Angel Tender Loving Care

Operator did not maintain a record of on-going training in which he/she has participated. During today’s visit training records were reviewed for the provider. It was observed that the provider did not have a record on file for any required Health and Safety related training successfully completed.

Violation confirmed corrected by letter received from provider on 5/4/2026

Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. During today’s visit training records were reviewed for the provider it was observed that the provider had not completed the outstanding required Health and Safety related training.

Violation confirmed corrected by letter received from provider on 5/4/2026

The operator did not provide developmentally appropriate equipment and materials for a variety of outdoor activities which allow for vigorous play, large and small muscle development, and social, emotional, and intellectual development on a daily basis. While monitoring the outdoor learning environment it was also observed that there were very limited materials available.

Violation confirmed corrected by letter received from provider on 2/7/2026

All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. While monitoring the outdoor learning environment various areas of clutter composed of construction materials, lawn care materials, a propane tank and other environmental debris were also observed present in this space and accessible to children.

Violation confirmed corrected by letter received from provider on 2/7/2026

Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. In the childcare space a bin containing an aerosol can of disinfecting spray and a bottle of cleaning spray were observed being stored on a shelf.

Violation corrected during visit

Operator did not wash his/her hands before and after handling food and feeding the children. During today’s visit the provider was observed using ungloved hands to give the children crackers to eat without washing her hands either before or after providing this snack.

Violation confirmed corrected by letter received from provider on 2/7/2026

Each child's hands were not washed before and after eating. Children were observed engaging in mealtime routines without washing their hands either before or after handling food.

Violation confirmed corrected by letter received from provider on 2/7/2026

Health questionnaire was not completed annually. The most current annual Health Questionnaire available for review on file expired in February 2025.

Violation confirmed corrected by letter received from provider on 2/7/2026

Operator did not have materials or equipment available indoors or outdoors to support the activities listed on the written schedule and activity plan. While monitoring the licensed childcare space it was observed that the materials available indoors did not support the activities listed on the written schedule and activity plan.

Violation confirmed corrected by letter received from provider on 2/7/2026

Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. In the indoor learning space large storage crates containing various learning materials and three (3) infant feeding chairs were observed being stored on top of two shelves in the active play area.

Violation confirmed corrected by letter received from provider on 2/7/2026

The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. During today’s visit the program’s Emergency Preparedness and Response Plan (EPR) was not available for review.

Violation confirmed corrected by letter received from provider on 2/7/2026

The EPR Plan did not include the location of the Ready to Go File and/or required information. During today’s visit it was observed that the provider did not have a complete, up to date Ready to Go file accessible for review or the required information.

Violation confirmed corrected by letter received from provider on 2/7/2026

Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. It was observed that the provider was due to complete the five-year renewal of seven (7) required health and safety training by October 2025 as part of on-going training but this did not occur.

Violation confirmed corrected by letter received from provider on 5/4/2026

An individual sleeping space for resting such as a bed, crib, play pen, cot, mat, or sleeping bag with individual linens was not provided for each pre-school age child who was in care for four hours or more, or for all children if overnight care is provided.

Violation pending provider response

An individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; did not complete and submit required forms within five business days.

Violation confirmed corrected by letter received from provider on 8/26/2025

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.

Violation confirmed corrected by letter received from provider on 8/26/2025

The written schedule did not reflect daily opportunities for both free choice and guided activities. The program’s lesson plan and daily schedule were reviewed. It was observed that the lesson plan was posted and current but there was no daily schedule available for review.

Violation confirmed corrected by letter received from provider on 2/4/2025

All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. While monitoring the outdoor learning environment various areas of clutter composed of broken toys, construction materials, boxes of unused expired rapid COVID tests and other environmental debris were also observed present in this space.

Violation confirmed corrected by letter received from provider on 2/4/2025

Each child's hands were not washed before and after eating. During today’s visit meal-time activities were monitored and it was observed that handwashing did not occur after mealtime.

