Information For Potential Child Care Center Operators: Welcome!

2/1/2023
Information for Potential

Child Care Center Operators
Day 1
NCDHHS, DCDEE | Information for Potential Child Care Center Operators | 2019 1
 Your Name
Welcome!  Location of your proposed Center
 Experience
NCDHHS,
NCDHHS, DCDEE DCDEE | Information
| Information for Potential
for Potential Child Care
Child Care Center
Center Operators | 2019
Operators 2
Laws and Rules
Child Care in North Carolina is

Regulated by the North Carolina
Child Care Licensing Law
 General Assembly Passes Laws

 Child Care Commission Adopts Rules
 Department of Health and Human Services Division of
Child Development and Early Education implements
Laws/Rules
NCDHHS,
Child Care Center
Operators 3
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Functions of DCDEE
Monitor Investigate
Issue a License
Licensed Reports of
to Facilities
Facilities Maltreatment
Provide Evaluate
Process Criminal
Information and Education of
Background
Technical Child Care
Checks
Assistance Providers
Administer Child Administer the

Care Subsidy NC Pre-K
Program Program
NCDHHS,
Child Care Center
Operators 4
Definition of Child Care

Care Provided by Persons Other Than Child’s Full
Time Custodian, Guardian or Persons Not Related by
Birth, Marriage, or Adoption
Child Care Is An Arrangement Where There Are:

 3 or More Children Less Than 13 years of Age
 Outside Child’s Home
 On a Regular Basis
 More than 4 Hours but Less Than 24 Hours
 At Least Once Per Week
[G.S. 110-86 (2)]

NCDHHS,
Child Care Center
Operators 5
Exemptions
 Care In Child’s Home
 Recreational Program [Summer Day Camp]
 Specialized Activities
 Drop-in or short-term care
 Nonpublic Schools
 Public Schools
Do not need a license but may volunteer to be licensed.

Facilities cannot receive subsidized funds unless licensed.
[G.S. 110-86 (2)]

NCDHHS,
Child Care Center
Operators 6
2
2/1/2023
More Exemptions
 Track Out Programs
 Bible Schools
 Cooperative Arrangements
 Multi Child Care Components
 Residential Child Care Program
Do not need a license but may volunteer to be licensed.

Facilities cannot receive subsidized funds unless licensed.
[G.S. 110-86 (2)]

NCDHHS,
Child Care Center
Operators 7
Types of Child Care Facilities

• Center located in a Residence (3-12 Children)
• Child Care Centers
• Religious Sponsored Child Care
(operating under a Notice of Compliance)
[G.S. 110-86 (3)]

NCDHHS,
Child Care Center
Operators 8
A Center located in a
Residence is:
Located in an Occupied
Center Residence
Located in Cares for Up to 12 Preschool

Children
a May Care for Up to 15
Residence children, if all are School Age
• Square Footage Rules Apply
• Building, Fire and Sanitation
Inspections Required
NCDHHS,
Child Care Center
Operators 9
3
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Child Care Center

A Child Care Center is:
– Located in a Non-Residential Setting
– Cares for 3 or More Preschool
Children or 9 or more School-Age
Children At Any One Time
– Capacity based on Square Footage
• Building, Fire and Sanitation
Inspections Required
[G.S. 110-86 (3a)]

NCDHHS,
Child Care Center
Operators 10
Religious Sponsored Child Care Center
A center or summer day camp operated by:

• Church
• Synagogue
• Mosque
• School of Religious Affiliation
[GS 110-106]
NCDHHS,
Child Care Center
Operators 11
Religious Sponsored Child Care Center

•Process/First Contact
•Letter of Intent (LOI)
•How and when
•PLW Attendance
•30-day Compliance/Opening Date
NCDHHS,
Child Care Center
Operators 12
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Special Skills
Your Child Care What skills do you

Business Will think are needed to
Require More Than operate a child care
Just Care Giving business
Abilities successfully?
NCDHHS,
Child Care Center
Operators 13
Financial Record Keeping Relationship

