 886- The temperature in a room where infants aged 12 months or younger where sleeping exceeded 75 degrees. In space A the thermometer read 79 degrees Fahrenheit, two infant children rested in approved cribs. Today the thermostat outside of space A and B read 70 degrees Fahrenheit and was switched off. You informed me that the thermometer in space A was not working, and you removed the thermometer from the space. During the visit Glenn’s Heating Air Conditioning and Electrical company arrived during the visit to service the unit. You stated that the air conditioning unit works, however it freezes when running and will continue to freeze until the part is replaced. You have temporary cooling units that will be brought to the facility today until the air conditioning unit parts are replaced. We discussed getting a thermometer in space A immediately to monitor the temperature. You left the facility to go purchase a thermometer. The following violation was observed. Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. In space A two staff members cared for eight (8) children, seven (7) under one years of age and one (1) child two years of age. 10A NCAC 09 .0713(a)(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. The violation(s) documented must be corrected immediately. On or before October 30, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with violations documented: Staff/Child Ratio: Research has verified that staff-child ratios and group sizes are important quality indicators. Staff-child ratio refers to the maximum number of children who may be supervised by one staff member. In any multi age group situation, the staff/child ratio for the youngest child in the group shall be maintained for the entire group. Children under one year of age shall be kept separate from children two years of age and over. Today two staff in space A cared for eight (8) children, seven (7) children under one year of age and one (1) child two years of age. You immediately moved the child two years of age to another classroom space. You updated classroom rosters during todays’ visit. We discussed transitions of children between classroom spaces is documented electronically, but you were currently unable to access the devices used. We discussed using written transition log until you gain accesses to devices. Additional Comments: Technical assistance (TA) was provided for item #882 during the 10/12/23 visit and was recorded on the visit summary reviewed and left with you at the end of the visit in addition to the comments above. Repeat violations demonstrate a pattern of noncompliance and may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). You will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@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

NC GS 110-90 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: MEGAN BROWN Operation Type: Center Case Number: 1023-098L Visit Date: 10/16/2023 Number Present: 41 Completed Date: 10/16/2023 Age: From 0 To 4 Total Minutes: 217 Time In: 08:18 AM Time Out: 11:55 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was and to obtain information regarding alleged violations of child care requirements as a result of additional information received and to verify correction of violation documented during my 10/12/23 complaint visit. The allegations are as follows: There are concerns that staff/child ratios aren't being followed. Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. The temporary license and emergency care plan were posted. Files for selected staff were reviewed. Throughout the classroom spaces children were observed in transition to and from eating breakfast. Handwashing was observed. Breakfast included egg and cheese on an English muffin, strawberries, and milk. Children under the age one received care meeting their individual needs, including feeding. Based on the information provided regarding concerns that staff/child ratios aren't being followed. I observed staff designated to classroom spaces A, B, D, and E. Space C is designated for school age children who were not present during the visit, space F was not in use, and space G is designated as gross motor space. Seven staff members were present along with the owner. In space A, two teachers were caring for eight (8) children, seven (7) children under one years old and one (1) child two years of age. I informed the owner that a child two years of age was present in space A. You were unaware that the child was present in the classroom space. You immediately transitioned the child to space D. I requested rosters for the classroom spaces. Staff provided enrollment for each classroom space. Based on enrollment information and updated classroom rosters provided, there were discrepancies in enrollment reported and classroom rosters. I reviewed sign in sheets for children present in spaces D and E. It was reported that due to recent staff changes there has been a changes in enrollment with and without notice to staff. Based on observations this allegation is confirmed. The following violations documented during the 10/12/23 visit were monitored for compliance during this visit: 886- The temperature in a room where infants aged 12 months or younger where sleeping exceeded 75 degrees. In space A the thermometer read 79 degrees Fahrenheit, two infant children rested in approved cribs. Today the thermostat outside of space A and B read 70 degrees Fahrenheit and was switched off. You informed me that the thermometer in space A was not working, and you removed the thermometer from the space. During the visit Glenn’s Heating Air Conditioning and Electrical company arrived during the visit to service the unit. You stated that the air conditioning unit works, however it freezes when running and will continue to freeze until the part is replaced. You have temporary cooling units that will be brought to the facility today until the air conditioning unit parts are replaced. We discussed getting a thermometer in space A immediately to monitor the temperature. You left the facility to go purchase a thermometer. The following violation was observed. Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. In space A two staff members cared for eight (8) children, seven (7) under one years of age and one (1) child two years of age. 10A NCAC 09 .0713(a)(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. The violation(s) documented must be corrected immediately. On or before October 30, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with violations documented: Staff/Child Ratio: Research has verified that staff-child ratios and group sizes are important quality indicators. Staff-child ratio refers to the maximum number of children who may be supervised by one staff member. In any multi age group situation, the staff/child ratio for the youngest child in the group shall be maintained for the entire group. Children under one year of age shall be kept separate from children two years of age and over. Today two staff in space A cared for eight (8) children, seven (7) children under one year of age and one (1) child two years of age. You immediately moved the child two years of age to another classroom space. You updated classroom rosters during todays’ visit. We discussed transitions of children between classroom spaces is documented electronically, but you were currently unable to access the devices used. We discussed using written transition log until you gain accesses to devices. Additional Comments: Technical assistance (TA) was provided for item #882 during the 10/12/23 visit and was recorded on the visit summary reviewed and left with you at the end of the visit in addition to the comments above. Repeat violations demonstrate a pattern of noncompliance and may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). You will be notified in writing of any action taken. In addition, a follow-up visit will be conducted. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@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 .0601 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 10/3/2023 Number Present: 52 Completed Date: 10/3/2023 Age: From 0 To 4 Total Minutes: 967 Time In: 08:53 AM Time Out: 12:40 PM Time In: 03:30 AM Time Out: 03:50 PM List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during the second temporary time period visit. You, A. Barnes, director assisted me with the visit. This facility was issued a temporary license on July 20,2023 caring for 165 children, ages 0-12 years of age on first and second shift. I observed children in each indoor and outdoor learning environment. Children throughout the facility were participating in free play in activity areas, and transitions. Children from zero to one year of age received care according to their individual needs. Diapering and handwashing routines were observed. A selection of children’s files were reviewed and found to be in compliance. Program records, including fire drills and monthly outdoor inspections were completed and current. The following violations were observed today and must be corrected immediately. Violation Number Comment Rule 504 Perishable foods were not stored to protect against spoilage. In the kitchen there was two open bags of gold fish, one open bag of cheese its, and an open container of mashed potatoes. 15A NCAC 18A .2806 807 A safe indoor and outdoor environment was not provided for the children. In outdoor space #2 there was two holes in ground creating trip hazards, the net on the basketball goal was broken, there was a sand table and little tykes table with a drawer filled with standing water, and there was a small sand table with a broken cover. 10A NCAC 09 .0601(a) 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. Sleep charts were also not available for 10/2/2023. .0606(g) 1030 Application for employment and date of birth was not on file for all staff. One staff hired on 9/26/23 did not have an employment application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff hired on 9/26/23 did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff hired on 9/26/23 did not have a TB Test or screening on file. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff hired on 9/18/23 did not have documentation of orientation within the first two weeks on file. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff hired on 9/26/23 did not have documentation of receipt of job description and operational policies on file. 10A NCAC 09 .0514(g) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Four of seven children's records reviewed discipline policy did not have the date of the child's enrollment. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. One staff, T. Gaskins hired on 9/26/23 did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three of seven children's records reviewed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy did not include the date of the child's enrollment. .0608(b)(1-6) 9995 A violation was found for which there is no item number. In space E one cot including the sheet was stored upside down on top of a set of cots. This is a violation of sanitation rule 15A NCAC 18A .2821(a). 9996 A violation was found for which there is no item number. In space B an employee purse stored on a hook in a closet hanging below five feet. This is a violation of sanitation rule 15A NCAC 18A .2820 (f). 9997 A violation was found for which there is no item number. The refrigerator in space A did not have a thermometer. This is a violation of sanitation rule 15A NCAC 18A .2806 (h) (1). 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. The violation(s) documented must be corrected immediately. On or before October 17, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Storage of Food: In child care centers, food shall be stored in approved, clean, tightly covered, storage containers once the original package is opened. Approved containers include resealable bags and other containers made of plastic or glass. Reusable containers that come in direct contact with food must be easy to clean, in good repair and intended for food storage. Today, In the kitchen there was two open bags of gold fish, one open bag of cheese its, and an open container of mashed potatoes. During the visit you and staff placed the items in plastic bags. Train staff on storage of food. A safe indoor and outdoor environment was not provided for the children with damaged items and equipment that were accessible to the children. In outdoor space #2 there was two holes in ground creating trip hazards, the net on the basketball goal was broken, there was a sand table and little tykes table with a drawer filled with standing water, and there was a small sand table with a broken cover. Assign a staff member to check playgrounds daily to remove immediate hazards. Staff Records: The health and safety of children requires that information regarding each staff working with the children be kept and available when needed. Staff records consist of various documentation such as employment application, medical report, TB test results, Annual Health Questionnaire, emergency contact information, CRC qualification letter, and documentation of orientation, in-service hours, CPR and First Aid, playground safety, and BSAC. One staff hired on 9/26/23 did not have an application, medical report, TB skin test/screening, criminal background check or documentation of receipt of job description and operation policies on file. You stated that staff have all the documents but have not provided the documents in your employment portal. I checked the criminal background portal and the Ms. Gaskins is qualified through 10/19/2026. Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. One staff member hired on 9/18/2023, did not have documentation of six hours of orientation on file. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. Four of seven children's records reviewed discipline policy did not have the date of the child's enrollment. Three of seven children's records reviewed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy did not include the date of the child's enrollment. Review children’s files often and use the Center children’s checklist to ensure you have all required documents and they are completed fully. