10A NCAC 09 .0302 · Violation

Name of Operation: THE JOY IN CARING CHILD CARE, INC. Facility ID: 74000588 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 11/19/2025 Number Present: 16 Completed Date: 11/19/2025 Age: From 0 To 4 Total Minutes: 415 Time In: 08:40 AM Time Out: 03:35 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 and to provide technical assistance on section .3200 of the child care rules. L. Wooden, administrator, assisted me with the visit. Your program currently operates with a five-star license, issued 10/18/2019, earning 5 points in the education component, 7 points in the program standards component (meeting enhanced requirements) and 1 quality point for the programmatic option of having reduced group size by one in each group form the seven point level as required in Rule .2818(c). The last annual compliance visit was conducted on 12/5/24. The sanitation inspection was completed 9/22/25 with an “Approved” classification. The last fire inspection was conducted 7/2/25 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 ninety one percent as of 11/14/25. The NC Secretary of State website was reviewed on 11/14/25 and The Joy In Caring Child Care, Inc. 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. Children were observed in the indoor and outdoor learning areas. Children participated in transitions, personal care routines and indoor and outdoor free play. Staff were observed moving about the spaces, assisting children with learning materials, and speaking to the children using soft tones. Lunch was observed and consisted of turkey, sweet potatoes, green beans, pasta, and milk. The following violations were documented. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. There is chipped/peeling paint on the wall near the children's cubbies and the manipulatives shelf of space #1. 15A NCAC 18A .2825(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. A fire extinguisher was not locating in the vehicle used to transport children. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. One of ten children's identifying information 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. No health assessment was on file for a child enrolled on 8/4/25. 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 8/1/22 has an immunization record on file dated 9/24/23. 10A NCAC 09 .0302(d)(2) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 12/3/25, 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: Peeling Paint- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. Today there were two areas of the wall in space #1 that had peeling paint. We discussed furniture placement and room arrangement. We discussed the wall damage may be caused by furniture, such as chairs of shelving bumping against the wall. You may move furniture in front of the peeling areas, to make it inaccessible, while you wait for someone to come and paint the walls. Children’s Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. Immunization records are required for all children; however, a medical exam is required for all children from birth to five, that have not started Kindergarten. A medical exam can be accepted if completed within the last 12 months prior to enrollment. One of three children’s records reviewed contain an immunization record that was dated beyond 30 days of enrollment. One of three children’s records reviewed did not contain a health assessment. Today, you shared with me that you now require children to have a health assessment and immunization record on file on the first day of care. Review children’s records at least once a week for the first week of enrollment, verifying all required documents filed and you communication with families of any needs you may have in a timely manner. Transportation- Transporting children in child care is a high risk activity and caregivers must be prepared in case of an emergency. A fire extinguisher was not present of the van used to transport children. One of ten children’s identifying information did no contain a photograph. You stated you had purchased a new fire extinguisher and last saw it prior to having the van cleaned and were not aware it was missing. You stated you were no aware the photo was missing for the one child. Prior to transporting children, complete a van inspection ensure all required items and documents are present. 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. Additionally we reviewed education requirements, approved curriculums and formative assessments and requirements for competency evaluations. You informed me that your facility will pursue Pathway #2: Classroom and Instructional Quality. Have staff to review and update their WORKS accounts by May 2026. Submit a Rated License Application by June 2026. Resources: 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. Additional information: 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. North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. Licensing Fees- The 2025 annual license fee invoices were emailed to the facility email address on November 3, 2025. Online payments will be due by December 3, 2025. Since the invoice number changes each year, you will need to ensure the invoice number you are paying begins with 25. Online payments are due by December 3, 2025. License fees are paid online only, and paper checks are not accepted for payment. 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 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 .1003 · Violation

Name of Operation: THE JOY IN CARING CHILD CARE, INC. Facility ID: 74000588 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 11/19/2025 Number Present: 16 Completed Date: 11/19/2025 Age: From 0 To 4 Total Minutes: 415 Time In: 08:40 AM Time Out: 03:35 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 and to provide technical assistance on section .3200 of the child care rules. L. Wooden, administrator, assisted me with the visit. Your program currently operates with a five-star license, issued 10/18/2019, earning 5 points in the education component, 7 points in the program standards component (meeting enhanced requirements) and 1 quality point for the programmatic option of having reduced group size by one in each group form the seven point level as required in Rule .2818(c). The last annual compliance visit was conducted on 12/5/24. The sanitation inspection was completed 9/22/25 with an “Approved” classification. The last fire inspection was conducted 7/2/25 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 ninety one percent as of 11/14/25. The NC Secretary of State website was reviewed on 11/14/25 and The Joy In Caring Child Care, Inc. 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. Children were observed in the indoor and outdoor learning areas. Children participated in transitions, personal care routines and indoor and outdoor free play. Staff were observed moving about the spaces, assisting children with learning materials, and speaking to the children using soft tones. Lunch was observed and consisted of turkey, sweet potatoes, green beans, pasta, and milk. The following violations were documented. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. There is chipped/peeling paint on the wall near the children's cubbies and the manipulatives shelf of space #1. 15A NCAC 18A .2825(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. A fire extinguisher was not locating in the vehicle used to transport children. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. One of ten children's identifying information 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. No health assessment was on file for a child enrolled on 8/4/25. 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 8/1/22 has an immunization record on file dated 9/24/23. 10A NCAC 09 .0302(d)(2) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 12/3/25, 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: Peeling Paint- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. Today there were two areas of the wall in space #1 that had peeling paint. We discussed furniture placement and room arrangement. We discussed the wall damage may be caused by furniture, such as chairs of shelving bumping against the wall. You may move furniture in front of the peeling areas, to make it inaccessible, while you wait for someone to come and paint the walls. Children’s Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. Immunization records are required for all children; however, a medical exam is required for all children from birth to five, that have not started Kindergarten. A medical exam can be accepted if completed within the last 12 months prior to enrollment. One of three children’s records reviewed contain an immunization record that was dated beyond 30 days of enrollment. One of three children’s records reviewed did not contain a health assessment. Today, you shared with me that you now require children to have a health assessment and immunization record on file on the first day of care. Review children’s records at least once a week for the first week of enrollment, verifying all required documents filed and you communication with families of any needs you may have in a timely manner. Transportation- Transporting children in child care is a high risk activity and caregivers must be prepared in case of an emergency. A fire extinguisher was not present of the van used to transport children. One of ten children’s identifying information did no contain a photograph. You stated you had purchased a new fire extinguisher and last saw it prior to having the van cleaned and were not aware it was missing. You stated you were no aware the photo was missing for the one child. Prior to transporting children, complete a van inspection ensure all required items and documents are present. 