Management Systems Building
Practices (communication)
Creating an Implementing
Staff Appropriate Finding and
Management Health and Safety Accessing
Program Practices
Special Skills
Resources
NCDHHS,
Child Care Center
Operators 14
Planning for Success

In order to be successful, you must assess the
community needs to determine if a new child care
center is needed in your area.
• Number of Children in Community

• Number of Families With Both Parents Working
• Number of Single Parents
• Number of Facilities in Operation
- Location of Facilities
- Waiting Lists or Vacancy Rates at Existing
Facilities
https://ncchildcare.ncdhhs.gov/
NCDHHS,
Child Care Center
Operators 15
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Planning for Success

In order to be financially stable, you might
also need to explore these areas
• Availability of Child Care Subsidy

• Private Tuition and Subsidy Market Rates
• Services Offered/Missing
• Growth potential for the center
• Available grants
• Additional resources
Data available at Local Child Care Resource and Referral Agencies
NCDHHS,
Child Care Center
Operators 16
Professional Services
You may find it helpful to consult with the following

professionals to assist in the start-up of your child care
center:
• Architects
• Site Planners
• Small Business Centers
• Local Inspectors
• Local Child Care R&R
• Local Smart Start Partnership for Children
NCDHHS,
Child Care Center
Operators 17
Site Considerations
Does your proposed site have the following
elements?
 Convenient to Neighborhoods and Work Sites
 Free-flowing Traffic Patterns
 Safe and Supportive Community Environment
 Appropriate Size of Rooms
 Sufficient Storage Space
 Access to a Director’s Office
NCDHHS,
Child Care Center
Operators 18
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More Site Considerations

Your potential site must meet the following
requirements.
 Zoning Ordinances*
 Outdoor Space
 Compliance with Department of Environmental Health and
Natural Resources [Sanitation Codes]
 Compliance with Building Codes
 Compliance with Fire Codes
 Environmentally Safe
Contact your local planning or zoning office for more information
NCDHHS,
Child Care Center
Operators 19
NC Department of Health and Human Services
Choose Safe Places

Keeping children healthy in the environments where
they grow, learn, and play
NCDHHS,
Child Care Center
Operators 20
The Environment Plays a Large Role in

Children’s Health
Children are at higher risk from exposures

to harmful substances
− Drink more water and breathe more air relative
to size than adults
− Unique behaviors (i.e. hand-to-mouth, crawling)
− Still growing and developing
NCDHHS,
Child Care Center
Operators 21
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4 Key Elements of Protection

1) Former uses of the site
2) Movement of harmful substances from adjacent
properties
3) Presence of naturally occurring harmful
substances
4) Access to safe drinking water
NCDHHS,
Child Care Center
Operators 22
Buildings built prior to 1978
NCDHHS,
Child Care Center
Operators 23
Lead Hazard Management
Persons who renovate, repair, or prepare

surfaces for painting in pre-1978 buildings must
follow the lead-safe work practices required by
EPA’s Renovation, Repair and Remodeling

Rules
NCDHHS,
Child Care Center
Operators 24
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Movement of
Substances from
Adjacent Sites
 Chemicals can move

through air, water,
and soil
 Be aware of adjacent
sites and activities
 Dry cleaners, nail
salons, gas stations,
major roadways, etc.
NCDHHS,
Child Care Center
Operators 25
Naturally Occurring Substances

Substances that are
already in the
environment (not
human-made)
Example: Radon
Arsenic and other

metals in soil or
groundwater
NCDHHS,
Child Care Center
Operators 26
Access to Safe Drinking Water

Public water supply
− Regulated by state and federal
laws
− Consumer Confidence Report
Private Wells
− Only tested after construction
− Owner’s responsibility to
test, maintain, and treat
Lead Testing
− Sanitation Rule .2816
NCDHHS,
Child Care Center
Operators 27
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NCDHHS,
Child Care Center
Operators 28
Helpful Resources
Choose Safe Places Pamphlet
Property Checklist
Choose Safe Places Webpage
Eco-Healthy Child Care Checklist
Contact Us!
− (919) 707-5900
− nchace@dhhs.nc.gov
− Health Assessment, Consultation and Education (HACE)
 https://epi.publichealth.nc.gov/oee/programs/hace.html
NCDHHS,
Child Care Center
Operators 29
Space Requirements
INDOOR SPACE:
− 25 Square Feet of Usable Space per Child
 Does not include: closets, halls, passageways, kitchens,
bathrooms, and cabinets/items attached to the walls
OUTDOOR SPACE:
− 75 Square Feet of Fenced Play Area
 The outdoor play area shall be no smaller than 75 sq/ft for each
child using the outdoor space at any one time
[Rule .1401-1402]
NCDHHS,
Child Care Center
Operators 30
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Enhanced Space Requirements