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must be have on file emergency contact information along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. One child of twenty-three children being transported did not have a photograph attached to their emergency information. Employee Purses: Employee purses and other personal effects must be kept out of reach of children. In space B an employee purse stored on a hook in a closet hanging below five feet. It is important to remember that purses may contain items that can be potentially hazardous to young children. Storing purses and personal effects five feet from the finished floor protects children from potential injury. Sanitation: Safe handling of all food is a basic principle to prevent and reduce foodborne illnesses. To prevent bacterial growth, refrigerator(s) must maintain a temperature of 45 degrees F. or below. The refrigerator in space A did not have a thermometer. You located a thermometer during the visit and placed it in the refrigerator. Cot Sheets: Infectious diseases spread easily in early care and education programs, since children, staff, and families are all in close contact. Surfaces and objects can carry germs and have spread diseases. Children in early care and education programs often nap on mats or cots that are taken out of storage for nap time, and then placed back in storage. Improper cleaning of bedding materials may increase the risk of spreading disease. Each child’s bedding should be kept separately from other children’s bedding, either on the bed or stored in individually labeled bins, cubbies, or bags. Safe Sleep: Documenting the supervision that is provided for sleeping infants is one way to reduce the risk of Sudden Infant Death Syndrome (SIDS). The use of sleep charts is identified in your center’s ITS-SIDS policy. Sleep charts are part of the center’s program records and must be kept on file and available for review. Sleep charts were not available for review for an 8-month-old infant in care and for children present on 10/2/23. Rated License Discussion – You completed the Application for Assessment for a Two Component Star Rated License and Rated License Assessment Review Form on August 17, 2023. The Environment Rating Scale assessment has been requested for your facility. A review of the Environment Rating Scale Assessment score will be completed during the last temporary time period visit to allow time for me to receive the hard copy of the report in the mail. Continue to ensure staff education is entered and current in the DCDEE WORKS system. Choose the Provider Tab and choose DCDEE WORKS for detailed instructions of how DCDEE WORKS and follow the instructions and information to update education. My review of your staff education in WORKS determined the following: there are staff who need to create WORKS accounts and request education evaluation. I provided you the names of those staff members today. needs to be completed by (October 20, 2023). Please email me when this has been completed. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@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 .0514 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 10/3/2023 Number Present: 52 Completed Date: 10/3/2023 Age: From 0 To 4 Total Minutes: 967 Time In: 08:53 AM Time Out: 12:40 PM Time In: 03:30 AM Time Out: 03:50 PM List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during the second temporary time period visit. You, A. Barnes, director assisted me with the visit. This facility was issued a temporary license on July 20,2023 caring for 165 children, ages 0-12 years of age on first and second shift. I observed children in each indoor and outdoor learning environment. Children throughout the facility were participating in free play in activity areas, and transitions. Children from zero to one year of age received care according to their individual needs. Diapering and handwashing routines were observed. A selection of children’s files were reviewed and found to be in compliance. Program records, including fire drills and monthly outdoor inspections were completed and current. The following violations were observed today and must be corrected immediately. Violation Number Comment Rule 504 Perishable foods were not stored to protect against spoilage. In the kitchen there was two open bags of gold fish, one open bag of cheese its, and an open container of mashed potatoes. 15A NCAC 18A .2806 807 A safe indoor and outdoor environment was not provided for the children. In outdoor space #2 there was two holes in ground creating trip hazards, the net on the basketball goal was broken, there was a sand table and little tykes table with a drawer filled with standing water, and there was a small sand table with a broken cover. 10A NCAC 09 .0601(a) 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. Sleep charts were also not available for 10/2/2023. .0606(g) 1030 Application for employment and date of birth was not on file for all staff. One staff hired on 9/26/23 did not have an employment application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff hired on 9/26/23 did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff hired on 9/26/23 did not have a TB Test or screening on file. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff hired on 9/18/23 did not have documentation of orientation within the first two weeks on file. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff hired on 9/26/23 did not have documentation of receipt of job description and operational policies on file. 10A NCAC 09 .0514(g) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Four of seven children's records reviewed discipline policy did not have the date of the child's enrollment. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. One staff, T. Gaskins hired on 9/26/23 did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three of seven children's records reviewed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy did not include the date of the child's enrollment. .0608(b)(1-6) 9995 A violation was found for which there is no item number. In space E one cot including the sheet was stored upside down on top of a set of cots. This is a violation of sanitation rule 15A NCAC 18A .2821(a). 9996 A violation was found for which there is no item number. In space B an employee purse stored on a hook in a closet hanging below five feet. This is a violation of sanitation rule 15A NCAC 18A .2820 (f). 9997 A violation was found for which there is no item number. The refrigerator in space A did not have a thermometer. This is a violation of sanitation rule 15A NCAC 18A .2806 (h) (1). 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. The violation(s) documented must be corrected immediately. On or before October 17, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Storage of Food: In child care centers, food shall be stored in approved, clean, tightly covered, storage containers once the original package is opened. Approved containers include resealable bags and other containers made of plastic or glass. Reusable containers that come in direct contact with food must be easy to clean, in good repair and intended for food storage. Today, In the kitchen there was two open bags of gold fish, one open bag of cheese its, and an open container of mashed potatoes. During the visit you and staff placed the items in plastic bags. Train staff on storage of food. A safe indoor and outdoor environment was not provided for the children with damaged items and equipment that were accessible to the children. In outdoor space #2 there was two holes in ground creating trip hazards, the net on the basketball goal was broken, there was a sand table and little tykes table with a drawer filled with standing water, and there was a small sand table with a broken cover. Assign a staff member to check playgrounds daily to remove immediate hazards. Staff Records: The health and safety of children requires that information regarding each staff working with the children be kept and available when needed. Staff records consist of various documentation such as employment application, medical report, TB test results, Annual Health Questionnaire, emergency contact information, CRC qualification letter, and documentation of orientation, in-service hours, CPR and First Aid, playground safety, and BSAC. One staff hired on 9/26/23 did not have an application, medical report, TB skin test/screening, criminal background check or documentation of receipt of job description and operation policies on file. You stated that staff have all the documents but have not provided the documents in your employment portal. I checked the criminal background portal and the Ms. Gaskins is qualified through 10/19/2026. Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. One staff member hired on 9/18/2023, did not have documentation of six hours of orientation on file. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. Four of seven children's records reviewed discipline policy did not have the date of the child's enrollment. Three of seven children's records reviewed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy did not include the date of the child's enrollment. Review children’s files often and use the Center children’s checklist to ensure you have all required documents and they are completed fully. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must be have on file emergency contact information along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. One child of twenty-three children being transported did not have a photograph attached to their emergency information. Employee Purses: Employee purses and other personal effects must be kept out of reach of children. In space B an employee purse stored on a hook in a closet hanging below five feet. It is important to remember that purses may contain items that can be potentially hazardous to young children. Storing purses and personal effects five feet from the finished floor protects children from potential injury. Sanitation: Safe handling of all food is a basic principle to prevent and reduce foodborne illnesses. To prevent bacterial growth, refrigerator(s) must maintain a temperature of 45 degrees F. or below. The refrigerator in space A did not have a thermometer. You located a thermometer during the visit and placed it in the refrigerator. Cot Sheets: Infectious diseases spread easily in early care and education programs, since children, staff, and families are all in close contact. Surfaces and objects can carry germs and have spread diseases. Children in early care and education programs often nap on mats or cots that are taken out of storage for nap time, and then placed back in storage. Improper cleaning of bedding materials may increase the risk of spreading disease. Each child’s bedding should be kept separately from other children’s bedding, either on the bed or stored in individually labeled bins, cubbies, or bags. Safe Sleep: Documenting the supervision that is provided for sleeping infants is one way to reduce the risk of Sudden Infant Death Syndrome (SIDS). The use of sleep charts is identified in your center’s ITS-SIDS policy. Sleep charts are part of the center’s program records and must be kept on file and available for review. Sleep charts were not available for review for an 8-month-old infant in care and for children present on 10/2/23. Rated License Discussion – You completed the Application for Assessment for a Two Component Star Rated License and Rated License Assessment Review Form on August 17, 2023. The Environment Rating Scale assessment has been requested for your facility. A review of the Environment Rating Scale Assessment score will be completed during the last temporary time period visit to allow time for me to receive the hard copy of the report in the mail. Continue to ensure staff education is entered and current in the DCDEE WORKS system. Choose the Provider Tab and choose DCDEE WORKS for detailed instructions of how DCDEE WORKS and follow the instructions and information to update education. My review of your staff education in WORKS determined the following: there are staff who need to create WORKS accounts and request education evaluation. I provided you the names of those staff members today. needs to be completed by (October 20, 2023). Please email me when this has been completed. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 10/3/2023 Number Present: 52 Completed Date: 10/3/2023 Age: From 0 To 4 Total Minutes: 967 Time In: 08:53 AM Time Out: 12:40 PM Time In: 03:30 AM Time Out: 03:50 PM List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during the second temporary time period visit. You, A. Barnes, director assisted me with the visit. This facility was issued a temporary license on July 20,2023 caring for 165 children, ages 0-12 years of age on first and second shift. I observed children in each indoor and outdoor learning environment. Children throughout the facility were participating in free play in activity areas, and transitions. Children from zero to one year of age received care according to their individual needs. Diapering and handwashing routines were observed. A selection of children’s files were reviewed and found to be in compliance. Program records, including fire drills and monthly outdoor inspections were completed and current. The following violations were observed today and must be corrected immediately. Violation Number Comment Rule 504 Perishable foods were not stored to protect against spoilage. In the kitchen there was two open bags of gold fish, one open bag of cheese its, and an open container of mashed potatoes. 15A NCAC 18A .2806 807 A safe indoor and outdoor environment was not provided for the children. In outdoor space #2 there was two holes in ground creating trip hazards, the net on the basketball goal was broken, there was a sand table and little tykes table with a drawer filled with standing water, and there was a small sand table with a broken cover. 10A NCAC 09 .0601(a) 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. Sleep charts were also not available for 10/2/2023. .0606(g) 1030 Application for employment and date of birth was not on file for all staff. One staff hired on 9/26/23 did not have an employment application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff hired on 9/26/23 did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff hired on 9/26/23 did not have a TB Test or screening on file. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff hired on 9/18/23 did not have documentation of orientation within the first two weeks on file. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff hired on 9/26/23 did not have documentation of receipt of job description and operational policies on file. 10A NCAC 09 .0514(g) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Four of seven children's records reviewed discipline policy did not have the date of the child's enrollment. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. One staff, T. Gaskins hired on 9/26/23 did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three of seven children's records reviewed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy did not include the date of the child's enrollment. .0608(b)(1-6) 9995 A violation was found for which there is no item number. In space E one cot including the sheet was stored upside down on top of a set of cots. This is a violation of sanitation rule 15A NCAC 18A .2821(a). 9996 A violation was found for which there is no item number. In space B an employee purse stored on a hook in a closet hanging below five feet. This is a violation of sanitation rule 15A NCAC 18A .2820 (f). 9997 A violation was found for which there is no item number. The refrigerator in space A did not have a thermometer. This is a violation of sanitation rule 15A NCAC 18A .2806 (h) (1). 