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. Additionally we reviewed education requirements, approved curriculums and formative assessments and requirements for competency evaluations. You informed me that your facility will pursue Pathway #2: Classroom and Instructional Quality. Have staff to review and update their WORKS accounts by May 2026. Submit a Rated License Application by June 2026. Resources: 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. Additional information: 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. North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. Licensing Fees- The 2025 annual license fee invoices were emailed to the facility email address on November 3, 2025. Online payments will be due by December 3, 2025. Since the invoice number changes each year, you will need to ensure the invoice number you are paying begins with 25. Online payments are due by December 3, 2025. License fees are paid online only, and paper checks are not accepted for payment. 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 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: THE JOY IN CARING CHILD CARE, INC. Facility ID: 74000588 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 11/19/2025 Number Present: 16 Completed Date: 11/19/2025 Age: From 0 To 4 Total Minutes: 415 Time In: 08:40 AM Time Out: 03:35 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 and to provide technical assistance on section .3200 of the child care rules. L. Wooden, administrator, assisted me with the visit. Your program currently operates with a five-star license, issued 10/18/2019, earning 5 points in the education component, 7 points in the program standards component (meeting enhanced requirements) and 1 quality point for the programmatic option of having reduced group size by one in each group form the seven point level as required in Rule .2818(c). The last annual compliance visit was conducted on 12/5/24. The sanitation inspection was completed 9/22/25 with an “Approved” classification. The last fire inspection was conducted 7/2/25 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 ninety one percent as of 11/14/25. The NC Secretary of State website was reviewed on 11/14/25 and The Joy In Caring Child Care, Inc. 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. Children were observed in the indoor and outdoor learning areas. Children participated in transitions, personal care routines and indoor and outdoor free play. Staff were observed moving about the spaces, assisting children with learning materials, and speaking to the children using soft tones. Lunch was observed and consisted of turkey, sweet potatoes, green beans, pasta, and milk. The following violations were documented. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. There is chipped/peeling paint on the wall near the children's cubbies and the manipulatives shelf of space #1. 15A NCAC 18A .2825(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. A fire extinguisher was not locating in the vehicle used to transport children. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. One of ten children's identifying information 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. No health assessment was on file for a child enrolled on 8/4/25. 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 8/1/22 has an immunization record on file dated 9/24/23. 10A NCAC 09 .0302(d)(2) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 12/3/25, 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: Peeling Paint- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. Today there were two areas of the wall in space #1 that had peeling paint. We discussed furniture placement and room arrangement. We discussed the wall damage may be caused by furniture, such as chairs of shelving bumping against the wall. You may move furniture in front of the peeling areas, to make it inaccessible, while you wait for someone to come and paint the walls. Children’s Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. Immunization records are required for all children; however, a medical exam is required for all children from birth to five, that have not started Kindergarten. A medical exam can be accepted if completed within the last 12 months prior to enrollment. One of three children’s records reviewed contain an immunization record that was dated beyond 30 days of enrollment. One of three children’s records reviewed did not contain a health assessment. Today, you shared with me that you now require children to have a health assessment and immunization record on file on the first day of care. Review children’s records at least once a week for the first week of enrollment, verifying all required documents filed and you communication with families of any needs you may have in a timely manner. Transportation- Transporting children in child care is a high risk activity and caregivers must be prepared in case of an emergency. A fire extinguisher was not present of the van used to transport children. One of ten children’s identifying information did no contain a photograph. You stated you had purchased a new fire extinguisher and last saw it prior to having the van cleaned and were not aware it was missing. You stated you were no aware the photo was missing for the one child. Prior to transporting children, complete a van inspection ensure all required items and documents are present. 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. Additionally we reviewed education requirements, approved curriculums and formative assessments and requirements for competency evaluations. You informed me that your facility will pursue Pathway #2: Classroom and Instructional Quality. Have staff to review and update their WORKS accounts by May 2026. Submit a Rated License Application by June 2026. Resources: 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. Additional information: 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. North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. Licensing Fees- The 2025 annual license fee invoices were emailed to the facility email address on November 3, 2025. Online payments will be due by December 3, 2025. Since the invoice number changes each year, you will need to ensure the invoice number you are paying begins with 25. Online payments are due by December 3, 2025. License fees are paid online only, and paper checks are not accepted for payment. 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 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: THE JOY IN CARING CHILD CARE, INC. Facility ID: 74000588 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 11/19/2025 Number Present: 16 Completed Date: 11/19/2025 Age: From 0 To 4 Total Minutes: 415 Time In: 08:40 AM Time Out: 03:35 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 and to provide technical assistance on section .3200 of the child care rules. L. Wooden, administrator, assisted me with the visit. Your program currently operates with a five-star license, issued 10/18/2019, earning 5 points in the education component, 7 points in the program standards component (meeting enhanced requirements) and 1 quality point for the programmatic option of having reduced group size by one in each group form the seven point level as required in Rule .2818(c). The last annual compliance visit was conducted on 12/5/24. The sanitation inspection was completed 9/22/25 with an “Approved” classification. The last fire inspection was conducted 7/2/25 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 ninety one percent as of 11/14/25. The NC Secretary of State website was reviewed on 11/14/25 and The Joy In Caring Child Care, Inc. 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. Children were observed in the indoor and outdoor learning areas. Children participated in transitions, personal care routines and indoor and outdoor free play. Staff were observed moving about the spaces, assisting children with learning materials, and speaking to the children using soft tones. Lunch was observed and consisted of turkey, sweet potatoes, green beans, pasta, and milk. The following violations were documented. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. There is chipped/peeling paint on the wall near the children's cubbies and the manipulatives shelf of space #1. 15A NCAC 18A .2825(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. A fire extinguisher was not locating in the vehicle used to transport children. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. One of ten children's identifying information 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. No health assessment was on file for a child enrolled on 8/4/25. 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 8/1/22 has an immunization record on file dated 9/24/23. 10A NCAC 09 .0302(d)(2) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 12/3/25, 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: Peeling Paint- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. Today there were two areas of the wall in space #1 that had peeling paint. We discussed furniture placement and room arrangement. We discussed the wall damage may be caused by furniture, such as chairs of shelving bumping against the wall. You may move furniture in front of the peeling areas, to make it inaccessible, while you wait for someone to come and paint the walls. Children’s Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. Immunization records are required for all children; however, a medical exam is required for all children from birth to five, that have not started Kindergarten. A medical exam can be accepted if completed within the last 12 months prior to enrollment. One of three children’s records reviewed contain an immunization record that was dated beyond 30 days of enrollment. One of three children’s records reviewed did not contain a health assessment. Today, you shared with me that you now require children to have a health assessment and immunization record on file on the first day of care. Review children’s records at least once a week for the first week of enrollment, verifying all required documents filed and you communication with families of any needs you may have in a timely manner. Transportation- Transporting children in child care is a high risk activity and caregivers must be prepared in case of an emergency. A fire extinguisher was not present of the van used to transport children. One of ten children’s identifying information did no contain a photograph. You stated you had purchased a new fire extinguisher and last saw it prior to having the van cleaned and were not aware it was missing. You stated you were no aware the photo was missing for the one child. Prior to transporting children, complete a van inspection ensure all required items and documents are present. 