INDOOR AND OUTDOOR SPACE
 At least 30 sq./ft inside space per child (per total licensed
capacity) and 75 sq./ft outside space for 1/3 of the total
number of the capacity for which the center is licensed
 35 sq./ft inside space per child per total licensed capacity
and 75 square feet outside space per child for the
total licensed capacity
[Rule .2809]
NCDHHS,
Child Care Center
Operators 31
•Determines Compliance with NC

Building Building Codes
•Child Care Centers must meet
Inspection either Educational Occupancy
or Institutional Occupancy
Required Fire •Determines Compliance with NC

Inspection Fire Codes
Inspections
•Determines Compliance with NC

Sanitation Rules Governing the Sanitation of
Child Care Centers [DHHS/NC
Inspection Public Health/Environmental
Health Section]
NCDHHS,
Child Care Center
Operators 32
Building Code Considerations

 Submit plans and receive permits
 Square footage requirements
 Handicapped accessibility
 Direct exits to the outside
 Wall composition
Contact your local city or county building inspector for

more information
NCDHHS,
Child Care Center
Operators 33
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Building Inspection Forms

DCD-0304 Identification #
Rev. 9/08 County
Date of Inspection
BUILDING INSPECTORS INSPECTION FORM FOR CHILD CARE CENTERS
Centers
NAME OF OPERATION
ADDRESS TELEPHONE:
CITY STATE ZIP
BUILDING INSPECTORS CERTIFICATE
Center located in a Residence

1. The areas in the building that are designated as the licensed space are required by the licensing agency
to meet the Building Code in effect when an application for licensure is submitted to the regulating agency.
Does the building listed above, to the extent observable, meet the current North
Carolina Building Code? Yes____ No____
2. If no, list question numbers which do not comply, explain the violation and whether equivalent protection
for the safety of the children is provided:
Rehabilitation Code
1)
2)
3)
4)
3 Are any of the above violations of a life safety concern? Yes No
If yes, please list question numbers _______________________________
4. In your opinion based on the violations listed above, do you recommend that the
Division of Child Development issue a provisional license to allow time for
correction of the violations? Yes No
If yes, how long (30-60-90 days) and for which violations?
(Note: All violations must be corrected before a license can be issued unless a provisional time period is
recommended or equivalent protection is documented.)
5. Number of rooms approved for occupancy by children?

(Attach sketch of building with rooms identified)
6. Specify any local zoning restriction:
Signature of Inspector __________________________________________/Date
Jurisdiction /Phone:
The Inspectors Certificate and Building Inspection Form is required to be completed in its entirety before the Division of Child
Development (DCD) can consider the document complete. All questions must be answered; any NO answers must have a written
explanation.
This form was developed through the cooperation of the Division of Child Development and the Engineering Division of the Department of
Insurance. Please note that the inspection forms do not cover all areas of the Code, but are intended to be used as a guide for the local inspector. If
additional Code items which are not addressed on these forms are found to be in violation of the Code, please document them on the back of this
form.
Prepare in quadruplicate: Original & copy to DCD, 1 copy kept by inspector, 1 copy kept by operator.
NCDHHS,
Child Care Center
Operators 34
Inspection Form-Section A
Required for all Buildings!
All questions must be answered
If answered NO, equivalent protection must be