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. The violation(s) documented must be corrected immediately. On or before October 17, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Storage of Food: In child care centers, food shall be stored in approved, clean, tightly covered, storage containers once the original package is opened. Approved containers include resealable bags and other containers made of plastic or glass. Reusable containers that come in direct contact with food must be easy to clean, in good repair and intended for food storage. Today, In the kitchen there was two open bags of gold fish, one open bag of cheese its, and an open container of mashed potatoes. During the visit you and staff placed the items in plastic bags. Train staff on storage of food. A safe indoor and outdoor environment was not provided for the children with damaged items and equipment that were accessible to the children. In outdoor space #2 there was two holes in ground creating trip hazards, the net on the basketball goal was broken, there was a sand table and little tykes table with a drawer filled with standing water, and there was a small sand table with a broken cover. Assign a staff member to check playgrounds daily to remove immediate hazards. Staff Records: The health and safety of children requires that information regarding each staff working with the children be kept and available when needed. Staff records consist of various documentation such as employment application, medical report, TB test results, Annual Health Questionnaire, emergency contact information, CRC qualification letter, and documentation of orientation, in-service hours, CPR and First Aid, playground safety, and BSAC. One staff hired on 9/26/23 did not have an application, medical report, TB skin test/screening, criminal background check or documentation of receipt of job description and operation policies on file. You stated that staff have all the documents but have not provided the documents in your employment portal. I checked the criminal background portal and the Ms. Gaskins is qualified through 10/19/2026. Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. One staff member hired on 9/18/2023, did not have documentation of six hours of orientation on file. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. Four of seven children's records reviewed discipline policy did not have the date of the child's enrollment. Three of seven children's records reviewed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy did not include the date of the child's enrollment. Review children’s files often and use the Center children’s checklist to ensure you have all required documents and they are completed fully. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must be have on file emergency contact information along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. One child of twenty-three children being transported did not have a photograph attached to their emergency information. Employee Purses: Employee purses and other personal effects must be kept out of reach of children. In space B an employee purse stored on a hook in a closet hanging below five feet. It is important to remember that purses may contain items that can be potentially hazardous to young children. Storing purses and personal effects five feet from the finished floor protects children from potential injury. Sanitation: Safe handling of all food is a basic principle to prevent and reduce foodborne illnesses. To prevent bacterial growth, refrigerator(s) must maintain a temperature of 45 degrees F. or below. The refrigerator in space A did not have a thermometer. You located a thermometer during the visit and placed it in the refrigerator. Cot Sheets: Infectious diseases spread easily in early care and education programs, since children, staff, and families are all in close contact. Surfaces and objects can carry germs and have spread diseases. Children in early care and education programs often nap on mats or cots that are taken out of storage for nap time, and then placed back in storage. Improper cleaning of bedding materials may increase the risk of spreading disease. Each child’s bedding should be kept separately from other children’s bedding, either on the bed or stored in individually labeled bins, cubbies, or bags. Safe Sleep: Documenting the supervision that is provided for sleeping infants is one way to reduce the risk of Sudden Infant Death Syndrome (SIDS). The use of sleep charts is identified in your center’s ITS-SIDS policy. Sleep charts are part of the center’s program records and must be kept on file and available for review. Sleep charts were not available for review for an 8-month-old infant in care and for children present on 10/2/23. Rated License Discussion – You completed the Application for Assessment for a Two Component Star Rated License and Rated License Assessment Review Form on August 17, 2023. The Environment Rating Scale assessment has been requested for your facility. A review of the Environment Rating Scale Assessment score will be completed during the last temporary time period visit to allow time for me to receive the hard copy of the report in the mail. Continue to ensure staff education is entered and current in the DCDEE WORKS system. Choose the Provider Tab and choose DCDEE WORKS for detailed instructions of how DCDEE WORKS and follow the instructions and information to update education. My review of your staff education in WORKS determined the following: there are staff who need to create WORKS accounts and request education evaluation. I provided you the names of those staff members today. needs to be completed by (October 20, 2023). Please email me when this has been completed. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 10/3/2023 Number Present: 52 Completed Date: 10/3/2023 Age: From 0 To 4 Total Minutes: 967 Time In: 08:53 AM Time Out: 12:40 PM Time In: 03:30 AM Time Out: 03:50 PM List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during the second temporary time period visit. You, A. Barnes, director assisted me with the visit. This facility was issued a temporary license on July 20,2023 caring for 165 children, ages 0-12 years of age on first and second shift. I observed children in each indoor and outdoor learning environment. Children throughout the facility were participating in free play in activity areas, and transitions. Children from zero to one year of age received care according to their individual needs. Diapering and handwashing routines were observed. A selection of children’s files were reviewed and found to be in compliance. Program records, including fire drills and monthly outdoor inspections were completed and current. The following violations were observed today and must be corrected immediately. Violation Number Comment Rule 504 Perishable foods were not stored to protect against spoilage. In the kitchen there was two open bags of gold fish, one open bag of cheese its, and an open container of mashed potatoes. 15A NCAC 18A .2806 807 A safe indoor and outdoor environment was not provided for the children. In outdoor space #2 there was two holes in ground creating trip hazards, the net on the basketball goal was broken, there was a sand table and little tykes table with a drawer filled with standing water, and there was a small sand table with a broken cover. 10A NCAC 09 .0601(a) 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. Sleep charts were also not available for 10/2/2023. .0606(g) 1030 Application for employment and date of birth was not on file for all staff. One staff hired on 9/26/23 did not have an employment application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff hired on 9/26/23 did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff hired on 9/26/23 did not have a TB Test or screening on file. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff hired on 9/18/23 did not have documentation of orientation within the first two weeks on file. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff hired on 9/26/23 did not have documentation of receipt of job description and operational policies on file. 10A NCAC 09 .0514(g) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Four of seven children's records reviewed discipline policy did not have the date of the child's enrollment. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. One staff, T. Gaskins hired on 9/26/23 did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three of seven children's records reviewed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy did not include the date of the child's enrollment. .0608(b)(1-6) 9995 A violation was found for which there is no item number. In space E one cot including the sheet was stored upside down on top of a set of cots. This is a violation of sanitation rule 15A NCAC 18A .2821(a). 9996 A violation was found for which there is no item number. In space B an employee purse stored on a hook in a closet hanging below five feet. This is a violation of sanitation rule 15A NCAC 18A .2820 (f). 9997 A violation was found for which there is no item number. The refrigerator in space A did not have a thermometer. This is a violation of sanitation rule 15A NCAC 18A .2806 (h) (1). 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. The violation(s) documented must be corrected immediately. On or before October 17, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Storage of Food: In child care centers, food shall be stored in approved, clean, tightly covered, storage containers once the original package is opened. Approved containers include resealable bags and other containers made of plastic or glass. Reusable containers that come in direct contact with food must be easy to clean, in good repair and intended for food storage. Today, In the kitchen there was two open bags of gold fish, one open bag of cheese its, and an open container of mashed potatoes. During the visit you and staff placed the items in plastic bags. Train staff on storage of food. A safe indoor and outdoor environment was not provided for the children with damaged items and equipment that were accessible to the children. In outdoor space #2 there was two holes in ground creating trip hazards, the net on the basketball goal was broken, there was a sand table and little tykes table with a drawer filled with standing water, and there was a small sand table with a broken cover. Assign a staff member to check playgrounds daily to remove immediate hazards. Staff Records: The health and safety of children requires that information regarding each staff working with the children be kept and available when needed. Staff records consist of various documentation such as employment application, medical report, TB test results, Annual Health Questionnaire, emergency contact information, CRC qualification letter, and documentation of orientation, in-service hours, CPR and First Aid, playground safety, and BSAC. One staff hired on 9/26/23 did not have an application, medical report, TB skin test/screening, criminal background check or documentation of receipt of job description and operation policies on file. You stated that staff have all the documents but have not provided the documents in your employment portal. I checked the criminal background portal and the Ms. Gaskins is qualified through 10/19/2026. Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. One staff member hired on 9/18/2023, did not have documentation of six hours of orientation on file. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. Four of seven children's records reviewed discipline policy did not have the date of the child's enrollment. Three of seven children's records reviewed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy did not include the date of the child's enrollment. Review children’s files often and use the Center children’s checklist to ensure you have all required documents and they are completed fully. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must be have on file emergency contact information along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. One child of twenty-three children being transported did not have a photograph attached to their emergency information. Employee Purses: Employee purses and other personal effects must be kept out of reach of children. In space B an employee purse stored on a hook in a closet hanging below five feet. It is important to remember that purses may contain items that can be potentially hazardous to young children. Storing purses and personal effects five feet from the finished floor protects children from potential injury. Sanitation: Safe handling of all food is a basic principle to prevent and reduce foodborne illnesses. To prevent bacterial growth, refrigerator(s) must maintain a temperature of 45 degrees F. or below. The refrigerator in space A did not have a thermometer. You located a thermometer during the visit and placed it in the refrigerator. Cot Sheets: Infectious diseases spread easily in early care and education programs, since children, staff, and families are all in close contact. Surfaces and objects can carry germs and have spread diseases. Children in early care and education programs often nap on mats or cots that are taken out of storage for nap time, and then placed back in storage. Improper cleaning of bedding materials may increase the risk of spreading disease. Each child’s bedding should be kept separately from other children’s bedding, either on the bed or stored in individually labeled bins, cubbies, or bags. Safe Sleep: Documenting the supervision that is provided for sleeping infants is one way to reduce the risk of Sudden Infant Death Syndrome (SIDS). The use of sleep charts is identified in your center’s ITS-SIDS policy. Sleep charts are part of the center’s program records and must be kept on file and available for review. Sleep charts were not available for review for an 8-month-old infant in care and for children present on 10/2/23. Rated License Discussion – You completed the Application for Assessment for a Two Component Star Rated License and Rated License Assessment Review Form on August 17, 2023. The Environment Rating Scale assessment has been requested for your facility. A review of the Environment Rating Scale Assessment score will be completed during the last temporary time period visit to allow time for me to receive the hard copy of the report in the mail. Continue to ensure staff education is entered and current in the DCDEE WORKS system. Choose the Provider Tab and choose DCDEE WORKS for detailed instructions of how DCDEE WORKS and follow the instructions and information to update education. My review of your staff education in WORKS determined the following: there are staff who need to create WORKS accounts and request education evaluation. I provided you the names of those staff members today. needs to be completed by (October 20, 2023). Please email me when this has been completed. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@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