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. Additionally we reviewed education requirements, approved curriculums and formative assessments and requirements for competency evaluations. You informed me that your facility will pursue Pathway #2: Classroom and Instructional Quality. Have staff to review and update their WORKS accounts by May 2026. Submit a Rated License Application by June 2026. Resources: 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. Additional information: 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. North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. Licensing Fees- The 2025 annual license fee invoices were emailed to the facility email address on November 3, 2025. Online payments will be due by December 3, 2025. Since the invoice number changes each year, you will need to ensure the invoice number you are paying begins with 25. Online payments are due by December 3, 2025. License fees are paid online only, and paper checks are not accepted for payment. 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 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: THE JOY IN CARING CHILD CARE, INC. Facility ID: 74000588 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 6/2/2025 Number Present: 22 Completed Date: 6/2/2025 Age: From 0 To 5 Total Minutes: 179 Time In: 09:36 AM Time Out: 12:35 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. Your program currently operates with a five-star license, issued 10/18/2019, earning 5 points in the education component, 7 points in the program standards component (meeting enhanced requirements) and 1 quality point for the programmatic option of having reduced group size by one in each group form the seven-point level as required in Rule .2818(c). The center's compliance history was reviewed with the operator. The program’s compliance history was ninety percent as of 5/30/25. The NC Secretary of State website was reviewed on 5/30/25 and The Joy In Caring Child Care, Inc. was listed as current-active. The license was posted, and the restrictions were in compliance. Today I completed a walk-through of the facility, monitoring all indoor and outdoor areas were monitored. Three groups of children were observed in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in indoor free play, transitions, and personal care routines. Teachers moved about the spaces, assisting children as they play. In the outdoor space, ride cozy cars, tossed balls, and play Red Light, Green Light. Proper handwashing techniques and diaper changing procedures were observed. Fire and sanitation inspections remain current. Lunch was observed and consisted of hamburger, rice, green beans, applesauce, and milk. The following violations were observed. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no documentation of a fire drill for may 2025. .0604(t); .0302(d)(5) 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 May 2025 was not available for review during the visit. .0605(q) 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 6/16/25, 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: Fire Drills- Fire drills shall be practiced monthly, and records shall be maintained as required. Records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill shall be available for review. A drill for May 2025 was not documented. You said you did not complete a drill for the month of May. Mark a date on your calendar so that you can ensure that a fire drill is performed monthly. It may also help to plan these drills for different times of the day so children and staff can be prepared to evacuate no matter activity or routine is taking place. Outdoor Inspections- The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. Since children are exploring it is very important to provide a safe environment. Daily inspections are required and one must be documented at least monthly. Set a reminder to document at least one outdoor inspection each month on your calendar. You may choose to use a desk, wall, digital calendar to help assist you with ensuring all inspections are recorded and filed as required. Reminders: Expiring Soon- Please be reminded to note when things are expiring and make the necessary contact with trainers and inspectors to ensure things to not go delinquent. • EPR Plan was last updated on 6/10/24 • Fire inspection was last completed on 7/25/24 • FA/CPR for staff, M. P. expires November 2025 • Annual Health Questionnaires and Emergency Information for all veteran staff expire in October 2025. • On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many ongoing training hours returning staff will need by 12/5/25 (anniversary of last Annual Compliance visit). 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/ Weekly Menus- Nutrition rules require that meals and snacks are planned at least 1 week in advance and menus are posted. I suggest you post and date menus weekly, even if you are rotating them. If an unusual circumstance arises and you must change your plans for what to serve, it must be documented on the menu what was actually served. You must also comply with Meal Patterns for Children in Child Care Programs. I suggest you review these requirements as they were revised October 1, 2017. A link to these meal patterns can be found in Child Care Rule 10A NCAC 09 .0901. NCRLAP Outreach Assessment- An Outreach Assessment offered by NCRLAP is a fantastic opportunity for programs to get a head start on understanding the Environment Rating Scales (ECERS-3, ITERS-3, SACERS-U, and FCCERS-3) without the stress of it impacting their Star Rated License. Think of it as a friendly, no-pressure practice run that helps you pinpoint your program’s strengths and areas for improvement. Here’s how it works: 1. Initial Phone Call: We kick things off with a conversation to understand your program’s needs and set up the assessment(s). 2. The Assessment: Our assessors will complete assessments during the scheduled window using the new rating scales. 3. Follow-Up Call: After all assessments are completed, an assessor will call you to set up a convenient time for the follow up conversation to discuss the results with you, providing valuable feedback and actionable insights. These assessments are a great way to familiarize your staff with the rating scales, ensuring everyone knows what to expect during an official assessment. An FAQ about Outreach Assessments was provided for you during the visit. Natural Learning Initiative: Today we discussed ways to enhance your outdoor learning space. We spoke about a log seating area. Red cedar, oak, maple trees and other hardwoods provide the longest lasting stumps. Please visit https://naturalearning.org/resources/. There, you will find resources to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Raise NC Newsletter – If you are not receiving and reading the Raise NC Newsletter, you are missing out on current relevant information about early childhood issues in North Carolina, information about proposed rules, available trainings and other information that may be of interest to you and your staff. The Raise NC Newsletter is typically sent out weekly to all facility contact email addresses, but if your email is not the facility contact email address, you can go to the DCDEE Website, https://ncchildcare.ncdhhs.gov/ and click on the “What’s New” tab. Click on “What’s New” and enter your email address and name under “Sign Up for Updates”. As an early learning professional, you need to stay in the know about issues in North Carolina that affect you and your business. Share with your staff so they can be in the know too. 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). 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: THE JOY IN CARING CHILD CARE, INC. Facility ID: 74000588 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 6/2/2025 Number Present: 22 Completed Date: 6/2/2025 Age: From 0 To 5 Total Minutes: 179 Time In: 09:36 AM Time Out: 12:35 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. Your program currently operates with a five-star license, issued 10/18/2019, earning 5 points in the education component, 7 points in the program standards component (meeting enhanced requirements) and 1 quality point for the programmatic option of having reduced group size by one in each group form the seven-point level as required in Rule .2818(c). The center's compliance history was reviewed with the operator. The program’s compliance history was ninety percent as of 5/30/25. The NC Secretary of State website was reviewed on 5/30/25 and The Joy In Caring Child Care, Inc. was listed as current-active. The license was posted, and the restrictions were in compliance. Today I completed a walk-through of the facility, monitoring all indoor and outdoor areas were monitored. Three groups of children were observed in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in indoor free play, transitions, and personal care routines. Teachers moved about the spaces, assisting children as they play. In the outdoor space, ride cozy cars, tossed balls, and play Red Light, Green Light. Proper handwashing techniques and diaper changing procedures were observed. Fire and sanitation inspections remain current. Lunch was observed and consisted of hamburger, rice, green beans, applesauce, and milk. The following violations were observed. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no documentation of a fire drill for may 2025. .0604(t); .0302(d)(5) 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 May 2025 was not available for review during the visit. .0605(q) 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 6/16/25, 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: Fire Drills- Fire drills shall be practiced monthly, and records shall be maintained as required. Records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill shall be available for review. A drill for May 2025 was not documented. You said you did not complete a drill for the month of May. Mark a date on your calendar so that you can ensure that a fire drill is performed monthly. It may also help to plan these drills for different times of the day so children and staff can be prepared to evacuate no matter activity or routine is taking place. Outdoor Inspections- The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. Since children are exploring it is very important to provide a safe environment. Daily inspections are required and one must be documented at least monthly. Set a reminder to document at least one outdoor inspection each month on your calendar. You may choose to use a desk, wall, digital calendar to help assist you with ensuring all inspections are recorded and filed as required. Reminders: Expiring Soon- Please be reminded to note when things are expiring and make the necessary contact with trainers and inspectors to ensure things to not go delinquent. • EPR Plan was last updated on 6/10/24 • Fire inspection was last completed on 7/25/24 • FA/CPR for staff, M. P. expires November 2025 • Annual Health Questionnaires and Emergency Information for all veteran staff expire in October 2025. • On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many ongoing training hours returning staff will need by 12/5/25 (anniversary of last Annual Compliance visit). 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/ Weekly Menus- Nutrition rules require that meals and snacks are planned at least 1 week in advance and menus are posted. I suggest you post and date menus weekly, even if you are rotating them. If an unusual circumstance arises and you must change your plans for what to serve, it must be documented on the menu what was actually served. You must also comply with Meal Patterns for Children in Child Care Programs. I suggest you review these requirements as they were revised October 1, 2017. A link to these meal patterns can be found in Child Care Rule 10A NCAC 09 .0901. NCRLAP Outreach Assessment- An Outreach Assessment offered by NCRLAP is a fantastic opportunity for programs to get a head start on understanding the Environment Rating Scales (ECERS-3, ITERS-3, SACERS-U, and FCCERS-3) without the stress of it impacting their Star Rated License. Think of it as a friendly, no-pressure practice run that helps you pinpoint your program’s strengths and areas for improvement. Here’s how it works: 1. Initial Phone Call: We kick things off with a conversation to understand your program’s needs and set up the assessment(s). 2. The Assessment: Our assessors will complete assessments during the scheduled window using the new rating scales. 3. Follow-Up Call: After all assessments are completed, an assessor will call you to set up a convenient time for the follow up conversation to discuss the results with you, providing valuable feedback and actionable insights. These assessments are a great way to familiarize your staff with the rating scales, ensuring everyone knows what to expect during an official assessment. An FAQ about Outreach Assessments was provided for you during the visit. Natural Learning Initiative: Today we discussed ways to enhance your outdoor learning space. We spoke about a log seating area. Red cedar, oak, maple trees and other hardwoods provide the longest lasting stumps. Please visit https://naturalearning.org/resources/. There, you will find resources to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Raise NC Newsletter – If you are not receiving and reading the Raise NC Newsletter, you are missing out on current relevant information about early childhood issues in North Carolina, information about proposed rules, available trainings and other information that may be of interest to you and your staff. The Raise NC Newsletter is typically sent out weekly to all facility contact email addresses, but if your email is not the facility contact email address, you can go to the DCDEE Website, https://ncchildcare.ncdhhs.gov/ and click on the “What’s New” tab. Click on “What’s New” and enter your email address and name under “Sign Up for Updates”. As an early learning professional, you need to stay in the know about issues in North Carolina that affect you and your business. Share with your staff so they can be in the know too. 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). 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

G.S. 110-90 · Violation

Name of Operation: THE JOY IN CARING CHILD CARE, INC. Facility ID: 74000588 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 12 Completed Date: 12/5/2024 Age: From 2 To 4 Total Minutes: 275 Time In: 08:45 AM Time Out: 01:20 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. L. Wooden, Director assisted me with the visit. Your program currently operates with a five-star license, issued 10/18/2019, earning 5 points in the education component, 7 points in the program standards component (meeting enhanced requirements) and 1 quality point for the programmatic option of having reduced group size by one in each group form the seven point level as required in Rule .2818(c). The last annual compliance visit was conducted on 12/20/23. The sanitation inspection was completed 7/24/24 with an “Approved” classification. The last fire inspection was conducted 7/25/24 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 ninety one percent as of 12/3/24. The NC Secretary of State website was reviewed on 12/3/24 and The Joy In Caring Child Care, Inc. 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. Two groups of children were observed. Upon arrival, children were gathered around the teachers for group time. The teachers reviewed numbers, colors, sing songs, and read a book with the children. The groups later transisitoned to indoor free play, including blocks, table top manipulatives and dramatic play. During out door free play the children engaged with balls, ride on toys, and a teacher led game of Red Light, Green Light. Staff moved about the space, talking to the children and playing with them. Lunch was observed and consisted of hamburgers, corn, applesauce, and milk. The following violations were documented. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Mold is growing on the walls of the bathroom used by children enrolled in spaces #1 and #2. There was mold growing on the wall above the cubbies of space #1. 15A NCAC 18A .2825(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. In space #2, there was a broken shelf that exposed three screws. .0601(c) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator did not complete the ABCMS Portal training and complete a facility roster of staff employed at the facility. G.S. 110-90.2 & .2703(r) 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. A training certificated for staff employed on 6/10/24 was not on file for review. .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 12/19/24, 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: Mold/Mildew-High humidity can promote growth of mold, mildew, and other biological agents that can cause eye, nose, and throat irritation and may trigger asthma episodes in people with asthma. Today I observed growth on the calls of the bathroom and school aged classroom. You stated you could have staff to clean the area. When completing a daily inspection of the facility, be sure to look at all safety hazards. We discussed your current cleaning methods and how staff report items to administration. Please provide photos of the remediated areas with your compliance letter. Safe Furnishings- Parents/guardians expect that their child will not be exposed to hazardous play environments, yet will have the opportunity for free, creative play. The shelf in the preschool room was broken, exposing three screws. You reported that someone had fallen into the shelf, breaking it. Thank you for removing the screws and the shelf during the visit. When items become broken or damaged, inspect the items and make them inaccessible to children if the hazard cannot be immediately corrected. ABCMS Portal Training- As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Recognizing & Responding to Suspicions of Child Maltreatment - Caregivers/teachers are mandatory reporters of child abuse and neglect. Being knowledgeable of how to identify child maltreatment can increase the likelihood of appropriate reports to child protection and law enforcement agencies. Staff employed in June 2024 did not have a training certificate on file. You stated the staff had completed the training but did not provide you with a copy of the certificate. A certificate was not obtained from the staff during the visit. Have the staff visit the Prevent Child Abuse NC website www.preventchildabusenc.org to reprint a certificate or complete the training. Please provide a copy of the certificate with your compliance letter. Additional information: 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. Don’t Miss Out! - QRIS Modernization Info Sessions - As the NC Child Care Commission moves closer to finalizing the draft QRIS (Quality Rating Improvement Session) Modernization rules (formerly called rated license assessment), we want to bring you up to speed on the progress to the new "Pathways to the Stars: Where Quality and Choice Meet". To help you prepare for the comment phase of the rulemaking process, DCDEE will hold three information sessions. You will get the most out of these information sessions if you’ve already read the “Recommendations for Quality Rating Improvement System Reform,” the report that DHHS submitted to the legislature last March. Remember, the plan is not yet FINAL, and we still welcome your questions and suggestions. Plan to attend one of these sessions: • Tuesday, December 10 from 6:30pm-7:30pm • Wednesday, December 11 from 6:30pm-7:30pm • Thursday, December 12 from 1-2pm Annual License Fees – Annual license fees for any facility licensed on October 1, 2024 have been emailed to the facility email address. If you have not received an invoice, check your junk or spam folder. License fees need to be paid on-line by December 31, 2024 to avoid a late payment penalty and possible administrative action. 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. License fees are not assessed for programs operated by public schools or programs operating with a religious notice of compliance. 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. 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. 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.