documented by the Building Inspector
FIRE
3. Does this building have a manually operated fire alarm system
(electrically installed system with pull box stations)? Yes No
NCDHHS,
Child Care Center
Operators 35
Approved Exit Fixtures (#17)
•Single Action
•Self Unlocking
•Accessible
NCDHHS,
Child Care Center
Operators 36
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Required Plumbing (#27)
One toilet [water closet] for every 15 children
NCDHHS,
Child Care Center
Operators 37
Required Plumbing (#27)
One sink [lavatory] for every 25 children
Deconstructing Green a Holistic Approach to Designing Sustainable Child Development Centers, Charles Durrett & Louis
Torelli, Exchange, May/June 2009
NCDHHS,
Child Care Center
Operators 38
Building Accessibility
NCDHHS,
Child Care Center
Operators 39
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Section B or Section C?
All buildings must meet either:
Section B- Educational Occupancy

or
Section C- Institutional Occupancy
NCDHHS,
Child Care Center
Operators 40
Direct Exit/Emergency Egress

Section B, #34 & 35
NCDHHS,
Child Care Center
Operators 41
Sample Floor Plan

You can submit architectural drawings, computer generated floor plans or hand drawn floor plans. All plans must be on 8.5 x 11 inch paper and include all sinks, toilets, cooking
equipment, windows, built-in equipment/shelving, diaper changing tables and include room dimensions and the ages of children that will occupy each space.
FENCED OUTDOOR PLAY AREA
PRESCHOOL TODDLER INFANT

FOOD PREP
CLASSROOM CLASSROOM CLASSROOM

? feet x ? feet ? feet x ? feet ? feet x ? feet
DIAPERING
CLOSET
CLOSET
NURSING
AREA
DIAPERING
OFFICE
LOBBY
PRESCHOOL PRESCHOOL MULTI-PURPOSE/

CLASSROOM CLASSROOM SCHOOLAGE KITCHEN
? feet x ? feet ? feet x ? feet CLASSROOM
? feet x ? feet
CLOSET
CLOSET
FENCED OUTDOOR PLAY AREA
NCDHHS,
Child Care Center
Operators 42
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Fire Codes
Prior to opening: DCD-0303
Rev. 9/02
ADULT DAY CARE & CHILD CARE FIRE INSPECTION REPORT
COUNTY________________________ DATE OF INSPECTION ______________________ Facility ID # _________________________
Please complete all items below. If not applicable, check N/A in the box with a written explanation attached.
Name of Facility__________________________________________________________________ Adult ____ Child ____

Address ________________________________________________________________ Phone_______________________
City _______________________________ Zip ___________ Responsible Party__________________________________
GENERAL PRECAUTIONS: YES NO N/A

1. Attic/basement/closets/garage/furnace room & heaters clear of trash & combustible materials.
2. Clearance from ignition sources & combustible materials maintained.
 Condition of Furnace, Heaters, etc. EMERGENCY PLANNING:

3. Approved evacuation plan posted.
4. Evidence of monthly fire drills posted.
5. Record of employee training in fire prevention/evacuation & annual fire safety training on site.
YES NO N/A
FIRE SERVICE FEATURES: YES NO N/A

6. Street Number posted. (Contrasting color to building & height 4” or more.)
 Condition of Wiring and Fixtures

7. Unobstructed fire apparatus road. (Width of 20’ & vertical clearance of not less than 13’6”).
8. Hydrants/Fire Department connections/control valves clear of obstructions by 3’.
BUILDING SERVICES AND SYSTEMS: YES NO N/A

9. Approved heating system, listed. (No fuel burning or portable electric space heaters.)
10. Emergency lighting/exit lights in good operating order.
11. Electrical panels clear of storage. (Minimum 30”)
12. Wiring/fixtures in good condition. (Extension cords not suitable for permanent wiring.)
 Exit Lights and Exit Doors

13. Type I hood system over all domestic cooking appliances that produce grease laden vapors.
FIRE RESISTANCE RATED CONSTRUCTION: YES NO N/A

14. Required fire resistant rating maintained. (Walls, partitions, floors)
15. Door-hold open devices/automatic door closures operating properly.
INTERIOR DECORATIONS & FURNISHINGS: YES NO N/A

