Living Savior Preschool

10A NCAC 09 .0304 · Violation

Name of Operation: LIVING SAVIOR PRESCHOOL Facility ID: 11000766 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 28 Completed Date: 2/6/2026 Age: From 3 To 5 Total Minutes: 145 Time In: 09:05 AM Time Out: 11:30 AM 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, Kaoru Eddins Child Care Consultant and also signed by Eva Krauss, Administrator during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Krauss was available during the visit. 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-nine (99) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Living Savior Evangelical Lutheran Church, is current/active as of 2/5/26. Permit type – GS 110-106 issued on 5/13/21. Special Services/Restrictions – daytime care. The last annual compliance visit was conducted on 3/5/25. The last fire drill was practiced on 1/8/26. The last shelter-in-place drill was practiced on 1/6/26. The last playground inspection was documented on 1/9/26 The last fire inspection was approved on 8/19/25. The last sanitation inspection was conducted on 9/18/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/19/23 without hazards. Lead paint and asbestos testing was completed on 6/3/25. Incident log was current. Upon arrival, I announced my presence and the purpose of the visit. A total of nineteen (19) children, four (4) and five (5) years of age, were present for West Classroom/Outer Pod. The group was separated into two (2) groups and nine (9) children remained in the West Classroom and ten (10) children worked on small group activity and free played in the Outer Pod. In the West Classroom, nine (9) children created shape bears by cutting circles, ovals, and squares and gluing them together to form a bear with teacher prompts. The children then decorated their work, creating 3-D art representations of hibernating bears. In the Outer Pod, ten (10) children created patterns using cut out pieces of mailboxes, heart pictures and letters. They also engaged in free play with pretend kitchen and food. In space #2, a group of nine (9) children, three (3) to five (5) years of age, with two (2) staff members played on the playground. The children ran around and played with left over snow on the playground. There were over-the-counter medications, lotions/creams and lip balms were maintained in the classrooms. Permission forms were valid and storage was adequate. The playground was monitored. Due to frozen ground, mulch was unable to be measured, but it looked sufficient visually. No safety hazards were observed. Supervision on the playground was sufficient as one (1) staff member stood at the corner to monitor the L-shaped playground. Interaction with children and general supervision indoor were also adequate. Three (3) children’s files and two (2) staff files were monitored. Nutrition opt-out forms were maintained in all children’s files as no meals are served at the facility. 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 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid certificate was not maintained in the staff file for one (1) staff member with the hiring date of 8/2/23. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR certificate was not maintained in the staff file for one (1) staff member with the hiring date of 8/2/23. .1102(d) Technical assistance was provided as follows: 1048: First Aid 1049: CPR First aid and CPR certificates must be maintained in staff files. Both certificates were printed and filed during the visit. Due to all violations being corrected during the visit, you do not have to submit a compliance letter. Consultation is provided as follows: We discussed new pastor at the church. The pastor is the owner representative for this program. There is a new pastor, and the paperwork must be updated. Facility profile, Appendices F and I and legal designee form was emailed to Ms. Krauss on 1/20/26. We discuss that the representative must complete the DCDEE criminal background check as soon as possible. Please submit Appendices and application as soon as you complete them. 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 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 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: LIVING SAVIOR PRESCHOOL Facility ID: 11000766 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 28 Completed Date: 2/6/2026 Age: From 3 To 5 Total Minutes: 145 Time In: 09:05 AM Time Out: 11:30 AM 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, Kaoru Eddins Child Care Consultant and also signed by Eva Krauss, Administrator during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Krauss was available during the visit. 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-nine (99) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Living Savior Evangelical Lutheran Church, is current/active as of 2/5/26. Permit type – GS 110-106 issued on 5/13/21. Special Services/Restrictions – daytime care. The last annual compliance visit was conducted on 3/5/25. The last fire drill was practiced on 1/8/26. The last shelter-in-place drill was practiced on 1/6/26. The last playground inspection was documented on 1/9/26 The last fire inspection was approved on 8/19/25. The last sanitation inspection was conducted on 9/18/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/19/23 without hazards. Lead paint and asbestos testing was completed on 6/3/25. Incident log was current. Upon arrival, I announced my presence and the purpose of the visit. A total of nineteen (19) children, four (4) and five (5) years of age, were present for West Classroom/Outer Pod. The group was separated into two (2) groups and nine (9) children remained in the West Classroom and ten (10) children worked on small group activity and free played in the Outer Pod. In the West Classroom, nine (9) children created shape bears by cutting circles, ovals, and squares and gluing them together to form a bear with teacher prompts. The children then decorated their work, creating 3-D art representations of hibernating bears. In the Outer Pod, ten (10) children created patterns using cut out pieces of mailboxes, heart pictures and letters. They also engaged in free play with pretend kitchen and food. In space #2, a group of nine (9) children, three (3) to five (5) years of age, with two (2) staff members played on the playground. The children ran around and played with left over snow on the playground. There were over-the-counter medications, lotions/creams and lip balms were maintained in the classrooms. Permission forms were valid and storage was adequate. The playground was monitored. Due to frozen ground, mulch was unable to be measured, but it looked sufficient visually. No safety hazards were observed. Supervision on the playground was sufficient as one (1) staff member stood at the corner to monitor the L-shaped playground. Interaction with children and general supervision indoor were also adequate. Three (3) children’s files and two (2) staff files were monitored. Nutrition opt-out forms were maintained in all children’s files as no meals are served at the facility. 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 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid certificate was not maintained in the staff file for one (1) staff member with the hiring date of 8/2/23. