Nazarene Christian

10A NCAC 09 .0304 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/27/2026 Number Present: 48 Completed Date: 5/27/2026 Age: From 2 To 5 Total Minutes: 311 Time In: 09:19 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Neighbors 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 The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/20/25. The last fire drill was practiced on 5/5/26. The last lockdown drill was practiced on 5/5/26. The last playground inspection was documented on 5/5/26. The last fire inspection was approved on 12/1/25. The last sanitation inspection was conducted on 3/25/26 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Lead paint and asbestos testing is pending waiting for on-site visit results. Thirteen (13) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). The program had some challenges listing a staff member who obtained new criminal background check (renewal) recently. This was discussed during today’s visit. Upon arrival, I announced my presence and the purpose of the visit. I greeted Ms. Neighbors and discussed progress of QIRS preparations. Children and classrooms were observed during a walk-through: In space 3A, a group of six (6) children, three-to-four years of age, were present with one (1) staff member. Children sat with the staff and created art pieces with paint sticks. No medications were maintained in this classroom. In space 2A, a group of six (6) children, all two (2) years old, were present with two (2) staff members. Children engaged in free play with baby dolls, magnetic tiles, puzzles and other materials. No medications were maintained in this classroom. In Space 2B, a group of seven (7) children, two to four years of age, were present with one (1) staff member. One (1) child, who was four (4) years old, received developmental services. During today’s visit, a therapist was present and worked with the child. During observation, children cleaned up materials and prepared for transition to sanctuary. One (1) emergency medication and two (2) sunscreens were maintained in the classroom. Action plan, authorization forms for the emergency medication were dated 10/20/25, and the medication is valid through 9/30/26. Storage was adequate. Authorization form for Coppertone sunscreen and Neutrogena sunscreen stick was present. The children in 2A and 2B played in the gym later with tricycles, balance beam, balls, riding card, spinner chairs and scooters. In space 4A, eight (8) children participated in group time. The children and a staff member actively discussed insects, including what was discussed on previous days, number of legs in insects and other types of bugs and which bugs are insects. No medications were maintained in the classroom. Children in 4B and 4C were combined in the gym. Seven (7) children from 4B, who were four-to-five years of age, and seven (7) children from 4C, who were also four-to-five years of age, engaged in gross motor play in the gym. The children rode scooters, tricycles, spinner chairs, see-saw and roller boards. Those who did not want to engage in active play had access to pretend animals, pretend food, and blocks. One (1) emergency medication was in the backpack and brought to the gym for a child in 4C. The action plan for the medication was completed on 2/5/26, and the authorization form was signed by the parent on 2/11/26. The medication was last administered on 2/26/26 per documentation. In 3C, a group of seven (7) children, three-to-four years of age, participated in group time. The staff member read “The Bug Book” to the children. No medication was maintained in the classroom. Supervision and interaction were adequate in each classroom. No hazardous products were accessible to the children in the classrooms. Two (2) playgrounds were monitored. The younger children’s playground includes slides built into the hill, a merry-go-round, sandboxes, and other gross motor equipment such as riding toys and shovels. No safety hazards were observed during today’s visit. A garage structure provides shade over this playground. The older children’s playground contained a tipi, see-saw, slide structure, and riding toys. The wooden borders around the slide structure were deteriorated and missing in two (2) places, resulting in three (3) exposed rebars. Per my request, Ms. Neighbors covered the exposed rebars with objects as a temporary measure. A large oak tree, tipi, and stage/building structure provide shading for this playground. The sand beneath the slide structure measured seven (7) inches in depth, and the mulch around the see-saw measured six (6) inches in depth. Lunch was observed. Today, pizza, salad, mandarin oranges, corn and milk were served. Children gathered in the Dining room and had lunch. Supervision during lunch was adequate. Staff file review: Nine (9) existing files were monitored partially, and one (1) staff files were monitored in full. Information obtained was as follows: B. Harmon (new employee): DOE – 3/30/26 Application – 3/19/26 Orientation – 2ks 4/1/26, 6wks 4/2/26 CBC issued on 1/17/25, expires on 1/17/30 Medical – 11/21/25 TB – 9/22/25 HQ – 3/30/26 EI – 3/30/26 Health and Safety – All but “Medication in Child Care” completed on 9/23/26 CPR/First Aid – expires on 3/10/28 Recognizing and Responding to Suspicions of Child Maltreatment training – 9/22/25 Shaken Baby Policy Review – 4/1/26 EPR/EMC review – 4/1/26 OP/PP review – 3/30/26 CBC expiration dates: C. Sherlin – 5/26/31 J. Ingle – 6/10/30 A. Parton – 1/3/30 T. Nanni – 1/27/27 P. Neighbors – 8/22/30 S. Neighbors – 1/21/30 M. Reyes – 6/20/30 R. Mann – 6/20/30 B. Hensley- 9/25/30 Printed criminal background qualification letters were on file for above staff members. CPR/FA expiration dates: C. Sherlin – 04/2027 J. Ingle – 04/2027 A. Parton – 04/2027 T. Nanni – 01/2028 P. Neighbors – 04/2027 S. Neighbors – 04/2027 M. Reyes – 05/2027 R. Mann – 04/2027 B. Hensley - 01/2028 Printed CPR/First Aid certificates were on file for above staff members. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the preschool playground located in the front parking lot, the wooden borders around the slide structures were deteriorated in two (2) separate places, exposing three (3) rebars protruding approximately 2–3 inches above the ground. .0601(c) Technical assistance was provided as follows: 705: safe environment Equipment and furnishings must be sturdy and free of hazards. The wooden borders around the slide structure on the preschool playground are deteriorated and missing in two (2) separate places, exposing three (3) rebars and creating protrusion hazards. To comply, the wooden borders must be replaced, and the exposed rebars must be properly covered or removed to eliminate the protrusion hazards. Per Ms. Neighbors, maintenance crew had been notified, but the repair had not been started yet. In your compliance letter, please verify completion of the replacement or removal of the wooden borders and the correction of the exposed rebars. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/10/26. 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: QIRS preparation: Staff members WORKS accounts and education were discussed. This is the area the program continued to struggle with. I reviewed all staff members’ WORKS account/letters during today’s visit. P. Neighbors – no WORKS letter has been issued. Ms. Neighbors had contacted WORKS unit for further guidance, but it has not been resolved, per statement. Please contact (919) 814–6350 or Email: dcdee.works@dhhs.nc.gov and discuss your situations as soon as possible. Please do not forget to follow-up if you do not hear back from them. S. Sherlin - WORKS letter with the last evaluation date of 9/6/19 was issued. J. Ingle – No WORKS account showed. A. Parton- WORKS letter with the last evaluation date of 10/26/16 was issued. T. Nanni – WORKS letter issued on 12/19/01 was available for review. S. Neighbors – account is set up but no WORKS letter has been issued. M. Reyes – no account set up R. Mann- WORKS letter with the last evaluation date of 11/25/25 was issued. B. Hensley - WORKS letter with the last evaluation date of 5/8/14 was issued. B. Harmon – WORKS letter with the last evaluation date of 6/8/22 was issued. Continuous Quality Improvement plan: CQI is required for all staff members including substitutes and floaters. CQI must be completed for facility and individual staff members and shall be reviewed/updated as progresses are made. CQI can accompany staff development plans. CQI will be monitored annually and upon Rated License Assessment visit. Family and Community Engagement Requirements: All centers applying for 2-5 star rating must meet all “Foundational Practices” outlined in bullet points. Four-star level must choose additional three (3) options, one (1) from each category of engagement. What you choose must be verified through documentations – many providers mark parents/employee handbook and mark the category items (e.g., EO-1, C-1, etc), or provide even flyers, communication log, screen shots, etc. Self-study process: Self-study must be minimum of three (3) consecutive months. Self-study must pertain to ERS assessments, such as ECERS-3. All lead teachers and an administrator must complete self-study. Lead teachers complete self-study for their own classrooms, and administrators must complete one for the facility. You can access more detailed information on https://ncrlap.org/ . Click “Lean More About Self-Study” then “Self-Study Info for Child Care Centers”. You must start self-study immediately as minimum of three (3) consecutive months is required. Please use the self-assessment tools attached to ECERS-3 book and identify the areas of needs to start self-assessment process. Outreach Assessment: It is too late to use Outreach Assessment for self-study purpose. However, Outreach Assessment is highly beneficial to learn more about ECERS-3 assessment and is still recommended. Ms. Neighbors contacted the Outreach Assessment via phone during today’s visit and left a message. If you do not hear back from them, please contact them back in a few days. Shaken Baby Policy review with new staff members: Per rule listed below, required information must be included in the acknowledgement of discussion of the policy. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Medication authorization forms: Following information must be included in the authorization form for over-the-counter products, such as sunscreens and diaper creams. Only one (1) product shall be listed in each form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 .0608 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/27/2026 Number Present: 48 Completed Date: 5/27/2026 Age: From 2 To 5 Total Minutes: 311 Time In: 09:19 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Neighbors 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 The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/20/25. The last fire drill was practiced on 5/5/26. The last lockdown drill was practiced on 5/5/26. The last playground inspection was documented on 5/5/26. The last fire inspection was approved on 12/1/25. The last sanitation inspection was conducted on 3/25/26 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Lead paint and asbestos testing is pending waiting for on-site visit results. Thirteen (13) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). The program had some challenges listing a staff member who obtained new criminal background check (renewal) recently. This was discussed during today’s visit. Upon arrival, I announced my presence and the purpose of the visit. I greeted Ms. Neighbors and discussed progress of QIRS preparations. Children and classrooms were observed during a walk-through: In space 3A, a group of six (6) children, three-to-four years of age, were present with one (1) staff member. Children sat with the staff and created art pieces with paint sticks. No medications were maintained in this classroom. In space 2A, a group of six (6) children, all two (2) years old, were present with two (2) staff members. Children engaged in free play with baby dolls, magnetic tiles, puzzles and other materials. No medications were maintained in this classroom. In Space 2B, a group of seven (7) children, two to four years of age, were present with one (1) staff member. One (1) child, who was four (4) years old, received developmental services. During today’s visit, a therapist was present and worked with the child. During observation, children cleaned up materials and prepared for transition to sanctuary. One (1) emergency medication and two (2) sunscreens were maintained in the classroom. Action plan, authorization forms for the emergency medication were dated 10/20/25, and the medication is valid through 9/30/26. Storage was adequate. Authorization form for Coppertone sunscreen and Neutrogena sunscreen stick was present. The children in 2A and 2B played in the gym later with tricycles, balance beam, balls, riding card, spinner chairs and scooters. In space 4A, eight (8) children participated in group time. The children and a staff member actively discussed insects, including what was discussed on previous days, number of legs in insects and other types of bugs and which bugs are insects. No medications were maintained in the classroom. Children in 4B and 4C were combined in the gym. Seven (7) children from 4B, who were four-to-five years of age, and seven (7) children from 4C, who were also four-to-five years of age, engaged in gross motor play in the gym. The children rode scooters, tricycles, spinner chairs, see-saw and roller boards. Those who did not want to engage in active play had access to pretend animals, pretend food, and blocks. One (1) emergency medication was in the backpack and brought to the gym for a child in 4C. The action plan for the medication was completed on 2/5/26, and the authorization form was signed by the parent on 2/11/26. The medication was last administered on 2/26/26 per documentation. In 3C, a group of seven (7) children, three-to-four years of age, participated in group time. The staff member read “The Bug Book” to the children. No medication was maintained in the classroom. Supervision and interaction were adequate in each classroom. No hazardous products were accessible to the children in the classrooms. Two (2) playgrounds were monitored. The younger children’s playground includes slides built into the hill, a merry-go-round, sandboxes, and other gross motor equipment such as riding toys and shovels. No safety hazards were observed during today’s visit. A garage structure provides shade over this playground. The older children’s playground contained a tipi, see-saw, slide structure, and riding toys. The wooden borders around the slide structure were deteriorated and missing in two (2) places, resulting in three (3) exposed rebars. Per my request, Ms. Neighbors covered the exposed rebars with objects as a temporary measure. A large oak tree, tipi, and stage/building structure provide shading for this playground. The sand beneath the slide structure measured seven (7) inches in depth, and the mulch around the see-saw measured six (6) inches in depth. Lunch was observed. Today, pizza, salad, mandarin oranges, corn and milk were served. Children gathered in the Dining room and had lunch. Supervision during lunch was adequate. Staff file review: Nine (9) existing files were monitored partially, and one (1) staff files were monitored in full. Information obtained was as follows: B. Harmon (new employee): DOE – 3/30/26 Application – 3/19/26 Orientation – 2ks 4/1/26, 6wks 4/2/26 CBC issued on 1/17/25, expires on 1/17/30 Medical – 11/21/25 TB – 9/22/25 HQ – 3/30/26 EI – 3/30/26 Health and Safety – All but “Medication in Child Care” completed on 9/23/26 CPR/First Aid – expires on 3/10/28 Recognizing and Responding to Suspicions of Child Maltreatment training – 9/22/25 Shaken Baby Policy Review – 4/1/26 EPR/EMC review – 4/1/26 OP/PP review – 3/30/26 CBC expiration dates: C. Sherlin – 5/26/31 J. Ingle – 6/10/30 A. Parton – 1/3/30 T. Nanni – 1/27/27 P. Neighbors – 8/22/30 S. Neighbors – 1/21/30 M. Reyes – 6/20/30 R. Mann – 6/20/30 B. Hensley- 9/25/30 Printed criminal background qualification letters were on file for above staff members. CPR/FA expiration dates: C. Sherlin – 04/2027 J. Ingle – 04/2027 A. Parton – 04/2027 T. Nanni – 01/2028 P. Neighbors – 04/2027 S. Neighbors – 04/2027 M. Reyes – 05/2027 R. Mann – 04/2027 B. Hensley - 01/2028 Printed CPR/First Aid certificates were on file for above staff members. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the preschool playground located in the front parking lot, the wooden borders around the slide structures were deteriorated in two (2) separate places, exposing three (3) rebars protruding approximately 2–3 inches above the ground. .0601(c) Technical assistance was provided as follows: 705: safe environment Equipment and furnishings must be sturdy and free of hazards. The wooden borders around the slide structure on the preschool playground are deteriorated and missing in two (2) separate places, exposing three (3) rebars and creating protrusion hazards. To comply, the wooden borders must be replaced, and the exposed rebars must be properly covered or removed to eliminate the protrusion hazards. Per Ms. Neighbors, maintenance crew had been notified, but the repair had not been started yet. In your compliance letter, please verify completion of the replacement or removal of the wooden borders and the correction of the exposed rebars. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/10/26. 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: QIRS preparation: Staff members WORKS accounts and education were discussed. This is the area the program continued to struggle with. I reviewed all staff members’ WORKS account/letters during today’s visit. P. Neighbors – no WORKS letter has been issued. Ms. Neighbors had contacted WORKS unit for further guidance, but it has not been resolved, per statement. Please contact (919) 814–6350 or Email: dcdee.works@dhhs.nc.gov and discuss your situations as soon as possible. Please do not forget to follow-up if you do not hear back from them. S. Sherlin - WORKS letter with the last evaluation date of 9/6/19 was issued. J. Ingle – No WORKS account showed. A. Parton- WORKS letter with the last evaluation date of 10/26/16 was issued. T. Nanni – WORKS letter issued on 12/19/01 was available for review. S. Neighbors – account is set up but no WORKS letter has been issued. M. Reyes – no account set up R. Mann- WORKS letter with the last evaluation date of 11/25/25 was issued. B. Hensley - WORKS letter with the last evaluation date of 5/8/14 was issued. B. Harmon – WORKS letter with the last evaluation date of 6/8/22 was issued. Continuous Quality Improvement plan: CQI is required for all staff members including substitutes and floaters. CQI must be completed for facility and individual staff members and shall be reviewed/updated as progresses are made. CQI can accompany staff development plans. CQI will be monitored annually and upon Rated License Assessment visit. Family and Community Engagement Requirements: All centers applying for 2-5 star rating must meet all “Foundational Practices” outlined in bullet points. Four-star level must choose additional three (3) options, one (1) from each category of engagement. What you choose must be verified through documentations – many providers mark parents/employee handbook and mark the category items (e.g., EO-1, C-1, etc), or provide even flyers, communication log, screen shots, etc. Self-study process: Self-study must be minimum of three (3) consecutive months. Self-study must pertain to ERS assessments, such as ECERS-3. All lead teachers and an administrator must complete self-study. Lead teachers complete self-study for their own classrooms, and administrators must complete one for the facility. You can access more detailed information on https://ncrlap.org/ . Click “Lean More About Self-Study” then “Self-Study Info for Child Care Centers”. You must start self-study immediately as minimum of three (3) consecutive months is required. Please use the self-assessment tools attached to ECERS-3 book and identify the areas of needs to start self-assessment process. Outreach Assessment: It is too late to use Outreach Assessment for self-study purpose. However, Outreach Assessment is highly beneficial to learn more about ECERS-3 assessment and is still recommended. Ms. Neighbors contacted the Outreach Assessment via phone during today’s visit and left a message. If you do not hear back from them, please contact them back in a few days. Shaken Baby Policy review with new staff members: Per rule listed below, required information must be included in the acknowledgement of discussion of the policy. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Medication authorization forms: Following information must be included in the authorization form for over-the-counter products, such as sunscreens and diaper creams. Only one (1) product shall be listed in each form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 .0803 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/27/2026 Number Present: 48 Completed Date: 5/27/2026 Age: From 2 To 5 Total Minutes: 311 Time In: 09:19 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Neighbors 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 The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/20/25. The last fire drill was practiced on 5/5/26. The last lockdown drill was practiced on 5/5/26. The last playground inspection was documented on 5/5/26. The last fire inspection was approved on 12/1/25. The last sanitation inspection was conducted on 3/25/26 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Lead paint and asbestos testing is pending waiting for on-site visit results. Thirteen (13) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). The program had some challenges listing a staff member who obtained new criminal background check (renewal) recently. This was discussed during today’s visit. Upon arrival, I announced my presence and the purpose of the visit. I greeted Ms. Neighbors and discussed progress of QIRS preparations. Children and classrooms were observed during a walk-through: In space 3A, a group of six (6) children, three-to-four years of age, were present with one (1) staff member. Children sat with the staff and created art pieces with paint sticks. No medications were maintained in this classroom. In space 2A, a group of six (6) children, all two (2) years old, were present with two (2) staff members. Children engaged in free play with baby dolls, magnetic tiles, puzzles and other materials. No medications were maintained in this classroom. In Space 2B, a group of seven (7) children, two to four years of age, were present with one (1) staff member. One (1) child, who was four (4) years old, received developmental services. During today’s visit, a therapist was present and worked with the child. During observation, children cleaned up materials and prepared for transition to sanctuary. One (1) emergency medication and two (2) sunscreens were maintained in the classroom. Action plan, authorization forms for the emergency medication were dated 10/20/25, and the medication is valid through 9/30/26. Storage was adequate. Authorization form for Coppertone sunscreen and Neutrogena sunscreen stick was present. The children in 2A and 2B played in the gym later with tricycles, balance beam, balls, riding card, spinner chairs and scooters. In space 4A, eight (8) children participated in group time. The children and a staff member actively discussed insects, including what was discussed on previous days, number of legs in insects and other types of bugs and which bugs are insects. No medications were maintained in the classroom. Children in 4B and 4C were combined in the gym. Seven (7) children from 4B, who were four-to-five years of age, and seven (7) children from 4C, who were also four-to-five years of age, engaged in gross motor play in the gym. The children rode scooters, tricycles, spinner chairs, see-saw and roller boards. Those who did not want to engage in active play had access to pretend animals, pretend food, and blocks. One (1) emergency medication was in the backpack and brought to the gym for a child in 4C. The action plan for the medication was completed on 2/5/26, and the authorization form was signed by the parent on 2/11/26. The medication was last administered on 2/26/26 per documentation. In 3C, a group of seven (7) children, three-to-four years of age, participated in group time. The staff member read “The Bug Book” to the children. No medication was maintained in the classroom. Supervision and interaction were adequate in each classroom. No hazardous products were accessible to the children in the classrooms. Two (2) playgrounds were monitored. The younger children’s playground includes slides built into the hill, a merry-go-round, sandboxes, and other gross motor equipment such as riding toys and shovels. No safety hazards were observed during today’s visit. A garage structure provides shade over this playground. The older children’s playground contained a tipi, see-saw, slide structure, and riding toys. The wooden borders around the slide structure were deteriorated and missing in two (2) places, resulting in three (3) exposed rebars. Per my request, Ms. Neighbors covered the exposed rebars with objects as a temporary measure. A large oak tree, tipi, and stage/building structure provide shading for this playground. The sand beneath the slide structure measured seven (7) inches in depth, and the mulch around the see-saw measured six (6) inches in depth. Lunch was observed. Today, pizza, salad, mandarin oranges, corn and milk were served. Children gathered in the Dining room and had lunch. Supervision during lunch was adequate. Staff file review: Nine (9) existing files were monitored partially, and one (1) staff files were monitored in full. Information obtained was as follows: B. Harmon (new employee): DOE – 3/30/26 Application – 3/19/26 Orientation – 2ks 4/1/26, 6wks 4/2/26 CBC issued on 1/17/25, expires on 1/17/30 Medical – 11/21/25 TB – 9/22/25 HQ – 3/30/26 EI – 3/30/26 Health and Safety – All but “Medication in Child Care” completed on 9/23/26 CPR/First Aid – expires on 3/10/28 Recognizing and Responding to Suspicions of Child Maltreatment training – 9/22/25 Shaken Baby Policy Review – 4/1/26 EPR/EMC review – 4/1/26 OP/PP review – 3/30/26 CBC expiration dates: C. Sherlin – 5/26/31 J. Ingle – 6/10/30 A. Parton – 1/3/30 T. Nanni – 1/27/27 P. Neighbors – 8/22/30 S. Neighbors – 1/21/30 M. Reyes – 6/20/30 R. Mann – 6/20/30 B. Hensley- 9/25/30 Printed criminal background qualification letters were on file for above staff members. CPR/FA expiration dates: C. Sherlin – 04/2027 J. Ingle – 04/2027 A. Parton – 04/2027 T. Nanni – 01/2028 P. Neighbors – 04/2027 S. Neighbors – 04/2027 M. Reyes – 05/2027 R. Mann – 04/2027 B. Hensley - 01/2028 Printed CPR/First Aid certificates were on file for above staff members. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the preschool playground located in the front parking lot, the wooden borders around the slide structures were deteriorated in two (2) separate places, exposing three (3) rebars protruding approximately 2–3 inches above the ground. .0601(c) Technical assistance was provided as follows: 705: safe environment Equipment and furnishings must be sturdy and free of hazards. The wooden borders around the slide structure on the preschool playground are deteriorated and missing in two (2) separate places, exposing three (3) rebars and creating protrusion hazards. To comply, the wooden borders must be replaced, and the exposed rebars must be properly covered or removed to eliminate the protrusion hazards. Per Ms. Neighbors, maintenance crew had been notified, but the repair had not been started yet. In your compliance letter, please verify completion of the replacement or removal of the wooden borders and the correction of the exposed rebars. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/10/26. 