NC GS 110-90 · Violation

Name of Operation: THE JOY IN CARING CHILD CARE, INC. Facility ID: 74000588 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 12 Completed Date: 12/5/2024 Age: From 2 To 4 Total Minutes: 275 Time In: 08:45 AM Time Out: 01:20 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. L. Wooden, Director assisted me with the visit. Your program currently operates with a five-star license, issued 10/18/2019, earning 5 points in the education component, 7 points in the program standards component (meeting enhanced requirements) and 1 quality point for the programmatic option of having reduced group size by one in each group form the seven point level as required in Rule .2818(c). The last annual compliance visit was conducted on 12/20/23. The sanitation inspection was completed 7/24/24 with an “Approved” classification. The last fire inspection was conducted 7/25/24 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 ninety one percent as of 12/3/24. The NC Secretary of State website was reviewed on 12/3/24 and The Joy In Caring Child Care, Inc. 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. Two groups of children were observed. Upon arrival, children were gathered around the teachers for group time. The teachers reviewed numbers, colors, sing songs, and read a book with the children. The groups later transisitoned to indoor free play, including blocks, table top manipulatives and dramatic play. During out door free play the children engaged with balls, ride on toys, and a teacher led game of Red Light, Green Light. Staff moved about the space, talking to the children and playing with them. Lunch was observed and consisted of hamburgers, corn, applesauce, and milk. The following violations were documented. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Mold is growing on the walls of the bathroom used by children enrolled in spaces #1 and #2. There was mold growing on the wall above the cubbies of space #1. 15A NCAC 18A .2825(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. In space #2, there was a broken shelf that exposed three screws. .0601(c) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator did not complete the ABCMS Portal training and complete a facility roster of staff employed at the facility. G.S. 110-90.2 & .2703(r) 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. A training certificated for staff employed on 6/10/24 was not on file for review. .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 12/19/24, 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: Mold/Mildew-High humidity can promote growth of mold, mildew, and other biological agents that can cause eye, nose, and throat irritation and may trigger asthma episodes in people with asthma. Today I observed growth on the calls of the bathroom and school aged classroom. You stated you could have staff to clean the area. When completing a daily inspection of the facility, be sure to look at all safety hazards. We discussed your current cleaning methods and how staff report items to administration. Please provide photos of the remediated areas with your compliance letter. Safe Furnishings- Parents/guardians expect that their child will not be exposed to hazardous play environments, yet will have the opportunity for free, creative play. The shelf in the preschool room was broken, exposing three screws. You reported that someone had fallen into the shelf, breaking it. Thank you for removing the screws and the shelf during the visit. When items become broken or damaged, inspect the items and make them inaccessible to children if the hazard cannot be immediately corrected. ABCMS Portal Training- As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Recognizing & Responding to Suspicions of Child Maltreatment - Caregivers/teachers are mandatory reporters of child abuse and neglect. Being knowledgeable of how to identify child maltreatment can increase the likelihood of appropriate reports to child protection and law enforcement agencies. Staff employed in June 2024 did not have a training certificate on file. You stated the staff had completed the training but did not provide you with a copy of the certificate. A certificate was not obtained from the staff during the visit. Have the staff visit the Prevent Child Abuse NC website www.preventchildabusenc.org to reprint a certificate or complete the training. Please provide a copy of the certificate with your compliance letter. Additional information: 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. Don’t Miss Out! - QRIS Modernization Info Sessions - As the NC Child Care Commission moves closer to finalizing the draft QRIS (Quality Rating Improvement Session) Modernization rules (formerly called rated license assessment), we want to bring you up to speed on the progress to the new "Pathways to the Stars: Where Quality and Choice Meet". To help you prepare for the comment phase of the rulemaking process, DCDEE will hold three information sessions. You will get the most out of these information sessions if you’ve already read the “Recommendations for Quality Rating Improvement System Reform,” the report that DHHS submitted to the legislature last March. Remember, the plan is not yet FINAL, and we still welcome your questions and suggestions. Plan to attend one of these sessions: • Tuesday, December 10 from 6:30pm-7:30pm • Wednesday, December 11 from 6:30pm-7:30pm • Thursday, December 12 from 1-2pm Annual License Fees – Annual license fees for any facility licensed on October 1, 2024 have been emailed to the facility email address. If you have not received an invoice, check your junk or spam folder. License fees need to be paid on-line by December 31, 2024 to avoid a late payment penalty and possible administrative action. 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. License fees are not assessed for programs operated by public schools or programs operating with a religious notice of compliance. 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. 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. 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: THE JOY IN CARING CHILD CARE, INC. Facility ID: 74000588 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 15 Completed Date: 6/5/2024 Age: From 2 To 5 Total Minutes: 157 Time In: 10:00 AM Time Out: 12:27 PM Time In: 02:45 PM Time Out: 02:55 PM 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. Your program currently operates with a five-star license, issued 10/18/2019, earning 5 points in the education component, 7 points in the program standards component (meeting enhanced requirements) and 1 quality point for the programmatic option of having reduced group size by one in each group form the seven point level as required in Rule .2818(c). The center's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent as of 6/4/24. The NC Secretary of State website was reviewed on 6/4/24 and The Joy In Caring Child Care, Inc. was listed as active-not current. 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. Two groups of children were observed in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children enrolled in space #2 engaged in indoor free play, interacting with learning materials including blocks, art, and dramatic play. Children enrolled in space #3 moved freely about the outdoor space, riding in cozy cars, playing tag and tossing a ball with the teacher. Proper handwashing techniques were observed. Fire and sanitation inspections remain current. Lunch was observed and consisted of grilled cheese sandwiches, carrots, pineapple and milk. The following violations were observed. Violation Number Comment Rule 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The identifying information for seven of seven children transported, did not include a photograph. 10A NCAC 09 .1003(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was conducted on 9/19/23 and the next shelter in place drill was conducted on 3/6/24, therefore an emergency drill was done completed at least every three months. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan on file was last updated on 2/17/23. .0607(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 6/19/24, 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: Emergency Drills- Lockdown or shelter-in-place drills should be practiced at least every three months as part of your facility's EPR plan. These drills should be documented on the Emergency Drill Record. Frequent practice will allow children and staff members to be familiar with the steps to take to keep everyone safe in an emergency. The emergency drill log reviewed shows a six month gap between shelter in place drill. You stated it had slipped past you during the holiday season. Today we talked about your current practices for tracking drills. Planning the dates and times of your drills in advance and use calendar reminders will help ensure they are completed at least every three months. EPR- The trained staff shall review the Emergency Preparedness and Response Plan (EPR) annually, or when information in the plan changes, to ensure all information is current. All staff shall review the center's EPR Plan during orientation and on an annual basis with the trained staff. Today I observed an EPR plan with the last revision date of 2/17/23. You stated you had issues getting into the risk management portal and was given a wrong password error. Contact the help desk to assist you with regaining access to your account. EPR Help Requests need to be emailed to DCDEE at dcdee.inservice.training@dhhs.nc.gov. Provide the following information in the body of the email: User’s email address and users NCID username, your contact