16. No storage of clothing/personal effects in corridors & lobbies.
17. Maximum 10% of decorative materials covering walls. Does not apply to artwork &
 Fire Alarm System teaching material in classroom. Nothing suspended from ceiling
18. 20% maximum coverage for artwork & teaching material located on corridor walls.
19. Exits free of obstructions.
FIRE PROTECTION: YES NO N/A

20. Sprinkler system maintained with annual test reports provided.
21. Smoke detector/fire alarm system maintained with annual test reports provided.
22. Approved extinguishers mounted properly & in good working order.
 Approved Fire Extinguishers

23. Cooking suppression systems & hood exhaust properly maintained.
24. Protective guards(such as screens) on fuel burning furnaces or fireplaces provided.
MEANS OF EGRESS: YES NO N/A

25. All exits & their access (i.e. Aisles & Corridors) free of obstructions.
26. All locking devices on exit doors are of an approved type.
27. Yards & fencing to allow unobstructed exit to exterior of site.
❑ Approved for day time care only ❑Approved for day time and night care
At the time of this inspection, the fire safety conditions in this facility were found to be:
_________________Satisfactory ___________________Unsatisfactory
Inspector___________________________________________ Phone ___________________
Prepare in triplicate – one copy retained by local fire authority and two copies given to the operator.
Contact your local city or county fire inspector for more information
NCDHHS,
Child Care Center
Operators 43
Fire Code Considerations
 Servicing of Fire Extinguishers

 Monthly Fire Drills
 Posting of Evacuation Plans
 Yearly Inspection
 Yearly Fire Safety Training
Contact your local city or county fire

inspector annually
NCDHHS,
Child Care Center
Operators 44
Sanitation Considerations
• Submit Plans for New

Construction and
Renovation for Approval
• Food Service/Kitchen
Arrangements
• Waste Disposal
• Water Supply
https://ehs.dph.ncdhhs.gov/
NCDHHS,
Child Care Center
Operators 45
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Minimum Kitchen Equipment
•2-compartment sink
•Dishwasher
•Refrigerator
•Stove
•Handwash Sink
NCDHHS,
Child Care Center
Operators 46
Commercial vs. Domestic
NCDHHS,
Child Care Center
Operators 47
Infant Room Prep Area
NCDHHS,
Child Care Center
Operators 48
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Sanitation Considerations
• Storage of Medications and Hazardous
Products
• Beds, Cots, Mats, and Linens
• Diaper Changing and Disposal
• Infection Control
• Bottles Labeled and Dated
• Handwashing
NCDHHS,
Child Care Center
Operators 49
Storage of Cots & Mats
NCDHHS,
Child Care Center
Operators 50
Diaper Change Area
NCDHHS,
Child Care Center
Operators 51
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Diaper Change Area
NCDHHS,
Child Care Center
Operators 52
Storage Space for Children’s Belongings
NCDHHS,
Child Care Center
Operators 53
Eating Meals and Snacks
NCDHHS,
Child Care Center
Operators 54
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NCDHHS,
Child Care Center
Operators 55
Classroom Lay-out
 Use Shelving and Furniture to Define and Separate Activity
Areas
 Break Up Large Expanses of Space
 Separate Quiet and Noisy Activities
 Ensure Easy Access of Materials by Children
 Ensure Clear Lines of Vision
NCDHHS,
Child Care Center
Operators 56
Child Size Tables and Chairs
NCDHHS,
Child Care Center
Center Operators
Operators | 2019
| 2022 57
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Supervision of Children
What is adequate supervision?
NCDHHS,
Child Care Center
Operators 58
Definition of Supervision
Considerations for adequate supervision:
Position of staff
Interaction with children
Location of each child
Appropriate for each child
See and hear birth to five (5)
Emergencies
Rule .1801(a)
NCDHHS,
Child Care Center
Operators 59
Program for Infant Toddler Care
www.pitc.org
NCDHHS,
Child Care Center
Operators 60
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PITC ‘Space to Grow’
NCDHHS,
Child Care Center
Operators 61
Screen Time
When screen time is provided on any electronic
media device with a visual display, it shall be:
 Offered to stimulate a developmental domain
 Limited to 30 minutes per day and no more than a total of
two and a half hours per week, per child.
 Documented on a cumulative log or the activity plan
Screen time is prohibited for children

under 3 years of age!
[Rules .0510(d)(2)]
NCDHHS,
Child Care Center
Operators 62
Developmentally Appropriate Materials