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: QIRS preparation: Staff members WORKS accounts and education were discussed. This is the area the program continued to struggle with. I reviewed all staff members’ WORKS account/letters during today’s visit. P. Neighbors – no WORKS letter has been issued. Ms. Neighbors had contacted WORKS unit for further guidance, but it has not been resolved, per statement. Please contact (919) 814–6350 or Email: dcdee.works@dhhs.nc.gov and discuss your situations as soon as possible. Please do not forget to follow-up if you do not hear back from them. S. Sherlin - WORKS letter with the last evaluation date of 9/6/19 was issued. J. Ingle – No WORKS account showed. A. Parton- WORKS letter with the last evaluation date of 10/26/16 was issued. T. Nanni – WORKS letter issued on 12/19/01 was available for review. S. Neighbors – account is set up but no WORKS letter has been issued. M. Reyes – no account set up R. Mann- WORKS letter with the last evaluation date of 11/25/25 was issued. B. Hensley - WORKS letter with the last evaluation date of 5/8/14 was issued. B. Harmon – WORKS letter with the last evaluation date of 6/8/22 was issued. Continuous Quality Improvement plan: CQI is required for all staff members including substitutes and floaters. CQI must be completed for facility and individual staff members and shall be reviewed/updated as progresses are made. CQI can accompany staff development plans. CQI will be monitored annually and upon Rated License Assessment visit. Family and Community Engagement Requirements: All centers applying for 2-5 star rating must meet all “Foundational Practices” outlined in bullet points. Four-star level must choose additional three (3) options, one (1) from each category of engagement. What you choose must be verified through documentations – many providers mark parents/employee handbook and mark the category items (e.g., EO-1, C-1, etc), or provide even flyers, communication log, screen shots, etc. Self-study process: Self-study must be minimum of three (3) consecutive months. Self-study must pertain to ERS assessments, such as ECERS-3. All lead teachers and an administrator must complete self-study. Lead teachers complete self-study for their own classrooms, and administrators must complete one for the facility. You can access more detailed information on https://ncrlap.org/ . Click “Lean More About Self-Study” then “Self-Study Info for Child Care Centers”. You must start self-study immediately as minimum of three (3) consecutive months is required. Please use the self-assessment tools attached to ECERS-3 book and identify the areas of needs to start self-assessment process. Outreach Assessment: It is too late to use Outreach Assessment for self-study purpose. However, Outreach Assessment is highly beneficial to learn more about ECERS-3 assessment and is still recommended. Ms. Neighbors contacted the Outreach Assessment via phone during today’s visit and left a message. If you do not hear back from them, please contact them back in a few days. Shaken Baby Policy review with new staff members: Per rule listed below, required information must be included in the acknowledgement of discussion of the policy. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Medication authorization forms: Following information must be included in the authorization form for over-the-counter products, such as sunscreens and diaper creams. Only one (1) product shall be listed in each form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/27/2026 Number Present: 48 Completed Date: 5/27/2026 Age: From 2 To 5 Total Minutes: 311 Time In: 09:19 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Neighbors 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 The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/20/25. The last fire drill was practiced on 5/5/26. The last lockdown drill was practiced on 5/5/26. The last playground inspection was documented on 5/5/26. The last fire inspection was approved on 12/1/25. The last sanitation inspection was conducted on 3/25/26 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Lead paint and asbestos testing is pending waiting for on-site visit results. Thirteen (13) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). The program had some challenges listing a staff member who obtained new criminal background check (renewal) recently. This was discussed during today’s visit. Upon arrival, I announced my presence and the purpose of the visit. I greeted Ms. Neighbors and discussed progress of QIRS preparations. Children and classrooms were observed during a walk-through: In space 3A, a group of six (6) children, three-to-four years of age, were present with one (1) staff member. Children sat with the staff and created art pieces with paint sticks. No medications were maintained in this classroom. In space 2A, a group of six (6) children, all two (2) years old, were present with two (2) staff members. Children engaged in free play with baby dolls, magnetic tiles, puzzles and other materials. No medications were maintained in this classroom. In Space 2B, a group of seven (7) children, two to four years of age, were present with one (1) staff member. One (1) child, who was four (4) years old, received developmental services. During today’s visit, a therapist was present and worked with the child. During observation, children cleaned up materials and prepared for transition to sanctuary. One (1) emergency medication and two (2) sunscreens were maintained in the classroom. Action plan, authorization forms for the emergency medication were dated 10/20/25, and the medication is valid through 9/30/26. Storage was adequate. Authorization form for Coppertone sunscreen and Neutrogena sunscreen stick was present. The children in 2A and 2B played in the gym later with tricycles, balance beam, balls, riding card, spinner chairs and scooters. In space 4A, eight (8) children participated in group time. The children and a staff member actively discussed insects, including what was discussed on previous days, number of legs in insects and other types of bugs and which bugs are insects. No medications were maintained in the classroom. Children in 4B and 4C were combined in the gym. Seven (7) children from 4B, who were four-to-five years of age, and seven (7) children from 4C, who were also four-to-five years of age, engaged in gross motor play in the gym. The children rode scooters, tricycles, spinner chairs, see-saw and roller boards. Those who did not want to engage in active play had access to pretend animals, pretend food, and blocks. One (1) emergency medication was in the backpack and brought to the gym for a child in 4C. The action plan for the medication was completed on 2/5/26, and the authorization form was signed by the parent on 2/11/26. The medication was last administered on 2/26/26 per documentation. In 3C, a group of seven (7) children, three-to-four years of age, participated in group time. The staff member read “The Bug Book” to the children. No medication was maintained in the classroom. Supervision and interaction were adequate in each classroom. No hazardous products were accessible to the children in the classrooms. Two (2) playgrounds were monitored. The younger children’s playground includes slides built into the hill, a merry-go-round, sandboxes, and other gross motor equipment such as riding toys and shovels. No safety hazards were observed during today’s visit. A garage structure provides shade over this playground. The older children’s playground contained a tipi, see-saw, slide structure, and riding toys. The wooden borders around the slide structure were deteriorated and missing in two (2) places, resulting in three (3) exposed rebars. Per my request, Ms. Neighbors covered the exposed rebars with objects as a temporary measure. A large oak tree, tipi, and stage/building structure provide shading for this playground. The sand beneath the slide structure measured seven (7) inches in depth, and the mulch around the see-saw measured six (6) inches in depth. Lunch was observed. Today, pizza, salad, mandarin oranges, corn and milk were served. Children gathered in the Dining room and had lunch. Supervision during lunch was adequate. Staff file review: Nine (9) existing files were monitored partially, and one (1) staff files were monitored in full. Information obtained was as follows: B. Harmon (new employee): DOE – 3/30/26 Application – 3/19/26 Orientation – 2ks 4/1/26, 6wks 4/2/26 CBC issued on 1/17/25, expires on 1/17/30 Medical – 11/21/25 TB – 9/22/25 HQ – 3/30/26 EI – 3/30/26 Health and Safety – All but “Medication in Child Care” completed on 9/23/26 CPR/First Aid – expires on 3/10/28 Recognizing and Responding to Suspicions of Child Maltreatment training – 9/22/25 Shaken Baby Policy Review – 4/1/26 EPR/EMC review – 4/1/26 OP/PP review – 3/30/26 CBC expiration dates: C. Sherlin – 5/26/31 J. Ingle – 6/10/30 A. Parton – 1/3/30 T. Nanni – 1/27/27 P. Neighbors – 8/22/30 S. Neighbors – 1/21/30 M. Reyes – 6/20/30 R. Mann – 6/20/30 B. Hensley- 9/25/30 Printed criminal background qualification letters were on file for above staff members. CPR/FA expiration dates: C. Sherlin – 04/2027 J. Ingle – 04/2027 A. Parton – 04/2027 T. Nanni – 01/2028 P. Neighbors – 04/2027 S. Neighbors – 04/2027 M. Reyes – 05/2027 R. Mann – 04/2027 B. Hensley - 01/2028 Printed CPR/First Aid certificates were on file for above staff members. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the preschool playground located in the front parking lot, the wooden borders around the slide structures were deteriorated in two (2) separate places, exposing three (3) rebars protruding approximately 2–3 inches above the ground. .0601(c) Technical assistance was provided as follows: 705: safe environment Equipment and furnishings must be sturdy and free of hazards. The wooden borders around the slide structure on the preschool playground are deteriorated and missing in two (2) separate places, exposing three (3) rebars and creating protrusion hazards. To comply, the wooden borders must be replaced, and the exposed rebars must be properly covered or removed to eliminate the protrusion hazards. Per Ms. Neighbors, maintenance crew had been notified, but the repair had not been started yet. In your compliance letter, please verify completion of the replacement or removal of the wooden borders and the correction of the exposed rebars. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/10/26. 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: QIRS preparation: Staff members WORKS accounts and education were discussed. This is the area the program continued to struggle with. I reviewed all staff members’ WORKS account/letters during today’s visit. P. Neighbors – no WORKS letter has been issued. Ms. Neighbors had contacted WORKS unit for further guidance, but it has not been resolved, per statement. Please contact (919) 814–6350 or Email: dcdee.works@dhhs.nc.gov and discuss your situations as soon as possible. Please do not forget to follow-up if you do not hear back from them. S. Sherlin - WORKS letter with the last evaluation date of 9/6/19 was issued. J. Ingle – No WORKS account showed. A. Parton- WORKS letter with the last evaluation date of 10/26/16 was issued. T. Nanni – WORKS letter issued on 12/19/01 was available for review. S. Neighbors – account is set up but no WORKS letter has been issued. M. Reyes – no account set up R. Mann- WORKS letter with the last evaluation date of 11/25/25 was issued. B. Hensley - WORKS letter with the last evaluation date of 5/8/14 was issued. B. Harmon – WORKS letter with the last evaluation date of 6/8/22 was issued. Continuous Quality Improvement plan: CQI is required for all staff members including substitutes and floaters. CQI must be completed for facility and individual staff members and shall be reviewed/updated as progresses are made. CQI can accompany staff development plans. CQI will be monitored annually and upon Rated License Assessment visit. Family and Community Engagement Requirements: All centers applying for 2-5 star rating must meet all “Foundational Practices” outlined in bullet points. Four-star level must choose additional three (3) options, one (1) from each category of engagement. What you choose must be verified through documentations – many providers mark parents/employee handbook and mark the category items (e.g., EO-1, C-1, etc), or provide even flyers, communication log, screen shots, etc. Self-study process: Self-study must be minimum of three (3) consecutive months. Self-study must pertain to ERS assessments, such as ECERS-3. All lead teachers and an administrator must complete self-study. Lead teachers complete self-study for their own classrooms, and administrators must complete one for the facility. You can access more detailed information on https://ncrlap.org/ . Click “Lean More About Self-Study” then “Self-Study Info for Child Care Centers”. You must start self-study immediately as minimum of three (3) consecutive months is required. Please use the self-assessment tools attached to ECERS-3 book and identify the areas of needs to start self-assessment process. Outreach Assessment: It is too late to use Outreach Assessment for self-study purpose. However, Outreach Assessment is highly beneficial to learn more about ECERS-3 assessment and is still recommended. Ms. Neighbors contacted the Outreach Assessment via phone during today’s visit and left a message. If you do not hear back from them, please contact them back in a few days. Shaken Baby Policy review with new staff members: Per rule listed below, required information must be included in the acknowledgement of discussion of the policy. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Medication authorization forms: Following information must be included in the authorization form for over-the-counter products, such as sunscreens and diaper creams. Only one (1) product shall be listed in each form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/27/2026 Number Present: 48 Completed Date: 5/27/2026 Age: From 2 To 5 Total Minutes: 311 Time In: 09:19 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Neighbors 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 The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/20/25. The last fire drill was practiced on 5/5/26. The last lockdown drill was practiced on 5/5/26. The last playground inspection was documented on 5/5/26. The last fire inspection was approved on 12/1/25. The last sanitation inspection was conducted on 3/25/26 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Lead paint and asbestos testing is pending waiting for on-site visit results. Thirteen (13) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). The program had some challenges listing a staff member who obtained new criminal background check (renewal) recently. This was discussed during today’s visit. Upon arrival, I announced my presence and the purpose of the visit. I greeted Ms. Neighbors and discussed progress of QIRS preparations. Children and classrooms were observed during a walk-through: In space 3A, a group of six (6) children, three-to-four years of age, were present with one (1) staff member. Children sat with the staff and created art pieces with paint sticks. No medications were maintained in this classroom. In space 2A, a group of six (6) children, all two (2) years old, were present with two (2) staff members. Children engaged in free play with baby dolls, magnetic tiles, puzzles and other materials. No medications were maintained in this classroom. In Space 2B, a group of seven (7) children, two to four years of age, were present with one (1) staff member. One (1) child, who was four (4) years old, received developmental services. During today’s visit, a therapist was present and worked with the child. During observation, children cleaned up materials and prepared for transition to sanctuary. One (1) emergency medication and two (2) sunscreens were maintained in the classroom. Action plan, authorization forms for the emergency medication were dated 10/20/25, and the medication is valid through 9/30/26. Storage was adequate. Authorization form for Coppertone sunscreen and Neutrogena sunscreen stick was present. The children in 2A and 2B played in the gym later with tricycles, balance beam, balls, riding card, spinner chairs and scooters. In space 4A, eight (8) children participated in group time. The children and a staff member actively discussed insects, including what was discussed on previous days, number of legs in insects and other types of bugs and which bugs are insects. No medications were maintained in the classroom. Children in 4B and 4C were combined in the gym. Seven (7) children from 4B, who were four-to-five years of age, and seven (7) children from 4C, who were also four-to-five years of age, engaged in gross motor play in the gym. The children rode scooters, tricycles, spinner chairs, see-saw and roller boards. Those who did not want to engage in active play had access to pretend animals, pretend food, and blocks. One (1) emergency medication was in the backpack and brought to the gym for a child in 4C. The action plan for the medication was completed on 2/5/26, and the authorization form was signed by the parent on 2/11/26. The medication was last administered on 2/26/26 per documentation. In 3C, a group of seven (7) children, three-to-four years of age, participated in group time. The staff member read “The Bug Book” to the children. No medication was maintained in the classroom. Supervision and interaction were adequate in each classroom. No hazardous products were accessible to the children in the classrooms. Two (2) playgrounds were monitored. The younger children’s playground includes slides built into the hill, a merry-go-round, sandboxes, and other gross motor equipment such as riding toys and shovels. No safety hazards were observed during today’s visit. A garage structure provides shade over this playground. The older children’s playground contained a tipi, see-saw, slide structure, and riding toys. The wooden borders around the slide structure were deteriorated and missing in two (2) places, resulting in three (3) exposed rebars. Per my request, Ms. Neighbors covered the exposed rebars with objects as a temporary measure. A large oak tree, tipi, and stage/building structure provide shading for this playground. The sand beneath the slide structure measured seven (7) inches in depth, and the mulch around the see-saw measured six (6) inches in depth. Lunch was observed. Today, pizza, salad, mandarin oranges, corn and milk were served. Children gathered in the Dining room and had lunch. Supervision during lunch was adequate. Staff file review: Nine (9) existing files were monitored partially, and one (1) staff files were monitored in full. Information obtained was as follows: B. Harmon (new employee): DOE – 3/30/26 Application – 3/19/26 Orientation – 2ks 4/1/26, 6wks 4/2/26 CBC issued on 1/17/25, expires on 1/17/30 Medical – 11/21/25 TB – 9/22/25 HQ – 3/30/26 EI – 3/30/26 Health and Safety – All but “Medication in Child Care” completed on 9/23/26 CPR/First Aid – expires on 3/10/28 Recognizing and Responding to Suspicions of Child Maltreatment training – 9/22/25 Shaken Baby Policy Review – 4/1/26 EPR/EMC review – 4/1/26 OP/PP review – 3/30/26 CBC expiration dates: C. Sherlin – 5/26/31 J. Ingle – 6/10/30 A. Parton – 1/3/30 T. Nanni – 1/27/27 P. Neighbors – 8/22/30 S. Neighbors – 1/21/30 M. Reyes – 6/20/30 R. Mann – 6/20/30 B. Hensley- 9/25/30 Printed criminal background qualification letters were on file for above staff members. CPR/FA expiration dates: C. Sherlin – 04/2027 J. Ingle – 04/2027 A. Parton – 04/2027 T. Nanni – 01/2028 P. Neighbors – 04/2027 S. Neighbors – 04/2027 M. Reyes – 05/2027 R. Mann – 04/2027 B. Hensley - 01/2028 Printed CPR/First Aid certificates were on file for above staff members. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the preschool playground located in the front parking lot, the wooden borders around the slide structures were deteriorated in two (2) separate places, exposing three (3) rebars protruding approximately 2–3 inches above the ground. .0601(c) Technical assistance was provided as follows: 705: safe environment Equipment and furnishings must be sturdy and free of hazards. The wooden borders around the slide structure on the preschool playground are deteriorated and missing in two (2) separate places, exposing three (3) rebars and creating protrusion hazards. To comply, the wooden borders must be replaced, and the exposed rebars must be properly covered or removed to eliminate the protrusion hazards. Per Ms. Neighbors, maintenance crew had been notified, but the repair had not been started yet. In your compliance letter, please verify completion of the replacement or removal of the wooden borders and the correction of the exposed rebars. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/10/26. 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: QIRS preparation: Staff members WORKS accounts and education were discussed. This is the area the program continued to struggle with. I reviewed all staff members’ WORKS account/letters during today’s visit. P. Neighbors – no WORKS letter has been issued. Ms. Neighbors had contacted WORKS unit for further guidance, but it has not been resolved, per statement. Please contact (919) 814–6350 or Email: dcdee.works@dhhs.nc.gov and discuss your situations as soon as possible. Please do not forget to follow-up if you do not hear back from them. S. Sherlin - WORKS letter with the last evaluation date of 9/6/19 was issued. J. Ingle – No WORKS account showed. A. Parton- WORKS letter with the last evaluation date of 10/26/16 was issued. T. Nanni – WORKS letter issued on 12/19/01 was available for review. S. Neighbors – account is set up but no WORKS letter has been issued. M. Reyes – no account set up R. Mann- WORKS letter with the last evaluation date of 11/25/25 was issued. B. Hensley - WORKS letter with the last evaluation date of 5/8/14 was issued. B. Harmon – WORKS letter with the last evaluation date of 6/8/22 was issued. Continuous Quality Improvement plan: CQI is required for all staff members including substitutes and floaters. CQI must be completed for facility and individual staff members and shall be reviewed/updated as progresses are made. CQI can accompany staff development plans. CQI will be monitored annually and upon Rated License Assessment visit. Family and Community Engagement Requirements: All centers applying for 2-5 star rating must meet all “Foundational Practices” outlined in bullet points. Four-star level must choose additional three (3) options, one (1) from each category of engagement. What you choose must be verified through documentations – many providers mark parents/employee handbook and mark the category items (e.g., EO-1, C-1, etc), or provide even flyers, communication log, screen shots, etc. Self-study process: Self-study must be minimum of three (3) consecutive months. Self-study must pertain to ERS assessments, such as ECERS-3. All lead teachers and an administrator must complete self-study. Lead teachers complete self-study for their own classrooms, and administrators must complete one for the facility. You can access more detailed information on https://ncrlap.org/ . Click “Lean More About Self-Study” then “Self-Study Info for Child Care Centers”. You must start self-study immediately as minimum of three (3) consecutive months is required. Please use the self-assessment tools attached to ECERS-3 book and identify the areas of needs to start self-assessment process. Outreach Assessment: It is too late to use Outreach Assessment for self-study purpose. However, Outreach Assessment is highly beneficial to learn more about ECERS-3 assessment and is still recommended. Ms. Neighbors contacted the Outreach Assessment via phone during today’s visit and left a message. If you do not hear back from them, please contact them back in a few days. Shaken Baby Policy review with new staff members: Per rule listed below, required information must be included in the acknowledgement of discussion of the policy. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Medication authorization forms: Following information must be included in the authorization form for over-the-counter products, such as sunscreens and diaper creams. Only one (1) product shall be listed in each form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 .3222 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/27/2026 Number Present: 48 Completed Date: 5/27/2026 Age: From 2 To 5 Total Minutes: 311 Time In: 09:19 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Neighbors 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 The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/20/25. The last fire drill was practiced on 5/5/26. The last lockdown drill was practiced on 5/5/26. The last playground inspection was documented on 5/5/26. The last fire inspection was approved on 12/1/25. The last sanitation inspection was conducted on 3/25/26 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Lead paint and asbestos testing is pending waiting for on-site visit results. Thirteen (13) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). The program had some challenges listing a staff member who obtained new criminal background check (renewal) recently. This was discussed during today’s visit. Upon arrival, I announced my presence and the purpose of the visit. I greeted Ms. Neighbors and discussed progress of QIRS preparations. Children and classrooms were observed during a walk-through: In space 3A, a group of six (6) children, three-to-four years of age, were present with one (1) staff member. Children sat with the staff and created art pieces with paint sticks. No medications were maintained in this classroom. In space 2A, a group of six (6) children, all two (2) years old, were present with two (2) staff members. Children engaged in free play with baby dolls, magnetic tiles, puzzles and other materials. No medications were maintained in this classroom. In Space 2B, a group of seven (7) children, two to four years of age, were present with one (1) staff member. One (1) child, who was four (4) years old, received developmental services. During today’s visit, a therapist was present and worked with the child. During observation, children cleaned up materials and prepared for transition to sanctuary. One (1) emergency medication and two (2) sunscreens were maintained in the classroom. Action plan, authorization forms for the emergency medication were dated 10/20/25, and the medication is valid through 9/30/26. Storage was adequate. Authorization form for Coppertone sunscreen and Neutrogena sunscreen stick was present. The children in 2A and 2B played in the gym later with tricycles, balance beam, balls, riding card, spinner chairs and scooters. In space 4A, eight (8) children participated in group time. The children and a staff member actively discussed insects, including what was discussed on previous days, number of legs in insects and other types of bugs and which bugs are insects. No medications were maintained in the classroom. Children in 4B and 4C were combined in the gym. Seven (7) children from 4B, who were four-to-five years of age, and seven (7) children from 4C, who were also four-to-five years of age, engaged in gross motor play in the gym. The children rode scooters, tricycles, spinner chairs, see-saw and roller boards. Those who did not want to engage in active play had access to pretend animals, pretend food, and blocks. One (1) emergency medication was in the backpack and brought to the gym for a child in 4C. The action plan for the medication was completed on 2/5/26, and the authorization form was signed by the parent on 2/11/26. The medication was last administered on 2/26/26 per documentation. In 3C, a group of seven (7) children, three-to-four years of age, participated in group time. The staff member read “The Bug Book” to the children. No medication was maintained in the classroom. Supervision and interaction were adequate in each classroom. No hazardous products were accessible to the children in the classrooms. Two (2) playgrounds were monitored. The younger children’s playground includes slides built into the hill, a merry-go-round, sandboxes, and other gross motor equipment such as riding toys and shovels. No safety hazards were observed during today’s visit. A garage structure provides shade over this playground. The older children’s playground contained a tipi, see-saw, slide structure, and riding toys. The wooden borders around the slide structure were deteriorated and missing in two (2) places, resulting in three (3) exposed rebars. Per my request, Ms. Neighbors covered the exposed rebars with objects as a temporary measure. A large oak tree, tipi, and stage/building structure provide shading for this playground. The sand beneath the slide structure measured seven (7) inches in depth, and the mulch around the see-saw measured six (6) inches in depth. Lunch was observed. Today, pizza, salad, mandarin oranges, corn and milk were served. Children gathered in the Dining room and had lunch. Supervision during lunch was adequate. Staff file review: Nine (9) existing files were monitored partially, and one (1) staff files were monitored in full. Information obtained was as follows: B. Harmon (new employee): DOE – 3/30/26 Application – 3/19/26 Orientation – 2ks 4/1/26, 6wks 4/2/26 CBC issued on 1/17/25, expires on 1/17/30 Medical – 11/21/25 TB – 9/22/25 HQ – 3/30/26 EI – 3/30/26 Health and Safety – All but “Medication in Child Care” completed on 9/23/26 CPR/First Aid – expires on 3/10/28 Recognizing and Responding to Suspicions of Child Maltreatment training – 9/22/25 Shaken Baby Policy Review – 4/1/26 EPR/EMC review – 4/1/26 OP/PP review – 3/30/26 CBC expiration dates: C. Sherlin – 5/26/31 J. Ingle – 6/10/30 A. Parton – 1/3/30 T. Nanni – 1/27/27 P. Neighbors – 8/22/30 S. Neighbors – 1/21/30 M. Reyes – 6/20/30 R. Mann – 6/20/30 B. Hensley- 9/25/30 Printed criminal background qualification letters were on file for above staff members. CPR/FA expiration dates: C. Sherlin – 04/2027 J. Ingle – 04/2027 A. Parton – 04/2027 T. Nanni – 01/2028 P. Neighbors – 04/2027 S. Neighbors – 04/2027 M. Reyes – 05/2027 R. Mann – 04/2027 B. Hensley - 01/2028 Printed CPR/First Aid certificates were on file for above staff members. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the preschool playground located in the front parking lot, the wooden borders around the slide structures were deteriorated in two (2) separate places, exposing three (3) rebars protruding approximately 2–3 inches above the ground. .0601(c) Technical assistance was provided as follows: 705: safe environment Equipment and furnishings must be sturdy and free of hazards. The wooden borders around the slide structure on the preschool playground are deteriorated and missing in two (2) separate places, exposing three (3) rebars and creating protrusion hazards. To comply, the wooden borders must be replaced, and the exposed rebars must be properly covered or removed to eliminate the protrusion hazards. Per Ms. Neighbors, maintenance crew had been notified, but the repair had not been started yet. In your compliance letter, please verify completion of the replacement or removal of the wooden borders and the correction of the exposed rebars. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/10/26. 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: QIRS preparation: Staff members WORKS accounts and education were discussed. This is the area the program continued to struggle with. I reviewed all staff members’ WORKS account/letters during today’s visit. P. Neighbors – no WORKS letter has been issued. Ms. Neighbors had contacted WORKS unit for further guidance, but it has not been resolved, per statement. Please contact (919) 814–6350 or Email: dcdee.works@dhhs.nc.gov and discuss your situations as soon as possible. Please do not forget to follow-up if you do not hear back from them. S. Sherlin - WORKS letter with the last evaluation date of 9/6/19 was issued. J. Ingle – No WORKS account showed. A. Parton- WORKS letter with the last evaluation date of 10/26/16 was issued. T. Nanni – WORKS letter issued on 12/19/01 was available for review. S. Neighbors – account is set up but no WORKS letter has been issued. M. Reyes – no account set up R. Mann- WORKS letter with the last evaluation date of 11/25/25 was issued. B. Hensley - WORKS letter with the last evaluation date of 5/8/14 was issued. B. Harmon – WORKS letter with the last evaluation date of 6/8/22 was issued. Continuous Quality Improvement plan: CQI is required for all staff members including substitutes and floaters. CQI must be completed for facility and individual staff members and shall be reviewed/updated as progresses are made. CQI can accompany staff development plans. CQI will be monitored annually and upon Rated License Assessment visit. Family and Community Engagement Requirements: All centers applying for 2-5 star rating must meet all “Foundational Practices” outlined in bullet points. Four-star level must choose additional three (3) options, one (1) from each category of engagement. What you choose must be verified through documentations – many providers mark parents/employee handbook and mark the category items (e.g., EO-1, C-1, etc), or provide even flyers, communication log, screen shots, etc. Self-study process: Self-study must be minimum of three (3) consecutive months. Self-study must pertain to ERS assessments, such as ECERS-3. All lead teachers and an administrator must complete self-study. Lead teachers complete self-study for their own classrooms, and administrators must complete one for the facility. You can access more detailed information on https://ncrlap.org/ . Click “Lean More About Self-Study” then “Self-Study Info for Child Care Centers”. You must start self-study immediately as minimum of three (3) consecutive months is required. Please use the self-assessment tools attached to ECERS-3 book and identify the areas of needs to start self-assessment process. Outreach Assessment: It is too late to use Outreach Assessment for self-study purpose. However, Outreach Assessment is highly beneficial to learn more about ECERS-3 assessment and is still recommended. Ms. Neighbors contacted the Outreach Assessment via phone during today’s visit and left a message. If you do not hear back from them, please contact them back in a few days. Shaken Baby Policy review with new staff members: Per rule listed below, required information must be included in the acknowledgement of discussion of the policy. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Medication authorization forms: Following information must be included in the authorization form for over-the-counter products, such as sunscreens and diaper creams. Only one (1) product shall be listed in each form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/27/2026 Number Present: 48 Completed Date: 5/27/2026 Age: From 2 To 5 Total Minutes: 311 Time In: 09:19 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Neighbors 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 The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/20/25. The last fire drill was practiced on 5/5/26. The last lockdown drill was practiced on 5/5/26. The last playground inspection was documented on 5/5/26. The last fire inspection was approved on 12/1/25. The last sanitation inspection was conducted on 3/25/26 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Lead paint and asbestos testing is pending waiting for on-site visit results. Thirteen (13) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). The program had some challenges listing a staff member who obtained new criminal background check (renewal) recently. This was discussed during today’s visit. Upon arrival, I announced my presence and the purpose of the visit. I greeted Ms. Neighbors and discussed progress of QIRS preparations. Children and classrooms were observed during a walk-through: In space 3A, a group of six (6) children, three-to-four years of age, were present with one (1) staff member. Children sat with the staff and created art pieces with paint sticks. No medications were maintained in this classroom. In space 2A, a group of six (6) children, all two (2) years old, were present with two (2) staff members. Children engaged in free play with baby dolls, magnetic tiles, puzzles and other materials. No medications were maintained in this classroom. In Space 2B, a group of seven (7) children, two to four years of age, were present with one (1) staff member. One (1) child, who was four (4) years old, received developmental services. During today’s visit, a therapist was present and worked with the child. During observation, children cleaned up materials and prepared for transition to sanctuary. One (1) emergency medication and two (2) sunscreens were maintained in the classroom. Action plan, authorization forms for the emergency medication were dated 10/20/25, and the medication is valid through 9/30/26. Storage was adequate. Authorization form for Coppertone sunscreen and Neutrogena sunscreen stick was present. The children in 2A and 2B played in the gym later with tricycles, balance beam, balls, riding card, spinner chairs and scooters. In space 4A, eight (8) children participated in group time. The children and a staff member actively discussed insects, including what was discussed on previous days, number of legs in insects and other types of bugs and which bugs are insects. No medications were maintained in the classroom. Children in 4B and 4C were combined in the gym. Seven (7) children from 4B, who were four-to-five years of age, and seven (7) children from 4C, who were also four-to-five years of age, engaged in gross motor play in the gym. The children rode scooters, tricycles, spinner chairs, see-saw and roller boards. Those who did not want to engage in active play had access to pretend animals, pretend food, and blocks. One (1) emergency medication was in the backpack and brought to the gym for a child in 4C. The action plan for the medication was completed on 2/5/26, and the authorization form was signed by the parent on 2/11/26. The medication was last administered on 2/26/26 per documentation. In 3C, a group of seven (7) children, three-to-four years of age, participated in group time. The staff member read “The Bug Book” to the children. No medication was maintained in the classroom. Supervision and interaction were adequate in each classroom. No hazardous products were accessible to the children in the classrooms. Two (2) playgrounds were monitored. The younger children’s playground includes slides built into the hill, a merry-go-round, sandboxes, and other gross motor equipment such as riding toys and shovels. No safety hazards were observed during today’s visit. A garage structure provides shade over this playground. The older children’s playground contained a tipi, see-saw, slide structure, and riding toys. The wooden borders around the slide structure were deteriorated and missing in two (2) places, resulting in three (3) exposed rebars. Per my request, Ms. Neighbors covered the exposed rebars with objects as a temporary measure. A large oak tree, tipi, and stage/building structure provide shading for this playground. The sand beneath the slide structure measured seven (7) inches in depth, and the mulch around the see-saw measured six (6) inches in depth. Lunch was observed. Today, pizza, salad, mandarin oranges, corn and milk were served. Children gathered in the Dining room and had lunch. Supervision during lunch was adequate. Staff file review: Nine (9) existing files were monitored partially, and one (1) staff files were monitored in full. Information obtained was as follows: B. Harmon (new employee): DOE – 3/30/26 Application – 3/19/26 Orientation – 2ks 4/1/26, 6wks 4/2/26 CBC issued on 1/17/25, expires on 1/17/30 Medical – 11/21/25 TB – 9/22/25 HQ – 3/30/26 EI – 3/30/26 Health and Safety – All but “Medication in Child Care” completed on 9/23/26 CPR/First Aid – expires on 3/10/28 Recognizing and Responding to Suspicions of Child Maltreatment training – 9/22/25 Shaken Baby Policy Review – 4/1/26 EPR/EMC review – 4/1/26 OP/PP review – 3/30/26 CBC expiration dates: C. Sherlin – 5/26/31 J. Ingle – 6/10/30 A. Parton – 1/3/30 T. Nanni – 1/27/27 P. Neighbors – 8/22/30 S. Neighbors – 1/21/30 M. Reyes – 6/20/30 R. Mann – 6/20/30 B. Hensley- 9/25/30 Printed criminal background qualification letters were on file for above staff members. CPR/FA expiration dates: C. Sherlin – 04/2027 J. Ingle – 04/2027 A. Parton – 04/2027 T. Nanni – 01/2028 P. Neighbors – 04/2027 S. Neighbors – 04/2027 M. Reyes – 05/2027 R. Mann – 04/2027 B. Hensley - 01/2028 Printed CPR/First Aid certificates were on file for above staff members. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the preschool playground located in the front parking lot, the wooden borders around the slide structures were deteriorated in two (2) separate places, exposing three (3) rebars protruding approximately 2–3 inches above the ground. .0601(c) Technical assistance was provided as follows: 705: safe environment Equipment and furnishings must be sturdy and free of hazards. The wooden borders around the slide structure on the preschool playground are deteriorated and missing in two (2) separate places, exposing three (3) rebars and creating protrusion hazards. To comply, the wooden borders must be replaced, and the exposed rebars must be properly covered or removed to eliminate the protrusion hazards. Per Ms. Neighbors, maintenance crew had been notified, but the repair had not been started yet. In your compliance letter, please verify completion of the replacement or removal of the wooden borders and the correction of the exposed rebars. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/10/26. 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: QIRS preparation: Staff members WORKS accounts and education were discussed. This is the area the program continued to struggle with. I reviewed all staff members’ WORKS account/letters during today’s visit. P. Neighbors – no WORKS letter has been issued. Ms. Neighbors had contacted WORKS unit for further guidance, but it has not been resolved, per statement. Please contact (919) 814–6350 or Email: dcdee.works@dhhs.nc.gov and discuss your situations as soon as possible. Please do not forget to follow-up if you do not hear back from them. S. Sherlin - WORKS letter with the last evaluation date of 9/6/19 was issued. J. Ingle – No WORKS account showed. A. Parton- WORKS letter with the last evaluation date of 10/26/16 was issued. T. Nanni – WORKS letter issued on 12/19/01 was available for review. S. Neighbors – account is set up but no WORKS letter has been issued. M. Reyes – no account set up R. Mann- WORKS letter with the last evaluation date of 11/25/25 was issued. B. Hensley - WORKS letter with the last evaluation date of 5/8/14 was issued. B. Harmon – WORKS letter with the last evaluation date of 6/8/22 was issued. Continuous Quality Improvement plan: CQI is required for all staff members including substitutes and floaters. CQI must be completed for facility and individual staff members and shall be reviewed/updated as progresses are made. CQI can accompany staff development plans. CQI will be monitored annually and upon Rated License Assessment visit. Family and Community Engagement Requirements: All centers applying for 2-5 star rating must meet all “Foundational Practices” outlined in bullet points. Four-star level must choose additional three (3) options, one (1) from each category of engagement. What you choose must be verified through documentations – many providers mark parents/employee handbook and mark the category items (e.g., EO-1, C-1, etc), or provide even flyers, communication log, screen shots, etc. Self-study process: Self-study must be minimum of three (3) consecutive months. Self-study must pertain to ERS assessments, such as ECERS-3. All lead teachers and an administrator must complete self-study. Lead teachers complete self-study for their own classrooms, and administrators must complete one for the facility. You can access more detailed information on https://ncrlap.org/ . Click “Lean More About Self-Study” then “Self-Study Info for Child Care Centers”. You must start self-study immediately as minimum of three (3) consecutive months is required. Please use the self-assessment tools attached to ECERS-3 book and identify the areas of needs to start self-assessment process. Outreach Assessment: It is too late to use Outreach Assessment for self-study purpose. However, Outreach Assessment is highly beneficial to learn more about ECERS-3 assessment and is still recommended. Ms. Neighbors contacted the Outreach Assessment via phone during today’s visit and left a message. If you do not hear back from them, please contact them back in a few days. Shaken Baby Policy review with new staff members: Per rule listed below, required information must be included in the acknowledgement of discussion of the policy. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Medication authorization forms: Following information must be included in the authorization form for over-the-counter products, such as sunscreens and diaper creams. Only one (1) product shall be listed in each form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 .0601 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 47 Completed Date: 11/20/2025 Age: From 2 To 5 Total Minutes: 352 Time In: 09:08 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Peggy Neightbors, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Today, Ms. Neighbors 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-three (93) 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, Asheville First Church of the Nazarene, Inc., is current/active as of 11/7/25. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/26/24. The last fire drill was practiced on 10/29/25. The last shelter-in-place drill was practiced on 9/27/25. The last playground inspection was documented on 10/29/25. The last fire inspection was approved on 11/19/24. Per Ms. Neighbors, she contacted the Fire Marshall and left a message, but she had not heard back from them. The last sanitation inspection was conducted on 6/4/25 with sixteen (16) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Enrollment process was started for lead paint and asbestos testing but the testing has not been completed. No staff members were listed on the ABCMS roster as of 11/19/25. Upon arrival, I announced my presence and the purpose of the visit. I observed multiple groups of children coming out of the gym. According to Ms. Neighbors, the children received vision checks today in the computer lab located in the gym. In space 1-3A, a group of three (3) children were present with one (1) staff member. A group of children, two (2) and three (3) years old, sat at the table with the staff member and played with Lego blocks. Space 1-3B was being used by a therapist. During the visit, one (1) child who was three (3) years old from space 3 (2-B) and one (1) child who was four (4) years old from 4C used the space with the therapist. In space #2 (2A), a group of eight (8) children, two (2) and three (3) years of age, were present with one (1) staff member. One (1) child drew at the table, and the remaining children played with pull-back cars or walked around the classroom. In space #3 (2-B), a group of three (3) children, three (3) and four (4) years old, were present with one (1) staff member. Two (2) children were engaged in art activities at the table, and one (1) child was in the library area lying down but awake. One (1) child is on an Epi-Pen, but the medication was not maintained at the school. Spaces #4 (gym) and #5 (dining room) were not in use during my observation. In space #6 (4-A), a group of nine (9) children, three (3) and four (4) years old, were present with one (1) staff member. The children engaged in various activities. Three (3) children created pictures for puppets with the staff member, while other children played in the block center, writing center, and dramatic play center. In space #7 (4-B), a group of ten (10) children, four (4) and five (5) years of age, engaged in free play. Three (3) children played with Barbie dolls, and three (3) children created objects with small Legos. In space #8 (4-C), a group of six (6) children with one (1) staff member were present. One (1) child was with the therapist during my visit. A group of six (6) children, four (4) and five (5) years of age, engaged in various free-play activities. Two (2) sat with the teacher and created a turkey, two (2) were in the block area playing with a dollhouse, and one (1) child was on a pretend phone call. One (1) emergency medication was monitored in space #8. Storage, permission form, action plan, and medication were in compliance. The medication was last administered on 11/14/25, and the log was maintained sufficiently. In space #9 (3C), a group of five (5) children, three (3) and four (4) years of age, were present with one (1) staff member. One (1) child was coloring, three (3) children dressed up in the dramatic play area, and one (1) child created artwork using stencils. Two (2) playgrounds were monitored. On the younger children’s playground, the top cover of the turtle sandbox was cracked in two (2) separate places. On the older children’s playground, we discussed fall-zone requirements for ECERS-3 and the types of loose surfacing material required. The sand around the permanent slide structure measured approximately eight (8) inches in depth. Staff and Training Worksheet was submitted prior to the visit. Per the ABCMS system, all staff members have valid qualification letters. Two (2) existing staff members files were reviewed in full and six (6) children’s files were reviewed. Nap time was monitored in all classrooms. Lighting was adequate, but no children were up or moving about when I visited the classrooms. A total of three (3) children’s faces were covered with blankets. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the young children's playground, a top of turtle sandbox was cracked in two (2) separate places. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Upon observation, some of the children's faces were covered by their blankets while asleep for two (2) children in 4-C and one (1) child in 4-B. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) cans of aerosol shaving creams were maintained in a unlocked cabinet in 4-B. .2820(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were listed on the Automated Background Check Measuring System (ABCMS) roster for the program as of today. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 705: equipment Equipment must be sturdy and free of hazards. The turtle sandbox on the young children’s playground had cracks in two (2) separate sections. Ms. Neighbors patched the cracks with duct tape during the visit; therefore, this item was corrected during the visit. Taping small cracks is acceptable. However, you and staff members must monitor the area to ensure the cracks do not worsen or spread. If sharp edges or pinching hazards become present, you shall remove the top and replace it with an equivalent component. 807: Safe environment Safe environment must be provided to children at all time. During rest time, no children’s faces shall be covered by blankets or other objects. To sufficiently supervise, staff members must uncover children’s faces when they fall asleep. Staff shall periodically move around the room to check each child. Staff members shall not engage in entertainment, such as reading books or accessing social media on their phones. Staff members may work on lesson plans and other responsibilities as long as supervision is maintained. In space 4-B, one (1) child’s face was covered with a blanket, and in space 4-C, two (2) children’s faces were covered. At my request, the staff members uncovered their faces. To meet compliance, please review the importance of supervision with your staff members. On your compliance letter, please state the actions taken to meet compliance. 840: potentially hazardous products Products in Aerosol cans must be stored in a locked storage. Two (2) cans of shaving cream in aerosol cans were found in the cabinet in space #7 (4-B) but were moved to a locked storage during the visit. Therefore, this item was corrected during the visit. 1805: ABCMS roster 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. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. Additional resources, including manual for ABCMS and help desk phone number and email address were shared with Ms. Neighbors via email during the visit. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/4/25. 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: Rated License Assessment discussion: The following topics were discussed with Ms. Neighbors: • Location of QIRS information: https://ncchildcare.ncdhhs.gov/ what’s New>QIRS Modernization • Location of application and other documentation: https://ncchildcare.ncdhhs.gov/ Provider > Provider Documents and Forms> “Application For Assessment for a Rated License Centers • Overview of Pathway 1, 2 and 3 • Education requirements • CQI CQI for individuals can accompany staff development plan and is required for all staff members. Administrator must complete a CQI for program. • Family and Community Engagement • Pathway 2 – approved curriculum and formative assessment Approved curriculum list: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Approved-Curricula Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Formative-Assessment Formative assessment shall include documentation required. The documentation may be anecdotal notes, portfolio/work samples, developmental screening or photographs, autdio, video recording with permission from the child’s family. • Administrator shall complete training related to the approved curriculum and formative assessment tool. The training does not count toward on-going training hours. Veritification of the training shall be on file for review. (pathway 2) • Administrator and lead teachers shall participate in one of the activities regarding classroom and instructional quality practices (pathway 2. See 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS) • Training hours/CEUs are annually requirements for administrator and lead teachers. They must commit to the requirements annually. • Self-study: NCRLAP: https://ncrlap.org/ (pathway 1) Self-study is required for administrator and all lead teachers. The topic of self-study must be Environment Rating Scales. Self-study shall be completed over a minimum of three consecutive months. • Outreach Assessment contact: Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 (Pathway 1) Ms. Neighbors is interested in pathway 2, but the program needs some time to look into which formative assessment tool to adopt and to train staff members. Therefore, pathway 1 will be the option for upcoming Rated License Assessment. The program may face challenges with staff education for 4-star/5-star level without additional education. We discussed that one (1) lead teachers can be over two (2) classrooms while teachers gain more education and experiences to be lead teachers. Many staff members shall consider earning more early childhood semester hours or completing 10-25 CEUs each year to meet 4-star level education requirements. You can visit Early Years website to learn more about scholarships and grants they are offering for staff members to attend classes. Earning CEU can be costly option for the program. CEUs for the Rated License Assessment do not count toward on-going training requirements. Timeline: Based on the schedule on annual compliance visit and routine unannounced visit, you can choose to apply in late April/early May 2026 or September 2026. Due to your staff members possibly needing additional education, I recommend September to apply for the Rated License Assessment. 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 was 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. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 47 Completed Date: 11/20/2025 Age: From 2 To 5 Total Minutes: 352 Time In: 09:08 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Peggy Neightbors, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Today, Ms. Neighbors 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-three (93) 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, Asheville First Church of the Nazarene, Inc., is current/active as of 11/7/25. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/26/24. The last fire drill was practiced on 10/29/25. The last shelter-in-place drill was practiced on 9/27/25. The last playground inspection was documented on 10/29/25. The last fire inspection was approved on 11/19/24. Per Ms. Neighbors, she contacted the Fire Marshall and left a message, but she had not heard back from them. The last sanitation inspection was conducted on 6/4/25 with sixteen (16) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Enrollment process was started for lead paint and asbestos testing but the testing has not been completed. No staff members were listed on the ABCMS roster as of 11/19/25. Upon arrival, I announced my presence and the purpose of the visit. I observed multiple groups of children coming out of the gym. According to Ms. Neighbors, the children received vision checks today in the computer lab located in the gym. In space 1-3A, a group of three (3) children were present with one (1) staff member. A group of children, two (2) and three (3) years old, sat at the table with the staff member and played with Lego blocks. Space 1-3B was being used by a therapist. During the visit, one (1) child who was three (3) years old from space 3 (2-B) and one (1) child who was four (4) years old from 4C used the space with the therapist. In space #2 (2A), a group of eight (8) children, two (2) and three (3) years of age, were present with one (1) staff member. One (1) child drew at the table, and the remaining children played with pull-back cars or walked around the classroom. In space #3 (2-B), a group of three (3) children, three (3) and four (4) years old, were present with one (1) staff member. Two (2) children were engaged in art activities at the table, and one (1) child was in the library area lying down but awake. One (1) child is on an Epi-Pen, but the medication was not maintained at the school. Spaces #4 (gym) and #5 (dining room) were not in use during my observation. In space #6 (4-A), a group of nine (9) children, three (3) and four (4) years old, were present with one (1) staff member. The children engaged in various activities. Three (3) children created pictures for puppets with the staff member, while other children played in the block center, writing center, and dramatic play center. In space #7 (4-B), a group of ten (10) children, four (4) and five (5) years of age, engaged in free play. Three (3) children played with Barbie dolls, and three (3) children created objects with small Legos. In space #8 (4-C), a group of six (6) children with one (1) staff member were present. One (1) child was with the therapist during my visit. A group of six (6) children, four (4) and five (5) years of age, engaged in various free-play activities. Two (2) sat with the teacher and created a turkey, two (2) were in the block area playing with a dollhouse, and one (1) child was on a pretend phone call. One (1) emergency medication was monitored in space #8. Storage, permission form, action plan, and medication were in compliance. The medication was last administered on 11/14/25, and the log was maintained sufficiently. In space #9 (3C), a group of five (5) children, three (3) and four (4) years of age, were present with one (1) staff member. One (1) child was coloring, three (3) children dressed up in the dramatic play area, and one (1) child created artwork using stencils. Two (2) playgrounds were monitored. On the younger children’s playground, the top cover of the turtle sandbox was cracked in two (2) separate places. On the older children’s playground, we discussed fall-zone requirements for ECERS-3 and the types of loose surfacing material required. The sand around the permanent slide structure measured approximately eight (8) inches in depth. Staff and Training Worksheet was submitted prior to the visit. Per the ABCMS system, all staff members have valid qualification letters. Two (2) existing staff members files were reviewed in full and six (6) children’s files were reviewed. Nap time was monitored in all classrooms. Lighting was adequate, but no children were up or moving about when I visited the classrooms. A total of three (3) children’s faces were covered with blankets. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the young children's playground, a top of turtle sandbox was cracked in two (2) separate places. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Upon observation, some of the children's faces were covered by their blankets while asleep for two (2) children in 4-C and one (1) child in 4-B. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) cans of aerosol shaving creams were maintained in a unlocked cabinet in 4-B. .2820(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were listed on the Automated Background Check Measuring System (ABCMS) roster for the program as of today. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 705: equipment Equipment must be sturdy and free of hazards. The turtle sandbox on the young children’s playground had cracks in two (2) separate sections. Ms. Neighbors patched the cracks with duct tape during the visit; therefore, this item was corrected during the visit. Taping small cracks is acceptable. However, you and staff members must monitor the area to ensure the cracks do not worsen or spread. If sharp edges or pinching hazards become present, you shall remove the top and replace it with an equivalent component. 807: Safe environment Safe environment must be provided to children at all time. During rest time, no children’s faces shall be covered by blankets or other objects. To sufficiently supervise, staff members must uncover children’s faces when they fall asleep. Staff shall periodically move around the room to check each child. Staff members shall not engage in entertainment, such as reading books or accessing social media on their phones. Staff members may work on lesson plans and other responsibilities as long as supervision is maintained. In space 4-B, one (1) child’s face was covered with a blanket, and in space 4-C, two (2) children’s faces were covered. At my request, the staff members uncovered their faces. To meet compliance, please review the importance of supervision with your staff members. On your compliance letter, please state the actions taken to meet compliance. 840: potentially hazardous products Products in Aerosol cans must be stored in a locked storage. Two (2) cans of shaving cream in aerosol cans were found in the cabinet in space #7 (4-B) but were moved to a locked storage during the visit. Therefore, this item was corrected during the visit. 1805: ABCMS roster 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. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. Additional resources, including manual for ABCMS and help desk phone number and email address were shared with Ms. Neighbors via email during the visit. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/4/25. 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: Rated License Assessment discussion: The following topics were discussed with Ms. Neighbors: • Location of QIRS information: https://ncchildcare.ncdhhs.gov/ what’s New>QIRS Modernization • Location of application and other documentation: https://ncchildcare.ncdhhs.gov/ Provider > Provider Documents and Forms> “Application For Assessment for a Rated License Centers • Overview of Pathway 1, 2 and 3 • Education requirements • CQI CQI for individuals can accompany staff development plan and is required for all staff members. Administrator must complete a CQI for program. • Family and Community Engagement • Pathway 2 – approved curriculum and formative assessment Approved curriculum list: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Approved-Curricula Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Formative-Assessment Formative assessment shall include documentation required. The documentation may be anecdotal notes, portfolio/work samples, developmental screening or photographs, autdio, video recording with permission from the child’s family. • Administrator shall complete training related to the approved curriculum and formative assessment tool. The training does not count toward on-going training hours. Veritification of the training shall be on file for review. (pathway 2) • Administrator and lead teachers shall participate in one of the activities regarding classroom and instructional quality practices (pathway 2. See 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS) • Training hours/CEUs are annually requirements for administrator and lead teachers. They must commit to the requirements annually. • Self-study: NCRLAP: https://ncrlap.org/ (pathway 1) Self-study is required for administrator and all lead teachers. The topic of self-study must be Environment Rating Scales. Self-study shall be completed over a minimum of three consecutive months. • Outreach Assessment contact: Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 (Pathway 1) Ms. Neighbors is interested in pathway 2, but the program needs some time to look into which formative assessment tool to adopt and to train staff members. Therefore, pathway 1 will be the option for upcoming Rated License Assessment. The program may face challenges with staff education for 4-star/5-star level without additional education. We discussed that one (1) lead teachers can be over two (2) classrooms while teachers gain more education and experiences to be lead teachers. Many staff members shall consider earning more early childhood semester hours or completing 10-25 CEUs each year to meet 4-star level education requirements. You can visit Early Years website to learn more about scholarships and grants they are offering for staff members to attend classes. Earning CEU can be costly option for the program. CEUs for the Rated License Assessment do not count toward on-going training requirements. Timeline: Based on the schedule on annual compliance visit and routine unannounced visit, you can choose to apply in late April/early May 2026 or September 2026. Due to your staff members possibly needing additional education, I recommend September to apply for the Rated License Assessment. 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 was 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. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 47 Completed Date: 11/20/2025 Age: From 2 To 5 Total Minutes: 352 Time In: 09:08 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Peggy Neightbors, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Today, Ms. Neighbors 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-three (93) 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, Asheville First Church of the Nazarene, Inc., is current/active as of 11/7/25. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/26/24. The last fire drill was practiced on 10/29/25. The last shelter-in-place drill was practiced on 9/27/25. The last playground inspection was documented on 10/29/25. The last fire inspection was approved on 11/19/24. Per Ms. Neighbors, she contacted the Fire Marshall and left a message, but she had not heard back from them. The last sanitation inspection was conducted on 6/4/25 with sixteen (16) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Enrollment process was started for lead paint and asbestos testing but the testing has not been completed. No staff members were listed on the ABCMS roster as of 11/19/25. Upon arrival, I announced my presence and the purpose of the visit. I observed multiple groups of children coming out of the gym. According to Ms. Neighbors, the children received vision checks today in the computer lab located in the gym. In space 1-3A, a group of three (3) children were present with one (1) staff member. A group of children, two (2) and three (3) years old, sat at the table with the staff member and played with Lego blocks. Space 1-3B was being used by a therapist. During the visit, one (1) child who was three (3) years old from space 3 (2-B) and one (1) child who was four (4) years old from 4C used the space with the therapist. In space #2 (2A), a group of eight (8) children, two (2) and three (3) years of age, were present with one (1) staff member. One (1) child drew at the table, and the remaining children played with pull-back cars or walked around the classroom. In space #3 (2-B), a group of three (3) children, three (3) and four (4) years old, were present with one (1) staff member. Two (2) children were engaged in art activities at the table, and one (1) child was in the library area lying down but awake. One (1) child is on an Epi-Pen, but the medication was not maintained at the school. Spaces #4 (gym) and #5 (dining room) were not in use during my observation. In space #6 (4-A), a group of nine (9) children, three (3) and four (4) years old, were present with one (1) staff member. The children engaged in various activities. Three (3) children created pictures for puppets with the staff member, while other children played in the block center, writing center, and dramatic play center. In space #7 (4-B), a group of ten (10) children, four (4) and five (5) years of age, engaged in free play. Three (3) children played with Barbie dolls, and three (3) children created objects with small Legos. In space #8 (4-C), a group of six (6) children with one (1) staff member were present. One (1) child was with the therapist during my visit. A group of six (6) children, four (4) and five (5) years of age, engaged in various free-play activities. Two (2) sat with the teacher and created a turkey, two (2) were in the block area playing with a dollhouse, and one (1) child was on a pretend phone call. One (1) emergency medication was monitored in space #8. Storage, permission form, action plan, and medication were in compliance. The medication was last administered on 11/14/25, and the log was maintained sufficiently. In space #9 (3C), a group of five (5) children, three (3) and four (4) years of age, were present with one (1) staff member. One (1) child was coloring, three (3) children dressed up in the dramatic play area, and one (1) child created artwork using stencils. Two (2) playgrounds were monitored. On the younger children’s playground, the top cover of the turtle sandbox was cracked in two (2) separate places. On the older children’s playground, we discussed fall-zone requirements for ECERS-3 and the types of loose surfacing material required. The sand around the permanent slide structure measured approximately eight (8) inches in depth. Staff and Training Worksheet was submitted prior to the visit. Per the ABCMS system, all staff members have valid qualification letters. Two (2) existing staff members files were reviewed in full and six (6) children’s files were reviewed. Nap time was monitored in all classrooms. Lighting was adequate, but no children were up or moving about when I visited the classrooms. A total of three (3) children’s faces were covered with blankets. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the young children's playground, a top of turtle sandbox was cracked in two (2) separate places. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Upon observation, some of the children's faces were covered by their blankets while asleep for two (2) children in 4-C and one (1) child in 4-B. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) cans of aerosol shaving creams were maintained in a unlocked cabinet in 4-B. .2820(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were listed on the Automated Background Check Measuring System (ABCMS) roster for the program as of today. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 705: equipment Equipment must be sturdy and free of hazards. The turtle sandbox on the young children’s playground had cracks in two (2) separate sections. Ms. Neighbors patched the cracks with duct tape during the visit; therefore, this item was corrected during the visit. Taping small cracks is acceptable. However, you and staff members must monitor the area to ensure the cracks do not worsen or spread. If sharp edges or pinching hazards become present, you shall remove the top and replace it with an equivalent component. 807: Safe environment Safe environment must be provided to children at all time. During rest time, no children’s faces shall be covered by blankets or other objects. To sufficiently supervise, staff members must uncover children’s faces when they fall asleep. Staff shall periodically move around the room to check each child. Staff members shall not engage in entertainment, such as reading books or accessing social media on their phones. Staff members may work on lesson plans and other responsibilities as long as supervision is maintained. In space 4-B, one (1) child’s face was covered with a blanket, and in space 4-C, two (2) children’s faces were covered. At my request, the staff members uncovered their faces. To meet compliance, please review the importance of supervision with your staff members. On your compliance letter, please state the actions taken to meet compliance. 840: potentially hazardous products Products in Aerosol cans must be stored in a locked storage. Two (2) cans of shaving cream in aerosol cans were found in the cabinet in space #7 (4-B) but were moved to a locked storage during the visit. Therefore, this item was corrected during the visit. 1805: ABCMS roster 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. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. Additional resources, including manual for ABCMS and help desk phone number and email address were shared with Ms. Neighbors via email during the visit. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/4/25. 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: Rated License Assessment discussion: The following topics were discussed with Ms. Neighbors: • Location of QIRS information: https://ncchildcare.ncdhhs.gov/ what’s New>QIRS Modernization • Location of application and other documentation: https://ncchildcare.ncdhhs.gov/ Provider > Provider Documents and Forms> “Application For Assessment for a Rated License Centers • Overview of Pathway 1, 2 and 3 • Education requirements • CQI CQI for individuals can accompany staff development plan and is required for all staff members. Administrator must complete a CQI for program. • Family and Community Engagement • Pathway 2 – approved curriculum and formative assessment Approved curriculum list: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Approved-Curricula Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Formative-Assessment Formative assessment shall include documentation required. The documentation may be anecdotal notes, portfolio/work samples, developmental screening or photographs, autdio, video recording with permission from the child’s family. • Administrator shall complete training related to the approved curriculum and formative assessment tool. The training does not count toward on-going training hours. Veritification of the training shall be on file for review. (pathway 2) • Administrator and lead teachers shall participate in one of the activities regarding classroom and instructional quality practices (pathway 2. See 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS) • Training hours/CEUs are annually requirements for administrator and lead teachers. They must commit to the requirements annually. • Self-study: NCRLAP: https://ncrlap.org/ (pathway 1) Self-study is required for administrator and all lead teachers. The topic of self-study must be Environment Rating Scales. Self-study shall be completed over a minimum of three consecutive months. • Outreach Assessment contact: Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 (Pathway 1) Ms. Neighbors is interested in pathway 2, but the program needs some time to look into which formative assessment tool to adopt and to train staff members. Therefore, pathway 1 will be the option for upcoming Rated License Assessment. The program may face challenges with staff education for 4-star/5-star level without additional education. We discussed that one (1) lead teachers can be over two (2) classrooms while teachers gain more education and experiences to be lead teachers. Many staff members shall consider earning more early childhood semester hours or completing 10-25 CEUs each year to meet 4-star level education requirements. You can visit Early Years website to learn more about scholarships and grants they are offering for staff members to attend classes. Earning CEU can be costly option for the program. CEUs for the Rated License Assessment do not count toward on-going training requirements. Timeline: Based on the schedule on annual compliance visit and routine unannounced visit, you can choose to apply in late April/early May 2026 or September 2026. Due to your staff members possibly needing additional education, I recommend September to apply for the Rated License Assessment. 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 was 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. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 47 Completed Date: 11/20/2025 Age: From 2 To 5 Total Minutes: 352 Time In: 09:08 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Peggy Neightbors, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Today, Ms. Neighbors 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-three (93) 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, Asheville First Church of the Nazarene, Inc., is current/active as of 11/7/25. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/26/24. The last fire drill was practiced on 10/29/25. The last shelter-in-place drill was practiced on 9/27/25. The last playground inspection was documented on 10/29/25. The last fire inspection was approved on 11/19/24. Per Ms. Neighbors, she contacted the Fire Marshall and left a message, but she had not heard back from them. The last sanitation inspection was conducted on 6/4/25 with sixteen (16) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Enrollment process was started for lead paint and asbestos testing but the testing has not been completed. No staff members were listed on the ABCMS roster as of 11/19/25. Upon arrival, I announced my presence and the purpose of the visit. I observed multiple groups of children coming out of the gym. According to Ms. Neighbors, the children received vision checks today in the computer lab located in the gym. In space 1-3A, a group of three (3) children were present with one (1) staff member. A group of children, two (2) and three (3) years old, sat at the table with the staff member and played with Lego blocks. Space 1-3B was being used by a therapist. During the visit, one (1) child who was three (3) years old from space 3 (2-B) and one (1) child who was four (4) years old from 4C used the space with the therapist. In space #2 (2A), a group of eight (8) children, two (2) and three (3) years of age, were present with one (1) staff member. One (1) child drew at the table, and the remaining children played with pull-back cars or walked around the classroom. In space #3 (2-B), a group of three (3) children, three (3) and four (4) years old, were present with one (1) staff member. Two (2) children were engaged in art activities at the table, and one (1) child was in the library area lying down but awake. One (1) child is on an Epi-Pen, but the medication was not maintained at the school. Spaces #4 (gym) and #5 (dining room) were not in use during my observation. In space #6 (4-A), a group of nine (9) children, three (3) and four (4) years old, were present with one (1) staff member. The children engaged in various activities. Three (3) children created pictures for puppets with the staff member, while other children played in the block center, writing center, and dramatic play center. In space #7 (4-B), a group of ten (10) children, four (4) and five (5) years of age, engaged in free play. Three (3) children played with Barbie dolls, and three (3) children created objects with small Legos. In space #8 (4-C), a group of six (6) children with one (1) staff member were present. One (1) child was with the therapist during my visit. A group of six (6) children, four (4) and five (5) years of age, engaged in various free-play activities. Two (2) sat with the teacher and created a turkey, two (2) were in the block area playing with a dollhouse, and one (1) child was on a pretend phone call. One (1) emergency medication was monitored in space #8. Storage, permission form, action plan, and medication were in compliance. The medication was last administered on 11/14/25, and the log was maintained sufficiently. In space #9 (3C), a group of five (5) children, three (3) and four (4) years of age, were present with one (1) staff member. One (1) child was coloring, three (3) children dressed up in the dramatic play area, and one (1) child created artwork using stencils. Two (2) playgrounds were monitored. On the younger children’s playground, the top cover of the turtle sandbox was cracked in two (2) separate places. On the older children’s playground, we discussed fall-zone requirements for ECERS-3 and the types of loose surfacing material required. The sand around the permanent slide structure measured approximately eight (8) inches in depth. Staff and Training Worksheet was submitted prior to the visit. Per the ABCMS system, all staff members have valid qualification letters. Two (2) existing staff members files were reviewed in full and six (6) children’s files were reviewed. Nap time was monitored in all classrooms. Lighting was adequate, but no children were up or moving about when I visited the classrooms. A total of three (3) children’s faces were covered with blankets. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the young children's playground, a top of turtle sandbox was cracked in two (2) separate places. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Upon observation, some of the children's faces were covered by their blankets while asleep for two (2) children in 4-C and one (1) child in 4-B. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) cans of aerosol shaving creams were maintained in a unlocked cabinet in 4-B. .2820(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were listed on the Automated Background Check Measuring System (ABCMS) roster for the program as of today. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 705: equipment Equipment must be sturdy and free of hazards. The turtle sandbox on the young children’s playground had cracks in two (2) separate sections. Ms. Neighbors patched the cracks with duct tape during the visit; therefore, this item was corrected during the visit. Taping small cracks is acceptable. However, you and staff members must monitor the area to ensure the cracks do not worsen or spread. If sharp edges or pinching hazards become present, you shall remove the top and replace it with an equivalent component. 807: Safe environment Safe environment must be provided to children at all time. During rest time, no children’s faces shall be covered by blankets or other objects. To sufficiently supervise, staff members must uncover children’s faces when they fall asleep. Staff shall periodically move around the room to check each child. Staff members shall not engage in entertainment, such as reading books or accessing social media on their phones. Staff members may work on lesson plans and other responsibilities as long as supervision is maintained. In space 4-B, one (1) child’s face was covered with a blanket, and in space 4-C, two (2) children’s faces were covered. At my request, the staff members uncovered their faces. To meet compliance, please review the importance of supervision with your staff members. On your compliance letter, please state the actions taken to meet compliance. 840: potentially hazardous products Products in Aerosol cans must be stored in a locked storage. Two (2) cans of shaving cream in aerosol cans were found in the cabinet in space #7 (4-B) but were moved to a locked storage during the visit. Therefore, this item was corrected during the visit. 1805: ABCMS roster 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. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. Additional resources, including manual for ABCMS and help desk phone number and email address were shared with Ms. Neighbors via email during the visit. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/4/25. 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: Rated License Assessment discussion: The following topics were discussed with Ms. Neighbors: • Location of QIRS information: https://ncchildcare.ncdhhs.gov/ what’s New>QIRS Modernization • Location of application and other documentation: https://ncchildcare.ncdhhs.gov/ Provider > Provider Documents and Forms> “Application For Assessment for a Rated License Centers • Overview of Pathway 1, 2 and 3 • Education requirements • CQI CQI for individuals can accompany staff development plan and is required for all staff members. Administrator must complete a CQI for program. • Family and Community Engagement • Pathway 2 – approved curriculum and formative assessment Approved curriculum list: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Approved-Curricula Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Formative-Assessment Formative assessment shall include documentation required. The documentation may be anecdotal notes, portfolio/work samples, developmental screening or photographs, autdio, video recording with permission from the child’s family. • Administrator shall complete training related to the approved curriculum and formative assessment tool. The training does not count toward on-going training hours. Veritification of the training shall be on file for review. (pathway 2) • Administrator and lead teachers shall participate in one of the activities regarding classroom and instructional quality practices (pathway 2. See 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS) • Training hours/CEUs are annually requirements for administrator and lead teachers. They must commit to the requirements annually. • Self-study: NCRLAP: https://ncrlap.org/ (pathway 1) Self-study is required for administrator and all lead teachers. The topic of self-study must be Environment Rating Scales. Self-study shall be completed over a minimum of three consecutive months. • Outreach Assessment contact: Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 (Pathway 1) Ms. Neighbors is interested in pathway 2, but the program needs some time to look into which formative assessment tool to adopt and to train staff members. Therefore, pathway 1 will be the option for upcoming Rated License Assessment. The program may face challenges with staff education for 4-star/5-star level without additional education. We discussed that one (1) lead teachers can be over two (2) classrooms while teachers gain more education and experiences to be lead teachers. Many staff members shall consider earning more early childhood semester hours or completing 10-25 CEUs each year to meet 4-star level education requirements. You can visit Early Years website to learn more about scholarships and grants they are offering for staff members to attend classes. Earning CEU can be costly option for the program. CEUs for the Rated License Assessment do not count toward on-going training requirements. Timeline: Based on the schedule on annual compliance visit and routine unannounced visit, you can choose to apply in late April/early May 2026 or September 2026. Due to your staff members possibly needing additional education, I recommend September to apply for the Rated License Assessment. 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 was 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. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 .2830 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 47 Completed Date: 11/20/2025 Age: From 2 To 5 Total Minutes: 352 Time In: 09:08 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Peggy Neightbors, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Today, Ms. Neighbors 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-three (93) 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, Asheville First Church of the Nazarene, Inc., is current/active as of 11/7/25. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/26/24. The last fire drill was practiced on 10/29/25. The last shelter-in-place drill was practiced on 9/27/25. The last playground inspection was documented on 10/29/25. The last fire inspection was approved on 11/19/24. Per Ms. Neighbors, she contacted the Fire Marshall and left a message, but she had not heard back from them. The last sanitation inspection was conducted on 6/4/25 with sixteen (16) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Enrollment process was started for lead paint and asbestos testing but the testing has not been completed. No staff members were listed on the ABCMS roster as of 11/19/25. Upon arrival, I announced my presence and the purpose of the visit. I observed multiple groups of children coming out of the gym. According to Ms. Neighbors, the children received vision checks today in the computer lab located in the gym. In space 1-3A, a group of three (3) children were present with one (1) staff member. A group of children, two (2) and three (3) years old, sat at the table with the staff member and played with Lego blocks. Space 1-3B was being used by a therapist. During the visit, one (1) child who was three (3) years old from space 3 (2-B) and one (1) child who was four (4) years old from 4C used the space with the therapist. In space #2 (2A), a group of eight (8) children, two (2) and three (3) years of age, were present with one (1) staff member. One (1) child drew at the table, and the remaining children played with pull-back cars or walked around the classroom. In space #3 (2-B), a group of three (3) children, three (3) and four (4) years old, were present with one (1) staff member. Two (2) children were engaged in art activities at the table, and one (1) child was in the library area lying down but awake. One (1) child is on an Epi-Pen, but the medication was not maintained at the school. Spaces #4 (gym) and #5 (dining room) were not in use during my observation. In space #6 (4-A), a group of nine (9) children, three (3) and four (4) years old, were present with one (1) staff member. The children engaged in various activities. Three (3) children created pictures for puppets with the staff member, while other children played in the block center, writing center, and dramatic play center. In space #7 (4-B), a group of ten (10) children, four (4) and five (5) years of age, engaged in free play. Three (3) children played with Barbie dolls, and three (3) children created objects with small Legos. In space #8 (4-C), a group of six (6) children with one (1) staff member were present. One (1) child was with the therapist during my visit. A group of six (6) children, four (4) and five (5) years of age, engaged in various free-play activities. Two (2) sat with the teacher and created a turkey, two (2) were in the block area playing with a dollhouse, and one (1) child was on a pretend phone call. One (1) emergency medication was monitored in space #8. Storage, permission form, action plan, and medication were in compliance. The medication was last administered on 11/14/25, and the log was maintained sufficiently. In space #9 (3C), a group of five (5) children, three (3) and four (4) years of age, were present with one (1) staff member. One (1) child was coloring, three (3) children dressed up in the dramatic play area, and one (1) child created artwork using stencils. Two (2) playgrounds were monitored. On the younger children’s playground, the top cover of the turtle sandbox was cracked in two (2) separate places. On the older children’s playground, we discussed fall-zone requirements for ECERS-3 and the types of loose surfacing material required. The sand around the permanent slide structure measured approximately eight (8) inches in depth. Staff and Training Worksheet was submitted prior to the visit. Per the ABCMS system, all staff members have valid qualification letters. Two (2) existing staff members files were reviewed in full and six (6) children’s files were reviewed. Nap time was monitored in all classrooms. Lighting was adequate, but no children were up or moving about when I visited the classrooms. A total of three (3) children’s faces were covered with blankets. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the young children's playground, a top of turtle sandbox was cracked in two (2) separate places. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Upon observation, some of the children's faces were covered by their blankets while asleep for two (2) children in 4-C and one (1) child in 4-B. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) cans of aerosol shaving creams were maintained in a unlocked cabinet in 4-B. .2820(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were listed on the Automated Background Check Measuring System (ABCMS) roster for the program as of today. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 705: equipment Equipment must be sturdy and free of hazards. The turtle sandbox on the young children’s playground had cracks in two (2) separate sections. Ms. Neighbors patched the cracks with duct tape during the visit; therefore, this item was corrected during the visit. Taping small cracks is acceptable. However, you and staff members must monitor the area to ensure the cracks do not worsen or spread. If sharp edges or pinching hazards become present, you shall remove the top and replace it with an equivalent component. 807: Safe environment Safe environment must be provided to children at all time. During rest time, no children’s faces shall be covered by blankets or other objects. To sufficiently supervise, staff members must uncover children’s faces when they fall asleep. Staff shall periodically move around the room to check each child. Staff members shall not engage in entertainment, such as reading books or accessing social media on their phones. Staff members may work on lesson plans and other responsibilities as long as supervision is maintained. In space 4-B, one (1) child’s face was covered with a blanket, and in space 4-C, two (2) children’s faces were covered. At my request, the staff members uncovered their faces. To meet compliance, please review the importance of supervision with your staff members. On your compliance letter, please state the actions taken to meet compliance. 840: potentially hazardous products Products in Aerosol cans must be stored in a locked storage. Two (2) cans of shaving cream in aerosol cans were found in the cabinet in space #7 (4-B) but were moved to a locked storage during the visit. Therefore, this item was corrected during the visit. 1805: ABCMS roster 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. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. Additional resources, including manual for ABCMS and help desk phone number and email address were shared with Ms. Neighbors via email during the visit. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/4/25. 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: Rated License Assessment discussion: The following topics were discussed with Ms. Neighbors: • Location of QIRS information: https://ncchildcare.ncdhhs.gov/ what’s New>QIRS Modernization • Location of application and other documentation: https://ncchildcare.ncdhhs.gov/ Provider > Provider Documents and Forms> “Application For Assessment for a Rated License Centers • Overview of Pathway 1, 2 and 3 • Education requirements • CQI CQI for individuals can accompany staff development plan and is required for all staff members. Administrator must complete a CQI for program. • Family and Community Engagement • Pathway 2 – approved curriculum and formative assessment Approved curriculum list: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Approved-Curricula Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Formative-Assessment Formative assessment shall include documentation required. The documentation may be anecdotal notes, portfolio/work samples, developmental screening or photographs, autdio, video recording with permission from the child’s family. • Administrator shall complete training related to the approved curriculum and formative assessment tool. The training does not count toward on-going training hours. Veritification of the training shall be on file for review. (pathway 2) • Administrator and lead teachers shall participate in one of the activities regarding classroom and instructional quality practices (pathway 2. See 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS) • Training hours/CEUs are annually requirements for administrator and lead teachers. They must commit to the requirements annually. • Self-study: NCRLAP: https://ncrlap.org/ (pathway 1) Self-study is required for administrator and all lead teachers. The topic of self-study must be Environment Rating Scales. Self-study shall be completed over a minimum of three consecutive months. • Outreach Assessment contact: Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 (Pathway 1) Ms. Neighbors is interested in pathway 2, but the program needs some time to look into which formative assessment tool to adopt and to train staff members. Therefore, pathway 1 will be the option for upcoming Rated License Assessment. The program may face challenges with staff education for 4-star/5-star level without additional education. We discussed that one (1) lead teachers can be over two (2) classrooms while teachers gain more education and experiences to be lead teachers. Many staff members shall consider earning more early childhood semester hours or completing 10-25 CEUs each year to meet 4-star level education requirements. You can visit Early Years website to learn more about scholarships and grants they are offering for staff members to attend classes. Earning CEU can be costly option for the program. CEUs for the Rated License Assessment do not count toward on-going training requirements. Timeline: Based on the schedule on annual compliance visit and routine unannounced visit, you can choose to apply in late April/early May 2026 or September 2026. Due to your staff members possibly needing additional education, I recommend September to apply for the Rated License Assessment. 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 was 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. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 .3205 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 47 Completed Date: 11/20/2025 Age: From 2 To 5 Total Minutes: 352 Time In: 09:08 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Peggy Neightbors, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Today, Ms. Neighbors 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-three (93) 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, Asheville First Church of the Nazarene, Inc., is current/active as of 11/7/25. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/26/24. The last fire drill was practiced on 10/29/25. The last shelter-in-place drill was practiced on 9/27/25. The last playground inspection was documented on 10/29/25. The last fire inspection was approved on 11/19/24. Per Ms. Neighbors, she contacted the Fire Marshall and left a message, but she had not heard back from them. The last sanitation inspection was conducted on 6/4/25 with sixteen (16) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Enrollment process was started for lead paint and asbestos testing but the testing has not been completed. No staff members were listed on the ABCMS roster as of 11/19/25. Upon arrival, I announced my presence and the purpose of the visit. I observed multiple groups of children coming out of the gym. According to Ms. Neighbors, the children received vision checks today in the computer lab located in the gym. In space 1-3A, a group of three (3) children were present with one (1) staff member. A group of children, two (2) and three (3) years old, sat at the table with the staff member and played with Lego blocks. Space 1-3B was being used by a therapist. During the visit, one (1) child who was three (3) years old from space 3 (2-B) and one (1) child who was four (4) years old from 4C used the space with the therapist. In space #2 (2A), a group of eight (8) children, two (2) and three (3) years of age, were present with one (1) staff member. One (1) child drew at the table, and the remaining children played with pull-back cars or walked around the classroom. In space #3 (2-B), a group of three (3) children, three (3) and four (4) years old, were present with one (1) staff member. Two (2) children were engaged in art activities at the table, and one (1) child was in the library area lying down but awake. One (1) child is on an Epi-Pen, but the medication was not maintained at the school. Spaces #4 (gym) and #5 (dining room) were not in use during my observation. In space #6 (4-A), a group of nine (9) children, three (3) and four (4) years old, were present with one (1) staff member. The children engaged in various activities. Three (3) children created pictures for puppets with the staff member, while other children played in the block center, writing center, and dramatic play center. In space #7 (4-B), a group of ten (10) children, four (4) and five (5) years of age, engaged in free play. Three (3) children played with Barbie dolls, and three (3) children created objects with small Legos. In space #8 (4-C), a group of six (6) children with one (1) staff member were present. One (1) child was with the therapist during my visit. A group of six (6) children, four (4) and five (5) years of age, engaged in various free-play activities. Two (2) sat with the teacher and created a turkey, two (2) were in the block area playing with a dollhouse, and one (1) child was on a pretend phone call. One (1) emergency medication was monitored in space #8. Storage, permission form, action plan, and medication were in compliance. The medication was last administered on 11/14/25, and the log was maintained sufficiently. In space #9 (3C), a group of five (5) children, three (3) and four (4) years of age, were present with one (1) staff member. One (1) child was coloring, three (3) children dressed up in the dramatic play area, and one (1) child created artwork using stencils. Two (2) playgrounds were monitored. On the younger children’s playground, the top cover of the turtle sandbox was cracked in two (2) separate places. On the older children’s playground, we discussed fall-zone requirements for ECERS-3 and the types of loose surfacing material required. The sand around the permanent slide structure measured approximately eight (8) inches in depth. Staff and Training Worksheet was submitted prior to the visit. Per the ABCMS system, all staff members have valid qualification letters. Two (2) existing staff members files were reviewed in full and six (6) children’s files were reviewed. Nap time was monitored in all classrooms. Lighting was adequate, but no children were up or moving about when I visited the classrooms. A total of three (3) children’s faces were covered with blankets. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the young children's playground, a top of turtle sandbox was cracked in two (2) separate places. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Upon observation, some of the children's faces were covered by their blankets while asleep for two (2) children in 4-C and one (1) child in 4-B. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) cans of aerosol shaving creams were maintained in a unlocked cabinet in 4-B. .2820(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were listed on the Automated Background Check Measuring System (ABCMS) roster for the program as of today. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 705: equipment Equipment must be sturdy and free of hazards. The turtle sandbox on the young children’s playground had cracks in two (2) separate sections. Ms. Neighbors patched the cracks with duct tape during the visit; therefore, this item was corrected during the visit. Taping small cracks is acceptable. However, you and staff members must monitor the area to ensure the cracks do not worsen or spread. If sharp edges or pinching hazards become present, you shall remove the top and replace it with an equivalent component. 807: Safe environment Safe environment must be provided to children at all time. During rest time, no children’s faces shall be covered by blankets or other objects. To sufficiently supervise, staff members must uncover children’s faces when they fall asleep. Staff shall periodically move around the room to check each child. Staff members shall not engage in entertainment, such as reading books or accessing social media on their phones. Staff members may work on lesson plans and other responsibilities as long as supervision is maintained. In space 4-B, one (1) child’s face was covered with a blanket, and in space 4-C, two (2) children’s faces were covered. At my request, the staff members uncovered their faces. To meet compliance, please review the importance of supervision with your staff members. On your compliance letter, please state the actions taken to meet compliance. 840: potentially hazardous products Products in Aerosol cans must be stored in a locked storage. Two (2) cans of shaving cream in aerosol cans were found in the cabinet in space #7 (4-B) but were moved to a locked storage during the visit. Therefore, this item was corrected during the visit. 1805: ABCMS roster 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. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. Additional resources, including manual for ABCMS and help desk phone number and email address were shared with Ms. Neighbors via email during the visit. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/4/25. 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: Rated License Assessment discussion: The following topics were discussed with Ms. Neighbors: • Location of QIRS information: https://ncchildcare.ncdhhs.gov/ what’s New>QIRS Modernization • Location of application and other documentation: https://ncchildcare.ncdhhs.gov/ Provider > Provider Documents and Forms> “Application For Assessment for a Rated License Centers • Overview of Pathway 1, 2 and 3 • Education requirements • CQI CQI for individuals can accompany staff development plan and is required for all staff members. Administrator must complete a CQI for program. • Family and Community Engagement • Pathway 2 – approved curriculum and formative assessment Approved curriculum list: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Approved-Curricula Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Formative-Assessment Formative assessment shall include documentation required. The documentation may be anecdotal notes, portfolio/work samples, developmental screening or photographs, autdio, video recording with permission from the child’s family. • Administrator shall complete training related to the approved curriculum and formative assessment tool. The training does not count toward on-going training hours. Veritification of the training shall be on file for review. (pathway 2) • Administrator and lead teachers shall participate in one of the activities regarding classroom and instructional quality practices (pathway 2. See 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS) • Training hours/CEUs are annually requirements for administrator and lead teachers. They must commit to the requirements annually. • Self-study: NCRLAP: https://ncrlap.org/ (pathway 1) Self-study is required for administrator and all lead teachers. The topic of self-study must be Environment Rating Scales. Self-study shall be completed over a minimum of three consecutive months. • Outreach Assessment contact: Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 (Pathway 1) Ms. Neighbors is interested in pathway 2, but the program needs some time to look into which formative assessment tool to adopt and to train staff members. Therefore, pathway 1 will be the option for upcoming Rated License Assessment. The program may face challenges with staff education for 4-star/5-star level without additional education. We discussed that one (1) lead teachers can be over two (2) classrooms while teachers gain more education and experiences to be lead teachers. Many staff members shall consider earning more early childhood semester hours or completing 10-25 CEUs each year to meet 4-star level education requirements. You can visit Early Years website to learn more about scholarships and grants they are offering for staff members to attend classes. Earning CEU can be costly option for the program. CEUs for the Rated License Assessment do not count toward on-going training requirements. Timeline: Based on the schedule on annual compliance visit and routine unannounced visit, you can choose to apply in late April/early May 2026 or September 2026. Due to your staff members possibly needing additional education, I recommend September to apply for the Rated License Assessment. 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 was 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. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 47 Completed Date: 11/20/2025 Age: From 2 To 5 Total Minutes: 352 Time In: 09:08 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Peggy Neightbors, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Today, Ms. Neighbors 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-three (93) 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, Asheville First Church of the Nazarene, Inc., is current/active as of 11/7/25. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/26/24. The last fire drill was practiced on 10/29/25. The last shelter-in-place drill was practiced on 9/27/25. The last playground inspection was documented on 10/29/25. The last fire inspection was approved on 11/19/24. Per Ms. Neighbors, she contacted the Fire Marshall and left a message, but she had not heard back from them. The last sanitation inspection was conducted on 6/4/25 with sixteen (16) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Enrollment process was started for lead paint and asbestos testing but the testing has not been completed. No staff members were listed on the ABCMS roster as of 11/19/25. Upon arrival, I announced my presence and the purpose of the visit. I observed multiple groups of children coming out of the gym. According to Ms. Neighbors, the children received vision checks today in the computer lab located in the gym. In space 1-3A, a group of three (3) children were present with one (1) staff member. A group of children, two (2) and three (3) years old, sat at the table with the staff member and played with Lego blocks. Space 1-3B was being used by a therapist. During the visit, one (1) child who was three (3) years old from space 3 (2-B) and one (1) child who was four (4) years old from 4C used the space with the therapist. In space #2 (2A), a group of eight (8) children, two (2) and three (3) years of age, were present with one (1) staff member. One (1) child drew at the table, and the remaining children played with pull-back cars or walked around the classroom. In space #3 (2-B), a group of three (3) children, three (3) and four (4) years old, were present with one (1) staff member. Two (2) children were engaged in art activities at the table, and one (1) child was in the library area lying down but awake. One (1) child is on an Epi-Pen, but the medication was not maintained at the school. Spaces #4 (gym) and #5 (dining room) were not in use during my observation. In space #6 (4-A), a group of nine (9) children, three (3) and four (4) years old, were present with one (1) staff member. The children engaged in various activities. Three (3) children created pictures for puppets with the staff member, while other children played in the block center, writing center, and dramatic play center. In space #7 (4-B), a group of ten (10) children, four (4) and five (5) years of age, engaged in free play. Three (3) children played with Barbie dolls, and three (3) children created objects with small Legos. In space #8 (4-C), a group of six (6) children with one (1) staff member were present. One (1) child was with the therapist during my visit. A group of six (6) children, four (4) and five (5) years of age, engaged in various free-play activities. Two (2) sat with the teacher and created a turkey, two (2) were in the block area playing with a dollhouse, and one (1) child was on a pretend phone call. One (1) emergency medication was monitored in space #8. Storage, permission form, action plan, and medication were in compliance. The medication was last administered on 11/14/25, and the log was maintained sufficiently. In space #9 (3C), a group of five (5) children, three (3) and four (4) years of age, were present with one (1) staff member. One (1) child was coloring, three (3) children dressed up in the dramatic play area, and one (1) child created artwork using stencils. Two (2) playgrounds were monitored. On the younger children’s playground, the top cover of the turtle sandbox was cracked in two (2) separate places. On the older children’s playground, we discussed fall-zone requirements for ECERS-3 and the types of loose surfacing material required. The sand around the permanent slide structure measured approximately eight (8) inches in depth. Staff and Training Worksheet was submitted prior to the visit. Per the ABCMS system, all staff members have valid qualification letters. Two (2) existing staff members files were reviewed in full and six (6) children’s files were reviewed. Nap time was monitored in all classrooms. Lighting was adequate, but no children were up or moving about when I visited the classrooms. A total of three (3) children’s faces were covered with blankets. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the young children's playground, a top of turtle sandbox was cracked in two (2) separate places. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Upon observation, some of the children's faces were covered by their blankets while asleep for two (2) children in 4-C and one (1) child in 4-B. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) cans of aerosol shaving creams were maintained in a unlocked cabinet in 4-B. .2820(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were listed on the Automated Background Check Measuring System (ABCMS) roster for the program as of today. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 705: equipment Equipment must be sturdy and free of hazards. The turtle sandbox on the young children’s playground had cracks in two (2) separate sections. Ms. Neighbors patched the cracks with duct tape during the visit; therefore, this item was corrected during the visit. Taping small cracks is acceptable. However, you and staff members must monitor the area to ensure the cracks do not worsen or spread. If sharp edges or pinching hazards become present, you shall remove the top and replace it with an equivalent component. 807: Safe environment Safe environment must be provided to children at all time. During rest time, no children’s faces shall be covered by blankets or other objects. To sufficiently supervise, staff members must uncover children’s faces when they fall asleep. Staff shall periodically move around the room to check each child. Staff members shall not engage in entertainment, such as reading books or accessing social media on their phones. Staff members may work on lesson plans and other responsibilities as long as supervision is maintained. In space 4-B, one (1) child’s face was covered with a blanket, and in space 4-C, two (2) children’s faces were covered. At my request, the staff members uncovered their faces. To meet compliance, please review the importance of supervision with your staff members. On your compliance letter, please state the actions taken to meet compliance. 840: potentially hazardous products Products in Aerosol cans must be stored in a locked storage. Two (2) cans of shaving cream in aerosol cans were found in the cabinet in space #7 (4-B) but were moved to a locked storage during the visit. Therefore, this item was corrected during the visit. 1805: ABCMS roster 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. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. Additional resources, including manual for ABCMS and help desk phone number and email address were shared with Ms. Neighbors via email during the visit. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/4/25. 