Growing IN Grace Preschool

10A NCAC 09 .0304 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/27/2026 Number Present: 68 Completed Date: 5/27/2026 Age: From 2 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Thompson was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 5/26/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Woodland Hills Baptist Church, Inc., is current/active as of 5/26/26. Permit type – Notice of Compliance under G.S. 110-106 issued 11/26/21 Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve ninety-three (93) children ages 1-7. The last annual compliance visit was conducted on 5/30/25. The last fire drill was practiced on 5/1/26. The last lockdown drill was practiced on 3/13/26. The last playground inspection was documented on 5/6/26. The last fire inspection was approved on 12/10/25. The last sanitation inspection was conducted on 12/16/25 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/3/24 without hazards. Lead paint and asbestos testing was completed on 7/30/24. The facility does not provide transportation. Upon arrival I was greeted by Ms. Thompson. In classroom space 1, children were engaged in a large group color naming activity led by the teacher. In classroom space 2, children were exploring various manipulatives, making patterns and explaining their patterns to peers and adults. In classroom space 3, children were engaged in a large group letter recognition game in which children matched letters on a carboard tube with corresponding stickers. In classroom space 4, children transitioned to use the restroom before playing outside. Children sang songs with the teacher as they waited in line. In classroom space 5, children used various rolling pins and scissors to cut and shape play doh. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One (1) bottle of acetaminophen was stored in an unlocked compartment of a backpack that was stored on a shelf five (5) feet above the ground. 15A NCAC 18A .2820(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency medical care information for seven (7) children was not updated on an annual basis. .0802(c) 1314 Emergency information did not name childs health care professional. One (1) child’s enrollment application did not include the responsible party’s choice of health professional. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child’s file did not contain a medical report GS 110-91(1);.0302(d)(2); .0304(g) Technical assistance was provided as follows: Item #841: The medication was moved to locked storage during the visit today. This is corrected. No further corrective action is needed. Clarification was given regarding the rules on medication storage. We discussed acetaminophen is not considered an emergency medication even though the medication is listed on the child’s medical action plan. This is due to the fact that the medication takes several moments to take effect, versus a recue medication such as an epipen or rescue inhaler that only takes seconds to take effect, making it life-saving medication. Item #1311: The emergency medical care information form was sent to parents via Brightwheel during the visit today. Six (6) parents sent the forms to you during the visit today. To reach compliance with this item, the emergency medical care information for the one (1) remaining child must be completed and placed in the child’s file. In your letter of compliance, include a statement that indicates the form is complete and on file. Item #1314: The child’s parent completed a form that included their choice of health professional. This is corrected. No further corrective action is needed. Item #1320: The medical report dated 9/3/25 was sent to you by the parents during the visit today. The medical report was placed in the child’s file. This is corrected, no further corrective action is needed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/10/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Incident Log: Plan to record the date the incident occurred on the incident log, instead of the date the incident report was signed by the parent. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/27/2026 Number Present: 68 Completed Date: 5/27/2026 Age: From 2 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Thompson was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 5/26/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Woodland Hills Baptist Church, Inc., is current/active as of 5/26/26. Permit type – Notice of Compliance under G.S. 110-106 issued 11/26/21 Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve ninety-three (93) children ages 1-7. The last annual compliance visit was conducted on 5/30/25. The last fire drill was practiced on 5/1/26. The last lockdown drill was practiced on 3/13/26. The last playground inspection was documented on 5/6/26. The last fire inspection was approved on 12/10/25. The last sanitation inspection was conducted on 12/16/25 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/3/24 without hazards. Lead paint and asbestos testing was completed on 7/30/24. The facility does not provide transportation. Upon arrival I was greeted by Ms. Thompson. In classroom space 1, children were engaged in a large group color naming activity led by the teacher. In classroom space 2, children were exploring various manipulatives, making patterns and explaining their patterns to peers and adults. In classroom space 3, children were engaged in a large group letter recognition game in which children matched letters on a carboard tube with corresponding stickers. In classroom space 4, children transitioned to use the restroom before playing outside. Children sang songs with the teacher as they waited in line. In classroom space 5, children used various rolling pins and scissors to cut and shape play doh. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One (1) bottle of acetaminophen was stored in an unlocked compartment of a backpack that was stored on a shelf five (5) feet above the ground. 15A NCAC 18A .2820(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency medical care information for seven (7) children was not updated on an annual basis. .0802(c) 1314 Emergency information did not name childs health care professional. One (1) child’s enrollment application did not include the responsible party’s choice of health professional. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child’s file did not contain a medical report GS 110-91(1);.0302(d)(2); .0304(g) Technical assistance was provided as follows: Item #841: The medication was moved to locked storage during the visit today. This is corrected. No further corrective action is needed. Clarification was given regarding the rules on medication storage. We discussed acetaminophen is not considered an emergency medication even though the medication is listed on the child’s medical action plan. This is due to the fact that the medication takes several moments to take effect, versus a recue medication such as an epipen or rescue inhaler that only takes seconds to take effect, making it life-saving medication. Item #1311: The emergency medical care information form was sent to parents via Brightwheel during the visit today. Six (6) parents sent the forms to you during the visit today. To reach compliance with this item, the emergency medical care information for the one (1) remaining child must be completed and placed in the child’s file. In your letter of compliance, include a statement that indicates the form is complete and on file. Item #1314: The child’s parent completed a form that included their choice of health professional. This is corrected. No further corrective action is needed. Item #1320: The medical report dated 9/3/25 was sent to you by the parents during the visit today. The medical report was placed in the child’s file. This is corrected, no further corrective action is needed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/10/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Incident Log: Plan to record the date the incident occurred on the incident log, instead of the date the incident report was signed by the parent. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/27/2026 Number Present: 68 Completed Date: 5/27/2026 Age: From 2 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Thompson was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 5/26/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Woodland Hills Baptist Church, Inc., is current/active as of 5/26/26. Permit type – Notice of Compliance under G.S. 110-106 issued 11/26/21 Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve ninety-three (93) children ages 1-7. The last annual compliance visit was conducted on 5/30/25. The last fire drill was practiced on 5/1/26. The last lockdown drill was practiced on 3/13/26. The last playground inspection was documented on 5/6/26. The last fire inspection was approved on 12/10/25. The last sanitation inspection was conducted on 12/16/25 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/3/24 without hazards. Lead paint and asbestos testing was completed on 7/30/24. The facility does not provide transportation. Upon arrival I was greeted by Ms. Thompson. In classroom space 1, children were engaged in a large group color naming activity led by the teacher. In classroom space 2, children were exploring various manipulatives, making patterns and explaining their patterns to peers and adults. In classroom space 3, children were engaged in a large group letter recognition game in which children matched letters on a carboard tube with corresponding stickers. In classroom space 4, children transitioned to use the restroom before playing outside. Children sang songs with the teacher as they waited in line. In classroom space 5, children used various rolling pins and scissors to cut and shape play doh. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One (1) bottle of acetaminophen was stored in an unlocked compartment of a backpack that was stored on a shelf five (5) feet above the ground. 15A NCAC 18A .2820(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency medical care information for seven (7) children was not updated on an annual basis. .0802(c) 1314 Emergency information did not name childs health care professional. One (1) child’s enrollment application did not include the responsible party’s choice of health professional. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child’s file did not contain a medical report GS 110-91(1);.0302(d)(2); .0304(g) Technical assistance was provided as follows: Item #841: The medication was moved to locked storage during the visit today. This is corrected. No further corrective action is needed. Clarification was given regarding the rules on medication storage. We discussed acetaminophen is not considered an emergency medication even though the medication is listed on the child’s medical action plan. This is due to the fact that the medication takes several moments to take effect, versus a recue medication such as an epipen or rescue inhaler that only takes seconds to take effect, making it life-saving medication. Item #1311: The emergency medical care information form was sent to parents via Brightwheel during the visit today. Six (6) parents sent the forms to you during the visit today. To reach compliance with this item, the emergency medical care information for the one (1) remaining child must be completed and placed in the child’s file. In your letter of compliance, include a statement that indicates the form is complete and on file. Item #1314: The child’s parent completed a form that included their choice of health professional. This is corrected. No further corrective action is needed. Item #1320: The medical report dated 9/3/25 was sent to you by the parents during the visit today. The medical report was placed in the child’s file. This is corrected, no further corrective action is needed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/10/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Incident Log: Plan to record the date the incident occurred on the incident log, instead of the date the incident report was signed by the parent. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/27/2026 Number Present: 68 Completed Date: 5/27/2026 Age: From 2 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Thompson was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 5/26/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Woodland Hills Baptist Church, Inc., is current/active as of 5/26/26. Permit type – Notice of Compliance under G.S. 110-106 issued 11/26/21 Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve ninety-three (93) children ages 1-7. The last annual compliance visit was conducted on 5/30/25. The last fire drill was practiced on 5/1/26. The last lockdown drill was practiced on 3/13/26. The last playground inspection was documented on 5/6/26. The last fire inspection was approved on 12/10/25. The last sanitation inspection was conducted on 12/16/25 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/3/24 without hazards. Lead paint and asbestos testing was completed on 7/30/24. The facility does not provide transportation. Upon arrival I was greeted by Ms. Thompson. In classroom space 1, children were engaged in a large group color naming activity led by the teacher. In classroom space 2, children were exploring various manipulatives, making patterns and explaining their patterns to peers and adults. In classroom space 3, children were engaged in a large group letter recognition game in which children matched letters on a carboard tube with corresponding stickers. In classroom space 4, children transitioned to use the restroom before playing outside. Children sang songs with the teacher as they waited in line. In classroom space 5, children used various rolling pins and scissors to cut and shape play doh. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One (1) bottle of acetaminophen was stored in an unlocked compartment of a backpack that was stored on a shelf five (5) feet above the ground. 15A NCAC 18A .2820(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency medical care information for seven (7) children was not updated on an annual basis. .0802(c) 1314 Emergency information did not name childs health care professional. One (1) child’s enrollment application did not include the responsible party’s choice of health professional. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child’s file did not contain a medical report GS 110-91(1);.0302(d)(2); .0304(g) Technical assistance was provided as follows: Item #841: The medication was moved to locked storage during the visit today. This is corrected. No further corrective action is needed. Clarification was given regarding the rules on medication storage. We discussed acetaminophen is not considered an emergency medication even though the medication is listed on the child’s medical action plan. This is due to the fact that the medication takes several moments to take effect, versus a recue medication such as an epipen or rescue inhaler that only takes seconds to take effect, making it life-saving medication. Item #1311: The emergency medical care information form was sent to parents via Brightwheel during the visit today. Six (6) parents sent the forms to you during the visit today. To reach compliance with this item, the emergency medical care information for the one (1) remaining child must be completed and placed in the child’s file. In your letter of compliance, include a statement that indicates the form is complete and on file. Item #1314: The child’s parent completed a form that included their choice of health professional. This is corrected. No further corrective action is needed. Item #1320: The medical report dated 9/3/25 was sent to you by the parents during the visit today. The medical report was placed in the child’s file. This is corrected, no further corrective action is needed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/10/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Incident Log: Plan to record the date the incident occurred on the incident log, instead of the date the incident report was signed by the parent. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/27/2026 Number Present: 68 Completed Date: 5/27/2026 Age: From 2 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Thompson was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 5/26/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Woodland Hills Baptist Church, Inc., is current/active as of 5/26/26. Permit type – Notice of Compliance under G.S. 110-106 issued 11/26/21 Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve ninety-three (93) children ages 1-7. The last annual compliance visit was conducted on 5/30/25. The last fire drill was practiced on 5/1/26. The last lockdown drill was practiced on 3/13/26. The last playground inspection was documented on 5/6/26. The last fire inspection was approved on 12/10/25. The last sanitation inspection was conducted on 12/16/25 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/3/24 without hazards. Lead paint and asbestos testing was completed on 7/30/24. The facility does not provide transportation. Upon arrival I was greeted by Ms. Thompson. In classroom space 1, children were engaged in a large group color naming activity led by the teacher. In classroom space 2, children were exploring various manipulatives, making patterns and explaining their patterns to peers and adults. In classroom space 3, children were engaged in a large group letter recognition game in which children matched letters on a carboard tube with corresponding stickers. In classroom space 4, children transitioned to use the restroom before playing outside. Children sang songs with the teacher as they waited in line. In classroom space 5, children used various rolling pins and scissors to cut and shape play doh. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One (1) bottle of acetaminophen was stored in an unlocked compartment of a backpack that was stored on a shelf five (5) feet above the ground. 15A NCAC 18A .2820(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency medical care information for seven (7) children was not updated on an annual basis. .0802(c) 1314 Emergency information did not name childs health care professional. One (1) child’s enrollment application did not include the responsible party’s choice of health professional. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child’s file did not contain a medical report GS 110-91(1);.0302(d)(2); .0304(g) Technical assistance was provided as follows: Item #841: The medication was moved to locked storage during the visit today. This is corrected. No further corrective action is needed. Clarification was given regarding the rules on medication storage. We discussed acetaminophen is not considered an emergency medication even though the medication is listed on the child’s medical action plan. This is due to the fact that the medication takes several moments to take effect, versus a recue medication such as an epipen or rescue inhaler that only takes seconds to take effect, making it life-saving medication. Item #1311: The emergency medical care information form was sent to parents via Brightwheel during the visit today. Six (6) parents sent the forms to you during the visit today. To reach compliance with this item, the emergency medical care information for the one (1) remaining child must be completed and placed in the child’s file. In your letter of compliance, include a statement that indicates the form is complete and on file. Item #1314: The child’s parent completed a form that included their choice of health professional. This is corrected. No further corrective action is needed. Item #1320: The medical report dated 9/3/25 was sent to you by the parents during the visit today. The medical report was placed in the child’s file. This is corrected, no further corrective action is needed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/10/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Incident Log: Plan to record the date the incident occurred on the incident log, instead of the date the incident report was signed by the parent. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/27/2026 Number Present: 68 Completed Date: 5/27/2026 Age: From 2 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Thompson was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 5/26/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Woodland Hills Baptist Church, Inc., is current/active as of 5/26/26. Permit type – Notice of Compliance under G.S. 110-106 issued 11/26/21 Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve ninety-three (93) children ages 1-7. The last annual compliance visit was conducted on 5/30/25. The last fire drill was practiced on 5/1/26. The last lockdown drill was practiced on 3/13/26. The last playground inspection was documented on 5/6/26. The last fire inspection was approved on 12/10/25. The last sanitation inspection was conducted on 12/16/25 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/3/24 without hazards. Lead paint and asbestos testing was completed on 7/30/24. The facility does not provide transportation. Upon arrival I was greeted by Ms. Thompson. In classroom space 1, children were engaged in a large group color naming activity led by the teacher. In classroom space 2, children were exploring various manipulatives, making patterns and explaining their patterns to peers and adults. In classroom space 3, children were engaged in a large group letter recognition game in which children matched letters on a carboard tube with corresponding stickers. In classroom space 4, children transitioned to use the restroom before playing outside. Children sang songs with the teacher as they waited in line. In classroom space 5, children used various rolling pins and scissors to cut and shape play doh. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One (1) bottle of acetaminophen was stored in an unlocked compartment of a backpack that was stored on a shelf five (5) feet above the ground. 15A NCAC 18A .2820(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency medical care information for seven (7) children was not updated on an annual basis. .0802(c) 1314 Emergency information did not name childs health care professional. One (1) child’s enrollment application did not include the responsible party’s choice of health professional. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child’s file did not contain a medical report GS 110-91(1);.0302(d)(2); .0304(g) Technical assistance was provided as follows: Item #841: The medication was moved to locked storage during the visit today. This is corrected. No further corrective action is needed. Clarification was given regarding the rules on medication storage. We discussed acetaminophen is not considered an emergency medication even though the medication is listed on the child’s medical action plan. This is due to the fact that the medication takes several moments to take effect, versus a recue medication such as an epipen or rescue inhaler that only takes seconds to take effect, making it life-saving medication. Item #1311: The emergency medical care information form was sent to parents via Brightwheel during the visit today. Six (6) parents sent the forms to you during the visit today. To reach compliance with this item, the emergency medical care information for the one (1) remaining child must be completed and placed in the child’s file. In your letter of compliance, include a statement that indicates the form is complete and on file. Item #1314: The child’s parent completed a form that included their choice of health professional. This is corrected. No further corrective action is needed. Item #1320: The medical report dated 9/3/25 was sent to you by the parents during the visit today. The medical report was placed in the child’s file. This is corrected, no further corrective action is needed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/10/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Incident Log: Plan to record the date the incident occurred on the incident log, instead of the date the incident report was signed by the parent. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 67 Completed Date: 12/9/2025 Age: From 2 To 5 Total Minutes: 105 Time In: 09:15 AM Time Out: 11:00 AM 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Thompson was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 12/8/25. Permit type – Notice of Compliance G.S. 110-106 issued 11/26/21. Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 5/30/25. The last fire drill was practiced on 12/5/25. The last shelter-in-place drill was practiced on 9/3/25. The last fire inspection was approved on 11/4/24. The last sanitation inspection was conducted on 1/23/25 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/3/24 without hazards. Lead paint and asbestos testing was completed on 7/30/24. Upon arrival I was greeted by Ms. Thompson. In classroom space 1, children were observed rolling toy vehicles on various surfaces and pretending to care for babies. In classroom space 2, children were listening to a story read by the teacher. In classroom space 3, children were engaged in a large group playdoh activity. In classroom space 4, children were pretending to build with a toy tool set and built small structures with connecting blocks. In classroom space 5, children colored pictures of winter holiday objects while singing holiday songs. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on 11/4/24. 10A NCAC 09 .0304(a) 721 All equipment and furnishings were not in good repair. Rust and chipping paint was observed on six (6) toy trucks on the large playground. G.S. 110-91(6); .0601(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for one (1) albuterol in classroom space 2 was signed on 4/22/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item #106: The fire marshal was contacted during the visit today. We discussed that you were instructed by the fire marshal’s office not to call to schedule the annual inspection and that the inspection would be automatically scheduled. An inspection was not conducted within 12 months of the center’s previous inspection. The fire marshal you spoke to today stated an inspection would be conducted this week. To reach compliance for this item, please send me a copy of the fire inspection report once it is completed. Item #721 The toy trucks were removed from the playground during the visit today. This is corrected. To return the trucks to the playground, plan to sand and repaint the trucks. Item #1882: To reach compliance with this item, the parent of the child in classroom space 2 must update the medication authorization. The parent can either fill out a new form or can indicate “no changes” on the existing form, sign and date. In your letter of compliance, please include a statement that indicates the medication authorization has been updated by the parent. According to rule .0803 (6), a parent can give authorization for the facility to administer medication for chronic medical conditions for up to six (6) months. The Medical Action Plan for chronic medical conditions must be updated annually or a changes are made to the plan. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/23/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19431 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: As a reminder, plan to conduct a shelter-in-place or lockdown drill by 12/31/25. The CPR/First Aid training for staff JE will expire 1/17/26. Plan to schedule a training prior to the expiration of the current certificate. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 67 Completed Date: 12/9/2025 Age: From 2 To 5 Total Minutes: 105 Time In: 09:15 AM Time Out: 11:00 AM 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Thompson was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 12/8/25. Permit type – Notice of Compliance G.S. 110-106 issued 11/26/21. Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 5/30/25. The last fire drill was practiced on 12/5/25. The last shelter-in-place drill was practiced on 9/3/25. The last fire inspection was approved on 11/4/24. The last sanitation inspection was conducted on 1/23/25 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/3/24 without hazards. Lead paint and asbestos testing was completed on 7/30/24. Upon arrival I was greeted by Ms. Thompson. In classroom space 1, children were observed rolling toy vehicles on various surfaces and pretending to care for babies. In classroom space 2, children were listening to a story read by the teacher. In classroom space 3, children were engaged in a large group playdoh activity. In classroom space 4, children were pretending to build with a toy tool set and built small structures with connecting blocks. In classroom space 5, children colored pictures of winter holiday objects while singing holiday songs. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on 11/4/24. 10A NCAC 09 .0304(a) 721 All equipment and furnishings were not in good repair. Rust and chipping paint was observed on six (6) toy trucks on the large playground. G.S. 110-91(6); .0601(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for one (1) albuterol in classroom space 2 was signed on 4/22/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item #106: The fire marshal was contacted during the visit today. We discussed that you were instructed by the fire marshal’s office not to call to schedule the annual inspection and that the inspection would be automatically scheduled. An inspection was not conducted within 12 months of the center’s previous inspection. The fire marshal you spoke to today stated an inspection would be conducted this week. To reach compliance for this item, please send me a copy of the fire inspection report once it is completed. Item #721 The toy trucks were removed from the playground during the visit today. This is corrected. To return the trucks to the playground, plan to sand and repaint the trucks. Item #1882: To reach compliance with this item, the parent of the child in classroom space 2 must update the medication authorization. The parent can either fill out a new form or can indicate “no changes” on the existing form, sign and date. In your letter of compliance, please include a statement that indicates the medication authorization has been updated by the parent. According to rule .0803 (6), a parent can give authorization for the facility to administer medication for chronic medical conditions for up to six (6) months. The Medical Action Plan for chronic medical conditions must be updated annually or a changes are made to the plan. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/23/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19431 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: As a reminder, plan to conduct a shelter-in-place or lockdown drill by 12/31/25. The CPR/First Aid training for staff JE will expire 1/17/26. Plan to schedule a training prior to the expiration of the current certificate. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 67 Completed Date: 12/9/2025 Age: From 2 To 5 Total Minutes: 105 Time In: 09:15 AM Time Out: 11:00 AM 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Thompson was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 12/8/25. Permit type – Notice of Compliance G.S. 110-106 issued 11/26/21. Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 5/30/25. The last fire drill was practiced on 12/5/25. The last shelter-in-place drill was practiced on 9/3/25. The last fire inspection was approved on 11/4/24. The last sanitation inspection was conducted on 1/23/25 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/3/24 without hazards. Lead paint and asbestos testing was completed on 7/30/24. Upon arrival I was greeted by Ms. Thompson. In classroom space 1, children were observed rolling toy vehicles on various surfaces and pretending to care for babies. In classroom space 2, children were listening to a story read by the teacher. In classroom space 3, children were engaged in a large group playdoh activity. In classroom space 4, children were pretending to build with a toy tool set and built small structures with connecting blocks. In classroom space 5, children colored pictures of winter holiday objects while singing holiday songs. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on 11/4/24. 10A NCAC 09 .0304(a) 721 All equipment and furnishings were not in good repair. Rust and chipping paint was observed on six (6) toy trucks on the large playground. G.S. 110-91(6); .0601(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for one (1) albuterol in classroom space 2 was signed on 4/22/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item #106: The fire marshal was contacted during the visit today. We discussed that you were instructed by the fire marshal’s office not to call to schedule the annual inspection and that the inspection would be automatically scheduled. An inspection was not conducted within 12 months of the center’s previous inspection. The fire marshal you spoke to today stated an inspection would be conducted this week. To reach compliance for this item, please send me a copy of the fire inspection report once it is completed. Item #721 The toy trucks were removed from the playground during the visit today. This is corrected. To return the trucks to the playground, plan to sand and repaint the trucks. Item #1882: To reach compliance with this item, the parent of the child in classroom space 2 must update the medication authorization. The parent can either fill out a new form or can indicate “no changes” on the existing form, sign and date. In your letter of compliance, please include a statement that indicates the medication authorization has been updated by the parent. According to rule .0803 (6), a parent can give authorization for the facility to administer medication for chronic medical conditions for up to six (6) months. The Medical Action Plan for chronic medical conditions must be updated annually or a changes are made to the plan. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/23/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19431 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: As a reminder, plan to conduct a shelter-in-place or lockdown drill by 12/31/25. The CPR/First Aid training for staff JE will expire 1/17/26. Plan to schedule a training prior to the expiration of the current certificate. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 67 Completed Date: 12/9/2025 Age: From 2 To 5 Total Minutes: 105 Time In: 09:15 AM Time Out: 11:00 AM 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Thompson was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 12/8/25. Permit type – Notice of Compliance G.S. 110-106 issued 11/26/21. Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 5/30/25. The last fire drill was practiced on 12/5/25. The last shelter-in-place drill was practiced on 9/3/25. The last fire inspection was approved on 11/4/24. The last sanitation inspection was conducted on 1/23/25 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/3/24 without hazards. Lead paint and asbestos testing was completed on 7/30/24. Upon arrival I was greeted by Ms. Thompson. In classroom space 1, children were observed rolling toy vehicles on various surfaces and pretending to care for babies. In classroom space 2, children were listening to a story read by the teacher. In classroom space 3, children were engaged in a large group playdoh activity. In classroom space 4, children were pretending to build with a toy tool set and built small structures with connecting blocks. In classroom space 5, children colored pictures of winter holiday objects while singing holiday songs. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on 11/4/24. 10A NCAC 09 .0304(a) 721 All equipment and furnishings were not in good repair. Rust and chipping paint was observed on six (6) toy trucks on the large playground. G.S. 110-91(6); .0601(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for one (1) albuterol in classroom space 2 was signed on 4/22/25. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item #106: The fire marshal was contacted during the visit today. We discussed that you were instructed by the fire marshal’s office not to call to schedule the annual inspection and that the inspection would be automatically scheduled. An inspection was not conducted within 12 months of the center’s previous inspection. The fire marshal you spoke to today stated an inspection would be conducted this week. To reach compliance for this item, please send me a copy of the fire inspection report once it is completed. Item #721 The toy trucks were removed from the playground during the visit today. This is corrected. To return the trucks to the playground, plan to sand and repaint the trucks. Item #1882: To reach compliance with this item, the parent of the child in classroom space 2 must update the medication authorization. The parent can either fill out a new form or can indicate “no changes” on the existing form, sign and date. In your letter of compliance, please include a statement that indicates the medication authorization has been updated by the parent. According to rule .0803 (6), a parent can give authorization for the facility to administer medication for chronic medical conditions for up to six (6) months. The Medical Action Plan for chronic medical conditions must be updated annually or a changes are made to the plan. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/23/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19431 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: As a reminder, plan to conduct a shelter-in-place or lockdown drill by 12/31/25. The CPR/First Aid training for staff JE will expire 1/17/26. Plan to schedule a training prior to the expiration of the current certificate. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/30/2025 Number Present: 61 Completed Date: 5/30/2025 Age: From 2 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Thompson and Blair Cornette, Assistant Director, were present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 5/23/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Woodland Hills Baptist Church, Inc., is current/active as of 5/23/25. Permit type – G.S. 110-106 Notice of Compliance 11/26/21 Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 6/6/24. The last fire drill was practiced on 5/13/25. The last lockdown drill was practiced on 3/24/25. The last playground inspection was documented on 5/13/25. The last fire inspection was approved on 11/4/24. The last sanitation inspection was conducted on 1/23/25 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/3/24 without hazards. Lead paint and asbestos testing was completed on 7/30/24. The program does not provide transportation. Upon arrival, I was greeted by Ms. Thompson. Children in classroom space 1 were engaged in a whole group math lesson, identifying numbers and rote counting. Children in classroom space 2 were exploring playdoh with various tools and cookie cutters. In classroom space 3, children were drawing pictures with sidewalk chalk on black construction paper. In classroom space 4 children listened to a story read by the children and identified feelings of the characters. In classroom space 5, children explored playdoh and molded it into various shapes. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of Clorox wipes was observed on top of the cubbies in classroom space 2, accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Flexible plastic wipes containers that listed warnings about suffocation and choking were accessible to children in the hallway bathroom. .0604(q) Technical assistance was provided as follows: Item #858: The wipes were moved out of reach of children during the visit today. This is corrected. We discussed that some wipes containers do not have a choking hazard warning, but some do. Moving forward, plan to screen all wipes containers before storing below five feet from the ground. Item #840 The container was moved to locked storage during the visit today. This is corrected. Moving forward, plan to screen the classroom to ensure all cleaning materials are placed five feet off the ground or in locked storage, according to the warnings. The hazardous material storage document is attached to the email containing this visit summary. You can share this document with staff as needed. Consultation is provided as follows: We discussed the requirements for children’s emergency medical care information. We clarified the following information must be updated annually according to rule .0802 (c): (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. We discussed landscape fabric is beginning to show through the gravel on the large playground. Plan to monitor the exposed fabric to ensure a tripping hazard is not formed. We discussed updating the First Aid Poster. Plan to visit https://healthychildcare.unc.edu/resources/posters/ to order the updated First Aid poster. Criminal Background Check Provider Portal: 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. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/30/2025 Number Present: 61 Completed Date: 5/30/2025 Age: From 2 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Thompson and Blair Cornette, Assistant Director, were present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 5/23/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Woodland Hills Baptist Church, Inc., is current/active as of 5/23/25. Permit type – G.S. 110-106 Notice of Compliance 11/26/21 Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 6/6/24. The last fire drill was practiced on 5/13/25. The last lockdown drill was practiced on 3/24/25. The last playground inspection was documented on 5/13/25. The last fire inspection was approved on 11/4/24. The last sanitation inspection was conducted on 1/23/25 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/3/24 without hazards. Lead paint and asbestos testing was completed on 7/30/24. The program does not provide transportation. Upon arrival, I was greeted by Ms. Thompson. Children in classroom space 1 were engaged in a whole group math lesson, identifying numbers and rote counting. Children in classroom space 2 were exploring playdoh with various tools and cookie cutters. In classroom space 3, children were drawing pictures with sidewalk chalk on black construction paper. In classroom space 4 children listened to a story read by the children and identified feelings of the characters. In classroom space 5, children explored playdoh and molded it into various shapes. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of Clorox wipes was observed on top of the cubbies in classroom space 2, accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Flexible plastic wipes containers that listed warnings about suffocation and choking were accessible to children in the hallway bathroom. .0604(q) Technical assistance was provided as follows: Item #858: The wipes were moved out of reach of children during the visit today. This is corrected. We discussed that some wipes containers do not have a choking hazard warning, but some do. Moving forward, plan to screen all wipes containers before storing below five feet from the ground. Item #840 The container was moved to locked storage during the visit today. This is corrected. Moving forward, plan to screen the classroom to ensure all cleaning materials are placed five feet off the ground or in locked storage, according to the warnings. The hazardous material storage document is attached to the email containing this visit summary. You can share this document with staff as needed. Consultation is provided as follows: We discussed the requirements for children’s emergency medical care information. We clarified the following information must be updated annually according to rule .0802 (c): (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. We discussed landscape fabric is beginning to show through the gravel on the large playground. Plan to monitor the exposed fabric to ensure a tripping hazard is not formed. We discussed updating the First Aid Poster. Plan to visit https://healthychildcare.unc.edu/resources/posters/ to order the updated First Aid poster. Criminal Background Check Provider Portal: 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. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/30/2025 Number Present: 61 Completed Date: 5/30/2025 Age: From 2 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Thompson and Blair Cornette, Assistant Director, were present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 5/23/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Woodland Hills Baptist Church, Inc., is current/active as of 5/23/25. Permit type – G.S. 110-106 Notice of Compliance 11/26/21 Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 6/6/24. The last fire drill was practiced on 5/13/25. The last lockdown drill was practiced on 3/24/25. The last playground inspection was documented on 5/13/25. The last fire inspection was approved on 11/4/24. The last sanitation inspection was conducted on 1/23/25 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/3/24 without hazards. Lead paint and asbestos testing was completed on 7/30/24. The program does not provide transportation. Upon arrival, I was greeted by Ms. Thompson. Children in classroom space 1 were engaged in a whole group math lesson, identifying numbers and rote counting. Children in classroom space 2 were exploring playdoh with various tools and cookie cutters. In classroom space 3, children were drawing pictures with sidewalk chalk on black construction paper. In classroom space 4 children listened to a story read by the children and identified feelings of the characters. In classroom space 5, children explored playdoh and molded it into various shapes. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of Clorox wipes was observed on top of the cubbies in classroom space 2, accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Flexible plastic wipes containers that listed warnings about suffocation and choking were accessible to children in the hallway bathroom. .0604(q) Technical assistance was provided as follows: Item #858: The wipes were moved out of reach of children during the visit today. This is corrected. We discussed that some wipes containers do not have a choking hazard warning, but some do. Moving forward, plan to screen all wipes containers before storing below five feet from the ground. Item #840 The container was moved to locked storage during the visit today. This is corrected. Moving forward, plan to screen the classroom to ensure all cleaning materials are placed five feet off the ground or in locked storage, according to the warnings. The hazardous material storage document is attached to the email containing this visit summary. You can share this document with staff as needed. Consultation is provided as follows: We discussed the requirements for children’s emergency medical care information. We clarified the following information must be updated annually according to rule .0802 (c): (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. We discussed landscape fabric is beginning to show through the gravel on the large playground. Plan to monitor the exposed fabric to ensure a tripping hazard is not formed. We discussed updating the First Aid Poster. Plan to visit https://healthychildcare.unc.edu/resources/posters/ to order the updated First Aid poster. Criminal Background Check Provider Portal: 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. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/30/2025 Number Present: 61 Completed Date: 5/30/2025 Age: From 2 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Thompson and Blair Cornette, Assistant Director, were present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 5/23/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Woodland Hills Baptist Church, Inc., is current/active as of 5/23/25. Permit type – G.S. 110-106 Notice of Compliance 11/26/21 Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 6/6/24. The last fire drill was practiced on 5/13/25. The last lockdown drill was practiced on 3/24/25. The last playground inspection was documented on 5/13/25. The last fire inspection was approved on 11/4/24. The last sanitation inspection was conducted on 1/23/25 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/3/24 without hazards. Lead paint and asbestos testing was completed on 7/30/24. The program does not provide transportation. Upon arrival, I was greeted by Ms. Thompson. Children in classroom space 1 were engaged in a whole group math lesson, identifying numbers and rote counting. Children in classroom space 2 were exploring playdoh with various tools and cookie cutters. In classroom space 3, children were drawing pictures with sidewalk chalk on black construction paper. In classroom space 4 children listened to a story read by the children and identified feelings of the characters. In classroom space 5, children explored playdoh and molded it into various shapes. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of Clorox wipes was observed on top of the cubbies in classroom space 2, accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Flexible plastic wipes containers that listed warnings about suffocation and choking were accessible to children in the hallway bathroom. .0604(q) Technical assistance was provided as follows: Item #858: The wipes were moved out of reach of children during the visit today. This is corrected. We discussed that some wipes containers do not have a choking hazard warning, but some do. Moving forward, plan to screen all wipes containers before storing below five feet from the ground. Item #840 The container was moved to locked storage during the visit today. This is corrected. Moving forward, plan to screen the classroom to ensure all cleaning materials are placed five feet off the ground or in locked storage, according to the warnings. The hazardous material storage document is attached to the email containing this visit summary. You can share this document with staff as needed. Consultation is provided as follows: We discussed the requirements for children’s emergency medical care information. We clarified the following information must be updated annually according to rule .0802 (c): (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. We discussed landscape fabric is beginning to show through the gravel on the large playground. Plan to monitor the exposed fabric to ensure a tripping hazard is not formed. We discussed updating the First Aid Poster. Plan to visit https://healthychildcare.unc.edu/resources/posters/ to order the updated First Aid poster. Criminal Background Check Provider Portal: 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. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/30/2025 Number Present: 61 Completed Date: 5/30/2025 Age: From 2 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Thompson and Blair Cornette, Assistant Director, were present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 5/23/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Woodland Hills Baptist Church, Inc., is current/active as of 5/23/25. Permit type – G.S. 110-106 Notice of Compliance 11/26/21 Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 6/6/24. The last fire drill was practiced on 5/13/25. The last lockdown drill was practiced on 3/24/25. The last playground inspection was documented on 5/13/25. The last fire inspection was approved on 11/4/24. The last sanitation inspection was conducted on 1/23/25 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/3/24 without hazards. Lead paint and asbestos testing was completed on 7/30/24. The program does not provide transportation. Upon arrival, I was greeted by Ms. Thompson. Children in classroom space 1 were engaged in a whole group math lesson, identifying numbers and rote counting. Children in classroom space 2 were exploring playdoh with various tools and cookie cutters. In classroom space 3, children were drawing pictures with sidewalk chalk on black construction paper. In classroom space 4 children listened to a story read by the children and identified feelings of the characters. In classroom space 5, children explored playdoh and molded it into various shapes. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of Clorox wipes was observed on top of the cubbies in classroom space 2, accessible to children. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Flexible plastic wipes containers that listed warnings about suffocation and choking were accessible to children in the hallway bathroom. .0604(q) Technical assistance was provided as follows: Item #858: The wipes were moved out of reach of children during the visit today. This is corrected. We discussed that some wipes containers do not have a choking hazard warning, but some do. Moving forward, plan to screen all wipes containers before storing below five feet from the ground. Item #840 The container was moved to locked storage during the visit today. This is corrected. Moving forward, plan to screen the classroom to ensure all cleaning materials are placed five feet off the ground or in locked storage, according to the warnings. The hazardous material storage document is attached to the email containing this visit summary. You can share this document with staff as needed. Consultation is provided as follows: We discussed the requirements for children’s emergency medical care information. We clarified the following information must be updated annually according to rule .0802 (c): (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. We discussed landscape fabric is beginning to show through the gravel on the large playground. Plan to monitor the exposed fabric to ensure a tripping hazard is not formed. We discussed updating the First Aid Poster. Plan to visit https://healthychildcare.unc.edu/resources/posters/ to order the updated First Aid poster. Criminal Background Check Provider Portal: 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. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-106 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/6/2025 Number Present: 75 Completed Date: 2/6/2025 Age: From 2 To 5 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Thompson and Blair Cornette, Administrator/Preschool Teacher, were present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 2/6/25. Permit type – Notice of compliance GS 110-106 issued 11/26/21. Special Services/Restrictions – 1st shift (daytime care). Serves children ages 1-7. The last annual compliance visit was conducted on 6/6/24. The last fire drill was practiced on 1/17/25. The last lockdown drill was practiced on 12/19/24. The last fire inspection was approved on 11/4/24. The last sanitation inspection was conducted on 1/23/25 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I was greeted by Ms. Thompson. In classroom space 1, children were engaged in a large group, teacher-led, paint mixing activity. In classroom space 2, children were engaged in a large group, teacher-led letter activity in which yarn was cut and glued into a “Y” shape. In classroom space 3, children transitioned from the bathroom to the gym for gross motor activities. In classroom space 5, children were engaged in a large group, teacher-led letter activity in which yarn was cut and glued into a “Y” shape. In classroom space 4, children read books with peers. Interactions were positive and nurturing. Children were actively supervised at all times. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Fabric covering the wood on a rock wall climber on playground space 1 is torn, posing a possible tripping hazard. The grass and dirt on the mounded climbers on playground space 1 has worn down, exposing sharp edges on the rocks on either side. .0601(c) Technical assistance was provided as follows: Item #705 Playground: To reach compliance with this item, plan to remove the fabric from the climber. The wood underneath is in good condition and did not appear to have any areas that are splintering or damaged. We discussed you can choose to cover the wood with new fabric to continue to protect the wood underneath. Additionally, to reach compliance with this item, plan to add dirt to the tops of the mounded climbers to cover the shaper edges of rocks. We discussed you will need a plan in place to ensure children do not use this area until repairs have been made. Include this plan in your letter of compliance. If the work is expected to take longer than fourteen (14) days, please send me an email requesting an extension by 2/16/25. In the email please include the new date you expect the work to be completed and a plan of temporary compliance to ensure children do not access the areas needing attention until the work is complete. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/20/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS Provider Portal: The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/6/2025 Number Present: 75 Completed Date: 2/6/2025 Age: From 2 To 5 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Thompson and Blair Cornette, Administrator/Preschool Teacher, were present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 2/6/25. Permit type – Notice of compliance GS 110-106 issued 11/26/21. Special Services/Restrictions – 1st shift (daytime care). Serves children ages 1-7. The last annual compliance visit was conducted on 6/6/24. The last fire drill was practiced on 1/17/25. The last lockdown drill was practiced on 12/19/24. The last fire inspection was approved on 11/4/24. The last sanitation inspection was conducted on 1/23/25 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I was greeted by Ms. Thompson. In classroom space 1, children were engaged in a large group, teacher-led, paint mixing activity. In classroom space 2, children were engaged in a large group, teacher-led letter activity in which yarn was cut and glued into a “Y” shape. In classroom space 3, children transitioned from the bathroom to the gym for gross motor activities. In classroom space 5, children were engaged in a large group, teacher-led letter activity in which yarn was cut and glued into a “Y” shape. In classroom space 4, children read books with peers. Interactions were positive and nurturing. Children were actively supervised at all times. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Fabric covering the wood on a rock wall climber on playground space 1 is torn, posing a possible tripping hazard. The grass and dirt on the mounded climbers on playground space 1 has worn down, exposing sharp edges on the rocks on either side. .0601(c) Technical assistance was provided as follows: Item #705 Playground: To reach compliance with this item, plan to remove the fabric from the climber. The wood underneath is in good condition and did not appear to have any areas that are splintering or damaged. We discussed you can choose to cover the wood with new fabric to continue to protect the wood underneath. Additionally, to reach compliance with this item, plan to add dirt to the tops of the mounded climbers to cover the shaper edges of rocks. We discussed you will need a plan in place to ensure children do not use this area until repairs have been made. Include this plan in your letter of compliance. If the work is expected to take longer than fourteen (14) days, please send me an email requesting an extension by 2/16/25. In the email please include the new date you expect the work to be completed and a plan of temporary compliance to ensure children do not access the areas needing attention until the work is complete. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/20/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS Provider Portal: The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/14/2023 Number Present: 60 Completed Date: 12/14/2023 Age: From 2 To 5 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Marian Thompson, Administrator, accompanied me today The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of 12/13/23. Permit type – GS 110-106 issued on 11/26/21. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 6/14/23. The last fire drill was practiced on 11/9/23. The last lockdown drill was practiced on 12/14/23. The last playground inspection was documented on 11/9/23. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 2/17/23 with twelve (12) demerits for superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I introduced myself and the purpose of the visit. I observed a group of two-to-three-year-old children in space #1. The children practiced for the Christmas event and returned to the classroom. Upon returning, the group of children used the bathroom. Two (2) teachers supervised the use of the bathroom and handwashing. Four (4) children were removed from the group by an additional staff member, and their diapers were changed. During the diaper change, the teacher sang songs with the children and supervised them. Handwashing and disinfecting of the changing table were completed appropriately. The changing room is located next to the bathroom. In spaces #2, #3, and #4, the group of children engaged in manipulative activities at the table and read books. The group of children took turns using the bathroom. The bathroom is located next to the entrance door. There are one (1) urinal and five (5) toilets. There are no bathrooms in the classrooms. Space #5 was not in use during the visit. Due to the large number of absences in the classroom due to illnesses, it is being cleaned and sanitized. The attending children for the classrooms joined different classrooms for the day. Some classrooms have more than the enrolled number of children present today due to this reason. Medications were monitored. There is no diaper ointment maintained at this facility currently. There are two (2) sets of emergency medications. Both Action plans and permission forms for the medications were in compliance. Two (2) playgrounds were monitored. No hazardous items were observed. The children bring all meals from home. Naptime was observed. The cots were adequately placed apart. Some dividers were used to separate some cots. Interaction and supervision were adequate. Six (6) existing staff files were monitored for criminal background letters and CPR/First aid certificates. Two (2) new staff members' files were monitored in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4, an extension cord was located on the shelf by the second entrance door without safety covers. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, two (2) containers of disinfecting wipes were located in a cabinet with a lock. The key to the lock was in the key hole and the cabinet was not locked. The disinfecting wipes were placed on the middle shelf under five (5) feet. .2820(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #4, a Keurig coffee machine was located on the shelf by the second entrance. .0604(e) Technical assistance was provided as follows: 812: Outlets All electrical outlets located under five (5) feet shall be covered with safety outlet covers, including extension outlet stands and extension cords. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in spaces used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 840: Disinfecting wipes: Disinfecting wipes shall be inaccessible to children. If a storage is locked, the key to the storage shall be maintained above five (5) feet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. 898: appliances with heating elements: No appliance with heating elements can be accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. Corrective Action Plan: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Statement of compliance I must receive your compliance statement by 12/28/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lip Smackers lip balms: Even though there are no warnings written on the products, there are many allergic reactions reported for various kinds of lip balms. Therefore, it is recommended that lip balms should be kept out of reach of children. Policy on Shaken Baby Syndrome and Abusive Head Trauma Prevention: During a discussion, a staff member mentioned being informed that the Health and Safety training regarding Shaken Baby Syndrome could fulfill the requirements for policy review for new staff members. The facility maintains a file containing all staff members' signatures, confirming acknowledgment of the policy. As a result of this statement, no violation was issued. Nevertheless, it is mandated that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy be reviewed by all new staff members before they assume responsibility for child care. Moving forward, it is imperative to ensure the policy review takes place prior to staff members caring for children. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/14/2023 Number Present: 60 Completed Date: 12/14/2023 Age: From 2 To 5 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Marian Thompson, Administrator, accompanied me today The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of 12/13/23. Permit type – GS 110-106 issued on 11/26/21. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 6/14/23. The last fire drill was practiced on 11/9/23. The last lockdown drill was practiced on 12/14/23. The last playground inspection was documented on 11/9/23. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 2/17/23 with twelve (12) demerits for superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I introduced myself and the purpose of the visit. I observed a group of two-to-three-year-old children in space #1. The children practiced for the Christmas event and returned to the classroom. Upon returning, the group of children used the bathroom. Two (2) teachers supervised the use of the bathroom and handwashing. Four (4) children were removed from the group by an additional staff member, and their diapers were changed. During the diaper change, the teacher sang songs with the children and supervised them. Handwashing and disinfecting of the changing table were completed appropriately. The changing room is located next to the bathroom. In spaces #2, #3, and #4, the group of children engaged in manipulative activities at the table and read books. The group of children took turns using the bathroom. The bathroom is located next to the entrance door. There are one (1) urinal and five (5) toilets. There are no bathrooms in the classrooms. Space #5 was not in use during the visit. Due to the large number of absences in the classroom due to illnesses, it is being cleaned and sanitized. The attending children for the classrooms joined different classrooms for the day. Some classrooms have more than the enrolled number of children present today due to this reason. Medications were monitored. There is no diaper ointment maintained at this facility currently. There are two (2) sets of emergency medications. Both Action plans and permission forms for the medications were in compliance. Two (2) playgrounds were monitored. No hazardous items were observed. The children bring all meals from home. Naptime was observed. The cots were adequately placed apart. Some dividers were used to separate some cots. Interaction and supervision were adequate. Six (6) existing staff files were monitored for criminal background letters and CPR/First aid certificates. Two (2) new staff members' files were monitored in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4, an extension cord was located on the shelf by the second entrance door without safety covers. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, two (2) containers of disinfecting wipes were located in a cabinet with a lock. The key to the lock was in the key hole and the cabinet was not locked. The disinfecting wipes were placed on the middle shelf under five (5) feet. .2820(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #4, a Keurig coffee machine was located on the shelf by the second entrance. .0604(e) Technical assistance was provided as follows: 812: Outlets All electrical outlets located under five (5) feet shall be covered with safety outlet covers, including extension outlet stands and extension cords. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in spaces used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 840: Disinfecting wipes: Disinfecting wipes shall be inaccessible to children. If a storage is locked, the key to the storage shall be maintained above five (5) feet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. 898: appliances with heating elements: No appliance with heating elements can be accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. Corrective Action Plan: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Statement of compliance I must receive your compliance statement by 12/28/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lip Smackers lip balms: Even though there are no warnings written on the products, there are many allergic reactions reported for various kinds of lip balms. Therefore, it is recommended that lip balms should be kept out of reach of children. Policy on Shaken Baby Syndrome and Abusive Head Trauma Prevention: During a discussion, a staff member mentioned being informed that the Health and Safety training regarding Shaken Baby Syndrome could fulfill the requirements for policy review for new staff members. The facility maintains a file containing all staff members' signatures, confirming acknowledgment of the policy. As a result of this statement, no violation was issued. Nevertheless, it is mandated that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy be reviewed by all new staff members before they assume responsibility for child care. Moving forward, it is imperative to ensure the policy review takes place prior to staff members caring for children. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/14/2023 Number Present: 60 Completed Date: 12/14/2023 Age: From 2 To 5 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Marian Thompson, Administrator, accompanied me today The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of 12/13/23. Permit type – GS 110-106 issued on 11/26/21. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 6/14/23. The last fire drill was practiced on 11/9/23. The last lockdown drill was practiced on 12/14/23. The last playground inspection was documented on 11/9/23. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 2/17/23 with twelve (12) demerits for superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I introduced myself and the purpose of the visit. I observed a group of two-to-three-year-old children in space #1. The children practiced for the Christmas event and returned to the classroom. Upon returning, the group of children used the bathroom. Two (2) teachers supervised the use of the bathroom and handwashing. Four (4) children were removed from the group by an additional staff member, and their diapers were changed. During the diaper change, the teacher sang songs with the children and supervised them. Handwashing and disinfecting of the changing table were completed appropriately. The changing room is located next to the bathroom. In spaces #2, #3, and #4, the group of children engaged in manipulative activities at the table and read books. The group of children took turns using the bathroom. The bathroom is located next to the entrance door. There are one (1) urinal and five (5) toilets. There are no bathrooms in the classrooms. Space #5 was not in use during the visit. Due to the large number of absences in the classroom due to illnesses, it is being cleaned and sanitized. The attending children for the classrooms joined different classrooms for the day. Some classrooms have more than the enrolled number of children present today due to this reason. Medications were monitored. There is no diaper ointment maintained at this facility currently. There are two (2) sets of emergency medications. Both Action plans and permission forms for the medications were in compliance. Two (2) playgrounds were monitored. No hazardous items were observed. The children bring all meals from home. Naptime was observed. The cots were adequately placed apart. Some dividers were used to separate some cots. Interaction and supervision were adequate. Six (6) existing staff files were monitored for criminal background letters and CPR/First aid certificates. Two (2) new staff members' files were monitored in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4, an extension cord was located on the shelf by the second entrance door without safety covers. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, two (2) containers of disinfecting wipes were located in a cabinet with a lock. The key to the lock was in the key hole and the cabinet was not locked. The disinfecting wipes were placed on the middle shelf under five (5) feet. .2820(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #4, a Keurig coffee machine was located on the shelf by the second entrance. .0604(e) Technical assistance was provided as follows: 812: Outlets All electrical outlets located under five (5) feet shall be covered with safety outlet covers, including extension outlet stands and extension cords. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in spaces used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 840: Disinfecting wipes: Disinfecting wipes shall be inaccessible to children. If a storage is locked, the key to the storage shall be maintained above five (5) feet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. 898: appliances with heating elements: No appliance with heating elements can be accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. Corrective Action Plan: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Statement of compliance I must receive your compliance statement by 12/28/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lip Smackers lip balms: Even though there are no warnings written on the products, there are many allergic reactions reported for various kinds of lip balms. Therefore, it is recommended that lip balms should be kept out of reach of children. Policy on Shaken Baby Syndrome and Abusive Head Trauma Prevention: During a discussion, a staff member mentioned being informed that the Health and Safety training regarding Shaken Baby Syndrome could fulfill the requirements for policy review for new staff members. The facility maintains a file containing all staff members' signatures, confirming acknowledgment of the policy. As a result of this statement, no violation was issued. Nevertheless, it is mandated that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy be reviewed by all new staff members before they assume responsibility for child care. Moving forward, it is imperative to ensure the policy review takes place prior to staff members caring for children. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/14/2023 Number Present: 60 Completed Date: 12/14/2023 Age: From 2 To 5 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Marian Thompson, Administrator, accompanied me today The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of 12/13/23. Permit type – GS 110-106 issued on 11/26/21. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 6/14/23. The last fire drill was practiced on 11/9/23. The last lockdown drill was practiced on 12/14/23. The last playground inspection was documented on 11/9/23. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 2/17/23 with twelve (12) demerits for superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I introduced myself and the purpose of the visit. I observed a group of two-to-three-year-old children in space #1. The children practiced for the Christmas event and returned to the classroom. Upon returning, the group of children used the bathroom. Two (2) teachers supervised the use of the bathroom and handwashing. Four (4) children were removed from the group by an additional staff member, and their diapers were changed. During the diaper change, the teacher sang songs with the children and supervised them. Handwashing and disinfecting of the changing table were completed appropriately. The changing room is located next to the bathroom. In spaces #2, #3, and #4, the group of children engaged in manipulative activities at the table and read books. The group of children took turns using the bathroom. The bathroom is located next to the entrance door. There are one (1) urinal and five (5) toilets. There are no bathrooms in the classrooms. Space #5 was not in use during the visit. Due to the large number of absences in the classroom due to illnesses, it is being cleaned and sanitized. The attending children for the classrooms joined different classrooms for the day. Some classrooms have more than the enrolled number of children present today due to this reason. Medications were monitored. There is no diaper ointment maintained at this facility currently. There are two (2) sets of emergency medications. Both Action plans and permission forms for the medications were in compliance. Two (2) playgrounds were monitored. No hazardous items were observed. The children bring all meals from home. Naptime was observed. The cots were adequately placed apart. Some dividers were used to separate some cots. Interaction and supervision were adequate. Six (6) existing staff files were monitored for criminal background letters and CPR/First aid certificates. Two (2) new staff members' files were monitored in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4, an extension cord was located on the shelf by the second entrance door without safety covers. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, two (2) containers of disinfecting wipes were located in a cabinet with a lock. The key to the lock was in the key hole and the cabinet was not locked. The disinfecting wipes were placed on the middle shelf under five (5) feet. .2820(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #4, a Keurig coffee machine was located on the shelf by the second entrance. .0604(e) Technical assistance was provided as follows: 812: Outlets All electrical outlets located under five (5) feet shall be covered with safety outlet covers, including extension outlet stands and extension cords. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in spaces used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 840: Disinfecting wipes: Disinfecting wipes shall be inaccessible to children. If a storage is locked, the key to the storage shall be maintained above five (5) feet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. 898: appliances with heating elements: No appliance with heating elements can be accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. Corrective Action Plan: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Statement of compliance I must receive your compliance statement by 12/28/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lip Smackers lip balms: Even though there are no warnings written on the products, there are many allergic reactions reported for various kinds of lip balms. Therefore, it is recommended that lip balms should be kept out of reach of children. Policy on Shaken Baby Syndrome and Abusive Head Trauma Prevention: During a discussion, a staff member mentioned being informed that the Health and Safety training regarding Shaken Baby Syndrome could fulfill the requirements for policy review for new staff members. The facility maintains a file containing all staff members' signatures, confirming acknowledgment of the policy. As a result of this statement, no violation was issued. Nevertheless, it is mandated that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy be reviewed by all new staff members before they assume responsibility for child care. Moving forward, it is imperative to ensure the policy review takes place prior to staff members caring for children. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/14/2023 Number Present: 60 Completed Date: 12/14/2023 Age: From 2 To 5 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Marian Thompson, Administrator, accompanied me today The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of 12/13/23. Permit type – GS 110-106 issued on 11/26/21. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 6/14/23. The last fire drill was practiced on 11/9/23. The last lockdown drill was practiced on 12/14/23. The last playground inspection was documented on 11/9/23. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 2/17/23 with twelve (12) demerits for superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I introduced myself and the purpose of the visit. I observed a group of two-to-three-year-old children in space #1. The children practiced for the Christmas event and returned to the classroom. Upon returning, the group of children used the bathroom. Two (2) teachers supervised the use of the bathroom and handwashing. Four (4) children were removed from the group by an additional staff member, and their diapers were changed. During the diaper change, the teacher sang songs with the children and supervised them. Handwashing and disinfecting of the changing table were completed appropriately. The changing room is located next to the bathroom. In spaces #2, #3, and #4, the group of children engaged in manipulative activities at the table and read books. The group of children took turns using the bathroom. The bathroom is located next to the entrance door. There are one (1) urinal and five (5) toilets. There are no bathrooms in the classrooms. Space #5 was not in use during the visit. Due to the large number of absences in the classroom due to illnesses, it is being cleaned and sanitized. The attending children for the classrooms joined different classrooms for the day. Some classrooms have more than the enrolled number of children present today due to this reason. Medications were monitored. There is no diaper ointment maintained at this facility currently. There are two (2) sets of emergency medications. Both Action plans and permission forms for the medications were in compliance. Two (2) playgrounds were monitored. No hazardous items were observed. The children bring all meals from home. Naptime was observed. The cots were adequately placed apart. Some dividers were used to separate some cots. Interaction and supervision were adequate. Six (6) existing staff files were monitored for criminal background letters and CPR/First aid certificates. Two (2) new staff members' files were monitored in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4, an extension cord was located on the shelf by the second entrance door without safety covers. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, two (2) containers of disinfecting wipes were located in a cabinet with a lock. The key to the lock was in the key hole and the cabinet was not locked. The disinfecting wipes were placed on the middle shelf under five (5) feet. .2820(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #4, a Keurig coffee machine was located on the shelf by the second entrance. .0604(e) Technical assistance was provided as follows: 812: Outlets All electrical outlets located under five (5) feet shall be covered with safety outlet covers, including extension outlet stands and extension cords. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in spaces used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 840: Disinfecting wipes: Disinfecting wipes shall be inaccessible to children. If a storage is locked, the key to the storage shall be maintained above five (5) feet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. 898: appliances with heating elements: No appliance with heating elements can be accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. Corrective Action Plan: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Statement of compliance I must receive your compliance statement by 12/28/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lip Smackers lip balms: Even though there are no warnings written on the products, there are many allergic reactions reported for various kinds of lip balms. Therefore, it is recommended that lip balms should be kept out of reach of children. Policy on Shaken Baby Syndrome and Abusive Head Trauma Prevention: During a discussion, a staff member mentioned being informed that the Health and Safety training regarding Shaken Baby Syndrome could fulfill the requirements for policy review for new staff members. The facility maintains a file containing all staff members' signatures, confirming acknowledgment of the policy. As a result of this statement, no violation was issued. Nevertheless, it is mandated that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy be reviewed by all new staff members before they assume responsibility for child care. Moving forward, it is imperative to ensure the policy review takes place prior to staff members caring for children. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-106 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/14/2023 Number Present: 60 Completed Date: 12/14/2023 Age: From 2 To 5 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Marian Thompson, Administrator, accompanied me today The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of 12/13/23. Permit type – GS 110-106 issued on 11/26/21. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 6/14/23. The last fire drill was practiced on 11/9/23. The last lockdown drill was practiced on 12/14/23. The last playground inspection was documented on 11/9/23. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 2/17/23 with twelve (12) demerits for superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I introduced myself and the purpose of the visit. I observed a group of two-to-three-year-old children in space #1. The children practiced for the Christmas event and returned to the classroom. Upon returning, the group of children used the bathroom. Two (2) teachers supervised the use of the bathroom and handwashing. Four (4) children were removed from the group by an additional staff member, and their diapers were changed. During the diaper change, the teacher sang songs with the children and supervised them. Handwashing and disinfecting of the changing table were completed appropriately. The changing room is located next to the bathroom. In spaces #2, #3, and #4, the group of children engaged in manipulative activities at the table and read books. The group of children took turns using the bathroom. The bathroom is located next to the entrance door. There are one (1) urinal and five (5) toilets. There are no bathrooms in the classrooms. Space #5 was not in use during the visit. Due to the large number of absences in the classroom due to illnesses, it is being cleaned and sanitized. The attending children for the classrooms joined different classrooms for the day. Some classrooms have more than the enrolled number of children present today due to this reason. Medications were monitored. There is no diaper ointment maintained at this facility currently. There are two (2) sets of emergency medications. Both Action plans and permission forms for the medications were in compliance. Two (2) playgrounds were monitored. No hazardous items were observed. The children bring all meals from home. Naptime was observed. The cots were adequately placed apart. Some dividers were used to separate some cots. Interaction and supervision were adequate. Six (6) existing staff files were monitored for criminal background letters and CPR/First aid certificates. Two (2) new staff members' files were monitored in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4, an extension cord was located on the shelf by the second entrance door without safety covers. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, two (2) containers of disinfecting wipes were located in a cabinet with a lock. The key to the lock was in the key hole and the cabinet was not locked. The disinfecting wipes were placed on the middle shelf under five (5) feet. .2820(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #4, a Keurig coffee machine was located on the shelf by the second entrance. .0604(e) Technical assistance was provided as follows: 812: Outlets All electrical outlets located under five (5) feet shall be covered with safety outlet covers, including extension outlet stands and extension cords. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in spaces used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 840: Disinfecting wipes: Disinfecting wipes shall be inaccessible to children. If a storage is locked, the key to the storage shall be maintained above five (5) feet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. 898: appliances with heating elements: No appliance with heating elements can be accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. Corrective Action Plan: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Statement of compliance I must receive your compliance statement by 12/28/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lip Smackers lip balms: Even though there are no warnings written on the products, there are many allergic reactions reported for various kinds of lip balms. Therefore, it is recommended that lip balms should be kept out of reach of children. Policy on Shaken Baby Syndrome and Abusive Head Trauma Prevention: During a discussion, a staff member mentioned being informed that the Health and Safety training regarding Shaken Baby Syndrome could fulfill the requirements for policy review for new staff members. The facility maintains a file containing all staff members' signatures, confirming acknowledgment of the policy. As a result of this statement, no violation was issued. Nevertheless, it is mandated that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy be reviewed by all new staff members before they assume responsibility for child care. Moving forward, it is imperative to ensure the policy review takes place prior to staff members caring for children. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GROWING IN GRACE PRESCHOOL Facility ID: 11000880 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/14/2023 Number Present: 60 Completed Date: 12/14/2023 Age: From 2 To 5 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Marian Thompson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Marian Thompson, Administrator, accompanied me today The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of 12/13/23. Permit type – GS 110-106 issued on 11/26/21. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 6/14/23. The last fire drill was practiced on 11/9/23. The last lockdown drill was practiced on 12/14/23. The last playground inspection was documented on 11/9/23. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 2/17/23 with twelve (12) demerits for superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I introduced myself and the purpose of the visit. I observed a group of two-to-three-year-old children in space #1. The children practiced for the Christmas event and returned to the classroom. Upon returning, the group of children used the bathroom. Two (2) teachers supervised the use of the bathroom and handwashing. Four (4) children were removed from the group by an additional staff member, and their diapers were changed. During the diaper change, the teacher sang songs with the children and supervised them. Handwashing and disinfecting of the changing table were completed appropriately. The changing room is located next to the bathroom. In spaces #2, #3, and #4, the group of children engaged in manipulative activities at the table and read books. The group of children took turns using the bathroom. The bathroom is located next to the entrance door. There are one (1) urinal and five (5) toilets. There are no bathrooms in the classrooms. Space #5 was not in use during the visit. Due to the large number of absences in the classroom due to illnesses, it is being cleaned and sanitized. The attending children for the classrooms joined different classrooms for the day. Some classrooms have more than the enrolled number of children present today due to this reason. Medications were monitored. There is no diaper ointment maintained at this facility currently. There are two (2) sets of emergency medications. Both Action plans and permission forms for the medications were in compliance. Two (2) playgrounds were monitored. No hazardous items were observed. The children bring all meals from home. Naptime was observed. The cots were adequately placed apart. Some dividers were used to separate some cots. Interaction and supervision were adequate. Six (6) existing staff files were monitored for criminal background letters and CPR/First aid certificates. Two (2) new staff members' files were monitored in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4, an extension cord was located on the shelf by the second entrance door without safety covers. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, two (2) containers of disinfecting wipes were located in a cabinet with a lock. The key to the lock was in the key hole and the cabinet was not locked. The disinfecting wipes were placed on the middle shelf under five (5) feet. .2820(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #4, a Keurig coffee machine was located on the shelf by the second entrance. .0604(e) Technical assistance was provided as follows: 812: Outlets All electrical outlets located under five (5) feet shall be covered with safety outlet covers, including extension outlet stands and extension cords. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in spaces used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 840: Disinfecting wipes: Disinfecting wipes shall be inaccessible to children. If a storage is locked, the key to the storage shall be maintained above five (5) feet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. 898: appliances with heating elements: No appliance with heating elements can be accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. Corrective Action Plan: 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. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Statement of compliance I must receive your compliance statement by 12/28/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lip Smackers lip balms: Even though there are no warnings written on the products, there are many allergic reactions reported for various kinds of lip balms. Therefore, it is recommended that lip balms should be kept out of reach of children. Policy on Shaken Baby Syndrome and Abusive Head Trauma Prevention: During a discussion, a staff member mentioned being informed that the Health and Safety training regarding Shaken Baby Syndrome could fulfill the requirements for policy review for new staff members. The facility maintains a file containing all staff members' signatures, confirming acknowledgment of the policy. As a result of this statement, no violation was issued. Nevertheless, it is mandated that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy be reviewed by all new staff members before they assume responsibility for child care. Moving forward, it is imperative to ensure the policy review takes place prior to staff members caring for children. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times