information, and the EPR Plan title, facility name, and the city and county name for facility location. Track the due dates for all annual documents. If you have any troubles, please reach out the me to help guide you. Emergency and Identifying Information- For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information must be in the vehicle. Today I observed seven (7) of seven (7) children’s emergency information that did not contain a photograph. You shared that you had not added photos when you updated emergency information and trans were updating photos and were wait to get all of them before having them printed. Do not remove the old photo before having a replacement photo available. Reminders: 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/ Corporation Status- The Joy in Caring Child Care, Inc. is the legal owner of the facility. The NC Secretary of State website was reviewed prior to today’s visit and the corporation status was listed as active-not current. During the visit you were able to provide the NC Secretary of State with the appropriate documentation, changing the corporate status to current-active. Not fulfilling all the requirements of maintaining a current-active status may result in the corporation becoming administratively resolved and may result in an administrative action. Track and monitor due dates of reports to ensure they are completed in a timely manner. Resuming Rated License Assessments- Your program is assigned to cohort #2. Your Preparation Year is from 7/1/2024 – 6/30/2025. During your preparation year, if you are interested in having the Environment Rating Scales completed, review the ECERS and SECERS manual 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 an assessment during your preparation year. If your scores is above a 5.0 and 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/ . 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: THE JOY IN CARING CHILD CARE, INC. Facility ID: 74000588 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 15 Completed Date: 6/5/2024 Age: From 2 To 5 Total Minutes: 157 Time In: 10:00 AM Time Out: 12:27 PM Time In: 02:45 PM Time Out: 02:55 PM 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. Your program currently operates with a five-star license, issued 10/18/2019, earning 5 points in the education component, 7 points in the program standards component (meeting enhanced requirements) and 1 quality point for the programmatic option of having reduced group size by one in each group form the seven point level as required in Rule .2818(c). The center's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent as of 6/4/24. The NC Secretary of State website was reviewed on 6/4/24 and The Joy In Caring Child Care, Inc. was listed as active-not current. 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. Two groups of children were observed in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children enrolled in space #2 engaged in indoor free play, interacting with learning materials including blocks, art, and dramatic play. Children enrolled in space #3 moved freely about the outdoor space, riding in cozy cars, playing tag and tossing a ball with the teacher. Proper handwashing techniques were observed. Fire and sanitation inspections remain current. Lunch was observed and consisted of grilled cheese sandwiches, carrots, pineapple and milk. The following violations were observed. Violation Number Comment Rule 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The identifying information for seven of seven children transported, did not include a photograph. 10A NCAC 09 .1003(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was conducted on 9/19/23 and the next shelter in place drill was conducted on 3/6/24, therefore an emergency drill was done completed at least every three months. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan on file was last updated on 2/17/23. .0607(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 6/19/24, 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: Emergency Drills- Lockdown or shelter-in-place drills should be practiced at least every three months as part of your facility's EPR plan. These drills should be documented on the Emergency Drill Record. Frequent practice will allow children and staff members to be familiar with the steps to take to keep everyone safe in an emergency. The emergency drill log reviewed shows a six month gap between shelter in place drill. You stated it had slipped past you during the holiday season. Today we talked about your current practices for tracking drills. Planning the dates and times of your drills in advance and use calendar reminders will help ensure they are completed at least every three months. EPR- The trained staff shall review the Emergency Preparedness and Response Plan (EPR) annually, or when information in the plan changes, to ensure all information is current. All staff shall review the center's EPR Plan during orientation and on an annual basis with the trained staff. Today I observed an EPR plan with the last revision date of 2/17/23. You stated you had issues getting into the risk management portal and was given a wrong password error. Contact the help desk to assist you with regaining access to your account. EPR Help Requests need to be emailed to DCDEE at dcdee.inservice.training@dhhs.nc.gov. Provide the following information in the body of the email: User’s email address and users NCID username, your contact information, and the EPR Plan title, facility name, and the city and county name for facility location. Track the due dates for all annual documents. If you have any troubles, please reach out the me to help guide you. Emergency and Identifying Information- For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information must be in the vehicle. Today I observed seven (7) of seven (7) children’s emergency information that did not contain a photograph. You shared that you had not added photos when you updated emergency information and trans were updating photos and were wait to get all of them before having them printed. Do not remove the old photo before having a replacement photo available. Reminders: 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/ Corporation Status- The Joy in Caring Child Care, Inc. is the legal owner of the facility. The NC Secretary of State website was reviewed prior to today’s visit and the corporation status was listed as active-not current. During the visit you were able to provide the NC Secretary of State with the appropriate documentation, changing the corporate status to current-active. Not fulfilling all the requirements of maintaining a current-active status may result in the corporation becoming administratively resolved and may result in an administrative action. Track and monitor due dates of reports to ensure they are completed in a timely manner. Resuming Rated License Assessments- Your program is assigned to cohort #2. Your Preparation Year is from 7/1/2024 – 6/30/2025. During your preparation year, if you are interested in having the Environment Rating Scales completed, review the ECERS and SECERS manual 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 an assessment during your preparation year. If your scores is above a 5.0 and 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/ . 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

10A NCAC 09 .0302 · Violation

Name of Operation: THE JOY IN CARING CHILD CARE, INC. Facility ID: 74000588 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 12/20/2023 Number Present: 24 Completed Date: 12/20/2023 Age: From 2 To 12 Total Minutes: 297 Time In: 09:00 AM Time Out: 01:57 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. L, Wooden, Director assisted me with the visit. Your program currently operates with a five-star license, issued 10/18/2019, earning 5 points in the education component, 7 points in the program standards component (meeting enhanced requirements) and 1 quality point for the programmatic option of having reduced group size by one in each group form the seven point level as required in Rule .2818(c). The last annual compliance visit was conducted on 1/18/23. The sanitation inspection was completed 8/29/23 with an “Approved” classification. The last fire inspection was conducted 8/3/23 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 nine percent as of 12/19/23. The NC Secretary of State website was reviewed on 12/19/23 and The Joy In Caring Child Care, Inc. 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. Upon arrival two groups of children were transitioning from breakfast to bathroom time. Children enrolled in space #2 engaged in indoor free play with blocks and dramatic play materials. Children enrolled in space #3 had group time where they reviewed colors before transitioning into indoor free play. In the outdoor space, children rode tricycles and Cozy cards and drew on the sidewalk with sidewalk chalk. Upon re-entering the building, the children washed their hands. The group sing songs as they wait. Teachers were observed assisting children with handwashing. Later, school aged children arrived to the center. Upon entry the children washed hands before engaging in quiet activities throughout the classroom. Lunch was observed and consisted of BBQ pork sandwiches, potatoes tots, pineapples, and milk. The following violations were documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One child was alone is space #1. .1801(a)(1-5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There was no record on a playground inspection for June 2023 and November 2023. .0605(q) 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. Two of four staff files reviewed contained medical reports dated beyond their the first date of employment. 