NC GS 110-90 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 10/3/2023 Number Present: 52 Completed Date: 10/3/2023 Age: From 0 To 4 Total Minutes: 967 Time In: 08:53 AM Time Out: 12:40 PM Time In: 03:30 AM Time Out: 03:50 PM List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during the second temporary time period visit. You, A. Barnes, director assisted me with the visit. This facility was issued a temporary license on July 20,2023 caring for 165 children, ages 0-12 years of age on first and second shift. I observed children in each indoor and outdoor learning environment. Children throughout the facility were participating in free play in activity areas, and transitions. Children from zero to one year of age received care according to their individual needs. Diapering and handwashing routines were observed. A selection of children’s files were reviewed and found to be in compliance. Program records, including fire drills and monthly outdoor inspections were completed and current. The following violations were observed today and must be corrected immediately. Violation Number Comment Rule 504 Perishable foods were not stored to protect against spoilage. In the kitchen there was two open bags of gold fish, one open bag of cheese its, and an open container of mashed potatoes. 15A NCAC 18A .2806 807 A safe indoor and outdoor environment was not provided for the children. In outdoor space #2 there was two holes in ground creating trip hazards, the net on the basketball goal was broken, there was a sand table and little tykes table with a drawer filled with standing water, and there was a small sand table with a broken cover. 10A NCAC 09 .0601(a) 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. Sleep charts were also not available for 10/2/2023. .0606(g) 1030 Application for employment and date of birth was not on file for all staff. One staff hired on 9/26/23 did not have an employment application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff hired on 9/26/23 did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff hired on 9/26/23 did not have a TB Test or screening on file. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff hired on 9/18/23 did not have documentation of orientation within the first two weeks on file. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff hired on 9/26/23 did not have documentation of receipt of job description and operational policies on file. 10A NCAC 09 .0514(g) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Four of seven children's records reviewed discipline policy did not have the date of the child's enrollment. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. One staff, T. Gaskins hired on 9/26/23 did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three of seven children's records reviewed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy did not include the date of the child's enrollment. .0608(b)(1-6) 9995 A violation was found for which there is no item number. In space E one cot including the sheet was stored upside down on top of a set of cots. This is a violation of sanitation rule 15A NCAC 18A .2821(a). 9996 A violation was found for which there is no item number. In space B an employee purse stored on a hook in a closet hanging below five feet. This is a violation of sanitation rule 15A NCAC 18A .2820 (f). 9997 A violation was found for which there is no item number. The refrigerator in space A did not have a thermometer. This is a violation of sanitation rule 15A NCAC 18A .2806 (h) (1). 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. The violation(s) documented must be corrected immediately. On or before October 17, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Storage of Food: In child care centers, food shall be stored in approved, clean, tightly covered, storage containers once the original package is opened. Approved containers include resealable bags and other containers made of plastic or glass. Reusable containers that come in direct contact with food must be easy to clean, in good repair and intended for food storage. Today, In the kitchen there was two open bags of gold fish, one open bag of cheese its, and an open container of mashed potatoes. During the visit you and staff placed the items in plastic bags. Train staff on storage of food. A safe indoor and outdoor environment was not provided for the children with damaged items and equipment that were accessible to the children. In outdoor space #2 there was two holes in ground creating trip hazards, the net on the basketball goal was broken, there was a sand table and little tykes table with a drawer filled with standing water, and there was a small sand table with a broken cover. Assign a staff member to check playgrounds daily to remove immediate hazards. Staff Records: The health and safety of children requires that information regarding each staff working with the children be kept and available when needed. Staff records consist of various documentation such as employment application, medical report, TB test results, Annual Health Questionnaire, emergency contact information, CRC qualification letter, and documentation of orientation, in-service hours, CPR and First Aid, playground safety, and BSAC. One staff hired on 9/26/23 did not have an application, medical report, TB skin test/screening, criminal background check or documentation of receipt of job description and operation policies on file. You stated that staff have all the documents but have not provided the documents in your employment portal. I checked the criminal background portal and the Ms. Gaskins is qualified through 10/19/2026. Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. One staff member hired on 9/18/2023, did not have documentation of six hours of orientation on file. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. Four of seven children's records reviewed discipline policy did not have the date of the child's enrollment. Three of seven children's records reviewed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy did not include the date of the child's enrollment. Review children’s files often and use the Center children’s checklist to ensure you have all required documents and they are completed fully. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must be have on file emergency contact information along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. One child of twenty-three children being transported did not have a photograph attached to their emergency information. Employee Purses: Employee purses and other personal effects must be kept out of reach of children. In space B an employee purse stored on a hook in a closet hanging below five feet. It is important to remember that purses may contain items that can be potentially hazardous to young children. Storing purses and personal effects five feet from the finished floor protects children from potential injury. Sanitation: Safe handling of all food is a basic principle to prevent and reduce foodborne illnesses. To prevent bacterial growth, refrigerator(s) must maintain a temperature of 45 degrees F. or below. The refrigerator in space A did not have a thermometer. You located a thermometer during the visit and placed it in the refrigerator. Cot Sheets: Infectious diseases spread easily in early care and education programs, since children, staff, and families are all in close contact. Surfaces and objects can carry germs and have spread diseases. Children in early care and education programs often nap on mats or cots that are taken out of storage for nap time, and then placed back in storage. Improper cleaning of bedding materials may increase the risk of spreading disease. Each child’s bedding should be kept separately from other children’s bedding, either on the bed or stored in individually labeled bins, cubbies, or bags. Safe Sleep: Documenting the supervision that is provided for sleeping infants is one way to reduce the risk of Sudden Infant Death Syndrome (SIDS). The use of sleep charts is identified in your center’s ITS-SIDS policy. Sleep charts are part of the center’s program records and must be kept on file and available for review. Sleep charts were not available for review for an 8-month-old infant in care and for children present on 10/2/23. Rated License Discussion – You completed the Application for Assessment for a Two Component Star Rated License and Rated License Assessment Review Form on August 17, 2023. The Environment Rating Scale assessment has been requested for your facility. A review of the Environment Rating Scale Assessment score will be completed during the last temporary time period visit to allow time for me to receive the hard copy of the report in the mail. Continue to ensure staff education is entered and current in the DCDEE WORKS system. Choose the Provider Tab and choose DCDEE WORKS for detailed instructions of how DCDEE WORKS and follow the instructions and information to update education. My review of your staff education in WORKS determined the following: there are staff who need to create WORKS accounts and request education evaluation. I provided you the names of those staff members today. needs to be completed by (October 20, 2023). Please email me when this has been completed. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@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 .0803 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: ANGELA HERNANDEZ Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 83 Completed Date: 7/20/2023 Age: From 0 To 10 Total Minutes: 310 Time In: 10:50 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit. This facility was issued a temporary license on June 7, 2023 – December 7, 2023 caring for no more than 165 children, ages 0 -12 years of age on first and second shift. Fire Inspection: 7/17/23 Building and sanitation inspections are to be completed during the 6 month temporary time period. Please contact your local inspectors and zoning offices to request the inspections. Please forward all approved inspections to me once completed. At arrival, I was greeted by the administrator and the assistant administrator upon entry into the facility. Five groups were observed during today's visit. A group of school-aged children were off-site on a field trip to Sweet Valley Ranch. Children had access to gross motor play outdoors. Staff read books to the children as they waited for lunch to arrive to the classroom. Lunch was served and consisted of meatballs, a roll, green beans, watermelon, and milk. The children ate in their designated classroom at child sized tables. Children rested on linen covered cots at nap time. Staff were observed engaged with the children during both play activities and routine care tasks. Staff interacted with the children frequently, using positive language. Children's behaviors were redirected and staff provided the children with choices. Compliance: 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. The violation(s) documented must be corrected immediately. On or before, August 3, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Hernandez PO Box 2409 Winterville, NC 28590 Angela.Hernandez@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Violation Number Comment Rule 453 The schedule of off premise activities was not current and/or did not include required information. The schedule of off-premise activities did not include the purpose of the activity and the name of person to contact in the event of an emergency. .1005(b)(5)(A-E) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. School-aged children were served ham and cheese, crackers, applesauce, a Nutri Grain bar, and juice for lunch. 10A NCAC 09 .0901(a) 604 Lavatories were not kept clean, in good repair and kept free of storage. There were three toilets in Classroom F that were visibly dirty with urine and toilet paper in the bowl. Classroom C has a toilet that is missing a toilet seat. 15A NCAC 18A .2818(a) 721 All equipment and furnishings were not in good repair. In Classroom F, there was a child's chair that had a cracked seat. G.S. 110-91(6); .0601(b) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In Classroom A, a one year old was administered Antifungal Cream, containing 2% Miconazole Nitrate and the container read "do not use on children under 2." 10A NCAC 09 .0803(5) 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 Classroom A, there were Ziploc bags containing children's clothes and bottles located in an unlocked cabinet below five feet. .0604(q) 891 The safe sleep policy did not contain the required information. The center's safe sleep policy revised in 2014 did not contain the required information to include that pacifiers that attach to infant clothing shall not be used with sleeping infants. 10A NCAC 09 .0606(a)(1-8) Technical Assistance: Medication- Administering medication requires skill, knowledge and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/teacher written authorization to administer medication to the child. Caregivers/teachers must be diligent in their adherence to the medication administration policy and procedures to prevent any inadvertent medication errors, which may be harmful to the child. There is always a risk that a child may have a negative reaction to a medication, and children should be monitored for serious side effects that may require an emergency response. Take time to read all medication labels to ensure that you are following the manufacturers warnings and restrictions. Nutrition: Nourishing and attractive food is the cornerstone for children’s health, growth, and development as well as developmentally appropriate learning experiences. Nutrition and feeding are essential and required in every facility. Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. When the school-aged children are off site on a field trip, they must be served meals/snacks that meet the USDA guidelines. Today’s lunch was missing milk and a vegetable. We discussed that granola bars and cereal bars are not recognized by the USDA Meal Guidelines as a nutritious food component. For lunch, all children must be provided milk. We discussed how to properly package and provide cartons of milk for the children when on field trips. Plastic Bags: Plastic bags are a suffocation hazard for young children and should be made inaccessible to children less than three years of age. Classroom A had a child’s clothes and bottles stored in Ziploc bags below five feet. When prompted, staff relocated the bags to a cubby above five feet Safe Sleep: Safe sleep practices help reduce the risk of sudden unexpected infant deaths (SUIDs). Although the cause of many sudden infant deaths may not be known, researchers believe that some infants develop in a manner that makes it challenging for them to be aroused or to breathe when they experience a life-threatening challenge during sleep. This is why child care rules require that an ITS-SIDS Policy be developed and followed at all times. Your center’s adopted policy was updated in 2014 and does not include all required information. Please review Child Care Rule .0606 (a)1- 11 to update your facility’s safe sleep policy to ensure that all required information is included. Upon completion, provide the updated policy to parents and have them sign a copy for the child’s file. Bathrooms: It is important to keep all bathrooms clean and sanitary. Bacteria and viruses can survive on bathroom surfaces for up to a week. Cleaning the bathroom is the best way to reduce the risk of infection and illness. Staff should be reminding the children to flush the toilets after each use. Staff may assist with this process for younger children. When toilet seats are broken they must be replaced immediately to ensure the safety of the children when using the bathroom. Comments: Child Care Centers with a Temporary License in good standing may be eligible for participation in the NC Child Care Subsidy System during their first 6 months of operation. Only programs with a 3 Star or higher license are eligible to continue to participate in the Subsidy System after the first 6 months of operation. You should begin making plans now to obtain at least a 3 Star License by the expiration of your Temporary License if you intend to participate in the NC Subsidized Child Care System. The facility must have an overall compliance history of at least 75% to be eligible for a star rated license. Prior to today’s visit, the center’s overall compliance history was 100%. Documented violations from today’s visit will impact the center’s compliance history. It is important to implement processes and systems to prevent reoccurrence of documented violations. Star Rated License: We discussed the rated license process. You