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR certificate was not maintained in the staff file for one (1) staff member with the hiring date of 8/2/23. .1102(d) Technical assistance was provided as follows: 1048: First Aid 1049: CPR First aid and CPR certificates must be maintained in staff files. Both certificates were printed and filed during the visit. Due to all violations being corrected during the visit, you do not have to submit a compliance letter. Consultation is provided as follows: We discussed new pastor at the church. The pastor is the owner representative for this program. There is a new pastor, and the paperwork must be updated. Facility profile, Appendices F and I and legal designee form was emailed to Ms. Krauss on 1/20/26. We discuss that the representative must complete the DCDEE criminal background check as soon as possible. Please submit Appendices and application as soon as you complete them. 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 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 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: LIVING SAVIOR PRESCHOOL Facility ID: 11000766 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 28 Completed Date: 2/6/2026 Age: From 3 To 5 Total Minutes: 145 Time In: 09:05 AM Time Out: 11:30 AM 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, Kaoru Eddins Child Care Consultant and also signed by Eva Krauss, Administrator during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Krauss was available during the visit. 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-nine (99) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Living Savior Evangelical Lutheran Church, is current/active as of 2/5/26. Permit type – GS 110-106 issued on 5/13/21. Special Services/Restrictions – daytime care. The last annual compliance visit was conducted on 3/5/25. The last fire drill was practiced on 1/8/26. The last shelter-in-place drill was practiced on 1/6/26. The last playground inspection was documented on 1/9/26 The last fire inspection was approved on 8/19/25. The last sanitation inspection was conducted on 9/18/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/19/23 without hazards. Lead paint and asbestos testing was completed on 6/3/25. Incident log was current. Upon arrival, I announced my presence and the purpose of the visit. A total of nineteen (19) children, four (4) and five (5) years of age, were present for West Classroom/Outer Pod. The group was separated into two (2) groups and nine (9) children remained in the West Classroom and ten (10) children worked on small group activity and free played in the Outer Pod. In the West Classroom, nine (9) children created shape bears by cutting circles, ovals, and squares and gluing them together to form a bear with teacher prompts. The children then decorated their work, creating 3-D art representations of hibernating bears. In the Outer Pod, ten (10) children created patterns using cut out pieces of mailboxes, heart pictures and letters. They also engaged in free play with pretend kitchen and food. In space #2, a group of nine (9) children, three (3) to five (5) years of age, with two (2) staff members played on the playground. The children ran around and played with left over snow on the playground. There were over-the-counter medications, lotions/creams and lip balms were maintained in the classrooms. Permission forms were valid and storage was adequate. The playground was monitored. Due to frozen ground, mulch was unable to be measured, but it looked sufficient visually. No safety hazards were observed. Supervision on the playground was sufficient as one (1) staff member stood at the corner to monitor the L-shaped playground. Interaction with children and general supervision indoor were also adequate. Three (3) children’s files and two (2) staff files were monitored. Nutrition opt-out forms were maintained in all children’s files as no meals are served at the facility. 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 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid certificate was not maintained in the staff file for one (1) staff member with the hiring date of 8/2/23. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR certificate was not maintained in the staff file for one (1) staff member with the hiring date of 8/2/23. .1102(d) Technical assistance was provided as follows: 1048: First Aid 1049: CPR First aid and CPR certificates must be maintained in staff files. Both certificates were printed and filed during the visit. Due to all violations being corrected during the visit, you do not have to submit a compliance letter. Consultation is provided as follows: We discussed new pastor at the church. The pastor is the owner representative for this program. There is a new pastor, and the paperwork must be updated. Facility profile, Appendices F and I and legal designee form was emailed to Ms. Krauss on 1/20/26. We discuss that the representative must complete the DCDEE criminal background check as soon as possible. Please submit Appendices and application as soon as you complete them. 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 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 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: LIVING SAVIOR PRESCHOOL Facility ID: 11000766 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 28 Completed Date: 2/6/2026 Age: From 3 To 5 Total Minutes: 145 Time In: 09:05 AM Time Out: 11:30 AM 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, Kaoru Eddins Child Care Consultant and also signed by Eva Krauss, Administrator during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Krauss was available during the visit. 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-nine (99) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Living Savior Evangelical Lutheran Church, is current/active as of 2/5/26. Permit type – GS 110-106 issued on 5/13/21. Special Services/Restrictions – daytime care. The last annual compliance visit was conducted on 3/5/25. The last fire drill was practiced on 1/8/26. The last shelter-in-place drill was practiced on 1/6/26. The last playground inspection was documented on 1/9/26 The last fire inspection was approved on 8/19/25. The last sanitation inspection was conducted on 9/18/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/19/23 without hazards. Lead paint and asbestos testing was completed on 6/3/25. Incident log was current. Upon arrival, I announced my presence and the purpose of the visit. A total of nineteen (19) children, four (4) and five (5) years of age, were present for West Classroom/Outer Pod. The group was separated into two (2) groups and nine (9) children remained in the West Classroom and ten (10) children worked on small group activity and free played in the Outer Pod. In the West Classroom, nine (9) children created shape bears by cutting circles, ovals, and squares and gluing them together to form a bear with teacher prompts. The children then decorated their work, creating 3-D art representations of hibernating bears. In the Outer Pod, ten (10) children created patterns using cut out pieces of mailboxes, heart pictures and letters. They also engaged in free play with pretend kitchen and food. In space #2, a group of nine (9) children, three (3) to five (5) years of age, with two (2) staff members played on the playground. The children ran around and played with left over snow on the playground. There were over-the-counter medications, lotions/creams and lip balms were maintained in the classrooms. Permission forms were valid and storage was adequate. The playground was monitored. Due to frozen ground, mulch was unable to be measured, but it looked sufficient visually. No safety hazards were observed. Supervision on the playground was sufficient as one (1) staff member stood at the corner to monitor the L-shaped playground. Interaction with children and general supervision indoor were also adequate. Three (3) children’s files and two (2) staff files were monitored. Nutrition opt-out forms were maintained in all children’s files as no meals are served at the facility. 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 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid certificate was not maintained in the staff file for one (1) staff member with the hiring date of 8/2/23. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR certificate was not maintained in the staff file for one (1) staff member with the hiring date of 8/2/23. .1102(d) Technical assistance was provided as follows: 1048: First Aid 1049: CPR First aid and CPR certificates must be maintained in staff files. Both certificates were printed and filed during the visit. Due to all violations being corrected during the visit, you do not have to submit a compliance letter. Consultation is provided as follows: We discussed new pastor at the church. The pastor is the owner representative for this program. There is a new pastor, and the paperwork must be updated. Facility profile, Appendices F and I and legal designee form was emailed to Ms. Krauss on 1/20/26. We discuss that the representative must complete the DCDEE criminal background check as soon as possible. Please submit Appendices and application as soon as you complete them. 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 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 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: LIVING SAVIOR PRESCHOOL Facility ID: 11000766 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/5/2025 Number Present: 30 Completed Date: 3/5/2025 Age: From 3 To 6 Total Minutes: 153 Time In: 08:42 AM Time Out: 11:15 AM 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, Kaoru Eddins, Child Care Consultant and also signed by Eva Krauss during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Krauss was available during the visit. 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. 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 one hundred (100) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit Corporation , Living Savior Evangelical Lutheran Church is current/active as of 3/3/25. Permit type – G.S. 110- 106 issued on 5/13/21. Special Services/Restrictions – daytime care. The last annual compliance visit was conducted on 3/20/24. The last fire drill was practiced on 2/11/25, The last lockdown drill was practiced on 1/29/25. The last playground inspection was documented on 1/29/25. The last fire inspection was approved on 8/14/24. The last sanitation inspection was conducted on 12/3/24 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Incident logs were used. Upon arrival, I announced my presence and the purpose of my visit. Nineteen (19) children, ages four (4) to six (6), gathered in the Fellowship Hall for group time. They reviewed the weather, discussed their senses and emotions, and participated in various activities. After group time, the children were divided into two (2) groups: eleven (11) moved to the other side of the Fellowship Hall to draw pictures, while nine (9) engaged in free play in Space #1. In Space #2, a group of eleven (11) children, ages three (3) to four (4), were present. Four (4) adults were also in the room: two (2) regular classroom staff members, a substitute, and a therapist. The children engaged in free play with blocks and housekeeping materials. Afterward, they cleaned up their toys and gathered for group time. During group time, one of the teachers cleaned the tables and set up morning snacks. After washing their hands, the children sat at the table and ate their snacks. One (1) child had a bag of Pirate’s Booty and water, while another had dried pineapple, a Nutri-Grain bar, and water. Interactions and supervision were adequate. No medications were maintained at the facility. The playground was inspected. Mulch was measured for nine (9) inches by the slide structure. No safety hazards were observed. Three (3) children’s files were monitored during the visit. Per Ms. Krauss, no tobacco policy and parent participation plan are included in the handbook. The ABCMS system was monitored during the visit for staff members listed on the Staff and Training Worksheet. The Worksheet was submitted during the visit. All employed staff members listed on the worksheet have current criminal background letters. Two (2) existing staff members files were monitored. M. Mauney’s originally reviewed the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on 9/5/17. R. McHargue originally reviewed the policy on 8/2/23. 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 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playground inspection for February 2025 was not completed. .0605(q) Technical assistance was provided as follows: 859: Playground inspection Monthly playground inspections must be completed. The playground inspection was not completed for the month of February. It is easier to remember to conduct the inspection of the same day of the month, such as 1st Monday of the month, etc. Please refer to 10A NCAC 09 .0605(q). 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 3/19/25. 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: Criminal background requirements: We discussed the requirements for criminal background check. Only information required for the pastor for the Staff and Training Worksheet is the issue date of criminal background letter. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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) 814-8401 and someone will assist you. 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 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 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 .0605 · Violation

Name of Operation: LIVING SAVIOR PRESCHOOL Facility ID: 11000766 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/5/2025 Number Present: 30 Completed Date: 3/5/2025 Age: From 3 To 6 Total Minutes: 153 Time In: 08:42 AM Time Out: 11:15 AM 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, Kaoru Eddins, Child Care Consultant and also signed by Eva Krauss during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Krauss was available during the visit. 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. 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 one hundred (100) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit Corporation , Living Savior Evangelical Lutheran Church is current/active as of 3/3/25. Permit type – G.S. 110- 106 issued on 5/13/21. Special Services/Restrictions – daytime care. The last annual compliance visit was conducted on 3/20/24. The last fire drill was practiced on 2/11/25, The last lockdown drill was practiced on 1/29/25. The last playground inspection was documented on 1/29/25. The last fire inspection was approved on 8/14/24. The last sanitation inspection was conducted on 12/3/24 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Incident logs were used. Upon arrival, I announced my presence and the purpose of my visit. Nineteen (19) children, ages four (4) to six (6), gathered in the Fellowship Hall for group time. They reviewed the weather, discussed their senses and emotions, and participated in various activities. After group time, the children were divided into two (2) groups: eleven (11) moved to the other side of the Fellowship Hall to draw pictures, while nine (9) engaged in free play in Space #1. In Space #2, a group of eleven (11) children, ages three (3) to four (4), were present. Four (4) adults were also in the room: two (2) regular classroom staff members, a substitute, and a therapist. The children engaged in free play with blocks and housekeeping materials. Afterward, they cleaned up their toys and gathered for group time. During group time, one of the teachers cleaned the tables and set up morning snacks. After washing their hands, the children sat at the table and ate their snacks. One (1) child had a bag of Pirate’s Booty and water, while another had dried pineapple, a Nutri-Grain bar, and water. Interactions and supervision were adequate. No medications were maintained at the facility. The playground was inspected. Mulch was measured for nine (9) inches by the slide structure. No safety hazards were observed. Three (3) children’s files were monitored during the visit. Per Ms. Krauss, no tobacco policy and parent participation plan are included in the handbook. The ABCMS system was monitored during the visit for staff members listed on the Staff and Training Worksheet. The Worksheet was submitted during the visit. All employed staff members listed on the worksheet have current criminal background letters. Two (2) existing staff members files were monitored. M. Mauney’s originally reviewed the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on 9/5/17. R. McHargue originally reviewed the policy on 8/2/23. 