You will need materials that are developmentally
appropriate for the ages of children that will be in
care.
 Infant/Toddler
 Preschool
 School-aged
Rule .0509
NCDHHS,
Child Care Center
Operators 63
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Materials
Materials should provide opportunities for:
• large and small muscle development
• intellectual/language development
• social/emotional development
NC Foundations for Early Learning and Development
[Rules .0508, .0509, and .0510]

NCDHHS,
Child Care Center
Operators 64
Activity Areas: Developmentally Appropriate Materials
Each classroom for Infants and Toddlers must be equipped with

the following types of materials:
 Blocks
 Books
 Dolls
 Pretend Play Materials
 Musical Toys
 Sensory Toys
 Fine Motor Toys
[Rule .0510]
NCDHHS,
Child Care Center
Operators 65
Daily Routines for Children Under Two

Time and Space for the following caregiving
activities must be provided:
− Sleeping
− Eating
− Diaper Changing
− Playing Inside (Out of Crib or Playpen)
− Playing Outdoors Daily
− Tummy Time (infants only)
 Nurturing, Continuous Interactions with Teacher

 Constant Visual Supervision
 Rich Use of Language
[Rule .0510(e)(6) and .0511]
NCDHHS,
Child Care Center
Operators 66
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Accessibility
NCDHHS,
Child Care Center
Operators 67
Infant Classroom
NCDHHS,
Child Care Center
Operators 68
Fire Evacuation Crib
NCDHHS,
Child Care Center
Operators 69
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Compliant Cribs
NCDHHS,
Child Care Center
Center Operators
Operators | 2019
| 2022 70
Toddler Language Area
NCDHHS,
Child Care Center
Operators 71
Toddler Block Center
NCDHHS,
Child Care Center
Operators 72
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Preschoolers
Time and Space for the following caregiving activities
must be provided:
− Sleeping
− Eating
− Learning or Activity Centers
[Rule .0510]
NCDHHS,
Child Care Center
Operators 73
Activity Areas
• An Activity Area is an identifiable space with
related materials and equipment are kept in
an orderly manner
• Activity areas are required for each group of
children in care
• Rule of Three – children three and older
[Rule .0510]
NCDHHS,
Child Care Center
Operators 74
Activity Areas
 Stimulate Learning
 Promote Self-initiated Learning
 Allow for Individualized Instruction
 Encourage Independence
 Promote Positive Interactions with Others

 Provide Children with Choices
NCDHHS,
Child Care Center
Operators 75
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Required Activity Areas
Each group of children in care, you must have

four of the five following activity areas available
daily:
•Art and Other Creative Play

•Language Development
•Blocks
•Manipulatives
•Dramatic Play
[Rule .0510 and G.S. 110-91 (12)]

NCDHHS,
Child Care Center
Operators 76
Family Living/Dramatic Play Area
NCDHHS,
Child Care Center
Operators 77
Art and Other Creative Play
NCDHHS,
Child Care Center
Operators 78
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Block Area
NCDHHS,
Child Care Center
Operators 79
NCDHHS,
NCDHHS,DCDEE
DCDEE || Information
Informationfor
forPotential
Potential Child
Child CareCare Center
Center Operators
Operators | 2019 80
Language Development Area
NCDHHS,
Child Care Center
Operators 81
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Manipulatives
NCDHHS,
Child Care Center
Operators 82
Special Interest – Activity Areas
Each center shall provide materials and

opportunities for each group of children at least
weekly for the following:
•Music and Movement

•Science and Nature
•Sand and Water Play
These activities must be available weekly
[Rule .0510 and G.S. 110-91 (12)]