were reminded a compliance history score of 75% or above must be maintained in order to receive a rated license. An Application for Assessment for a Two Component Star Rated License and the request form for the Environment Rating Scales (ERS) was provided to you today. A quality point option form was provided to you. We discussed the Environment Rating Scales and your choice to participate in the ERS for potential points towards a star rated license. If you choose to request the ERS, the scales would need to be completed October 2023 prior to the expiration of the Temporary License on December 7, 2023. I recommended you review the applicable assessment tools at www.ncrlap.org and review training modules available and the additional resources provided. I encourage you to contact Martin Pitt Partnership for Children at 252-758-8885 to request technical assistance in preparation for the ERS. NC Rated License Assessment Project (NC-RLAP) - The NC-RLAP website has a wealth of information on the Environment Rating Scales and overall quality issues for child care. You can download NC Additional Notes for each of the scales and find additional information that will help you with your assessment. Training videos are available on the following topics: Overview of the Assessment Process, Using Materials with Non-Mobile Infants, A Safe Place for Gross Motor Play, Hand washing and Other Basic Health Considerations, Language for Learning. NC-RLAP also offers free webinars to provide training and information about the Environment Rating Scales. Access to the webinars requires a computer with a high speed internet connection and a phone. The webinars are typically offered between 1:00 - 1:45 PM, a typical napping time in most child care programs. To register for a session, call 1-866-3NCRLAP (1-866-362-7527). Registration will close the day before the webinar, so please do not wait until the morning of the webinar to register. There must be at least seven participants signed up for the session, or it may be cancelled. To access resources or information on webinars, go to www.ncrlap.org. WORKS is a self-service applicant portal that will be used by an individual applicant to register and maintain their workforce information to support education requirements. The WORKS portal is available online and requires that the user maintain an individual North Carolina Identity Management (NCID) user name and password. All paperwork, with the exception of official transcripts, will no longer be submitted to the Workforce Education Unit. These documents will be uploaded using WORKS via each applicant’s WORKS account. I walked through the DCDEE website and how to register for WORKS. Please have all staff registered in WORKS no later than August 1, 2023. For more information about NCID and WORKS, please visit the DCDEE website at www.ncchildcare.nc.gov in order to view more information under the DCDEE WORKS tab http://ncchildcare.nc.gov/general/mb_dcdeeworks.asp. You can also contact the Workforce Education Unit at 1-800-859-0829 (In State Only) or 919-527-6600 for more information concerning WORKS. Updates: Early Educator Certification (EEC) is another option to earn education points for the rated license. To learn more or apply for Early Educator Certification, go to the website for the NC Institute for Child Development Professionals https://ncicdp.org/ 1. On the left, click on Certifications and Endorsements 2. Slide to the right to Early Educator Certification (EEC) Forms and Endorsements 3. Read the information and follow the instructions to apply. 4. Mail completed application, original, official transcripts (may be opened), and $50 application fee to NCICDP. 5. Once a certificate or letter verifying the award of the certificate is received, log into Works account and upload the EEC Certificate or Letter. EEC will expire, but it counts towards rated license points indefinitely if it is current when posted in Works. NITTO - The Birth-to-Three Quality Initiative and DCDEE are offering a New Infant Toddler Teacher Orientation (NITTO). * Free online format, with 14 credit hours upon completion * Comprehensive training completed in 7 weeks * Practical knowledge that you can apply in a birth-to-three classroom Understand your value as a birth-to-three teacher and ways to care for yourself while caring for our youngest. Find the course at dcdee.moodle.nc.gov. Individuals will need to have an NCID to access the Moodle site. Infant-Toddler Educator AWARD$® Plus is a salary supplement program, available in all NC counties, designed to increase the education, retention and compensation of teachers and family child care educators working with our youngest children. To be eligible for AWARD$ Plus, applicants must: • Work at least 30 hours/week with infants, ones or twos. • Earn at or below $20/hour. • Work in a licensed child care center or home. • Have at least 12 semester hours of birth to five focused coursework AWARD$ Plus is funded by the Division of Child Development and Early Education. Visit www.childcareservices.org/awards for more details. Apply to Serve Military Families: Licensed child care programs with 3 or more stars can now participate in an expanded Department of Defense program to provide early care and learning to military families. Administered by Child Care Aware of America, the Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative makes it easier for North Carolina’s military families to access and afford quality child care from community providers. For years, the Military Services have provided fee assistance to eligible military families to offset the cost of child care in community programs when on-base child care is unavailable. The MCCYN-PLUS initiative builds on this history and leverages the state's commitment to building a high-quality early care and learning network. Under the new MCCYN-PLUS initiative, child care programs in North Carolina can apply if they have a license rated 3 stars or higher. Providers interested in qualifying for MCCYN-PLUS can apply through Child Care Aware of America. Military families looking for help with fees and locating participating child care providers can apply through their military service branch At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Angela Hernandez, Lead Child Care Consultant at 252-373-9505 or angela.hernandez@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor at 252-373-4199 or jennifer.linhardt@dhhs.nc.gov if you 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: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: ANGELA HERNANDEZ Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 83 Completed Date: 7/20/2023 Age: From 0 To 10 Total Minutes: 310 Time In: 10:50 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit. This facility was issued a temporary license on June 7, 2023 – December 7, 2023 caring for no more than 165 children, ages 0 -12 years of age on first and second shift. Fire Inspection: 7/17/23 Building and sanitation inspections are to be completed during the 6 month temporary time period. Please contact your local inspectors and zoning offices to request the inspections. Please forward all approved inspections to me once completed. At arrival, I was greeted by the administrator and the assistant administrator upon entry into the facility. Five groups were observed during today's visit. A group of school-aged children were off-site on a field trip to Sweet Valley Ranch. Children had access to gross motor play outdoors. Staff read books to the children as they waited for lunch to arrive to the classroom. Lunch was served and consisted of meatballs, a roll, green beans, watermelon, and milk. The children ate in their designated classroom at child sized tables. Children rested on linen covered cots at nap time. Staff were observed engaged with the children during both play activities and routine care tasks. Staff interacted with the children frequently, using positive language. Children's behaviors were redirected and staff provided the children with choices. Compliance: 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. The violation(s) documented must be corrected immediately. On or before, August 3, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Hernandez PO Box 2409 Winterville, NC 28590 Angela.Hernandez@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Violation Number Comment Rule 453 The schedule of off premise activities was not current and/or did not include required information. The schedule of off-premise activities did not include the purpose of the activity and the name of person to contact in the event of an emergency. .1005(b)(5)(A-E) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. School-aged children were served ham and cheese, crackers, applesauce, a Nutri Grain bar, and juice for lunch. 10A NCAC 09 .0901(a) 604 Lavatories were not kept clean, in good repair and kept free of storage. There were three toilets in Classroom F that were visibly dirty with urine and toilet paper in the bowl. Classroom C has a toilet that is missing a toilet seat. 15A NCAC 18A .2818(a) 721 All equipment and furnishings were not in good repair. In Classroom F, there was a child's chair that had a cracked seat. G.S. 110-91(6); .0601(b) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In Classroom A, a one year old was administered Antifungal Cream, containing 2% Miconazole Nitrate and the container read "do not use on children under 2." 10A NCAC 09 .0803(5) 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 Classroom A, there were Ziploc bags containing children's clothes and bottles located in an unlocked cabinet below five feet. .0604(q) 891 The safe sleep policy did not contain the required information. The center's safe sleep policy revised in 2014 did not contain the required information to include that pacifiers that attach to infant clothing shall not be used with sleeping infants. 10A NCAC 09 .0606(a)(1-8) Technical Assistance: Medication- Administering medication requires skill, knowledge and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/teacher written authorization to administer medication to the child. Caregivers/teachers must be diligent in their adherence to the medication administration policy and procedures to prevent any inadvertent medication errors, which may be harmful to the child. There is always a risk that a child may have a negative reaction to a medication, and children should be monitored for serious side effects that may require an emergency response. Take time to read all medication labels to ensure that you are following the manufacturers warnings and restrictions. Nutrition: Nourishing and attractive food is the cornerstone for children’s health, growth, and development as well as developmentally appropriate learning experiences. Nutrition and feeding are essential and required in every facility. Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. When the school-aged children are off site on a field trip, they must be served meals/snacks that meet the USDA guidelines. Today’s lunch was missing milk and a vegetable. We discussed that granola bars and cereal bars are not recognized by the USDA Meal Guidelines as a nutritious food component. For lunch, all children must be provided milk. We discussed how to properly package and provide cartons of milk for the children when on field trips. Plastic Bags: Plastic bags are a suffocation hazard for young children and should be made inaccessible to children less than three years of age. Classroom A had a child’s clothes and bottles stored in Ziploc bags below five feet. When prompted, staff relocated the bags to a cubby above five feet Safe Sleep: Safe sleep practices help reduce the risk of sudden unexpected infant deaths (SUIDs). Although the cause of many sudden infant deaths may not be known, researchers believe that some infants develop in a manner that makes it challenging for them to be aroused or to breathe when they experience a life-threatening challenge during sleep. This is why child care rules require that an ITS-SIDS Policy be developed and followed at all times. Your center’s adopted policy was updated in 2014 and does not include all required information. Please review Child Care Rule .0606 (a)1- 11 to update your facility’s safe sleep policy to ensure that all required information is included. Upon completion, provide the updated policy to parents and have them sign a copy for the child’s file. Bathrooms: It is important to keep all bathrooms clean and sanitary. Bacteria and viruses can survive on bathroom surfaces for up to a week. Cleaning the bathroom is the best way to reduce the risk of infection and illness. Staff should be reminding the children to flush the toilets after each use. Staff may assist with this process for younger children. When toilet seats are broken they must be replaced immediately to ensure the safety of the children when using the bathroom. Comments: Child Care Centers with a Temporary License in good standing may be eligible for participation in the NC Child Care Subsidy System during their first 6 months of operation. Only programs with a 3 Star or higher license are eligible to continue to participate in the Subsidy System after the first 6 months of operation. You should begin making plans now to obtain at least a 3 Star License by the expiration of your Temporary License if you intend to participate in the NC Subsidized Child Care System. The facility must have an overall compliance history of at least 75% to be eligible for a star rated license. Prior to today’s visit, the center’s overall compliance history was 100%. Documented violations from today’s visit will impact the center’s compliance history. It is important to implement processes and systems to prevent reoccurrence of documented violations. Star Rated License: We discussed the rated license process. You were reminded a compliance history score of 75% or above must be maintained in order to receive a rated license. An Application for Assessment for a Two Component Star Rated License and the request form for the Environment Rating Scales (ERS) was provided to you today. A quality point option form was provided to you. We discussed the Environment Rating Scales and your choice to participate in the ERS for potential points towards a star rated license. If you choose to request the ERS, the scales would need to be completed October 2023 prior to the expiration of the Temporary License on December 7, 2023. I recommended you review the applicable assessment tools at www.ncrlap.org and review training modules available and the additional resources provided. I encourage you to contact Martin Pitt Partnership for Children at 252-758-8885 to request technical assistance in preparation for the ERS. NC Rated License Assessment Project (NC-RLAP) - The NC-RLAP website has a wealth of information on the Environment Rating Scales and overall quality issues for child care. You can download NC Additional Notes for each of the scales and find additional information that will help you with your assessment. Training videos are available on the following topics: Overview of the Assessment Process, Using Materials with Non-Mobile Infants, A Safe Place for Gross Motor Play, Hand washing and Other Basic Health Considerations, Language for Learning. NC-RLAP also offers free webinars to provide training and information about the Environment Rating Scales. Access to the webinars requires a computer with a high speed internet connection and a phone. The webinars are typically offered between 1:00 - 1:45 PM, a typical napping time in most child care programs. To register for a session, call 1-866-3NCRLAP (1-866-362-7527). Registration will close the day before the webinar, so please do not wait until the morning of the webinar to register. There must be at least seven participants signed up for the session, or it may be cancelled. To access resources or information on webinars, go to www.ncrlap.org. WORKS is a self-service applicant portal that will be used by an individual applicant to register and maintain their workforce information to support education requirements. The WORKS portal is available online and requires that the user maintain an individual North Carolina Identity Management (NCID) user name and password. All paperwork, with the exception of official transcripts, will no longer be submitted to the Workforce Education Unit. These documents will be uploaded using WORKS via each applicant’s WORKS account. I walked through the DCDEE website and how to register for WORKS. Please have all staff registered in WORKS no later than August 1, 2023. For more information about NCID and WORKS, please visit the DCDEE website at www.ncchildcare.nc.gov in order to view more information under the DCDEE WORKS tab http://ncchildcare.nc.gov/general/mb_dcdeeworks.asp. You can also contact the Workforce Education Unit at 1-800-859-0829 (In State Only) or 919-527-6600 for more information concerning WORKS. Updates: Early Educator Certification (EEC) is another option to earn education points for the rated license. To learn more or apply for Early Educator Certification, go to the website for the NC Institute for Child Development Professionals https://ncicdp.org/ 1. On the left, click on Certifications and Endorsements 2. Slide to the right to Early Educator Certification (EEC) Forms and Endorsements 3. Read the information and follow the instructions to apply. 