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 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playground inspection for February 2025 was not completed. .0605(q) Technical assistance was provided as follows: 859: Playground inspection Monthly playground inspections must be completed. The playground inspection was not completed for the month of February. It is easier to remember to conduct the inspection of the same day of the month, such as 1st Monday of the month, etc. Please refer to 10A NCAC 09 .0605(q). 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 3/19/25. 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: Criminal background requirements: We discussed the requirements for criminal background check. Only information required for the pastor for the Staff and Training Worksheet is the issue date of criminal background letter. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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) 814-8401 and someone will assist you. 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 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 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: LIVING SAVIOR PRESCHOOL Facility ID: 11000766 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/5/2025 Number Present: 30 Completed Date: 3/5/2025 Age: From 3 To 6 Total Minutes: 153 Time In: 08:42 AM Time Out: 11:15 AM 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, Kaoru Eddins, Child Care Consultant and also signed by Eva Krauss during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Krauss was available during the visit. 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. 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 one hundred (100) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit Corporation , Living Savior Evangelical Lutheran Church is current/active as of 3/3/25. Permit type – G.S. 110- 106 issued on 5/13/21. Special Services/Restrictions – daytime care. The last annual compliance visit was conducted on 3/20/24. The last fire drill was practiced on 2/11/25, The last lockdown drill was practiced on 1/29/25. The last playground inspection was documented on 1/29/25. The last fire inspection was approved on 8/14/24. The last sanitation inspection was conducted on 12/3/24 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Incident logs were used. Upon arrival, I announced my presence and the purpose of my visit. Nineteen (19) children, ages four (4) to six (6), gathered in the Fellowship Hall for group time. They reviewed the weather, discussed their senses and emotions, and participated in various activities. After group time, the children were divided into two (2) groups: eleven (11) moved to the other side of the Fellowship Hall to draw pictures, while nine (9) engaged in free play in Space #1. In Space #2, a group of eleven (11) children, ages three (3) to four (4), were present. Four (4) adults were also in the room: two (2) regular classroom staff members, a substitute, and a therapist. The children engaged in free play with blocks and housekeeping materials. Afterward, they cleaned up their toys and gathered for group time. During group time, one of the teachers cleaned the tables and set up morning snacks. After washing their hands, the children sat at the table and ate their snacks. One (1) child had a bag of Pirate’s Booty and water, while another had dried pineapple, a Nutri-Grain bar, and water. Interactions and supervision were adequate. No medications were maintained at the facility. The playground was inspected. Mulch was measured for nine (9) inches by the slide structure. No safety hazards were observed. Three (3) children’s files were monitored during the visit. Per Ms. Krauss, no tobacco policy and parent participation plan are included in the handbook. The ABCMS system was monitored during the visit for staff members listed on the Staff and Training Worksheet. The Worksheet was submitted during the visit. All employed staff members listed on the worksheet have current criminal background letters. Two (2) existing staff members files were monitored. M. Mauney’s originally reviewed the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on 9/5/17. R. McHargue originally reviewed the policy on 8/2/23. 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 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playground inspection for February 2025 was not completed. .0605(q) Technical assistance was provided as follows: 859: Playground inspection Monthly playground inspections must be completed. The playground inspection was not completed for the month of February. It is easier to remember to conduct the inspection of the same day of the month, such as 1st Monday of the month, etc. Please refer to 10A NCAC 09 .0605(q). 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 3/19/25. 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: Criminal background requirements: We discussed the requirements for criminal background check. Only information required for the pastor for the Staff and Training Worksheet is the issue date of criminal background letter. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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) 814-8401 and someone will assist you. 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 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 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: LIVING SAVIOR PRESCHOOL Facility ID: 11000766 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/5/2025 Number Present: 30 Completed Date: 3/5/2025 Age: From 3 To 6 Total Minutes: 153 Time In: 08:42 AM Time Out: 11:15 AM 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, Kaoru Eddins, Child Care Consultant and also signed by Eva Krauss during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Krauss was available during the visit. 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. 