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: Rated License Assessment discussion: The following topics were discussed with Ms. Neighbors: • Location of QIRS information: https://ncchildcare.ncdhhs.gov/ what’s New>QIRS Modernization • Location of application and other documentation: https://ncchildcare.ncdhhs.gov/ Provider > Provider Documents and Forms> “Application For Assessment for a Rated License Centers • Overview of Pathway 1, 2 and 3 • Education requirements • CQI CQI for individuals can accompany staff development plan and is required for all staff members. Administrator must complete a CQI for program. • Family and Community Engagement • Pathway 2 – approved curriculum and formative assessment Approved curriculum list: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Approved-Curricula Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Formative-Assessment Formative assessment shall include documentation required. The documentation may be anecdotal notes, portfolio/work samples, developmental screening or photographs, autdio, video recording with permission from the child’s family. • Administrator shall complete training related to the approved curriculum and formative assessment tool. The training does not count toward on-going training hours. Veritification of the training shall be on file for review. (pathway 2) • Administrator and lead teachers shall participate in one of the activities regarding classroom and instructional quality practices (pathway 2. See 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS) • Training hours/CEUs are annually requirements for administrator and lead teachers. They must commit to the requirements annually. • Self-study: NCRLAP: https://ncrlap.org/ (pathway 1) Self-study is required for administrator and all lead teachers. The topic of self-study must be Environment Rating Scales. Self-study shall be completed over a minimum of three consecutive months. • Outreach Assessment contact: Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 (Pathway 1) Ms. Neighbors is interested in pathway 2, but the program needs some time to look into which formative assessment tool to adopt and to train staff members. Therefore, pathway 1 will be the option for upcoming Rated License Assessment. The program may face challenges with staff education for 4-star/5-star level without additional education. We discussed that one (1) lead teachers can be over two (2) classrooms while teachers gain more education and experiences to be lead teachers. Many staff members shall consider earning more early childhood semester hours or completing 10-25 CEUs each year to meet 4-star level education requirements. You can visit Early Years website to learn more about scholarships and grants they are offering for staff members to attend classes. Earning CEU can be costly option for the program. CEUs for the Rated License Assessment do not count toward on-going training requirements. Timeline: Based on the schedule on annual compliance visit and routine unannounced visit, you can choose to apply in late April/early May 2026 or September 2026. Due to your staff members possibly needing additional education, I recommend September to apply for the Rated License Assessment. 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 was 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. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 47 Completed Date: 11/20/2025 Age: From 2 To 5 Total Minutes: 352 Time In: 09:08 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Peggy Neightbors, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Today, Ms. Neighbors 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-three (93) 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, Asheville First Church of the Nazarene, Inc., is current/active as of 11/7/25. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/26/24. The last fire drill was practiced on 10/29/25. The last shelter-in-place drill was practiced on 9/27/25. The last playground inspection was documented on 10/29/25. The last fire inspection was approved on 11/19/24. Per Ms. Neighbors, she contacted the Fire Marshall and left a message, but she had not heard back from them. The last sanitation inspection was conducted on 6/4/25 with sixteen (16) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Enrollment process was started for lead paint and asbestos testing but the testing has not been completed. No staff members were listed on the ABCMS roster as of 11/19/25. Upon arrival, I announced my presence and the purpose of the visit. I observed multiple groups of children coming out of the gym. According to Ms. Neighbors, the children received vision checks today in the computer lab located in the gym. In space 1-3A, a group of three (3) children were present with one (1) staff member. A group of children, two (2) and three (3) years old, sat at the table with the staff member and played with Lego blocks. Space 1-3B was being used by a therapist. During the visit, one (1) child who was three (3) years old from space 3 (2-B) and one (1) child who was four (4) years old from 4C used the space with the therapist. In space #2 (2A), a group of eight (8) children, two (2) and three (3) years of age, were present with one (1) staff member. One (1) child drew at the table, and the remaining children played with pull-back cars or walked around the classroom. In space #3 (2-B), a group of three (3) children, three (3) and four (4) years old, were present with one (1) staff member. Two (2) children were engaged in art activities at the table, and one (1) child was in the library area lying down but awake. One (1) child is on an Epi-Pen, but the medication was not maintained at the school. Spaces #4 (gym) and #5 (dining room) were not in use during my observation. In space #6 (4-A), a group of nine (9) children, three (3) and four (4) years old, were present with one (1) staff member. The children engaged in various activities. Three (3) children created pictures for puppets with the staff member, while other children played in the block center, writing center, and dramatic play center. In space #7 (4-B), a group of ten (10) children, four (4) and five (5) years of age, engaged in free play. Three (3) children played with Barbie dolls, and three (3) children created objects with small Legos. In space #8 (4-C), a group of six (6) children with one (1) staff member were present. One (1) child was with the therapist during my visit. A group of six (6) children, four (4) and five (5) years of age, engaged in various free-play activities. Two (2) sat with the teacher and created a turkey, two (2) were in the block area playing with a dollhouse, and one (1) child was on a pretend phone call. One (1) emergency medication was monitored in space #8. Storage, permission form, action plan, and medication were in compliance. The medication was last administered on 11/14/25, and the log was maintained sufficiently. In space #9 (3C), a group of five (5) children, three (3) and four (4) years of age, were present with one (1) staff member. One (1) child was coloring, three (3) children dressed up in the dramatic play area, and one (1) child created artwork using stencils. Two (2) playgrounds were monitored. On the younger children’s playground, the top cover of the turtle sandbox was cracked in two (2) separate places. On the older children’s playground, we discussed fall-zone requirements for ECERS-3 and the types of loose surfacing material required. The sand around the permanent slide structure measured approximately eight (8) inches in depth. Staff and Training Worksheet was submitted prior to the visit. Per the ABCMS system, all staff members have valid qualification letters. Two (2) existing staff members files were reviewed in full and six (6) children’s files were reviewed. Nap time was monitored in all classrooms. Lighting was adequate, but no children were up or moving about when I visited the classrooms. A total of three (3) children’s faces were covered with blankets. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the young children's playground, a top of turtle sandbox was cracked in two (2) separate places. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. Upon observation, some of the children's faces were covered by their blankets while asleep for two (2) children in 4-C and one (1) child in 4-B. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) cans of aerosol shaving creams were maintained in a unlocked cabinet in 4-B. .2820(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were listed on the Automated Background Check Measuring System (ABCMS) roster for the program as of today. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 705: equipment Equipment must be sturdy and free of hazards. The turtle sandbox on the young children’s playground had cracks in two (2) separate sections. Ms. Neighbors patched the cracks with duct tape during the visit; therefore, this item was corrected during the visit. Taping small cracks is acceptable. However, you and staff members must monitor the area to ensure the cracks do not worsen or spread. If sharp edges or pinching hazards become present, you shall remove the top and replace it with an equivalent component. 807: Safe environment Safe environment must be provided to children at all time. During rest time, no children’s faces shall be covered by blankets or other objects. To sufficiently supervise, staff members must uncover children’s faces when they fall asleep. Staff shall periodically move around the room to check each child. Staff members shall not engage in entertainment, such as reading books or accessing social media on their phones. Staff members may work on lesson plans and other responsibilities as long as supervision is maintained. In space 4-B, one (1) child’s face was covered with a blanket, and in space 4-C, two (2) children’s faces were covered. At my request, the staff members uncovered their faces. To meet compliance, please review the importance of supervision with your staff members. On your compliance letter, please state the actions taken to meet compliance. 840: potentially hazardous products Products in Aerosol cans must be stored in a locked storage. Two (2) cans of shaving cream in aerosol cans were found in the cabinet in space #7 (4-B) but were moved to a locked storage during the visit. Therefore, this item was corrected during the visit. 1805: ABCMS roster 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. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, please take the training on the DCDEE Moodle first and follow the procedures for listing all staff members. Additional resources, including manual for ABCMS and help desk phone number and email address were shared with Ms. Neighbors via email during the visit. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/4/25. 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: Rated License Assessment discussion: The following topics were discussed with Ms. Neighbors: • Location of QIRS information: https://ncchildcare.ncdhhs.gov/ what’s New>QIRS Modernization • Location of application and other documentation: https://ncchildcare.ncdhhs.gov/ Provider > Provider Documents and Forms> “Application For Assessment for a Rated License Centers • Overview of Pathway 1, 2 and 3 • Education requirements • CQI CQI for individuals can accompany staff development plan and is required for all staff members. Administrator must complete a CQI for program. • Family and Community Engagement • Pathway 2 – approved curriculum and formative assessment Approved curriculum list: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Approved-Curricula Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Formative-Assessment Formative assessment shall include documentation required. The documentation may be anecdotal notes, portfolio/work samples, developmental screening or photographs, autdio, video recording with permission from the child’s family. • Administrator shall complete training related to the approved curriculum and formative assessment tool. The training does not count toward on-going training hours. Veritification of the training shall be on file for review. (pathway 2) • Administrator and lead teachers shall participate in one of the activities regarding classroom and instructional quality practices (pathway 2. See 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS) • Training hours/CEUs are annually requirements for administrator and lead teachers. They must commit to the requirements annually. • Self-study: NCRLAP: https://ncrlap.org/ (pathway 1) Self-study is required for administrator and all lead teachers. The topic of self-study must be Environment Rating Scales. Self-study shall be completed over a minimum of three consecutive months. • Outreach Assessment contact: Email: ncrlap@uncg.edu or Phone: Toll Free (866)-362-7527 (Pathway 1) Ms. Neighbors is interested in pathway 2, but the program needs some time to look into which formative assessment tool to adopt and to train staff members. Therefore, pathway 1 will be the option for upcoming Rated License Assessment. The program may face challenges with staff education for 4-star/5-star level without additional education. We discussed that one (1) lead teachers can be over two (2) classrooms while teachers gain more education and experiences to be lead teachers. Many staff members shall consider earning more early childhood semester hours or completing 10-25 CEUs each year to meet 4-star level education requirements. You can visit Early Years website to learn more about scholarships and grants they are offering for staff members to attend classes. Earning CEU can be costly option for the program. CEUs for the Rated License Assessment do not count toward on-going training requirements. Timeline: Based on the schedule on annual compliance visit and routine unannounced visit, you can choose to apply in late April/early May 2026 or September 2026. Due to your staff members possibly needing additional education, I recommend September to apply for the Rated License Assessment. 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 was 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. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/29/2025 Number Present: 55 Completed Date: 5/29/2025 Age: From 2 To 5 Total Minutes: 221 Time In: 09:00 AM Time Out: 12:41 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Ms. Neighbors accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, Meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/26/24. The last fire drill was practiced on 4/1/25. The last shelter-in-place drill was practiced on 3/2/25. The last playground inspection was documented on 4/1/25. The last fire inspection was approved on 11/19/24. The last sanitation inspection was conducted on 3/5/25 with fourteen (14) demerits for a provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Lead paint and asbestos testing has not been completed. Upon arrival, I announced my presence and the purpose of the visit. I observed the classroom and the children. In space #1- 3A, a group of eight (8) children, three-to-four years old, with one (1) staff member were present. The children engaged in free play with pretend baby dolls, purses, food and other materials. One (1) emergency medications are maintained in the classroom. This medication was last administered today. Medication log, action plan, authorization form and storage were in compliance. In space #2 – 2A, a group of six (6) children, two-to-three years old with two (2) staff members were present. The children played with dress up clothes, toy cars, instruments and manipulative toys. In space #3 – 2B, a group of six (6) children, two-to-three years old with one (1) staff member was present. The children played with playdough, dress up clothes and other materials. In space #6 – 4A, a group of eight (8) children, all four (4) years of age, with one (1) staff member was present. The children engaged in art activity, pretend play with cape and masks, magnetic tiles and pretend animals. In space #7- 4B, a group of eleven (11) children, four-to-five years old, were present with one (1) staff member. One (1) child was seen by the therapist in the classroom. The children created bee hive art, played with potato heads, pretend animals and other materials. In space #8 – 4C, a group of eight (8) children, four-to-five years of age were present with one (1) staff member. The children created sizable structures with foam and wooden blocks and played with pretend animals. In space #9 – 3C, a group of eight (8) children, three-to-five years of age were present with one (1) staff member. The children engaged in math/manipulative activities and dress-up. This is a graduation week for four-to-five-year-old children. The children in space #6, 7, 8, and 9 gathered in sanctuary and practiced songs for the graduation ceremony. Space #4- gym was inspected and no safety hazards were identified. Space #5-cafeteria was not used during the visit. Two (2) playgrounds were monitored. Some of the sand, mulch and dirt on the preschool playground is washed away from the weather, and some grass grew on the playground. The critical height may change based on the level of ground cover around the slide structure and the see-saw. You are required to have fall zone if the critical height of equipment is eighteen (18) inches or higher. Two (2) new staff files were monitored in full, and twelve (12) staff files were monitored partially for criminal background letters and CPR/First Aid certificate. One (1) existing staff member took his/her CPR/First Aid training on 5/28/25 due to being out of the country. 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 1043 All staff records, except financial records, were not made available for review. A record of orientation for two (2) new staff member was not available for review. Per administrator, the orientations were completed for both staff members. The document was misplaced and unable to be found during the visit. G.S. 110-91( 9) Technical assistance was provided as follows: 1043: Records All staff records must be available for review. Refer to G.S. 110-91(9). New staff members’ orientation forms were not available for review. Ms. Neighbors stated she completed the orientation but was unable to locate the documentation sheet during the visit. Please find the document and send me a scanned copy for correction of this item. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/12/25. 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: Recognizing and Responding to Suspicions of Child Maltreatment Training: New employees must complete this training within ninety (90) days of employment. S. Neighbors must complete this training on or prior to 6/9/25, and R. Glenn must complete the training on or prior to 6/29/25. Criminal background check: There are five (5) staff members who need to renew their criminal background check. Please plan ahead to renew the background check without any lapse. T. Jackson: 10/8/25 S. Nanni: 9/22/25 B. Hensley: 9/22/25 I. Joyce: 6/5/25 M. Soccoro: 7/3/25 P. Neighbors: 8/21/25 CPR/First Aid: R. Glenn’s CPR/First Aid certificate must be in file on or prior to 6/29/25. Fall zone/loose surfacing: Any equipment with critical height of eighteen (18) inches or higher is required to have fall zone. As mulch and sand washes away around the see-saw and slide structure on the preschool playground, it may change the critical height. Please make sure to follow the rule for the fall zone and critical height. Additionally, only one (1) type of loose surfacing material is permitted for each fall zone. Therefore, grass must not be grown in the fall zone. If fall zone is applied based on the critical height, grass within the six (6) feet around the equipment must be removed. Sanitation inspection: Please contact your Environmental Health Specialist and schedule inspection, if needed. Please forward the inspection to me upon receiving them. Medical Statement: When you are able to contact the physician who completed the medical statement for S. Neighbors, please revise the medical statement examination date, if applicable and notify me. 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) 814-6401 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/29/2025 Number Present: 55 Completed Date: 5/29/2025 Age: From 2 To 5 Total Minutes: 221 Time In: 09:00 AM Time Out: 12:41 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Ms. Neighbors accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, Meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/26/24. The last fire drill was practiced on 4/1/25. The last shelter-in-place drill was practiced on 3/2/25. The last playground inspection was documented on 4/1/25. The last fire inspection was approved on 11/19/24. The last sanitation inspection was conducted on 3/5/25 with fourteen (14) demerits for a provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Lead paint and asbestos testing has not been completed. Upon arrival, I announced my presence and the purpose of the visit. I observed the classroom and the children. In space #1- 3A, a group of eight (8) children, three-to-four years old, with one (1) staff member were present. The children engaged in free play with pretend baby dolls, purses, food and other materials. One (1) emergency medications are maintained in the classroom. This medication was last administered today. Medication log, action plan, authorization form and storage were in compliance. In space #2 – 2A, a group of six (6) children, two-to-three years old with two (2) staff members were present. The children played with dress up clothes, toy cars, instruments and manipulative toys. In space #3 – 2B, a group of six (6) children, two-to-three years old with one (1) staff member was present. The children played with playdough, dress up clothes and other materials. In space #6 – 4A, a group of eight (8) children, all four (4) years of age, with one (1) staff member was present. The children engaged in art activity, pretend play with cape and masks, magnetic tiles and pretend animals. In space #7- 4B, a group of eleven (11) children, four-to-five years old, were present with one (1) staff member. One (1) child was seen by the therapist in the classroom. The children created bee hive art, played with potato heads, pretend animals and other materials. In space #8 – 4C, a group of eight (8) children, four-to-five years of age were present with one (1) staff member. The children created sizable structures with foam and wooden blocks and played with pretend animals. In space #9 – 3C, a group of eight (8) children, three-to-five years of age were present with one (1) staff member. The children engaged in math/manipulative activities and dress-up. This is a graduation week for four-to-five-year-old children. The children in space #6, 7, 8, and 9 gathered in sanctuary and practiced songs for the graduation ceremony. Space #4- gym was inspected and no safety hazards were identified. Space #5-cafeteria was not used during the visit. Two (2) playgrounds were monitored. Some of the sand, mulch and dirt on the preschool playground is washed away from the weather, and some grass grew on the playground. The critical height may change based on the level of ground cover around the slide structure and the see-saw. You are required to have fall zone if the critical height of equipment is eighteen (18) inches or higher. Two (2) new staff files were monitored in full, and twelve (12) staff files were monitored partially for criminal background letters and CPR/First Aid certificate. One (1) existing staff member took his/her CPR/First Aid training on 5/28/25 due to being out of the country. 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 1043 All staff records, except financial records, were not made available for review. A record of orientation for two (2) new staff member was not available for review. Per administrator, the orientations were completed for both staff members. The document was misplaced and unable to be found during the visit. G.S. 110-91( 9) Technical assistance was provided as follows: 1043: Records All staff records must be available for review. Refer to G.S. 110-91(9). New staff members’ orientation forms were not available for review. Ms. Neighbors stated she completed the orientation but was unable to locate the documentation sheet during the visit. Please find the document and send me a scanned copy for correction of this item. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/12/25. 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: Recognizing and Responding to Suspicions of Child Maltreatment Training: New employees must complete this training within ninety (90) days of employment. S. Neighbors must complete this training on or prior to 6/9/25, and R. Glenn must complete the training on or prior to 6/29/25. Criminal background check: There are five (5) staff members who need to renew their criminal background check. Please plan ahead to renew the background check without any lapse. T. Jackson: 10/8/25 S. Nanni: 9/22/25 B. Hensley: 9/22/25 I. Joyce: 6/5/25 M. Soccoro: 7/3/25 P. Neighbors: 8/21/25 CPR/First Aid: R. Glenn’s CPR/First Aid certificate must be in file on or prior to 6/29/25. Fall zone/loose surfacing: Any equipment with critical height of eighteen (18) inches or higher is required to have fall zone. As mulch and sand washes away around the see-saw and slide structure on the preschool playground, it may change the critical height. Please make sure to follow the rule for the fall zone and critical height. Additionally, only one (1) type of loose surfacing material is permitted for each fall zone. Therefore, grass must not be grown in the fall zone. If fall zone is applied based on the critical height, grass within the six (6) feet around the equipment must be removed. Sanitation inspection: Please contact your Environmental Health Specialist and schedule inspection, if needed. Please forward the inspection to me upon receiving them. Medical Statement: When you are able to contact the physician who completed the medical statement for S. Neighbors, please revise the medical statement examination date, if applicable and notify me. 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) 814-6401 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/29/2025 Number Present: 55 Completed Date: 5/29/2025 Age: From 2 To 5 Total Minutes: 221 Time In: 09:00 AM Time Out: 12:41 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Ms. Neighbors accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, Meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/26/24. The last fire drill was practiced on 4/1/25. The last shelter-in-place drill was practiced on 3/2/25. The last playground inspection was documented on 4/1/25. The last fire inspection was approved on 11/19/24. The last sanitation inspection was conducted on 3/5/25 with fourteen (14) demerits for a provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Lead paint and asbestos testing has not been completed. Upon arrival, I announced my presence and the purpose of the visit. I observed the classroom and the children. In space #1- 3A, a group of eight (8) children, three-to-four years old, with one (1) staff member were present. The children engaged in free play with pretend baby dolls, purses, food and other materials. One (1) emergency medications are maintained in the classroom. This medication was last administered today. Medication log, action plan, authorization form and storage were in compliance. In space #2 – 2A, a group of six (6) children, two-to-three years old with two (2) staff members were present. The children played with dress up clothes, toy cars, instruments and manipulative toys. In space #3 – 2B, a group of six (6) children, two-to-three years old with one (1) staff member was present. The children played with playdough, dress up clothes and other materials. In space #6 – 4A, a group of eight (8) children, all four (4) years of age, with one (1) staff member was present. The children engaged in art activity, pretend play with cape and masks, magnetic tiles and pretend animals. In space #7- 4B, a group of eleven (11) children, four-to-five years old, were present with one (1) staff member. One (1) child was seen by the therapist in the classroom. The children created bee hive art, played with potato heads, pretend animals and other materials. In space #8 – 4C, a group of eight (8) children, four-to-five years of age were present with one (1) staff member. The children created sizable structures with foam and wooden blocks and played with pretend animals. In space #9 – 3C, a group of eight (8) children, three-to-five years of age were present with one (1) staff member. The children engaged in math/manipulative activities and dress-up. This is a graduation week for four-to-five-year-old children. The children in space #6, 7, 8, and 9 gathered in sanctuary and practiced songs for the graduation ceremony. Space #4- gym was inspected and no safety hazards were identified. Space #5-cafeteria was not used during the visit. Two (2) playgrounds were monitored. Some of the sand, mulch and dirt on the preschool playground is washed away from the weather, and some grass grew on the playground. The critical height may change based on the level of ground cover around the slide structure and the see-saw. You are required to have fall zone if the critical height of equipment is eighteen (18) inches or higher. Two (2) new staff files were monitored in full, and twelve (12) staff files were monitored partially for criminal background letters and CPR/First Aid certificate. One (1) existing staff member took his/her CPR/First Aid training on 5/28/25 due to being out of the country. 