NCDHHS,
Child Care Center
Operators 83
Music & Movement
NCDHHS,
Child Care Center
Operators 84
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Science
NCDHHS,
Child Care Center
Operators 85
Sand and Water
NCDHHS,
Child Care Center
Operators 86
NCDHHS,
Child Care Center
Center Operators
Operators | | 2019 87
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NCDHHS,
Child Care Center
Operators 88
NCDHHS,
Child Care Center
Operators 89
NCDHHS,
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Operators 90
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NCDHHS,
Child Care Center
Operators 91
School-Age Children
Time and Space for the following activities must be
provided:
− Eating
− Homework
− Free Play
− Materials
NCDHHS,
Child Care Center
Operators 92
School Age Classroom
NCDHHS,
Child Care Center
Operators 93
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School-Age Children
Operate 3 hrs. or less per day – at least 3

activities available
Operate more than 3 hrs. per day – at least

4 activities available
[Rule .2508]
NCDHHS,
Child Care Center
Operators 94
Activities for School-Age Children
You will want to provide activities that encourage

independence, promote positive interactions with
other children and provide children with choices.
[Rule .2508]
NCDHHS,
Child Care Center
Operators 95
Design a classroom space
INFANTS TODDLERS
PRESCHOOL SCHOOLAGE
NCDHHS,
Child Care Center
Operators 96
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Let's reflect!
What have you learned about designing a
classroom?
NCDHHS,
Child Care Center
Operators 97
Playgrounds
Location
Sufficient Square Footage

Fenced
Age Specific Play Areas

Supervision and Safety
[Rule .0605 and .1402]

NCDHHS,
Child Care Center
Operators 98
Shaded Areas
NCDHHS,
Child Care Center
Operators 99
33
2/1/2023
Outdoor Play Equipment

Children must have materials and/or equipment
available for outdoor play.
Stationary Equipment requires:
•Fall Zones
•Resilient Surfacing
•No Entrapments, Entanglements and Pinch/Crush Points
•Age/Developmentally Appropriate
Stationary Equipment- A play structure that is anchored to the

ground or too heavy for children to move around.
[Rule .0605]
NCDHHS,
Child Care Center
Operators 100
Swing Fall Zone
NCDHHS,
Child Care Center
Operators 101
Resilient Surfacing
NCDHHS,
Child Care Center
Operators 102
34
2/1/2023
Fall Zone Borders

You may need to consider fall zone borders to
keep the resilient surfacing in place
NCDHHS,
Child Care Center
Operators 103
Natural Play Area Resources
NCDHHS,
Child Care Center
Operators 104
NCDHHS,
Child Care Center
Operators 105
35
2/1/2023
NCDHHS,
Child Care Center
Operators 106
NCDHHS,
Child Care Center
Operators 107
Other Planning Considerations
Children with Special Needs
Nutrition
Transportation
NCDHHS,
Child Care Center
Operators 108
36
2/1/2023
Children with Special Needs - Inclusion
Inclusion is serving young children with special

challenges in typical child care center rather than in
specialized child care programs
 Americans with Disabilities Act

 Family Support Network 1(800) 852-0042
 Partners In Inclusion (919) 781-3616
 Local Interagency Coordinating Council
NCDHHS,
Child Care Center
Operators 109
Nutrition
All foods served to children must meet the
“Meal Patterns for Children in Child Care Programs”
The center owner/director must:

 Provide nutritious meals and snacks
 Post special diets and food allergies
 Post menus a week in advance
 Support breastfeeding
[Rule .0901; .0902 & .0903]

NCDHHS,
Child Care Center
Operators 110
Space for Breast-feeding

Accommodations for breastfeeding mothers
− Provide seating and electrical outlet

− Shielded from view of staff and public
− Cannot be located in a bathroom
[Rule .0901(k)]
NCDHHS,
Child Care Center
Operators 111
37
2/1/2023
Child and Adult Care Food Program

Supports child care facilities by making monthly
payments to facilities that serve meals meeting
USDA requirements
www.nutritionnc.com
NCDHHS,
Child Care Center
Operators 112
Food Program Eligibility

Four Types of Centers Can Participate in the Child
and Adult Care Food Program:
− Public or Private Nonprofit Centers
− Head Start
− For-Profit Centers That Receive Subsidy Funding
 For 25% or more of enrolled children or 25% of the licensed
capacity, whichever is less
− Centers That Operate Outside of School Hours
To find out how to participate, call the Nutrition Services Section at