4. Mail completed application, original, official transcripts (may be opened), and $50 application fee to NCICDP. 5. Once a certificate or letter verifying the award of the certificate is received, log into Works account and upload the EEC Certificate or Letter. EEC will expire, but it counts towards rated license points indefinitely if it is current when posted in Works. NITTO - The Birth-to-Three Quality Initiative and DCDEE are offering a New Infant Toddler Teacher Orientation (NITTO). * Free online format, with 14 credit hours upon completion * Comprehensive training completed in 7 weeks * Practical knowledge that you can apply in a birth-to-three classroom Understand your value as a birth-to-three teacher and ways to care for yourself while caring for our youngest. Find the course at dcdee.moodle.nc.gov. Individuals will need to have an NCID to access the Moodle site. Infant-Toddler Educator AWARD$® Plus is a salary supplement program, available in all NC counties, designed to increase the education, retention and compensation of teachers and family child care educators working with our youngest children. To be eligible for AWARD$ Plus, applicants must: • Work at least 30 hours/week with infants, ones or twos. • Earn at or below $20/hour. • Work in a licensed child care center or home. • Have at least 12 semester hours of birth to five focused coursework AWARD$ Plus is funded by the Division of Child Development and Early Education. Visit www.childcareservices.org/awards for more details. Apply to Serve Military Families: Licensed child care programs with 3 or more stars can now participate in an expanded Department of Defense program to provide early care and learning to military families. Administered by Child Care Aware of America, the Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative makes it easier for North Carolina’s military families to access and afford quality child care from community providers. For years, the Military Services have provided fee assistance to eligible military families to offset the cost of child care in community programs when on-base child care is unavailable. The MCCYN-PLUS initiative builds on this history and leverages the state's commitment to building a high-quality early care and learning network. Under the new MCCYN-PLUS initiative, child care programs in North Carolina can apply if they have a license rated 3 stars or higher. Providers interested in qualifying for MCCYN-PLUS can apply through Child Care Aware of America. Military families looking for help with fees and locating participating child care providers can apply through their military service branch At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Angela Hernandez, Lead Child Care Consultant at 252-373-9505 or angela.hernandez@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor at 252-373-4199 or jennifer.linhardt@dhhs.nc.gov if you 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: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: ANGELA HERNANDEZ Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 83 Completed Date: 7/20/2023 Age: From 0 To 10 Total Minutes: 310 Time In: 10:50 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit. This facility was issued a temporary license on June 7, 2023 – December 7, 2023 caring for no more than 165 children, ages 0 -12 years of age on first and second shift. Fire Inspection: 7/17/23 Building and sanitation inspections are to be completed during the 6 month temporary time period. Please contact your local inspectors and zoning offices to request the inspections. Please forward all approved inspections to me once completed. At arrival, I was greeted by the administrator and the assistant administrator upon entry into the facility. Five groups were observed during today's visit. A group of school-aged children were off-site on a field trip to Sweet Valley Ranch. Children had access to gross motor play outdoors. Staff read books to the children as they waited for lunch to arrive to the classroom. Lunch was served and consisted of meatballs, a roll, green beans, watermelon, and milk. The children ate in their designated classroom at child sized tables. Children rested on linen covered cots at nap time. Staff were observed engaged with the children during both play activities and routine care tasks. Staff interacted with the children frequently, using positive language. Children's behaviors were redirected and staff provided the children with choices. Compliance: 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. The violation(s) documented must be corrected immediately. On or before, August 3, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Hernandez PO Box 2409 Winterville, NC 28590 Angela.Hernandez@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Violation Number Comment Rule 453 The schedule of off premise activities was not current and/or did not include required information. The schedule of off-premise activities did not include the purpose of the activity and the name of person to contact in the event of an emergency. .1005(b)(5)(A-E) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. School-aged children were served ham and cheese, crackers, applesauce, a Nutri Grain bar, and juice for lunch. 10A NCAC 09 .0901(a) 604 Lavatories were not kept clean, in good repair and kept free of storage. There were three toilets in Classroom F that were visibly dirty with urine and toilet paper in the bowl. Classroom C has a toilet that is missing a toilet seat. 15A NCAC 18A .2818(a) 721 All equipment and furnishings were not in good repair. In Classroom F, there was a child's chair that had a cracked seat. G.S. 110-91(6); .0601(b) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In Classroom A, a one year old was administered Antifungal Cream, containing 2% Miconazole Nitrate and the container read "do not use on children under 2." 10A NCAC 09 .0803(5) 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 Classroom A, there were Ziploc bags containing children's clothes and bottles located in an unlocked cabinet below five feet. .0604(q) 891 The safe sleep policy did not contain the required information. The center's safe sleep policy revised in 2014 did not contain the required information to include that pacifiers that attach to infant clothing shall not be used with sleeping infants. 10A NCAC 09 .0606(a)(1-8) Technical Assistance: Medication- Administering medication requires skill, knowledge and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/teacher written authorization to administer medication to the child. Caregivers/teachers must be diligent in their adherence to the medication administration policy and procedures to prevent any inadvertent medication errors, which may be harmful to the child. There is always a risk that a child may have a negative reaction to a medication, and children should be monitored for serious side effects that may require an emergency response. Take time to read all medication labels to ensure that you are following the manufacturers warnings and restrictions. Nutrition: Nourishing and attractive food is the cornerstone for children’s health, growth, and development as well as developmentally appropriate learning experiences. Nutrition and feeding are essential and required in every facility. Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. When the school-aged children are off site on a field trip, they must be served meals/snacks that meet the USDA guidelines. Today’s lunch was missing milk and a vegetable. We discussed that granola bars and cereal bars are not recognized by the USDA Meal Guidelines as a nutritious food component. For lunch, all children must be provided milk. We discussed how to properly package and provide cartons of milk for the children when on field trips. Plastic Bags: Plastic bags are a suffocation hazard for young children and should be made inaccessible to children less than three years of age. Classroom A had a child’s clothes and bottles stored in Ziploc bags below five feet. When prompted, staff relocated the bags to a cubby above five feet Safe Sleep: Safe sleep practices help reduce the risk of sudden unexpected infant deaths (SUIDs). Although the cause of many sudden infant deaths may not be known, researchers believe that some infants develop in a manner that makes it challenging for them to be aroused or to breathe when they experience a life-threatening challenge during sleep. This is why child care rules require that an ITS-SIDS Policy be developed and followed at all times. Your center’s adopted policy was updated in 2014 and does not include all required information. Please review Child Care Rule .0606 (a)1- 11 to update your facility’s safe sleep policy to ensure that all required information is included. Upon completion, provide the updated policy to parents and have them sign a copy for the child’s file. Bathrooms: It is important to keep all bathrooms clean and sanitary. Bacteria and viruses can survive on bathroom surfaces for up to a week. Cleaning the bathroom is the best way to reduce the risk of infection and illness. Staff should be reminding the children to flush the toilets after each use. Staff may assist with this process for younger children. When toilet seats are broken they must be replaced immediately to ensure the safety of the children when using the bathroom. Comments: Child Care Centers with a Temporary License in good standing may be eligible for participation in the NC Child Care Subsidy System during their first 6 months of operation. Only programs with a 3 Star or higher license are eligible to continue to participate in the Subsidy System after the first 6 months of operation. You should begin making plans now to obtain at least a 3 Star License by the expiration of your Temporary License if you intend to participate in the NC Subsidized Child Care System. The facility must have an overall compliance history of at least 75% to be eligible for a star rated license. Prior to today’s visit, the center’s overall compliance history was 100%. Documented violations from today’s visit will impact the center’s compliance history. It is important to implement processes and systems to prevent reoccurrence of documented violations. Star Rated License: We discussed the rated license process. You were reminded a compliance history score of 75% or above must be maintained in order to receive a rated license. An Application for Assessment for a Two Component Star Rated License and the request form for the Environment Rating Scales (ERS) was provided to you today. A quality point option form was provided to you. We discussed the Environment Rating Scales and your choice to participate in the ERS for potential points towards a star rated license. If you choose to request the ERS, the scales would need to be completed October 2023 prior to the expiration of the Temporary License on December 7, 2023. I recommended you review the applicable assessment tools at www.ncrlap.org and review training modules available and the additional resources provided. I encourage you to contact Martin Pitt Partnership for Children at 252-758-8885 to request technical assistance in preparation for the ERS. NC Rated License Assessment Project (NC-RLAP) - The NC-RLAP website has a wealth of information on the Environment Rating Scales and overall quality issues for child care. You can download NC Additional Notes for each of the scales and find additional information that will help you with your assessment. Training videos are available on the following topics: Overview of the Assessment Process, Using Materials with Non-Mobile Infants, A Safe Place for Gross Motor Play, Hand washing and Other Basic Health Considerations, Language for Learning. NC-RLAP also offers free webinars to provide training and information about the Environment Rating Scales. Access to the webinars requires a computer with a high speed internet connection and a phone. The webinars are typically offered between 1:00 - 1:45 PM, a typical napping time in most child care programs. To register for a session, call 1-866-3NCRLAP (1-866-362-7527). Registration will close the day before the webinar, so please do not wait until the morning of the webinar to register. There must be at least seven participants signed up for the session, or it may be cancelled. To access resources or information on webinars, go to www.ncrlap.org. WORKS is a self-service applicant portal that will be used by an individual applicant to register and maintain their workforce information to support education requirements. The WORKS portal is available online and requires that the user maintain an individual North Carolina Identity Management (NCID) user name and password. All paperwork, with the exception of official transcripts, will no longer be submitted to the Workforce Education Unit. These documents will be uploaded using WORKS via each applicant’s WORKS account. I walked through the DCDEE website and how to register for WORKS. Please have all staff registered in WORKS no later than August 1, 2023. For more information about NCID and WORKS, please visit the DCDEE website at www.ncchildcare.nc.gov in order to view more information under the DCDEE WORKS tab http://ncchildcare.nc.gov/general/mb_dcdeeworks.asp. You can also contact the Workforce Education Unit at 1-800-859-0829 (In State Only) or 919-527-6600 for more information concerning WORKS. Updates: Early Educator Certification (EEC) is another option to earn education points for the rated license. To learn more or apply for Early Educator Certification, go to the website for the NC Institute for Child Development Professionals https://ncicdp.org/ 1. On the left, click on Certifications and Endorsements 2. Slide to the right to Early Educator Certification (EEC) Forms and Endorsements 3. Read the information and follow the instructions to apply. 