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 one hundred (100) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit Corporation , Living Savior Evangelical Lutheran Church is current/active as of 3/3/25. Permit type – G.S. 110- 106 issued on 5/13/21. Special Services/Restrictions – daytime care. The last annual compliance visit was conducted on 3/20/24. The last fire drill was practiced on 2/11/25, The last lockdown drill was practiced on 1/29/25. The last playground inspection was documented on 1/29/25. The last fire inspection was approved on 8/14/24. The last sanitation inspection was conducted on 12/3/24 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Incident logs were used. Upon arrival, I announced my presence and the purpose of my visit. Nineteen (19) children, ages four (4) to six (6), gathered in the Fellowship Hall for group time. They reviewed the weather, discussed their senses and emotions, and participated in various activities. After group time, the children were divided into two (2) groups: eleven (11) moved to the other side of the Fellowship Hall to draw pictures, while nine (9) engaged in free play in Space #1. In Space #2, a group of eleven (11) children, ages three (3) to four (4), were present. Four (4) adults were also in the room: two (2) regular classroom staff members, a substitute, and a therapist. The children engaged in free play with blocks and housekeeping materials. Afterward, they cleaned up their toys and gathered for group time. During group time, one of the teachers cleaned the tables and set up morning snacks. After washing their hands, the children sat at the table and ate their snacks. One (1) child had a bag of Pirate’s Booty and water, while another had dried pineapple, a Nutri-Grain bar, and water. Interactions and supervision were adequate. No medications were maintained at the facility. The playground was inspected. Mulch was measured for nine (9) inches by the slide structure. No safety hazards were observed. Three (3) children’s files were monitored during the visit. Per Ms. Krauss, no tobacco policy and parent participation plan are included in the handbook. The ABCMS system was monitored during the visit for staff members listed on the Staff and Training Worksheet. The Worksheet was submitted during the visit. All employed staff members listed on the worksheet have current criminal background letters. Two (2) existing staff members files were monitored. M. Mauney’s originally reviewed the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on 9/5/17. R. McHargue originally reviewed the policy on 8/2/23. 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 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playground inspection for February 2025 was not completed. .0605(q) Technical assistance was provided as follows: 859: Playground inspection Monthly playground inspections must be completed. The playground inspection was not completed for the month of February. It is easier to remember to conduct the inspection of the same day of the month, such as 1st Monday of the month, etc. Please refer to 10A NCAC 09 .0605(q). 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 3/19/25. 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: Criminal background requirements: We discussed the requirements for criminal background check. Only information required for the pastor for the Staff and Training Worksheet is the issue date of criminal background letter. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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) 814-8401 and someone will assist you. 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 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 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

G.S. 110- 106 · Violation

Name of Operation: LIVING SAVIOR PRESCHOOL Facility ID: 11000766 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/5/2025 Number Present: 30 Completed Date: 3/5/2025 Age: From 3 To 6 Total Minutes: 153 Time In: 08:42 AM Time Out: 11:15 AM 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, Kaoru Eddins, Child Care Consultant and also signed by Eva Krauss during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Krauss was available during the visit. 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. 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 one hundred (100) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit Corporation , Living Savior Evangelical Lutheran Church is current/active as of 3/3/25. Permit type – G.S. 110- 106 issued on 5/13/21. Special Services/Restrictions – daytime care. The last annual compliance visit was conducted on 3/20/24. The last fire drill was practiced on 2/11/25, The last lockdown drill was practiced on 1/29/25. The last playground inspection was documented on 1/29/25. The last fire inspection was approved on 8/14/24. The last sanitation inspection was conducted on 12/3/24 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Incident logs were used. Upon arrival, I announced my presence and the purpose of my visit. Nineteen (19) children, ages four (4) to six (6), gathered in the Fellowship Hall for group time. They reviewed the weather, discussed their senses and emotions, and participated in various activities. After group time, the children were divided into two (2) groups: eleven (11) moved to the other side of the Fellowship Hall to draw pictures, while nine (9) engaged in free play in Space #1. In Space #2, a group of eleven (11) children, ages three (3) to four (4), were present. Four (4) adults were also in the room: two (2) regular classroom staff members, a substitute, and a therapist. The children engaged in free play with blocks and housekeeping materials. Afterward, they cleaned up their toys and gathered for group time. During group time, one of the teachers cleaned the tables and set up morning snacks. After washing their hands, the children sat at the table and ate their snacks. One (1) child had a bag of Pirate’s Booty and water, while another had dried pineapple, a Nutri-Grain bar, and water. Interactions and supervision were adequate. No medications were maintained at the facility. The playground was inspected. Mulch was measured for nine (9) inches by the slide structure. No safety hazards were observed. Three (3) children’s files were monitored during the visit. Per Ms. Krauss, no tobacco policy and parent participation plan are included in the handbook. The ABCMS system was monitored during the visit for staff members listed on the Staff and Training Worksheet. The Worksheet was submitted during the visit. All employed staff members listed on the worksheet have current criminal background letters. Two (2) existing staff members files were monitored. M. Mauney’s originally reviewed the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on 9/5/17. R. McHargue originally reviewed the policy on 8/2/23. 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 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playground inspection for February 2025 was not completed. .0605(q) Technical assistance was provided as follows: 859: Playground inspection Monthly playground inspections must be completed. The playground inspection was not completed for the month of February. It is easier to remember to conduct the inspection of the same day of the month, such as 1st Monday of the month, etc. Please refer to 10A NCAC 09 .0605(q). 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 3/19/25. 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: Criminal background requirements: We discussed the requirements for criminal background check. Only information required for the pastor for the Staff and Training Worksheet is the issue date of criminal background letter. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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) 814-8401 and someone will assist you. 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 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 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

G.S. 110-90 · Violation