(919)707-5800.
NCDHHS,
Child Care Center
Operators 113
Nutritional Resources
www.choosemyplate.gov
NCDHHS,
Child Care Center
Operators 114
38
2/1/2023
Nutrition
 Breast milk
 Formula
 Water
 Unflavored Whole milk – 12-23 months

 Unflavored skim or low-fat milk – children 24 months to five years
 Unflavored skim milk, unflavored low-fat milk, or flavored skim
milk for children six years and older; or
 100% fruit juice, limited to 6 ounces per day, for all ages
[Rule .0901(f)]
NCDHHS,
Child Care Center
Operators 115
Transportation
Authorization and Documentation
Vehicles
NC Child Restraint and Booster Seat law
Supervision and Ratios
Safe Arrival and Departure Procedure

[Section .1000]
NCDHHS,
Child Care Center
Operators 116
Vehicles Vehicles
NCDHHS,
Child Care Center
Operators 117
39
2/1/2023
Child Care Resources

Division of Child Development and Early Education
https://ncchildcare.ncdhhs.gov/
N.C. Child Care Resource and Referral Network
www.childcarerrnc.org
Smart Start
www.smartstart.org
T.E.A.C.H. Early Childhood®
www.childcareservices.org
NC Institute for Child Development Professionals
www.ncicdp.org
NC Child Care Health and Safety Resource Center
www.healthychildcarenc.org
NCDHHS,
Child Care Center
Operators 118
Child Care Resources

There are numerous child care organizations
that focus on the promotion of quality child
care
For example:
 Child Care Services Association
 North Carolina Institute for Child Development
Professionals
 North Carolina Association for the Education of Young
Children
 North Carolina Licensed Child Care Association
NCDHHS,
Child Care Center
Operators 119
NCDHHS,
Child Care Center
Operators 120
40
2/1/2023
Closing Remarks
Tomorrow’s Agenda
NCDHHS,
Child Care Center
Operators 121
41

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2/1/2023

Information for Potential

Welcome!  Location of your proposed Center

Laws and Rules

Child Care in North Carolina is

 General Assembly Passes Laws

Administer Child Administer the

Definition of Child Care

Child Care Is An Arrangement Where There Are:

[G.S. 110-86 (2)]

Do not need a license but may volunteer to be licensed.

[G.S. 110-86 (2)]

 Residential Child Care Program

Do not need a license but may volunteer to be licensed.

[G.S. 110-86 (2)]

Types of Child Care Facilities

[G.S. 110-86 (3)]

Located in Cares for Up to 12 Preschool

Child Care Center

[G.S. 110-86 (3a)]

Religious Sponsored Child Care Center

A center or summer day camp operated by:

Religious Sponsored Child Care Center

Your Child Care What skills do you

Financial Record Keeping Relationship

Planning for Success

• Number of Children in Community

Planning for Success

• Availability of Child Care Subsidy

Data available at Local Child Care Resource and Referral Agencies

You may find it helpful to consult with the following

More Site Considerations

Contact your local planning or zoning office for more information

NC Department of Health and Human Services

Choose Safe Places

The Environment Plays a Large Role in

Children are at higher risk from exposures

4 Key Elements of Protection

Buildings built prior to 1978

Lead Hazard Management

Persons who renovate, repair, or prepare

EPA’s Renovation, Repair and Remodeling

 Chemicals can move

Naturally Occurring Substances

Arsenic and other

Access to Safe Drinking Water

Choose Safe Places Webpage

Eco-Healthy Child Care Checklist

Enhanced Space Requirements

•Determines Compliance with NC

Required Fire •Determines Compliance with NC

•Determines Compliance with NC

Building Code Considerations

Contact your local city or county building inspector for

Building Inspection Forms

BUILDING INSPECTORS INSPECTION FORM FOR CHILD CARE CENTERS

CITY STATE ZIP

BUILDING INSPECTORS CERTIFICATE

COUNTY DATE OF INSPECTION Facility ID # ___

Name of Facility______________________________________________________________ Adult Child

Inspector_________________________ Phone _