4. Mail completed application, original, official transcripts (may be opened), and $50 application fee to NCICDP. 5. Once a certificate or letter verifying the award of the certificate is received, log into Works account and upload the EEC Certificate or Letter. EEC will expire, but it counts towards rated license points indefinitely if it is current when posted in Works. NITTO - The Birth-to-Three Quality Initiative and DCDEE are offering a New Infant Toddler Teacher Orientation (NITTO). * Free online format, with 14 credit hours upon completion * Comprehensive training completed in 7 weeks * Practical knowledge that you can apply in a birth-to-three classroom Understand your value as a birth-to-three teacher and ways to care for yourself while caring for our youngest. Find the course at dcdee.moodle.nc.gov. Individuals will need to have an NCID to access the Moodle site. Infant-Toddler Educator AWARD$® Plus is a salary supplement program, available in all NC counties, designed to increase the education, retention and compensation of teachers and family child care educators working with our youngest children. To be eligible for AWARD$ Plus, applicants must: • Work at least 30 hours/week with infants, ones or twos. • Earn at or below $20/hour. • Work in a licensed child care center or home. • Have at least 12 semester hours of birth to five focused coursework AWARD$ Plus is funded by the Division of Child Development and Early Education. Visit www.childcareservices.org/awards for more details. Apply to Serve Military Families: Licensed child care programs with 3 or more stars can now participate in an expanded Department of Defense program to provide early care and learning to military families. Administered by Child Care Aware of America, the Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative makes it easier for North Carolina’s military families to access and afford quality child care from community providers. For years, the Military Services have provided fee assistance to eligible military families to offset the cost of child care in community programs when on-base child care is unavailable. The MCCYN-PLUS initiative builds on this history and leverages the state's commitment to building a high-quality early care and learning network. Under the new MCCYN-PLUS initiative, child care programs in North Carolina can apply if they have a license rated 3 stars or higher. Providers interested in qualifying for MCCYN-PLUS can apply through Child Care Aware of America. Military families looking for help with fees and locating participating child care providers can apply through their military service branch At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Angela Hernandez, Lead Child Care Consultant at 252-373-9505 or angela.hernandez@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor at 252-373-4199 or jennifer.linhardt@dhhs.nc.gov if you 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: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: ANGELA HERNANDEZ Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 83 Completed Date: 7/20/2023 Age: From 0 To 10 Total Minutes: 310 Time In: 10:50 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit. This facility was issued a temporary license on June 7, 2023 – December 7, 2023 caring for no more than 165 children, ages 0 -12 years of age on first and second shift. Fire Inspection: 7/17/23 Building and sanitation inspections are to be completed during the 6 month temporary time period. Please contact your local inspectors and zoning offices to request the inspections. Please forward all approved inspections to me once completed. At arrival, I was greeted by the administrator and the assistant administrator upon entry into the facility. Five groups were observed during today's visit. A group of school-aged children were off-site on a field trip to Sweet Valley Ranch. Children had access to gross motor play outdoors. Staff read books to the children as they waited for lunch to arrive to the classroom. Lunch was served and consisted of meatballs, a roll, green beans, watermelon, and milk. The children ate in their designated classroom at child sized tables. Children rested on linen covered cots at nap time. Staff were observed engaged with the children during both play activities and routine care tasks. Staff interacted with the children frequently, using positive language. Children's behaviors were redirected and staff provided the children with choices. Compliance: 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. The violation(s) documented must be corrected immediately. On or before, August 3, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Hernandez PO Box 2409 Winterville, NC 28590 Angela.Hernandez@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Violation Number Comment Rule 453 The schedule of off premise activities was not current and/or did not include required information. The schedule of off-premise activities did not include the purpose of the activity and the name of person to contact in the event of an emergency. .1005(b)(5)(A-E) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. School-aged children were served ham and cheese, crackers, applesauce, a Nutri Grain bar, and juice for lunch. 10A NCAC 09 .0901(a) 604 Lavatories were not kept clean, in good repair and kept free of storage. There were three toilets in Classroom F that were visibly dirty with urine and toilet paper in the bowl. Classroom C has a toilet that is missing a toilet seat. 15A NCAC 18A .2818(a) 721 All equipment and furnishings were not in good repair. In Classroom F, there was a child's chair that had a cracked seat. G.S. 110-91(6); .0601(b) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In Classroom A, a one year old was administered Antifungal Cream, containing 2% Miconazole Nitrate and the container read "do not use on children under 2." 10A NCAC 09 .0803(5) 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 Classroom A, there were Ziploc bags containing children's clothes and bottles located in an unlocked cabinet below five feet. .0604(q) 891 The safe sleep policy did not contain the required information. The center's safe sleep policy revised in 2014 did not contain the required information to include that pacifiers that attach to infant clothing shall not be used with sleeping infants. 10A NCAC 09 .0606(a)(1-8) Technical Assistance: Medication- Administering medication requires skill, knowledge and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/teacher written authorization to administer medication to the child. Caregivers/teachers must be diligent in their adherence to the medication administration policy and procedures to prevent any inadvertent medication errors, which may be harmful to the child. There is always a risk that a child may have a negative reaction to a medication, and children should be monitored for serious side effects that may require an emergency response. Take time to read all medication labels to ensure that you are following the manufacturers warnings and restrictions. Nutrition: Nourishing and attractive food is the cornerstone for children’s health, growth, and development as well as developmentally appropriate learning experiences. Nutrition and feeding are essential and required in every facility. Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. When the school-aged children are off site on a field trip, they must be served meals/snacks that meet the USDA guidelines. Today’s lunch was missing milk and a vegetable. We discussed that granola bars and cereal bars are not recognized by the USDA Meal Guidelines as a nutritious food component. For lunch, all children must be provided milk. We discussed how to properly package and provide cartons of milk for the children when on field trips. Plastic Bags: Plastic bags are a suffocation hazard for young children and should be made inaccessible to children less than three years of age. Classroom A had a child’s clothes and bottles stored in Ziploc bags below five feet. When prompted, staff relocated the bags to a cubby above five feet Safe Sleep: Safe sleep practices help reduce the risk of sudden unexpected infant deaths (SUIDs). Although the cause of many sudden infant deaths may not be known, researchers believe that some infants develop in a manner that makes it challenging for them to be aroused or to breathe when they experience a life-threatening challenge during sleep. This is why child care rules require that an ITS-SIDS Policy be developed and followed at all times. Your center’s adopted policy was updated in 2014 and does not include all required information. Please review Child Care Rule .0606 (a)1- 11 to update your facility’s safe sleep policy to ensure that all required information is included. Upon completion, provide the updated policy to parents and have them sign a copy for the child’s file. Bathrooms: It is important to keep all bathrooms clean and sanitary. Bacteria and viruses can survive on bathroom surfaces for up to a week. Cleaning the bathroom is the best way to reduce the risk of infection and illness. Staff should be reminding the children to flush the toilets after each use. Staff may assist with this process for younger children. When toilet seats are broken they must be replaced immediately to ensure the safety of the children when using the bathroom. Comments: Child Care Centers with a Temporary License in good standing may be eligible for participation in the NC Child Care Subsidy System during their first 6 months of operation. Only programs with a 3 Star or higher license are eligible to continue to participate in the Subsidy System after the first 6 months of operation. You should begin making plans now to obtain at least a 3 Star License by the expiration of your Temporary License if you intend to participate in the NC Subsidized Child Care System. The facility must have an overall compliance history of at least 75% to be eligible for a star rated license. Prior to today’s visit, the center’s overall compliance history was 100%. Documented violations from today’s visit will impact the center’s compliance history. It is important to implement processes and systems to prevent reoccurrence of documented violations. Star Rated License: We discussed the rated license process. You were reminded a compliance history score of 75% or above must be maintained in order to receive a rated license. An Application for Assessment for a Two Component Star Rated License and the request form for the Environment Rating Scales (ERS) was provided to you today. A quality point option form was provided to you. We discussed the Environment Rating Scales and your choice to participate in the ERS for potential points towards a star rated license. If you choose to request the ERS, the scales would need to be completed October 2023 prior to the expiration of the Temporary License on December 7, 2023. I recommended you review the applicable assessment tools at www.ncrlap.org and review training modules available and the additional resources provided. I encourage you to contact Martin Pitt Partnership for Children at 252-758-8885 to request technical assistance in preparation for the ERS. NC Rated License Assessment Project (NC-RLAP) - The NC-RLAP website has a wealth of information on the Environment Rating Scales and overall quality issues for child care. You can download NC Additional Notes for each of the scales and find additional information that will help you with your assessment. Training videos are available on the following topics: Overview of the Assessment Process, Using Materials with Non-Mobile Infants, A Safe Place for Gross Motor Play, Hand washing and Other Basic Health Considerations, Language for Learning. NC-RLAP also offers free webinars to provide training and information about the Environment Rating Scales. Access to the webinars requires a computer with a high speed internet connection and a phone. The webinars are typically offered between 1:00 - 1:45 PM, a typical napping time in most child care programs. To register for a session, call 1-866-3NCRLAP (1-866-362-7527). Registration will close the day before the webinar, so please do not wait until the morning of the webinar to register. There must be at least seven participants signed up for the session, or it may be cancelled. To access resources or information on webinars, go to www.ncrlap.org. WORKS is a self-service applicant portal that will be used by an individual applicant to register and maintain their workforce information to support education requirements. The WORKS portal is available online and requires that the user maintain an individual North Carolina Identity Management (NCID) user name and password. All paperwork, with the exception of official transcripts, will no longer be submitted to the Workforce Education Unit. These documents will be uploaded using WORKS via each applicant’s WORKS account. I walked through the DCDEE website and how to register for WORKS. Please have all staff registered in WORKS no later than August 1, 2023. For more information about NCID and WORKS, please visit the DCDEE website at www.ncchildcare.nc.gov in order to view more information under the DCDEE WORKS tab http://ncchildcare.nc.gov/general/mb_dcdeeworks.asp. You can also contact the Workforce Education Unit at 1-800-859-0829 (In State Only) or 919-527-6600 for more information concerning WORKS. Updates: Early Educator Certification (EEC) is another option to earn education points for the rated license. To learn more or apply for Early Educator Certification, go to the website for the NC Institute for Child Development Professionals https://ncicdp.org/ 1. On the left, click on Certifications and Endorsements 2. Slide to the right to Early Educator Certification (EEC) Forms and Endorsements 3. Read the information and follow the instructions to apply. 4. Mail completed application, original, official transcripts (may be opened), and $50 application fee to NCICDP. 