10A NCAC 09 .0701(a) 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 7/7/21 had a immunization record on file dated 9/1/21. 10A NCAC 09 .0302(d)(2) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two of four staff files reviewed contained policies that were dated beyond the first date of employment. .0608(d)(1-4) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. A child enrolled on 1/28/20 had a Prevention of Shaken Baby and Abusive Head Trauma Policy dated 1/30/20 on file. .0608(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 1/3/24, 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: Supervision- Adequate supervision requires staff members never leave children unattended, not even for a minute, unless in the case of a true emergency. Staff members must be positioned to see and hear children, provide immediate assistance and provide for their needs. Today, I observed a child alone in space #1. You stated the child was the grandchild of a staff member that did not attend school today. You reported the child is enrolled in your program for school out days. I informed you that all children must be supervised at all times. You then had the child join space #2. Review your current staffing schedule and children’s attendance records to ensure you are adequately staffed for all children in attendance. Keep in mind those times scheduling may need to be adjusted due to school out and half days. Outdoor Inspections- The outdoor learning environment offers a sense of freedom for children. Since children are exploring, it is very important to provide a safe environment. A playground inspection is to be conducted daily, prior to use. A documented inspection is to be completed at least monthly. An inspection for June 2023 was not on file for review during the visit. The document for November 2023 had an inspection date and time, but the form was not completed. You reported this was an oversite. We discussed setting reminders and periodic check of the checklist to ensure the inspections are completed and documented as required. 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. A staff health assessment must be on file on or before the date of hire. Staff employed on 9/5/23 had a medical report dated 11/21/23 on file for review. Staff employed on 9/18/23 did not have a medical report on file for review. You stated the staff tried to obtain a copy of their medical report but was having issues getting a copy from the physician. You stated you will give the staff a copy of the Staff Health Assessment/Medical Report to return to you. We discussed the requirement of having the staff medical reports and TB test results/screener on file on or before the date of employment. The Prevention of Shaken Baby and Abusive Head Trauma Policy- All facilities serving children under the age of five years old must develop and adopt a Prevention of Shaken Baby and Abusive Head Trauma policy. All staff and parents of children under the age of 5 years old must sign a statement acknowledging that the policy has been reviewed with them and the statements must be kept on file. Staff must review the policy before providing care. Staff employed on 9/5/23 had acknowledgement of review on filed dated 9/18/23. Staff employed on 10/9/23 had an acknowledgement of review on file dated 10/16/23. The policy must be reviewed with parents on or before the date of enrollment. A child enrolled on 1/28/20 had an acknowledgement of review on file dated 1/30/20. We discussed your current on-boarding and enrollment practices. Review all staff and children’s records upon employment and enrollment to ensure all the required documents are on file. Children’s Record- Maintaining accurate records in a child care center is important in determine compliance with the child care rules and to ensure the health and safety of each child. A child enrolled on 7/7/21 had an immunization record dated 9/1/21, therefore it was received beyond 30 days of enrollment. We discussed the importance of obtaining the immunizations within 30 days of enrollment. We also discussed the timeline for getting the required documents from the parents. Additional information: 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 7/1/23) 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. The NC Early Childhood Credential Equivalency Exam is another pathway option comparable to a NC Early Childhood Credential. This equivalency exam assesses the foundations of culturally responsive, equitable and inclusive early childhood education, planning intentional developmentally appropriate experiences, learning activities, and teaching strategies for indoor and outdoor environments for all young children, guidance techniques, and professionalism. 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. 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 .0701 · Violation

Name of Operation: THE JOY IN CARING CHILD CARE, INC. Facility ID: 74000588 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 12/20/2023 Number Present: 24 Completed Date: 12/20/2023 Age: From 2 To 12 Total Minutes: 297 Time In: 09:00 AM Time Out: 01:57 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. L, Wooden, Director assisted me with the visit. Your program currently operates with a five-star license, issued 10/18/2019, earning 5 points in the education component, 7 points in the program standards component (meeting enhanced requirements) and 1 quality point for the programmatic option of having reduced group size by one in each group form the seven point level as required in Rule .2818(c). The last annual compliance visit was conducted on 1/18/23. The sanitation inspection was completed 8/29/23 with an “Approved” classification. The last fire inspection was conducted 8/3/23 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 nine percent as of 12/19/23. The NC Secretary of State website was reviewed on 12/19/23 and The Joy In Caring Child Care, Inc. 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. Upon arrival two groups of children were transitioning from breakfast to bathroom time. Children enrolled in space #2 engaged in indoor free play with blocks and dramatic play materials. Children enrolled in space #3 had group time where they reviewed colors before transitioning into indoor free play. In the outdoor space, children rode tricycles and Cozy cards and drew on the sidewalk with sidewalk chalk. Upon re-entering the building, the children washed their hands. The group sing songs as they wait. Teachers were observed assisting children with handwashing. Later, school aged children arrived to the center. Upon entry the children washed hands before engaging in quiet activities throughout the classroom. Lunch was observed and consisted of BBQ pork sandwiches, potatoes tots, pineapples, and milk. The following violations were documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One child was alone is space #1. .1801(a)(1-5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There was no record on a playground inspection for June 2023 and November 2023. .0605(q) 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. Two of four staff files reviewed contained medical reports dated beyond their the first date of employment. 10A NCAC 09 .0701(a) 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 7/7/21 had a immunization record on file dated 9/1/21. 10A NCAC 09 .0302(d)(2) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two of four staff files reviewed contained policies that were dated beyond the first date of employment. .0608(d)(1-4) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. A child enrolled on 1/28/20 had a Prevention of Shaken Baby and Abusive Head Trauma Policy dated 1/30/20 on file. .0608(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 1/3/24, 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: Supervision- Adequate supervision requires staff members never leave children unattended, not even for a minute, unless in the case of a true emergency. Staff members must be positioned to see and hear children, provide immediate assistance and provide for their needs. Today, I observed a child alone in space #1. You stated the child was the grandchild of a staff member that did not attend school today. You reported the child is enrolled in your program for school out days. I informed you that all children must be supervised at all times. You then had the child join space #2. Review your current staffing schedule and children’s attendance records to ensure you are adequately staffed for all children in attendance. Keep in mind those times scheduling may need to be adjusted due to school out and half days. Outdoor Inspections- The outdoor learning environment offers a sense of freedom for children. Since children are exploring, it is very important to provide a safe environment. A playground inspection is to be conducted daily, prior to use. A documented inspection is to be completed at least monthly. An inspection for June 2023 was not on file for review during the visit. The document for November 2023 had an inspection date and time, but the form was not completed. You reported this was an oversite. We discussed setting reminders and periodic check of the checklist to ensure the inspections are completed and documented as required. 