Violation confirmed corrected by letter received from provider on 2/4/2025

Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available. Ms. McMichael has two (2) pet canines that are housed onsite. Their vaccination records were monitored during today’s visit and it was observed that one’s Rabies vaccination expired in February 2024.

Violation confirmed corrected by letter received from provider on 2/22/2025

Records were not made available for review. During today’s visit children’s files were reviewed. It was observed that Ms. McMichael did not have a file available for review for two (2) enrolled children.

Violation confirmed corrected by letter received from provider on 2/4/2025

Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Daily attendance records were monitored, and it was observed that neither the daily attendance or sign-in information had been completed for the day.

Violation corrected during visit

Discipline was not appropriate for the child's age and development. During today’s visit a child was observed being placed in a highchair for timeout for approximately fifteen minutes after attempting to engage in aggressive behavior towards another child.

Violation corrected during visit

Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Upon transitioning from the indoor learning space to the outdoor learning environment child-sized chairs were observed stacked on two tables near the manipulative area and dramatic play area.

Violation confirmed corrected by letter received from provider on 2/4/2025

Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. During today’s visit children’s files were reviewed. It was observed that one enrolled child did not have a current pet acknowledgment form on file listing all the animals housed onsite.

Violation confirmed corrected by letter received from provider on 2/4/2025

The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan (EPR) was reviewed and it was observed that it had not been updated annually, as required.

Violation confirmed corrected by letter received from provider on 2/4/2025

Indoor and outdoor area was not checked daily for debris, vandalism, broken equipment, and animal waste. While monitoring the outdoor learning environment dog feces was observed in multiple areas including the grass, carport and cemented areas of the space. Standing water containing chunks of ice, environmental debris and other particles were also observed present in a sensory table, plastic storage bin and an uncovered sand box.

Violation confirmed corrected by letter received from provider on 2/4/2025

Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. In the childcare space three (3) books were observed present in the library center with visible damage to the front cover and ripped pages. It was also observed that two (2) children under three (3) years of age were engaging in active play utilizing plastic grocery bags that were accessible on chair located in the space and classroom dramatic play items.

Violation corrected during visit

Operator and/or staff member did not have permission from the parent to walk children off-premises for play or outings. During today’s visit children’s files were reviewed. It was observed that one enrolled child did not have an up to date Permission to Travel beyond the fenced area form on file, as Ms. McMichael had shared that she occasionally takes the children on walks in the neighborhood.

Violation confirmed corrected by letter received from provider on 2/4/2025

All other rules must be followed even if there is not a specific violation number listed on this form. During today’s visit meal-time activities were monitored and it was observed that the provider did not sanitize the table both before and after serving lunch.

Violation confirmed corrected by letter received from provider on 2/4/2025

The operator did not conduct a monthly fire drill. Program records were monitored. It was observed that the last fire drill was conducted in April 2024. This had not been completed in either May 2024 or June 2024.

Violation confirmed corrected by letter received from provider on 7/31/2024

Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. In the child care room four (4) enrolled children were observed eating breakfast at two tables located in the childcare space and a television stored on top of a cabinet was observed turned on and a children’s animated show was playing on the screen.

Violation corrected during visit

All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. In the child care space a colorful multi-storage bin display was observed placed on top of a wooden shelf.

Violation corrected during visit

Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. Program records were monitored. It was observed that the last monthly outdoor inspection was conducted in April 2024. This had not been completed in either May 2024 or June 2024.

Violation confirmed corrected by letter received from provider on 7/31/2024

Adequate supervision was not provided for children in the Family Child Care Home. While conducting the walk-through three (3) enrolled children (two school-aged children and one preschool-aged child) were observed going into the outdoor learning environment with Ms. Kizer while Ms. McMichael was still inside assisting the two other enrolled preschool-aged children.

Violation confirmed corrected by follow-up visit made by consultant on 8/20/2024

An individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; did not complete and submit required forms within five business days. During the visit Ms. McMichael shared that her granddaughter, an individual over the age of 15, currently resides in the home on either a permanent or temporary basis but she did not complete the Criminal Background check process and submit the required forms within five business days.