5. Once a certificate or letter verifying the award of the certificate is received, log into Works account and upload the EEC Certificate or Letter. EEC will expire, but it counts towards rated license points indefinitely if it is current when posted in Works. NITTO - The Birth-to-Three Quality Initiative and DCDEE are offering a New Infant Toddler Teacher Orientation (NITTO). * Free online format, with 14 credit hours upon completion * Comprehensive training completed in 7 weeks * Practical knowledge that you can apply in a birth-to-three classroom Understand your value as a birth-to-three teacher and ways to care for yourself while caring for our youngest. Find the course at dcdee.moodle.nc.gov. Individuals will need to have an NCID to access the Moodle site. Infant-Toddler Educator AWARD$® Plus is a salary supplement program, available in all NC counties, designed to increase the education, retention and compensation of teachers and family child care educators working with our youngest children. To be eligible for AWARD$ Plus, applicants must: • Work at least 30 hours/week with infants, ones or twos. • Earn at or below $20/hour. • Work in a licensed child care center or home. • Have at least 12 semester hours of birth to five focused coursework AWARD$ Plus is funded by the Division of Child Development and Early Education. Visit www.childcareservices.org/awards for more details. Apply to Serve Military Families: Licensed child care programs with 3 or more stars can now participate in an expanded Department of Defense program to provide early care and learning to military families. Administered by Child Care Aware of America, the Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative makes it easier for North Carolina’s military families to access and afford quality child care from community providers. For years, the Military Services have provided fee assistance to eligible military families to offset the cost of child care in community programs when on-base child care is unavailable. The MCCYN-PLUS initiative builds on this history and leverages the state's commitment to building a high-quality early care and learning network. Under the new MCCYN-PLUS initiative, child care programs in North Carolina can apply if they have a license rated 3 stars or higher. Providers interested in qualifying for MCCYN-PLUS can apply through Child Care Aware of America. Military families looking for help with fees and locating participating child care providers can apply through their military service branch At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Angela Hernandez, Lead Child Care Consultant at 252-373-9505 or angela.hernandez@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor at 252-373-4199 or jennifer.linhardt@dhhs.nc.gov if you 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: LITTLE SUNSHINES ACADEMY - WINTERVILLE Facility ID: 74000940 Consultant: ANGELA HERNANDEZ Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 83 Completed Date: 7/20/2023 Age: From 0 To 10 Total Minutes: 310 Time In: 10:50 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit. This facility was issued a temporary license on June 7, 2023 – December 7, 2023 caring for no more than 165 children, ages 0 -12 years of age on first and second shift. Fire Inspection: 7/17/23 Building and sanitation inspections are to be completed during the 6 month temporary time period. Please contact your local inspectors and zoning offices to request the inspections. Please forward all approved inspections to me once completed. At arrival, I was greeted by the administrator and the assistant administrator upon entry into the facility. Five groups were observed during today's visit. A group of school-aged children were off-site on a field trip to Sweet Valley Ranch. Children had access to gross motor play outdoors. Staff read books to the children as they waited for lunch to arrive to the classroom. Lunch was served and consisted of meatballs, a roll, green beans, watermelon, and milk. The children ate in their designated classroom at child sized tables. Children rested on linen covered cots at nap time. Staff were observed engaged with the children during both play activities and routine care tasks. Staff interacted with the children frequently, using positive language. Children's behaviors were redirected and staff provided the children with choices. Compliance: 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. The violation(s) documented must be corrected immediately. On or before, August 3, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Hernandez PO Box 2409 Winterville, NC 28590 Angela.Hernandez@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Violation Number Comment Rule 453 The schedule of off premise activities was not current and/or did not include required information. The schedule of off-premise activities did not include the purpose of the activity and the name of person to contact in the event of an emergency. .1005(b)(5)(A-E) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. School-aged children were served ham and cheese, crackers, applesauce, a Nutri Grain bar, and juice for lunch. 10A NCAC 09 .0901(a) 604 Lavatories were not kept clean, in good repair and kept free of storage. There were three toilets in Classroom F that were visibly dirty with urine and toilet paper in the bowl. Classroom C has a toilet that is missing a toilet seat. 15A NCAC 18A .2818(a) 721 All equipment and furnishings were not in good repair. In Classroom F, there was a child's chair that had a cracked seat. G.S. 110-91(6); .0601(b) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. In Classroom A, a one year old was administered Antifungal Cream, containing 2% Miconazole Nitrate and the container read "do not use on children under 2." 10A NCAC 09 .0803(5) 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 Classroom A, there were Ziploc bags containing children's clothes and bottles located in an unlocked cabinet below five feet. .0604(q) 891 The safe sleep policy did not contain the required information. The center's safe sleep policy revised in 2014 did not contain the required information to include that pacifiers that attach to infant clothing shall not be used with sleeping infants. 10A NCAC 09 .0606(a)(1-8) Technical Assistance: Medication- Administering medication requires skill, knowledge and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/teacher written authorization to administer medication to the child. Caregivers/teachers must be diligent in their adherence to the medication administration policy and procedures to prevent any inadvertent medication errors, which may be harmful to the child. There is always a risk that a child may have a negative reaction to a medication, and children should be monitored for serious side effects that may require an emergency response. Take time to read all medication labels to ensure that you are following the manufacturers warnings and restrictions. Nutrition: Nourishing and attractive food is the cornerstone for children’s health, growth, and development as well as developmentally appropriate learning experiences. Nutrition and feeding are essential and required in every facility. Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. When the school-aged children are off site on a field trip, they must be served meals/snacks that meet the USDA guidelines. Today’s lunch was missing milk and a vegetable. We discussed that granola bars and cereal bars are not recognized by the USDA Meal Guidelines as a nutritious food component. For lunch, all children must be provided milk. We discussed how to properly package and provide cartons of milk for the children when on field trips. Plastic Bags: Plastic bags are a suffocation hazard for young children and should be made inaccessible to children less than three years of age. Classroom A had a child’s clothes and bottles stored in Ziploc bags below five feet. When prompted, staff relocated the bags to a cubby above five feet Safe Sleep: Safe sleep practices help reduce the risk of sudden unexpected infant deaths (SUIDs). Although the cause of many sudden infant deaths may not be known, researchers believe that some infants develop in a manner that makes it challenging for them to be aroused or to breathe when they experience a life-threatening challenge during sleep. This is why child care rules require that an ITS-SIDS Policy be developed and followed at all times. Your center’s adopted policy was updated in 2014 and does not include all required information. Please review Child Care Rule .0606 (a)1- 11 to update your facility’s safe sleep policy to ensure that all required information is included. Upon completion, provide the updated policy to parents and have them sign a copy for the child’s file. Bathrooms: It is important to keep all bathrooms clean and sanitary. Bacteria and viruses can survive on bathroom surfaces for up to a week. Cleaning the bathroom is the best way to reduce the risk of infection and illness. Staff should be reminding the children to flush the toilets after each use. Staff may assist with this process for younger children. When toilet seats are broken they must be replaced immediately to ensure the safety of the children when using the bathroom. Comments: Child Care Centers with a Temporary License in good standing may be eligible for participation in the NC Child Care Subsidy System during their first 6 months of operation. Only programs with a 3 Star or higher license are eligible to continue to participate in the Subsidy System after the first 6 months of operation. You should begin making plans now to obtain at least a 3 Star License by the expiration of your Temporary License if you intend to participate in the NC Subsidized Child Care System. The facility must have an overall compliance history of at least 75% to be eligible for a star rated license. Prior to today’s visit, the center’s overall compliance history was 100%. Documented violations from today’s visit will impact the center’s compliance history. It is important to implement processes and systems to prevent reoccurrence of documented violations. Star Rated License: We discussed the rated license process. You were reminded a compliance history score of 75% or above must be maintained in order to receive a rated license. An Application for Assessment for a Two Component Star Rated License and the request form for the Environment Rating Scales (ERS) was provided to you today. A quality point option form was provided to you. We discussed the Environment Rating Scales and your choice to participate in the ERS for potential points towards a star rated license. If you choose to request the ERS, the scales would need to be completed October 2023 prior to the expiration of the Temporary License on December 7, 2023. I recommended you review the applicable assessment tools at www.ncrlap.org and review training modules available and the additional resources provided. I encourage you to contact Martin Pitt Partnership for Children at 252-758-8885 to request technical assistance in preparation for the ERS. NC Rated License Assessment Project (NC-RLAP) - The NC-RLAP website has a wealth of information on the Environment Rating Scales and overall quality issues for child care. You can download NC Additional Notes for each of the scales and find additional information that will help you with your assessment. Training videos are available on the following topics: Overview of the Assessment Process, Using Materials with Non-Mobile Infants, A Safe Place for Gross Motor Play, Hand washing and Other Basic Health Considerations, Language for Learning. NC-RLAP also offers free webinars to provide training and information about the Environment Rating Scales. Access to the webinars requires a computer with a high speed internet connection and a phone. The webinars are typically offered between 1:00 - 1:45 PM, a typical napping time in most child care programs. To register for a session, call 1-866-3NCRLAP (1-866-362-7527). Registration will close the day before the webinar, so please do not wait until the morning of the webinar to register. There must be at least seven participants signed up for the session, or it may be cancelled. To access resources or information on webinars, go to www.ncrlap.org. WORKS is a self-service applicant portal that will be used by an individual applicant to register and maintain their workforce information to support education requirements. The WORKS portal is available online and requires that the user maintain an individual North Carolina Identity Management (NCID) user name and password. All paperwork, with the exception of official transcripts, will no longer be submitted to the Workforce Education Unit. These documents will be uploaded using WORKS via each applicant’s WORKS account. I walked through the DCDEE website and how to register for WORKS. Please have all staff registered in WORKS no later than August 1, 2023. For more information about NCID and WORKS, please visit the DCDEE website at www.ncchildcare.nc.gov in order to view more information under the DCDEE WORKS tab http://ncchildcare.nc.gov/general/mb_dcdeeworks.asp. You can also contact the Workforce Education Unit at 1-800-859-0829 (In State Only) or 919-527-6600 for more information concerning WORKS. Updates: Early Educator Certification (EEC) is another option to earn education points for the rated license. To learn more or apply for Early Educator Certification, go to the website for the NC Institute for Child Development Professionals https://ncicdp.org/ 1. On the left, click on Certifications and Endorsements 2. Slide to the right to Early Educator Certification (EEC) Forms and Endorsements 3. Read the information and follow the instructions to apply. 4. Mail completed application, original, official transcripts (may be opened), and $50 application fee to NCICDP. 5. Once a certificate or letter verifying the award of the certificate is received, log into Works account and upload the EEC Certificate or Letter. EEC will expire, but it counts towards rated license points indefinitely if it is current when posted in Works. NITTO - The Birth-to-Three Quality Initiative and DCDEE are offering a New Infant Toddler Teacher Orientation (NITTO). * Free online format, with 14 credit hours upon completion * Comprehensive training completed in 7 weeks * Practical knowledge that you can apply in a birth-to-three classroom Understand your value as a birth-to-three teacher and ways to care for yourself while caring for our youngest. Find the course at dcdee.moodle.nc.gov. Individuals will need to have an NCID to access the Moodle site. Infant-Toddler Educator AWARD$® Plus is a salary supplement program, available in all NC counties, designed to increase the education, retention and compensation of teachers and family child care educators working with our youngest children. To be eligible for AWARD$ Plus, applicants must: • Work at least 30 hours/week with infants, ones or twos. • Earn at or below $20/hour. • Work in a licensed child care center or home. • Have at least 12 semester hours of birth to five focused coursework AWARD$ Plus is funded by the Division of Child Development and Early Education. Visit www.childcareservices.org/awards for more details. Apply to Serve Military Families: Licensed child care programs with 3 or more stars can now participate in an expanded Department of Defense program to provide early care and learning to military families. Administered by Child Care Aware of America, the Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative makes it easier for North Carolina’s military families to access and afford quality child care from community providers. For years, the Military Services have provided fee assistance to eligible military families to offset the cost of child care in community programs when on-base child care is unavailable. The MCCYN-PLUS initiative builds on this history and leverages the state's commitment to building a high-quality early care and learning network. Under the new MCCYN-PLUS initiative, child care programs in North Carolina can apply if they have a license rated 3 stars or higher. Providers interested in qualifying for MCCYN-PLUS can apply through Child Care Aware of America. Military families looking for help with fees and locating participating child care providers can apply through their military service branch At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Angela Hernandez, Lead Child Care Consultant at 252-373-9505 or angela.hernandez@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor at 252-373-4199 or jennifer.linhardt@dhhs.nc.gov if you 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