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. A staff health assessment must be on file on or before the date of hire. Staff employed on 9/5/23 had a medical report dated 11/21/23 on file for review. Staff employed on 9/18/23 did not have a medical report on file for review. You stated the staff tried to obtain a copy of their medical report but was having issues getting a copy from the physician. You stated you will give the staff a copy of the Staff Health Assessment/Medical Report to return to you. We discussed the requirement of having the staff medical reports and TB test results/screener on file on or before the date of employment. The Prevention of Shaken Baby and Abusive Head Trauma Policy- All facilities serving children under the age of five years old must develop and adopt a Prevention of Shaken Baby and Abusive Head Trauma policy. All staff and parents of children under the age of 5 years old must sign a statement acknowledging that the policy has been reviewed with them and the statements must be kept on file. Staff must review the policy before providing care. Staff employed on 9/5/23 had acknowledgement of review on filed dated 9/18/23. Staff employed on 10/9/23 had an acknowledgement of review on file dated 10/16/23. The policy must be reviewed with parents on or before the date of enrollment. A child enrolled on 1/28/20 had an acknowledgement of review on file dated 1/30/20. We discussed your current on-boarding and enrollment practices. Review all staff and children’s records upon employment and enrollment to ensure all the required documents are on file. Children’s Record- Maintaining accurate records in a child care center is important in determine compliance with the child care rules and to ensure the health and safety of each child. A child enrolled on 7/7/21 had an immunization record dated 9/1/21, therefore it was received beyond 30 days of enrollment. We discussed the importance of obtaining the immunizations within 30 days of enrollment. We also discussed the timeline for getting the required documents from the parents. Additional information: 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 7/1/23) 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. The NC Early Childhood Credential Equivalency Exam is another pathway option comparable to a NC Early Childhood Credential. This equivalency exam assesses the foundations of culturally responsive, equitable and inclusive early childhood education, planning intentional developmentally appropriate experiences, learning activities, and teaching strategies for indoor and outdoor environments for all young children, guidance techniques, and professionalism. 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. 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: THE JOY IN CARING CHILD CARE, INC. Facility ID: 74000588 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 12/20/2023 Number Present: 24 Completed Date: 12/20/2023 Age: From 2 To 12 Total Minutes: 297 Time In: 09:00 AM Time Out: 01:57 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. L, Wooden, Director assisted me with the visit. Your program currently operates with a five-star license, issued 10/18/2019, earning 5 points in the education component, 7 points in the program standards component (meeting enhanced requirements) and 1 quality point for the programmatic option of having reduced group size by one in each group form the seven point level as required in Rule .2818(c). The last annual compliance visit was conducted on 1/18/23. The sanitation inspection was completed 8/29/23 with an “Approved” classification. The last fire inspection was conducted 8/3/23 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 nine percent as of 12/19/23. The NC Secretary of State website was reviewed on 12/19/23 and The Joy In Caring Child Care, Inc. 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. Upon arrival two groups of children were transitioning from breakfast to bathroom time. Children enrolled in space #2 engaged in indoor free play with blocks and dramatic play materials. Children enrolled in space #3 had group time where they reviewed colors before transitioning into indoor free play. In the outdoor space, children rode tricycles and Cozy cards and drew on the sidewalk with sidewalk chalk. Upon re-entering the building, the children washed their hands. The group sing songs as they wait. Teachers were observed assisting children with handwashing. Later, school aged children arrived to the center. Upon entry the children washed hands before engaging in quiet activities throughout the classroom. Lunch was observed and consisted of BBQ pork sandwiches, potatoes tots, pineapples, and milk. The following violations were documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One child was alone is space #1. .1801(a)(1-5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There was no record on a playground inspection for June 2023 and November 2023. .0605(q) 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. Two of four staff files reviewed contained medical reports dated beyond their the first date of employment. 10A NCAC 09 .0701(a) 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 7/7/21 had a immunization record on file dated 9/1/21. 10A NCAC 09 .0302(d)(2) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two of four staff files reviewed contained policies that were dated beyond the first date of employment. .0608(d)(1-4) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. A child enrolled on 1/28/20 had a Prevention of Shaken Baby and Abusive Head Trauma Policy dated 1/30/20 on file. .0608(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 1/3/24, 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: Supervision- Adequate supervision requires staff members never leave children unattended, not even for a minute, unless in the case of a true emergency. Staff members must be positioned to see and hear children, provide immediate assistance and provide for their needs. Today, I observed a child alone in space #1. You stated the child was the grandchild of a staff member that did not attend school today. You reported the child is enrolled in your program for school out days. I informed you that all children must be supervised at all times. You then had the child join space #2. Review your current staffing schedule and children’s attendance records to ensure you are adequately staffed for all children in attendance. Keep in mind those times scheduling may need to be adjusted due to school out and half days. Outdoor Inspections- The outdoor learning environment offers a sense of freedom for children. Since children are exploring, it is very important to provide a safe environment. A playground inspection is to be conducted daily, prior to use. A documented inspection is to be completed at least monthly. An inspection for June 2023 was not on file for review during the visit. The document for November 2023 had an inspection date and time, but the form was not completed. You reported this was an oversite. We discussed setting reminders and periodic check of the checklist to ensure the inspections are completed and documented as required. 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. A staff health assessment must be on file on or before the date of hire. Staff employed on 9/5/23 had a medical report dated 11/21/23 on file for review. Staff employed on 9/18/23 did not have a medical report on file for review. You stated the staff tried to obtain a copy of their medical report but was having issues getting a copy from the physician. You stated you will give the staff a copy of the Staff Health Assessment/Medical Report to return to you. We discussed the requirement of having the staff medical reports and TB test results/screener on file on or before the date of employment. The Prevention of Shaken Baby and Abusive Head Trauma Policy- All facilities serving children under the age of five years old must develop and adopt a Prevention of Shaken Baby and Abusive Head Trauma policy. All staff and parents of children under the age of 5 years old must sign a statement acknowledging that the policy has been reviewed with them and the statements must be kept on file. Staff must review the policy before providing care. Staff employed on 9/5/23 had acknowledgement of review on filed dated 9/18/23. Staff employed on 10/9/23 had an acknowledgement of review on file dated 10/16/23. The policy must be reviewed with parents on or before the date of enrollment. A child enrolled on 1/28/20 had an acknowledgement of review on file dated 1/30/20. We discussed your current on-boarding and enrollment practices. Review all staff and children’s records upon employment and enrollment to ensure all the required documents are on file. Children’s Record- Maintaining accurate records in a child care center is important in determine compliance with the child care rules and to ensure the health and safety of each child. A child enrolled on 7/7/21 had an immunization record dated 9/1/21, therefore it was received beyond 30 days of enrollment. We discussed the importance of obtaining the immunizations within 30 days of enrollment. We also discussed the timeline for getting the required documents from the parents. Additional information: 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 7/1/23) 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. The NC Early Childhood Credential Equivalency Exam is another pathway option comparable to a NC Early Childhood Credential. This equivalency exam assesses the foundations of culturally responsive, equitable and inclusive early childhood education, planning intentional developmentally appropriate experiences, learning activities, and teaching strategies for indoor and outdoor environments for all young children, guidance techniques, and professionalism. 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. 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