Name of Operation: LIVING SAVIOR PRESCHOOL Facility ID: 11000766 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/5/2025 Number Present: 30 Completed Date: 3/5/2025 Age: From 3 To 6 Total Minutes: 153 Time In: 08:42 AM Time Out: 11:15 AM 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, Kaoru Eddins, Child Care Consultant and also signed by Eva Krauss during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Krauss was available during the visit. 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. 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 one hundred (100) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit Corporation , Living Savior Evangelical Lutheran Church is current/active as of 3/3/25. Permit type – G.S. 110- 106 issued on 5/13/21. Special Services/Restrictions – daytime care. The last annual compliance visit was conducted on 3/20/24. The last fire drill was practiced on 2/11/25, The last lockdown drill was practiced on 1/29/25. The last playground inspection was documented on 1/29/25. The last fire inspection was approved on 8/14/24. The last sanitation inspection was conducted on 12/3/24 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Incident logs were used. Upon arrival, I announced my presence and the purpose of my visit. Nineteen (19) children, ages four (4) to six (6), gathered in the Fellowship Hall for group time. They reviewed the weather, discussed their senses and emotions, and participated in various activities. After group time, the children were divided into two (2) groups: eleven (11) moved to the other side of the Fellowship Hall to draw pictures, while nine (9) engaged in free play in Space #1. In Space #2, a group of eleven (11) children, ages three (3) to four (4), were present. Four (4) adults were also in the room: two (2) regular classroom staff members, a substitute, and a therapist. The children engaged in free play with blocks and housekeeping materials. Afterward, they cleaned up their toys and gathered for group time. During group time, one of the teachers cleaned the tables and set up morning snacks. After washing their hands, the children sat at the table and ate their snacks. One (1) child had a bag of Pirate’s Booty and water, while another had dried pineapple, a Nutri-Grain bar, and water. Interactions and supervision were adequate. No medications were maintained at the facility. The playground was inspected. Mulch was measured for nine (9) inches by the slide structure. No safety hazards were observed. Three (3) children’s files were monitored during the visit. Per Ms. Krauss, no tobacco policy and parent participation plan are included in the handbook. The ABCMS system was monitored during the visit for staff members listed on the Staff and Training Worksheet. The Worksheet was submitted during the visit. All employed staff members listed on the worksheet have current criminal background letters. Two (2) existing staff members files were monitored. M. Mauney’s originally reviewed the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on 9/5/17. R. McHargue originally reviewed the policy on 8/2/23. 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 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playground inspection for February 2025 was not completed. .0605(q) Technical assistance was provided as follows: 859: Playground inspection Monthly playground inspections must be completed. The playground inspection was not completed for the month of February. It is easier to remember to conduct the inspection of the same day of the month, such as 1st Monday of the month, etc. Please refer to 10A NCAC 09 .0605(q). 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 3/19/25. 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: Criminal background requirements: We discussed the requirements for criminal background check. Only information required for the pastor for the Staff and Training Worksheet is the issue date of criminal background letter. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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) 814-8401 and someone will assist you. 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 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 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: LIVING SAVIOR PRESCHOOL Facility ID: 11000766 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/5/2025 Number Present: 30 Completed Date: 3/5/2025 Age: From 3 To 6 Total Minutes: 153 Time In: 08:42 AM Time Out: 11:15 AM 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, Kaoru Eddins, Child Care Consultant and also signed by Eva Krauss during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Krauss was available during the visit. 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. 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 one hundred (100) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit Corporation , Living Savior Evangelical Lutheran Church is current/active as of 3/3/25. Permit type – G.S. 110- 106 issued on 5/13/21. Special Services/Restrictions – daytime care. The last annual compliance visit was conducted on 3/20/24. The last fire drill was practiced on 2/11/25, The last lockdown drill was practiced on 1/29/25. The last playground inspection was documented on 1/29/25. The last fire inspection was approved on 8/14/24. The last sanitation inspection was conducted on 12/3/24 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Incident logs were used. Upon arrival, I announced my presence and the purpose of my visit. Nineteen (19) children, ages four (4) to six (6), gathered in the Fellowship Hall for group time. They reviewed the weather, discussed their senses and emotions, and participated in various activities. After group time, the children were divided into two (2) groups: eleven (11) moved to the other side of the Fellowship Hall to draw pictures, while nine (9) engaged in free play in Space #1. In Space #2, a group of eleven (11) children, ages three (3) to four (4), were present. Four (4) adults were also in the room: two (2) regular classroom staff members, a substitute, and a therapist. The children engaged in free play with blocks and housekeeping materials. Afterward, they cleaned up their toys and gathered for group time. During group time, one of the teachers cleaned the tables and set up morning snacks. After washing their hands, the children sat at the table and ate their snacks. One (1) child had a bag of Pirate’s Booty and water, while another had dried pineapple, a Nutri-Grain bar, and water. Interactions and supervision were adequate. No medications were maintained at the facility. The playground was inspected. Mulch was measured for nine (9) inches by the slide structure. No safety hazards were observed. Three (3) children’s files were monitored during the visit. Per Ms. Krauss, no tobacco policy and parent participation plan are included in the handbook. The ABCMS system was monitored during the visit for staff members listed on the Staff and Training Worksheet. The Worksheet was submitted during the visit. All employed staff members listed on the worksheet have current criminal background letters. Two (2) existing staff members files were monitored. M. Mauney’s originally reviewed the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on 9/5/17. R. McHargue originally reviewed the policy on 8/2/23. 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 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playground inspection for February 2025 was not completed. .0605(q) Technical assistance was provided as follows: 859: Playground inspection Monthly playground inspections must be completed. The playground inspection was not completed for the month of February. It is easier to remember to conduct the inspection of the same day of the month, such as 1st Monday of the month, etc. Please refer to 10A NCAC 09 .0605(q). 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 3/19/25. 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: Criminal background requirements: We discussed the requirements for criminal background check. Only information required for the pastor for the Staff and Training Worksheet is the issue date of criminal background letter. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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) 814-8401 and someone will assist you. 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 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 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 .0701 · Violation