Violation confirmed corrected by follow-up visit made by consultant on 8/20/2024

Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. During the walk through it was observed that plastic shopping bags were being stored in both the child care space and bathroom on the floor.

Violation corrected during visit

Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care. During the walk-through of the kitchen a container of Bleach and a container of Pine-Sol each labeled with the warning Keep Out of Reach of Children accompanied by additional warnings were observed being stored on the floor and accessible to children. There was also a basket observed being stored on the kitchen counter containing a bottle of ZEP stainless steel polish, a bottle of Clorox cleaning spray, a bottle of Bruce Hardwood Floor cleaner and a bottle of Rejuvenate Wood Floor Restorer each labeled with the warning Keep Out of Reach of Children accompanied by additional warnings.

Violation corrected during visit

Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. Four (4) children between the ages of one year of age and two years of age were observed sitting at a table watching television.

Violation corrected during visit

Number of children exceeded number allowed. Ms. McMichael was present with six (6) preschool children. The facility’s current license allows Ms. Michael to provide care for no more than five (5) preschool children at one time and no more than two (2) infants under the age of 12 months.

Violation corrected during visit

Copy of the required information for an individual was not on file in the home available for review. It was also observed that Ms. Campbell did not have a staff file available for review.

Violation confirmed corrected by letter received from provider on 2/6/2024

Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. It was observed that the provider did not renew her First Aid certification conducted by an approved trainer prior December 11, 2023 as required.

Violation confirmed corrected by follow-up visit made by consultant on 1/27/2024

Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. It was observed that the provider did not renew her CPR certification conducted by an approved trainer prior December 11, 2023 as required.

Violation confirmed corrected by follow-up visit made by consultant on 1/27/2024

All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. During the walk through of the childcare space it was observed that the paint on the back wall adjacent to the bathroom and the windowsill of the window located on the left side of the room have begun to chip.

Violation confirmed corrected by letter received from provider on 2/6/2024

Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. In the bathroom it was observed that there were two (2) aerosol cans of personal hygiene products being stored in the top drawer of a clear storage bin container.

Violation confirmed corrected by letter received from provider on 2/6/2024

Health questionnaire was not completed annually. It was observed that the last annual healthcare questionnaire Ms. McMichael completed was on February 8, 2022 and expired on February 8, 2023.

Violation confirmed corrected by letter received from provider on 2/6/2024

Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. It was observed that one (1) enrolled children that started on October 09, 2023 did not have a medical assessment on file.

Violation confirmed corrected by letter received from provider on 2/6/2024

Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Daily attendance records were monitored, and it was observed that the daily attendance had not been completed for the day.

Violation confirmed corrected by letter received from provider on 2/6/2024

Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. It was observed that three (3) enrolled children did not have a current Pet Acknowledgement forms on file reflecting all animals on the premises.

Violation confirmed corrected by letter received from provider on 2/6/2024

A valid qualification letter was not on file and available for review at the facility. It was observed that Ms. Campbell did not have a copy of her current CBC qualifying letter available for review.

Violation confirmed corrected by letter received from provider on 2/6/2024

The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The Emergency Preparedness and Response Plan (EPR) was not available for review.

Violation confirmed corrected by letter received from provider on 2/6/2024

Products that are labeled "keep out of reach of children" without any other warnings, were not stored on a shelf or in an unlocked cabinet that is five feet above the finished floor. In the bathroom it was observed that there was a container of Vaseline with the warning Keep out of the Reach of Children printed on the label being stored on top of a cabinet.

Violation confirmed corrected by letter received from provider on 2/6/2024

Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. During the walk-through there was a container of disinfectant wipes observed stored on a chair in the kitchen and accessible to children.

Violation corrected during visit

Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. It was observed during the walk through that the posted Safe Sleep policy was not customized to indicate the facility’s current policy.

Violation corrected during visit