Name of Operation: LIVING SAVIOR PRESCHOOL Facility ID: 11000766 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/1/2023 Number Present: 28 Completed Date: 11/1/2023 Age: From 3 To 5 Total Minutes: 165 Time In: 09:30 AM Time Out: 12:15 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 Kaitlyn Marshall, Child Care Consultant and also signed by Eva Krauss, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Krauss 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, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 10/27/23. You are operating on a Notice of Compliance under GS 110-106 issued 5/13/21. Your restrictions include 1st shift (daytime care). The last fire drill was practiced on 10/10/23. The last emergency drill, shelter-in-place, was practiced on 10/4/23. The last fire inspection was conducted on 7/31/23. The program’s most recent sanitation inspection was completed on 10/5/23, with two (2) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. The program does not provide transportation. There are four (4) new staff. Four (4) new staff files were monitored today. Upon arrival I was greeted by Ms. Krauss. Children were observed transitioning to chapel. Children then transitioned into a teacher-led large group activity in which an exercise was assigned to each letter of the alphabet. Children in group 1 put on coats and transitioned to outdoor play. Once outside, children climbed on the jungle gym and jumped into piles of leaves. Children in groups 2 and 3 continued with large group activities including a large group discussion about emotions using visual aides and a music and movement activity with the sounds of the letters of the alphabet. Children in group 2 washed hands and transitioned to eat snack brought from home in classroom space 1. Children in group 3 washed hands and transitioned to eat snack brought from home in classroom space 3. Interactions were positive and nurturing. Children were redirected as needed. Children were actively supervised at all times in both indoor and outdoor learning environments. 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 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) volunteer did not have an Emergency Information form on file. One (1) staff member (hire date 8/31/23) did not include choice of health professional on the Emergency Information form. .0701(a) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. One (1) volunteer did not have a health questionnaire on file. 10A NCAC 09 .0701(a) Technical assistance was provided as follows: Item #1035 The one (1) volunteer must have a completed Emergency Information form on file. All staff must have a completed Emergency Information form on file. One (1) staff must specify their choice of health care professional. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1958 The one (1) volunteer must have a Health Questionnaire on file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Substitute providers and volunteers. Item requirements: Health Questionnaire A statement signed by the substitute provider or volunteer that indicates that the person is emotionally and physically fit to care for children. Due Date: On or before first day of work and annually thereafter. 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 11/15/23. 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 P.O. 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: We discussed that the vicar leading the children’s chapel can be considered a volunteer. They will need volunteer paperwork on file which includes Emergency Information, Verification of Age (such as a copy of the individual’s driver’s license), and Health Questionnaire. If this individual intends to become the pastor of Living Savior church, they will need to have a Criminal Background Check qualifying letter from the DCDEE on file prior to taking on the role of pastor. If this individual volunteers with the child care facility more than once per week, they will also need a TB test or screening on file. We discussed one (1) staff member who must specify their choice of health professional on the Emergency Information form. Please refer to the Staff and Training Worksheet for details. We discussed water bottle storage. Water bottles must be stored individually to prevent contamination such as in the child’s individual cubbies. Water bottles can be carried outside collectively, but must return to individual storage upon returning to the classroom. We discussed resources for substitute providers. Please see the link below for information from the Buncombe Partnership for Children on requesting a sub: https://buncombepfc.org/workforce/#sub Additionally may reach out to this contact: Tasha Lewis Workforce Development Program Coordinator 828-407-2060 tasha@buncombepfc.org We discussed that your program is marked as having a Division approved discipline policy. You stated that you do not and have never received special approval of a discipline policy by the Division. During the visit today, it was discovered this is a glitch in our regulatory system and was corrected during the visit. 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 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: LIVING SAVIOR PRESCHOOL Facility ID: 11000766 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/1/2023 Number Present: 28 Completed Date: 11/1/2023 Age: From 3 To 5 Total Minutes: 165 Time In: 09:30 AM Time Out: 12:15 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 Kaitlyn Marshall, Child Care Consultant and also signed by Eva Krauss, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Krauss 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, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 10/27/23. You are operating on a Notice of Compliance under GS 110-106 issued 5/13/21. Your restrictions include 1st shift (daytime care). The last fire drill was practiced on 10/10/23. The last emergency drill, shelter-in-place, was practiced on 10/4/23. The last fire inspection was conducted on 7/31/23. The program’s most recent sanitation inspection was completed on 10/5/23, with two (2) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. The program does not provide transportation. There are four (4) new staff. Four (4) new staff files were monitored today. Upon arrival I was greeted by Ms. Krauss. Children were observed transitioning to chapel. Children then transitioned into a teacher-led large group activity in which an exercise was assigned to each letter of the alphabet. Children in group 1 put on coats and transitioned to outdoor play. Once outside, children climbed on the jungle gym and jumped into piles of leaves. Children in groups 2 and 3 continued with large group activities including a large group discussion about emotions using visual aides and a music and movement activity with the sounds of the letters of the alphabet. Children in group 2 washed hands and transitioned to eat snack brought from home in classroom space 1. Children in group 3 washed hands and transitioned to eat snack brought from home in classroom space 3. Interactions were positive and nurturing. Children were redirected as needed. Children were actively supervised at all times in both indoor and outdoor learning environments. 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 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) volunteer did not have an Emergency Information form on file. One (1) staff member (hire date 8/31/23) did not include choice of health professional on the Emergency Information form. .0701(a) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. One (1) volunteer did not have a health questionnaire on file. 10A NCAC 09 .0701(a) Technical assistance was provided as follows: Item #1035 The one (1) volunteer must have a completed Emergency Information form on file. All staff must have a completed Emergency Information form on file. One (1) staff must specify their choice of health care professional. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1958 The one (1) volunteer must have a Health Questionnaire on file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Substitute providers and volunteers. Item requirements: Health Questionnaire A statement signed by the substitute provider or volunteer that indicates that the person is emotionally and physically fit to care for children. Due Date: On or before first day of work and annually thereafter. 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 11/15/23. 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 P.O. 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: We discussed that the vicar leading the children’s chapel can be considered a volunteer. They will need volunteer paperwork on file which includes Emergency Information, Verification of Age (such as a copy of the individual’s driver’s license), and Health Questionnaire. If this individual intends to become the pastor of Living Savior church, they will need to have a Criminal Background Check qualifying letter from the DCDEE on file prior to taking on the role of pastor. If this individual volunteers with the child care facility more than once per week, they will also need a TB test or screening on file. We discussed one (1) staff member who must specify their choice of health professional on the Emergency Information form. Please refer to the Staff and Training Worksheet for details. We discussed water bottle storage. Water bottles must be stored individually to prevent contamination such as in the child’s individual cubbies. Water bottles can be carried outside collectively, but must return to individual storage upon returning to the classroom. We discussed resources for substitute providers. Please see the link below for information from the Buncombe Partnership for Children on requesting a sub: https://buncombepfc.org/workforce/#sub Additionally may reach out to this contact: Tasha Lewis Workforce Development Program Coordinator 828-407-2060 tasha@buncombepfc.org We discussed that your program is marked as having a Division approved discipline policy. You stated that you do not and have never received special approval of a discipline policy by the Division. During the visit today, it was discovered this is a glitch in our regulatory system and was corrected during the visit. 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 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: LIVING SAVIOR PRESCHOOL Facility ID: 11000766 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/1/2023 Number Present: 28 Completed Date: 11/1/2023 Age: From 3 To 5 Total Minutes: 165 Time In: 09:30 AM Time Out: 12:15 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 Kaitlyn Marshall, Child Care Consultant and also signed by Eva Krauss, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Krauss 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, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 10/27/23. You are operating on a Notice of Compliance under GS 110-106 issued 5/13/21. Your restrictions include 1st shift (daytime care). The last fire drill was practiced on 10/10/23. The last emergency drill, shelter-in-place, was practiced on 10/4/23. The last fire inspection was conducted on 7/31/23. The program’s most recent sanitation inspection was completed on 10/5/23, with two (2) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. The program does not provide transportation. There are four (4) new staff. Four (4) new staff files were monitored today. Upon arrival I was greeted by Ms. Krauss. Children were observed transitioning to chapel. Children then transitioned into a teacher-led large group activity in which an exercise was assigned to each letter of the alphabet. Children in group 1 put on coats and transitioned to outdoor play. Once outside, children climbed on the jungle gym and jumped into piles of leaves. Children in groups 2 and 3 continued with large group activities including a large group discussion about emotions using visual aides and a music and movement activity with the sounds of the letters of the alphabet. Children in group 2 washed hands and transitioned to eat snack brought from home in classroom space 1. Children in group 3 washed hands and transitioned to eat snack brought from home in classroom space 3. Interactions were positive and nurturing. Children were redirected as needed. Children were actively supervised at all times in both indoor and outdoor learning environments. 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 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) volunteer did not have an Emergency Information form on file. One (1) staff member (hire date 8/31/23) did not include choice of health professional on the Emergency Information form. .0701(a) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. One (1) volunteer did not have a health questionnaire on file. 10A NCAC 09 .0701(a) Technical assistance was provided as follows: Item #1035 The one (1) volunteer must have a completed Emergency Information form on file. All staff must have a completed Emergency Information form on file. One (1) staff must specify their choice of health care professional. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1958 The one (1) volunteer must have a Health Questionnaire on file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Substitute providers and volunteers. Item requirements: Health Questionnaire A statement signed by the substitute provider or volunteer that indicates that the person is emotionally and physically fit to care for children. Due Date: On or before first day of work and annually thereafter. 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 11/15/23. 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 P.O. 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: We discussed that the vicar leading the children’s chapel can be considered a volunteer. They will need volunteer paperwork on file which includes Emergency Information, Verification of Age (such as a copy of the individual’s driver’s license), and Health Questionnaire. If this individual intends to become the pastor of Living Savior church, they will need to have a Criminal Background Check qualifying letter from the DCDEE on file prior to taking on the role of pastor. If this individual volunteers with the child care facility more than once per week, they will also need a TB test or screening on file. We discussed one (1) staff member who must specify their choice of health professional on the Emergency Information form. Please refer to the Staff and Training Worksheet for details. We discussed water bottle storage. Water bottles must be stored individually to prevent contamination such as in the child’s individual cubbies. Water bottles can be carried outside collectively, but must return to individual storage upon returning to the classroom. We discussed resources for substitute providers. Please see the link below for information from the Buncombe Partnership for Children on requesting a sub: https://buncombepfc.org/workforce/#sub Additionally may reach out to this contact: Tasha Lewis Workforce Development Program Coordinator 828-407-2060 tasha@buncombepfc.org We discussed that your program is marked as having a Division approved discipline policy. You stated that you do not and have never received special approval of a discipline policy by the Division. During the visit today, it was discovered this is a glitch in our regulatory system and was corrected during the visit. 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 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