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 1043 All staff records, except financial records, were not made available for review. A record of orientation for two (2) new staff member was not available for review. Per administrator, the orientations were completed for both staff members. The document was misplaced and unable to be found during the visit. G.S. 110-91( 9) Technical assistance was provided as follows: 1043: Records All staff records must be available for review. Refer to G.S. 110-91(9). New staff members’ orientation forms were not available for review. Ms. Neighbors stated she completed the orientation but was unable to locate the documentation sheet during the visit. Please find the document and send me a scanned copy for correction of this item. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/12/25. 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: Recognizing and Responding to Suspicions of Child Maltreatment Training: New employees must complete this training within ninety (90) days of employment. S. Neighbors must complete this training on or prior to 6/9/25, and R. Glenn must complete the training on or prior to 6/29/25. Criminal background check: There are five (5) staff members who need to renew their criminal background check. Please plan ahead to renew the background check without any lapse. T. Jackson: 10/8/25 S. Nanni: 9/22/25 B. Hensley: 9/22/25 I. Joyce: 6/5/25 M. Soccoro: 7/3/25 P. Neighbors: 8/21/25 CPR/First Aid: R. Glenn’s CPR/First Aid certificate must be in file on or prior to 6/29/25. Fall zone/loose surfacing: Any equipment with critical height of eighteen (18) inches or higher is required to have fall zone. As mulch and sand washes away around the see-saw and slide structure on the preschool playground, it may change the critical height. Please make sure to follow the rule for the fall zone and critical height. Additionally, only one (1) type of loose surfacing material is permitted for each fall zone. Therefore, grass must not be grown in the fall zone. If fall zone is applied based on the critical height, grass within the six (6) feet around the equipment must be removed. Sanitation inspection: Please contact your Environmental Health Specialist and schedule inspection, if needed. Please forward the inspection to me upon receiving them. Medical Statement: When you are able to contact the physician who completed the medical statement for S. Neighbors, please revise the medical statement examination date, if applicable and notify me. 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) 814-6401 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 .2830 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/29/2025 Number Present: 55 Completed Date: 5/29/2025 Age: From 2 To 5 Total Minutes: 221 Time In: 09:00 AM Time Out: 12:41 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Ms. Neighbors accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, Meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/26/24. The last fire drill was practiced on 4/1/25. The last shelter-in-place drill was practiced on 3/2/25. The last playground inspection was documented on 4/1/25. The last fire inspection was approved on 11/19/24. The last sanitation inspection was conducted on 3/5/25 with fourteen (14) demerits for a provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Lead paint and asbestos testing has not been completed. Upon arrival, I announced my presence and the purpose of the visit. I observed the classroom and the children. In space #1- 3A, a group of eight (8) children, three-to-four years old, with one (1) staff member were present. The children engaged in free play with pretend baby dolls, purses, food and other materials. One (1) emergency medications are maintained in the classroom. This medication was last administered today. Medication log, action plan, authorization form and storage were in compliance. In space #2 – 2A, a group of six (6) children, two-to-three years old with two (2) staff members were present. The children played with dress up clothes, toy cars, instruments and manipulative toys. In space #3 – 2B, a group of six (6) children, two-to-three years old with one (1) staff member was present. The children played with playdough, dress up clothes and other materials. In space #6 – 4A, a group of eight (8) children, all four (4) years of age, with one (1) staff member was present. The children engaged in art activity, pretend play with cape and masks, magnetic tiles and pretend animals. In space #7- 4B, a group of eleven (11) children, four-to-five years old, were present with one (1) staff member. One (1) child was seen by the therapist in the classroom. The children created bee hive art, played with potato heads, pretend animals and other materials. In space #8 – 4C, a group of eight (8) children, four-to-five years of age were present with one (1) staff member. The children created sizable structures with foam and wooden blocks and played with pretend animals. In space #9 – 3C, a group of eight (8) children, three-to-five years of age were present with one (1) staff member. The children engaged in math/manipulative activities and dress-up. This is a graduation week for four-to-five-year-old children. The children in space #6, 7, 8, and 9 gathered in sanctuary and practiced songs for the graduation ceremony. Space #4- gym was inspected and no safety hazards were identified. Space #5-cafeteria was not used during the visit. Two (2) playgrounds were monitored. Some of the sand, mulch and dirt on the preschool playground is washed away from the weather, and some grass grew on the playground. The critical height may change based on the level of ground cover around the slide structure and the see-saw. You are required to have fall zone if the critical height of equipment is eighteen (18) inches or higher. Two (2) new staff files were monitored in full, and twelve (12) staff files were monitored partially for criminal background letters and CPR/First Aid certificate. One (1) existing staff member took his/her CPR/First Aid training on 5/28/25 due to being out of the country. 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 1043 All staff records, except financial records, were not made available for review. A record of orientation for two (2) new staff member was not available for review. Per administrator, the orientations were completed for both staff members. The document was misplaced and unable to be found during the visit. G.S. 110-91( 9) Technical assistance was provided as follows: 1043: Records All staff records must be available for review. Refer to G.S. 110-91(9). New staff members’ orientation forms were not available for review. Ms. Neighbors stated she completed the orientation but was unable to locate the documentation sheet during the visit. Please find the document and send me a scanned copy for correction of this item. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/12/25. 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: Recognizing and Responding to Suspicions of Child Maltreatment Training: New employees must complete this training within ninety (90) days of employment. S. Neighbors must complete this training on or prior to 6/9/25, and R. Glenn must complete the training on or prior to 6/29/25. Criminal background check: There are five (5) staff members who need to renew their criminal background check. Please plan ahead to renew the background check without any lapse. T. Jackson: 10/8/25 S. Nanni: 9/22/25 B. Hensley: 9/22/25 I. Joyce: 6/5/25 M. Soccoro: 7/3/25 P. Neighbors: 8/21/25 CPR/First Aid: R. Glenn’s CPR/First Aid certificate must be in file on or prior to 6/29/25. Fall zone/loose surfacing: Any equipment with critical height of eighteen (18) inches or higher is required to have fall zone. As mulch and sand washes away around the see-saw and slide structure on the preschool playground, it may change the critical height. Please make sure to follow the rule for the fall zone and critical height. Additionally, only one (1) type of loose surfacing material is permitted for each fall zone. Therefore, grass must not be grown in the fall zone. If fall zone is applied based on the critical height, grass within the six (6) feet around the equipment must be removed. Sanitation inspection: Please contact your Environmental Health Specialist and schedule inspection, if needed. Please forward the inspection to me upon receiving them. Medical Statement: When you are able to contact the physician who completed the medical statement for S. Neighbors, please revise the medical statement examination date, if applicable and notify me. 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) 814-6401 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/29/2025 Number Present: 55 Completed Date: 5/29/2025 Age: From 2 To 5 Total Minutes: 221 Time In: 09:00 AM Time Out: 12:41 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Ms. Neighbors accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, Meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/26/24. The last fire drill was practiced on 4/1/25. The last shelter-in-place drill was practiced on 3/2/25. The last playground inspection was documented on 4/1/25. The last fire inspection was approved on 11/19/24. The last sanitation inspection was conducted on 3/5/25 with fourteen (14) demerits for a provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Lead paint and asbestos testing has not been completed. Upon arrival, I announced my presence and the purpose of the visit. I observed the classroom and the children. In space #1- 3A, a group of eight (8) children, three-to-four years old, with one (1) staff member were present. The children engaged in free play with pretend baby dolls, purses, food and other materials. One (1) emergency medications are maintained in the classroom. This medication was last administered today. Medication log, action plan, authorization form and storage were in compliance. In space #2 – 2A, a group of six (6) children, two-to-three years old with two (2) staff members were present. The children played with dress up clothes, toy cars, instruments and manipulative toys. In space #3 – 2B, a group of six (6) children, two-to-three years old with one (1) staff member was present. The children played with playdough, dress up clothes and other materials. In space #6 – 4A, a group of eight (8) children, all four (4) years of age, with one (1) staff member was present. The children engaged in art activity, pretend play with cape and masks, magnetic tiles and pretend animals. In space #7- 4B, a group of eleven (11) children, four-to-five years old, were present with one (1) staff member. One (1) child was seen by the therapist in the classroom. The children created bee hive art, played with potato heads, pretend animals and other materials. In space #8 – 4C, a group of eight (8) children, four-to-five years of age were present with one (1) staff member. The children created sizable structures with foam and wooden blocks and played with pretend animals. In space #9 – 3C, a group of eight (8) children, three-to-five years of age were present with one (1) staff member. The children engaged in math/manipulative activities and dress-up. This is a graduation week for four-to-five-year-old children. The children in space #6, 7, 8, and 9 gathered in sanctuary and practiced songs for the graduation ceremony. Space #4- gym was inspected and no safety hazards were identified. Space #5-cafeteria was not used during the visit. Two (2) playgrounds were monitored. Some of the sand, mulch and dirt on the preschool playground is washed away from the weather, and some grass grew on the playground. The critical height may change based on the level of ground cover around the slide structure and the see-saw. You are required to have fall zone if the critical height of equipment is eighteen (18) inches or higher. Two (2) new staff files were monitored in full, and twelve (12) staff files were monitored partially for criminal background letters and CPR/First Aid certificate. One (1) existing staff member took his/her CPR/First Aid training on 5/28/25 due to being out of the country. 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 1043 All staff records, except financial records, were not made available for review. A record of orientation for two (2) new staff member was not available for review. Per administrator, the orientations were completed for both staff members. The document was misplaced and unable to be found during the visit. G.S. 110-91( 9) Technical assistance was provided as follows: 1043: Records All staff records must be available for review. Refer to G.S. 110-91(9). New staff members’ orientation forms were not available for review. Ms. Neighbors stated she completed the orientation but was unable to locate the documentation sheet during the visit. Please find the document and send me a scanned copy for correction of this item. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/12/25. 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: Recognizing and Responding to Suspicions of Child Maltreatment Training: New employees must complete this training within ninety (90) days of employment. S. Neighbors must complete this training on or prior to 6/9/25, and R. Glenn must complete the training on or prior to 6/29/25. Criminal background check: There are five (5) staff members who need to renew their criminal background check. Please plan ahead to renew the background check without any lapse. T. Jackson: 10/8/25 S. Nanni: 9/22/25 B. Hensley: 9/22/25 I. Joyce: 6/5/25 M. Soccoro: 7/3/25 P. Neighbors: 8/21/25 CPR/First Aid: R. Glenn’s CPR/First Aid certificate must be in file on or prior to 6/29/25. Fall zone/loose surfacing: Any equipment with critical height of eighteen (18) inches or higher is required to have fall zone. As mulch and sand washes away around the see-saw and slide structure on the preschool playground, it may change the critical height. Please make sure to follow the rule for the fall zone and critical height. Additionally, only one (1) type of loose surfacing material is permitted for each fall zone. Therefore, grass must not be grown in the fall zone. If fall zone is applied based on the critical height, grass within the six (6) feet around the equipment must be removed. Sanitation inspection: Please contact your Environmental Health Specialist and schedule inspection, if needed. Please forward the inspection to me upon receiving them. Medical Statement: When you are able to contact the physician who completed the medical statement for S. Neighbors, please revise the medical statement examination date, if applicable and notify me. 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) 814-6401 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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. 110-91 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/29/2025 Number Present: 55 Completed Date: 5/29/2025 Age: From 2 To 5 Total Minutes: 221 Time In: 09:00 AM Time Out: 12:41 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Ms. Neighbors accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, Meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/26/24. The last fire drill was practiced on 4/1/25. The last shelter-in-place drill was practiced on 3/2/25. The last playground inspection was documented on 4/1/25. The last fire inspection was approved on 11/19/24. The last sanitation inspection was conducted on 3/5/25 with fourteen (14) demerits for a provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Lead paint and asbestos testing has not been completed. Upon arrival, I announced my presence and the purpose of the visit. I observed the classroom and the children. In space #1- 3A, a group of eight (8) children, three-to-four years old, with one (1) staff member were present. The children engaged in free play with pretend baby dolls, purses, food and other materials. One (1) emergency medications are maintained in the classroom. This medication was last administered today. Medication log, action plan, authorization form and storage were in compliance. In space #2 – 2A, a group of six (6) children, two-to-three years old with two (2) staff members were present. The children played with dress up clothes, toy cars, instruments and manipulative toys. In space #3 – 2B, a group of six (6) children, two-to-three years old with one (1) staff member was present. The children played with playdough, dress up clothes and other materials. In space #6 – 4A, a group of eight (8) children, all four (4) years of age, with one (1) staff member was present. The children engaged in art activity, pretend play with cape and masks, magnetic tiles and pretend animals. In space #7- 4B, a group of eleven (11) children, four-to-five years old, were present with one (1) staff member. One (1) child was seen by the therapist in the classroom. The children created bee hive art, played with potato heads, pretend animals and other materials. In space #8 – 4C, a group of eight (8) children, four-to-five years of age were present with one (1) staff member. The children created sizable structures with foam and wooden blocks and played with pretend animals. In space #9 – 3C, a group of eight (8) children, three-to-five years of age were present with one (1) staff member. The children engaged in math/manipulative activities and dress-up. This is a graduation week for four-to-five-year-old children. The children in space #6, 7, 8, and 9 gathered in sanctuary and practiced songs for the graduation ceremony. Space #4- gym was inspected and no safety hazards were identified. Space #5-cafeteria was not used during the visit. Two (2) playgrounds were monitored. Some of the sand, mulch and dirt on the preschool playground is washed away from the weather, and some grass grew on the playground. The critical height may change based on the level of ground cover around the slide structure and the see-saw. You are required to have fall zone if the critical height of equipment is eighteen (18) inches or higher. Two (2) new staff files were monitored in full, and twelve (12) staff files were monitored partially for criminal background letters and CPR/First Aid certificate. One (1) existing staff member took his/her CPR/First Aid training on 5/28/25 due to being out of the country. 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 1043 All staff records, except financial records, were not made available for review. A record of orientation for two (2) new staff member was not available for review. Per administrator, the orientations were completed for both staff members. The document was misplaced and unable to be found during the visit. G.S. 110-91( 9) Technical assistance was provided as follows: 1043: Records All staff records must be available for review. Refer to G.S. 110-91(9). New staff members’ orientation forms were not available for review. Ms. Neighbors stated she completed the orientation but was unable to locate the documentation sheet during the visit. Please find the document and send me a scanned copy for correction of this item. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/12/25. 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: Recognizing and Responding to Suspicions of Child Maltreatment Training: New employees must complete this training within ninety (90) days of employment. S. Neighbors must complete this training on or prior to 6/9/25, and R. Glenn must complete the training on or prior to 6/29/25. Criminal background check: There are five (5) staff members who need to renew their criminal background check. Please plan ahead to renew the background check without any lapse. T. Jackson: 10/8/25 S. Nanni: 9/22/25 B. Hensley: 9/22/25 I. Joyce: 6/5/25 M. Soccoro: 7/3/25 P. Neighbors: 8/21/25 CPR/First Aid: R. Glenn’s CPR/First Aid certificate must be in file on or prior to 6/29/25. Fall zone/loose surfacing: Any equipment with critical height of eighteen (18) inches or higher is required to have fall zone. As mulch and sand washes away around the see-saw and slide structure on the preschool playground, it may change the critical height. Please make sure to follow the rule for the fall zone and critical height. Additionally, only one (1) type of loose surfacing material is permitted for each fall zone. Therefore, grass must not be grown in the fall zone. If fall zone is applied based on the critical height, grass within the six (6) feet around the equipment must be removed. Sanitation inspection: Please contact your Environmental Health Specialist and schedule inspection, if needed. Please forward the inspection to me upon receiving them. Medical Statement: When you are able to contact the physician who completed the medical statement for S. Neighbors, please revise the medical statement examination date, if applicable and notify me. 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) 814-6401 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/29/2025 Number Present: 55 Completed Date: 5/29/2025 Age: From 2 To 5 Total Minutes: 221 Time In: 09:00 AM Time Out: 12:41 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Ms. Neighbors accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, Meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/26/24. The last fire drill was practiced on 4/1/25. The last shelter-in-place drill was practiced on 3/2/25. The last playground inspection was documented on 4/1/25. The last fire inspection was approved on 11/19/24. The last sanitation inspection was conducted on 3/5/25 with fourteen (14) demerits for a provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 4/10/25 without hazards. Lead paint and asbestos testing has not been completed. Upon arrival, I announced my presence and the purpose of the visit. I observed the classroom and the children. In space #1- 3A, a group of eight (8) children, three-to-four years old, with one (1) staff member were present. The children engaged in free play with pretend baby dolls, purses, food and other materials. One (1) emergency medications are maintained in the classroom. This medication was last administered today. Medication log, action plan, authorization form and storage were in compliance. In space #2 – 2A, a group of six (6) children, two-to-three years old with two (2) staff members were present. The children played with dress up clothes, toy cars, instruments and manipulative toys. In space #3 – 2B, a group of six (6) children, two-to-three years old with one (1) staff member was present. The children played with playdough, dress up clothes and other materials. In space #6 – 4A, a group of eight (8) children, all four (4) years of age, with one (1) staff member was present. The children engaged in art activity, pretend play with cape and masks, magnetic tiles and pretend animals. In space #7- 4B, a group of eleven (11) children, four-to-five years old, were present with one (1) staff member. One (1) child was seen by the therapist in the classroom. The children created bee hive art, played with potato heads, pretend animals and other materials. In space #8 – 4C, a group of eight (8) children, four-to-five years of age were present with one (1) staff member. The children created sizable structures with foam and wooden blocks and played with pretend animals. In space #9 – 3C, a group of eight (8) children, three-to-five years of age were present with one (1) staff member. The children engaged in math/manipulative activities and dress-up. This is a graduation week for four-to-five-year-old children. The children in space #6, 7, 8, and 9 gathered in sanctuary and practiced songs for the graduation ceremony. Space #4- gym was inspected and no safety hazards were identified. Space #5-cafeteria was not used during the visit. Two (2) playgrounds were monitored. Some of the sand, mulch and dirt on the preschool playground is washed away from the weather, and some grass grew on the playground. The critical height may change based on the level of ground cover around the slide structure and the see-saw. You are required to have fall zone if the critical height of equipment is eighteen (18) inches or higher. Two (2) new staff files were monitored in full, and twelve (12) staff files were monitored partially for criminal background letters and CPR/First Aid certificate. One (1) existing staff member took his/her CPR/First Aid training on 5/28/25 due to being out of the country. 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 1043 All staff records, except financial records, were not made available for review. A record of orientation for two (2) new staff member was not available for review. Per administrator, the orientations were completed for both staff members. The document was misplaced and unable to be found during the visit. G.S. 110-91( 9) Technical assistance was provided as follows: 1043: Records All staff records must be available for review. Refer to G.S. 110-91(9). New staff members’ orientation forms were not available for review. Ms. Neighbors stated she completed the orientation but was unable to locate the documentation sheet during the visit. Please find the document and send me a scanned copy for correction of this item. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/12/25. 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: Recognizing and Responding to Suspicions of Child Maltreatment Training: New employees must complete this training within ninety (90) days of employment. S. Neighbors must complete this training on or prior to 6/9/25, and R. Glenn must complete the training on or prior to 6/29/25. Criminal background check: There are five (5) staff members who need to renew their criminal background check. Please plan ahead to renew the background check without any lapse. T. Jackson: 10/8/25 S. Nanni: 9/22/25 B. Hensley: 9/22/25 I. Joyce: 6/5/25 M. Soccoro: 7/3/25 P. Neighbors: 8/21/25 CPR/First Aid: R. Glenn’s CPR/First Aid certificate must be in file on or prior to 6/29/25. Fall zone/loose surfacing: Any equipment with critical height of eighteen (18) inches or higher is required to have fall zone. As mulch and sand washes away around the see-saw and slide structure on the preschool playground, it may change the critical height. Please make sure to follow the rule for the fall zone and critical height. Additionally, only one (1) type of loose surfacing material is permitted for each fall zone. Therefore, grass must not be grown in the fall zone. If fall zone is applied based on the critical height, grass within the six (6) feet around the equipment must be removed. Sanitation inspection: Please contact your Environmental Health Specialist and schedule inspection, if needed. Please forward the inspection to me upon receiving them. Medical Statement: When you are able to contact the physician who completed the medical statement for S. Neighbors, please revise the medical statement examination date, if applicable and notify me. 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) 814-6401 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 .0604 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/26/2024 Number Present: 41 Completed Date: 11/26/2024 Age: From 2 To 5 Total Minutes: 181 Time In: 09:19 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Peggy Neighbors, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Neighbor 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 ninety (90) 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, Asheville First Church of the Nazarene, Inc., is current/active as of today. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, meets reduced ratios. The last annual compliance visit was conducted on 10/31/23. Due to the effects of Tropical Storm Helene, the annual compliance visit was not conducted in October. The last fire drill was practiced on 10/31/24. The last shelter-in-place drill was practiced on 11/1/24. The last playground inspection was documented on 10/31/24. The last fire inspection was approved on 11/19/24. The last sanitation inspection was conducted on 9/10/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of three-year-old children engaged in table activities with manipulatives. No medications are maintained in this classroom. In space #2, a group of five (5) children, two-to-three years of age engaged in free play with cutting activities. The children cut paper ads and glued them to the paper plate. Two (2) diaper creams were maintained in the classroom. Permission forms were current. In space #3, a group of six (6) children, two (2) years of age, were present. The teacher read a book to a few children, while others played with manipulatives and large Duplo blocks. Space #4 was not in use. The children had lunch in space #5. Today was the last day the children packed their lunch. Starting Monday, the program will be cooking hot meals using bottled water. In space #6, a group of three-year-old children engaged in free play with pretend food, toy cars and magnetic tiles. The teacher asked open-ended questions to the children. In space #7, a group of four-to-five-year-old children engaged in various activities. Some children drew thanksgiving meals on the paper, and others played with Legoes and other materials. In space #8, a group of four-year-old children played with train tracks, pretend animals and housekeeping materials. In space #9, a group of three-to-five-year-old children played with art materials, housekeeping materials, and puzzles. Supervision and interaction were adequate. Playground was inspected. The children played with push carts, riding toys, gross motor accessories on the playground #2. The children played with slide structures, tunnels and riding toys on the playground #1. Two (2) existing staff files and five (5) children’s files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #8, an outlet by the shelf with the Christmas tree was not covered with a safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 812: Electrical outlet Electrical outlet shall be covered with outlet safety covers. This item was corrected during the visit. Achieving Compliance: All violations cited during today’s visit were corrected during the visit. Unless you choose to, you are not required to submit a letter of compliance. Please work on the correction listed below: Additional technical assistance was provided for the following item(s): Due to the effects of tropical storm Helene, additional time is permitted to meet compliance of the following items. Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy: Upon initial hiring, all staff members must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon the review, the staff members must sign and date the acknowledgement form and maintain it in the staff file. For those staff members hired prior to this rule was implemented, please review the policy and have them sign the acknowledgement form. During the visit, the sample of the acknowledgement form was printed and shared with Ms. Neighbors. 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. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/26/2024 Number Present: 41 Completed Date: 11/26/2024 Age: From 2 To 5 Total Minutes: 181 Time In: 09:19 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Peggy Neighbors, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Neighbor 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 ninety (90) 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, Asheville First Church of the Nazarene, Inc., is current/active as of today. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, meets reduced ratios. The last annual compliance visit was conducted on 10/31/23. Due to the effects of Tropical Storm Helene, the annual compliance visit was not conducted in October. The last fire drill was practiced on 10/31/24. The last shelter-in-place drill was practiced on 11/1/24. The last playground inspection was documented on 10/31/24. The last fire inspection was approved on 11/19/24. The last sanitation inspection was conducted on 9/10/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of three-year-old children engaged in table activities with manipulatives. No medications are maintained in this classroom. In space #2, a group of five (5) children, two-to-three years of age engaged in free play with cutting activities. The children cut paper ads and glued them to the paper plate. Two (2) diaper creams were maintained in the classroom. Permission forms were current. In space #3, a group of six (6) children, two (2) years of age, were present. The teacher read a book to a few children, while others played with manipulatives and large Duplo blocks. Space #4 was not in use. The children had lunch in space #5. Today was the last day the children packed their lunch. Starting Monday, the program will be cooking hot meals using bottled water. In space #6, a group of three-year-old children engaged in free play with pretend food, toy cars and magnetic tiles. The teacher asked open-ended questions to the children. In space #7, a group of four-to-five-year-old children engaged in various activities. Some children drew thanksgiving meals on the paper, and others played with Legoes and other materials. In space #8, a group of four-year-old children played with train tracks, pretend animals and housekeeping materials. In space #9, a group of three-to-five-year-old children played with art materials, housekeeping materials, and puzzles. Supervision and interaction were adequate. Playground was inspected. The children played with push carts, riding toys, gross motor accessories on the playground #2. The children played with slide structures, tunnels and riding toys on the playground #1. Two (2) existing staff files and five (5) children’s files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #8, an outlet by the shelf with the Christmas tree was not covered with a safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 812: Electrical outlet Electrical outlet shall be covered with outlet safety covers. This item was corrected during the visit. Achieving Compliance: All violations cited during today’s visit were corrected during the visit. Unless you choose to, you are not required to submit a letter of compliance. Please work on the correction listed below: Additional technical assistance was provided for the following item(s): Due to the effects of tropical storm Helene, additional time is permitted to meet compliance of the following items. Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy: Upon initial hiring, all staff members must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon the review, the staff members must sign and date the acknowledgement form and maintain it in the staff file. For those staff members hired prior to this rule was implemented, please review the policy and have them sign the acknowledgement form. During the visit, the sample of the acknowledgement form was printed and shared with Ms. Neighbors. 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. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/26/2024 Number Present: 41 Completed Date: 11/26/2024 Age: From 2 To 5 Total Minutes: 181 Time In: 09:19 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Peggy Neighbors, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Neighbor 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 ninety (90) 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, Asheville First Church of the Nazarene, Inc., is current/active as of today. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, meets reduced ratios. The last annual compliance visit was conducted on 10/31/23. Due to the effects of Tropical Storm Helene, the annual compliance visit was not conducted in October. The last fire drill was practiced on 10/31/24. The last shelter-in-place drill was practiced on 11/1/24. The last playground inspection was documented on 10/31/24. The last fire inspection was approved on 11/19/24. The last sanitation inspection was conducted on 9/10/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of three-year-old children engaged in table activities with manipulatives. No medications are maintained in this classroom. In space #2, a group of five (5) children, two-to-three years of age engaged in free play with cutting activities. The children cut paper ads and glued them to the paper plate. Two (2) diaper creams were maintained in the classroom. Permission forms were current. In space #3, a group of six (6) children, two (2) years of age, were present. The teacher read a book to a few children, while others played with manipulatives and large Duplo blocks. Space #4 was not in use. The children had lunch in space #5. Today was the last day the children packed their lunch. Starting Monday, the program will be cooking hot meals using bottled water. In space #6, a group of three-year-old children engaged in free play with pretend food, toy cars and magnetic tiles. The teacher asked open-ended questions to the children. In space #7, a group of four-to-five-year-old children engaged in various activities. Some children drew thanksgiving meals on the paper, and others played with Legoes and other materials. In space #8, a group of four-year-old children played with train tracks, pretend animals and housekeeping materials. In space #9, a group of three-to-five-year-old children played with art materials, housekeeping materials, and puzzles. Supervision and interaction were adequate. Playground was inspected. The children played with push carts, riding toys, gross motor accessories on the playground #2. The children played with slide structures, tunnels and riding toys on the playground #1. Two (2) existing staff files and five (5) children’s files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #8, an outlet by the shelf with the Christmas tree was not covered with a safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 812: Electrical outlet Electrical outlet shall be covered with outlet safety covers. This item was corrected during the visit. Achieving Compliance: All violations cited during today’s visit were corrected during the visit. Unless you choose to, you are not required to submit a letter of compliance. Please work on the correction listed below: Additional technical assistance was provided for the following item(s): Due to the effects of tropical storm Helene, additional time is permitted to meet compliance of the following items. Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy: Upon initial hiring, all staff members must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon the review, the staff members must sign and date the acknowledgement form and maintain it in the staff file. For those staff members hired prior to this rule was implemented, please review the policy and have them sign the acknowledgement form. During the visit, the sample of the acknowledgement form was printed and shared with Ms. Neighbors. 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. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/26/2024 Number Present: 41 Completed Date: 11/26/2024 Age: From 2 To 5 Total Minutes: 181 Time In: 09:19 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Peggy Neighbors, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Neighbor 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 ninety (90) 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, Asheville First Church of the Nazarene, Inc., is current/active as of today. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, meets reduced ratios. The last annual compliance visit was conducted on 10/31/23. Due to the effects of Tropical Storm Helene, the annual compliance visit was not conducted in October. The last fire drill was practiced on 10/31/24. The last shelter-in-place drill was practiced on 11/1/24. The last playground inspection was documented on 10/31/24. The last fire inspection was approved on 11/19/24. The last sanitation inspection was conducted on 9/10/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of three-year-old children engaged in table activities with manipulatives. No medications are maintained in this classroom. In space #2, a group of five (5) children, two-to-three years of age engaged in free play with cutting activities. The children cut paper ads and glued them to the paper plate. Two (2) diaper creams were maintained in the classroom. Permission forms were current. In space #3, a group of six (6) children, two (2) years of age, were present. The teacher read a book to a few children, while others played with manipulatives and large Duplo blocks. Space #4 was not in use. The children had lunch in space #5. Today was the last day the children packed their lunch. Starting Monday, the program will be cooking hot meals using bottled water. In space #6, a group of three-year-old children engaged in free play with pretend food, toy cars and magnetic tiles. The teacher asked open-ended questions to the children. In space #7, a group of four-to-five-year-old children engaged in various activities. Some children drew thanksgiving meals on the paper, and others played with Legoes and other materials. In space #8, a group of four-year-old children played with train tracks, pretend animals and housekeeping materials. In space #9, a group of three-to-five-year-old children played with art materials, housekeeping materials, and puzzles. Supervision and interaction were adequate. Playground was inspected. The children played with push carts, riding toys, gross motor accessories on the playground #2. The children played with slide structures, tunnels and riding toys on the playground #1. Two (2) existing staff files and five (5) children’s files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #8, an outlet by the shelf with the Christmas tree was not covered with a safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 812: Electrical outlet Electrical outlet shall be covered with outlet safety covers. This item was corrected during the visit. Achieving Compliance: All violations cited during today’s visit were corrected during the visit. Unless you choose to, you are not required to submit a letter of compliance. Please work on the correction listed below: Additional technical assistance was provided for the following item(s): Due to the effects of tropical storm Helene, additional time is permitted to meet compliance of the following items. Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy: Upon initial hiring, all staff members must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon the review, the staff members must sign and date the acknowledgement form and maintain it in the staff file. For those staff members hired prior to this rule was implemented, please review the policy and have them sign the acknowledgement form. During the visit, the sample of the acknowledgement form was printed and shared with Ms. Neighbors. 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. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 .2830 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/26/2024 Number Present: 41 Completed Date: 11/26/2024 Age: From 2 To 5 Total Minutes: 181 Time In: 09:19 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Peggy Neighbors, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Neighbor 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 ninety (90) 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, Asheville First Church of the Nazarene, Inc., is current/active as of today. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, meets reduced ratios. The last annual compliance visit was conducted on 10/31/23. Due to the effects of Tropical Storm Helene, the annual compliance visit was not conducted in October. The last fire drill was practiced on 10/31/24. The last shelter-in-place drill was practiced on 11/1/24. The last playground inspection was documented on 10/31/24. The last fire inspection was approved on 11/19/24. The last sanitation inspection was conducted on 9/10/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of three-year-old children engaged in table activities with manipulatives. No medications are maintained in this classroom. In space #2, a group of five (5) children, two-to-three years of age engaged in free play with cutting activities. The children cut paper ads and glued them to the paper plate. Two (2) diaper creams were maintained in the classroom. Permission forms were current. In space #3, a group of six (6) children, two (2) years of age, were present. The teacher read a book to a few children, while others played with manipulatives and large Duplo blocks. Space #4 was not in use. The children had lunch in space #5. Today was the last day the children packed their lunch. Starting Monday, the program will be cooking hot meals using bottled water. In space #6, a group of three-year-old children engaged in free play with pretend food, toy cars and magnetic tiles. The teacher asked open-ended questions to the children. In space #7, a group of four-to-five-year-old children engaged in various activities. Some children drew thanksgiving meals on the paper, and others played with Legoes and other materials. In space #8, a group of four-year-old children played with train tracks, pretend animals and housekeeping materials. In space #9, a group of three-to-five-year-old children played with art materials, housekeeping materials, and puzzles. Supervision and interaction were adequate. Playground was inspected. The children played with push carts, riding toys, gross motor accessories on the playground #2. The children played with slide structures, tunnels and riding toys on the playground #1. Two (2) existing staff files and five (5) children’s files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #8, an outlet by the shelf with the Christmas tree was not covered with a safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 812: Electrical outlet Electrical outlet shall be covered with outlet safety covers. This item was corrected during the visit. Achieving Compliance: All violations cited during today’s visit were corrected during the visit. Unless you choose to, you are not required to submit a letter of compliance. Please work on the correction listed below: Additional technical assistance was provided for the following item(s): Due to the effects of tropical storm Helene, additional time is permitted to meet compliance of the following items. Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy: Upon initial hiring, all staff members must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon the review, the staff members must sign and date the acknowledgement form and maintain it in the staff file. For those staff members hired prior to this rule was implemented, please review the policy and have them sign the acknowledgement form. During the visit, the sample of the acknowledgement form was printed and shared with Ms. Neighbors. 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. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 .1801 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0724-056L Visit Date: 7/18/2024 Number Present: 41 Completed Date: 7/18/2024 Age: From 2 To 12 Total Minutes: 175 Time In: 09:25 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is to verify compliance on the child care requirements during a complaint follow-up visit. A Handwritten report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit due to lack of MiFi connection. The handwritten copy of the visit summary was printed and left with you. Ms. Neighbors accompanied me today. This computerized generated report of today’s visit was completed later in the day and shared with Ms. Neighbors via email. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of today prior to this visit. The facility operates with a four-star license issued on 11/13/19. The Special Services/Restrictions includes daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, and meets reduced ratios. The complaint report was received by the Division of Child Development and Early Education on 7/5/24 and sent to me on the same day. During a compliant visit conducted on 7/8/24, allegation of supervision was substantiated due to five (5) children on the playground were playing a “Butt Game” without teacher’s knowledge. Children were observed during today’s visit. In 2B, a group of four (4) children, two-to-three year of age, and one (1) child, nine (9) years of age engaged in free play with dress up clothes, house keeping and books. One (1) teacher was present, supervised and interacted with the children. In 3A, a group of six (6) children, two-to-three years of age, engaged in free play with housekeeping materials. One (1) teacher was present, supervised and interacted with the children. In 2A, a group of five (5) children, two-to-three years of age, engaged in free play with manipulative, pretend people, magnetic tiles and other materials. Two (2) teachers were present. One (1) teacher sat with the children in the manipulative area, and the other teacher stood by the bathroom and supervised the children. During my observation, one (1) child, who was unaccompanied by an adult, came into the classroom 2A to use the bathroom. After the child came in to 2A and closed the door, the teacher from 3A came to the door to see if the child made it to 2A. Per interview with Ms. Neighbors, the children in 3A typically use the bathroom located by the stairs. The teacher in 3A takes all the children together to the bathroom. However, there is one (1) child who cannot wait to transition to the bathroom by the stairs when he/she needs to go to the bathroom. When it occurs, the child is sent to classroom 2A to use their bathroom. Per interview with the teacher in 3A, the child notified the teacher that he/she needed to use the bathroom. Both entrance doors to the classroom 3A was open at the time of the incident. When the teacher in 3A attempted to make a phone call in order to get extra personnel to cover him/her so that he/she could aid the child to use the bathroom, the child went ahead and existed the door far from the phone. The teacher saw the child exit the door, hung up the phone and came to the doorway to supervise the child. By the time the teacher was in the doorway, the child already entered classroom 2A. I also interviewed a teacher in 2A. During the incident today, the teacher was unaware that the child was going to come into his/her classroom until the child showed up in the classroom. This child uses the bathroom in 2A occasionally, and the teachers in 2A and 3A typically communicate verbally across the hallway when it occurs. The communication did not occur today. In 4A, eight (8) children, three-to-four-years of age, and one (1) teacher were present. The children played with stuffed animals, science toys, blocks, art and books. The supervision and interaction were adequate. In 4B, there were nine (9) children, four-to-five years of age, and one (1) teacher present. The children played with Legos and doll house. Some children colored. One (1) of the children arrived during the observation. The child entered the classroom 3C to use the bathroom an washed his/her hands. The teacher in 4B stood in the doorway in 4B until the child returned to the classroom. The teacher in 3C also supervised the child use the bathroom. In 3C, eight (8) children, three-to-four years of age and one (1) teacher engaged in free play with dress-up clothes, doll house, manipulative, and sand/sensory container. Supervision and interaction were adequate. In 4C, eight (8) children, three-to-twelve years of age, and one (1) teacher engaged in free play. Some children colored and the other children played with dolls and a doll house. Two (2) school-age children present today have files at the facility, per Ms. Neighbors. The children in 4B and 4C played on the playground. Two (2) teachers positioned themselves in the middle of the playground, apart from each other. The children played with slide structures, pretend kitchen, sandbox, tunnel, riding toys and other accessories. The plastic playhouse where the incident occurred on 7/1/24 was still present on the playground. The entrance to the playhouse is blocked by the pretend kitchen, and no children entered the house during observation. The playhouse is scheduled to be removed today. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. One (1) child, three (3) years of age, exited the classroom 3A and entered the classroom 2A to use the bathroom unaccompanied by an adult. Per interview with the teacher in 3A, the child told him/her that he/she needed to use the bathroom. While the teacher in 3A made a phone call to ask for additional personnel to aid the child use the bathroom, the child exited the classroom 3A and entered 2A independently. By the time the teacher in 3A hung up the phone and went to the doorway, the child already entered 2A. .1801(a)(1-5) Technical assistance was provided as follows: 303: Supervision All children shall be adequately supervised at all times, including rest time. Teachers use their vision and hearing to make sure that the children are engaged in safe play. All safety precautions that prevent supervision mistakes should be in place. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Corrective Action Plan: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Consultation is provided as follows: We discussed the process of Administrative Action. Due to the nature of violation cited during today’s visit, a follow-up visit shall be conducted to verify the correction of the violation. An additional visit, every four-to-six week may be conducted before the determination for Action is determined. 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well being of young children. 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 .2201 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0724-056L Visit Date: 7/18/2024 Number Present: 41 Completed Date: 7/18/2024 Age: From 2 To 12 Total Minutes: 175 Time In: 09:25 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is to verify compliance on the child care requirements during a complaint follow-up visit. A Handwritten report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit due to lack of MiFi connection. The handwritten copy of the visit summary was printed and left with you. Ms. Neighbors accompanied me today. This computerized generated report of today’s visit was completed later in the day and shared with Ms. Neighbors via email. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of today prior to this visit. The facility operates with a four-star license issued on 11/13/19. The Special Services/Restrictions includes daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, and meets reduced ratios. The complaint report was received by the Division of Child Development and Early Education on 7/5/24 and sent to me on the same day. During a compliant visit conducted on 7/8/24, allegation of supervision was substantiated due to five (5) children on the playground were playing a “Butt Game” without teacher’s knowledge. Children were observed during today’s visit. In 2B, a group of four (4) children, two-to-three year of age, and one (1) child, nine (9) years of age engaged in free play with dress up clothes, house keeping and books. One (1) teacher was present, supervised and interacted with the children. In 3A, a group of six (6) children, two-to-three years of age, engaged in free play with housekeeping materials. One (1) teacher was present, supervised and interacted with the children. In 2A, a group of five (5) children, two-to-three years of age, engaged in free play with manipulative, pretend people, magnetic tiles and other materials. Two (2) teachers were present. One (1) teacher sat with the children in the manipulative area, and the other teacher stood by the bathroom and supervised the children. During my observation, one (1) child, who was unaccompanied by an adult, came into the classroom 2A to use the bathroom. After the child came in to 2A and closed the door, the teacher from 3A came to the door to see if the child made it to 2A. Per interview with Ms. Neighbors, the children in 3A typically use the bathroom located by the stairs. The teacher in 3A takes all the children together to the bathroom. However, there is one (1) child who cannot wait to transition to the bathroom by the stairs when he/she needs to go to the bathroom. When it occurs, the child is sent to classroom 2A to use their bathroom. Per interview with the teacher in 3A, the child notified the teacher that he/she needed to use the bathroom. Both entrance doors to the classroom 3A was open at the time of the incident. When the teacher in 3A attempted to make a phone call in order to get extra personnel to cover him/her so that he/she could aid the child to use the bathroom, the child went ahead and existed the door far from the phone. The teacher saw the child exit the door, hung up the phone and came to the doorway to supervise the child. By the time the teacher was in the doorway, the child already entered classroom 2A. I also interviewed a teacher in 2A. During the incident today, the teacher was unaware that the child was going to come into his/her classroom until the child showed up in the classroom. This child uses the bathroom in 2A occasionally, and the teachers in 2A and 3A typically communicate verbally across the hallway when it occurs. The communication did not occur today. In 4A, eight (8) children, three-to-four-years of age, and one (1) teacher were present. The children played with stuffed animals, science toys, blocks, art and books. The supervision and interaction were adequate. In 4B, there were nine (9) children, four-to-five years of age, and one (1) teacher present. The children played with Legos and doll house. Some children colored. One (1) of the children arrived during the observation. The child entered the classroom 3C to use the bathroom an washed his/her hands. The teacher in 4B stood in the doorway in 4B until the child returned to the classroom. The teacher in 3C also supervised the child use the bathroom. In 3C, eight (8) children, three-to-four years of age and one (1) teacher engaged in free play with dress-up clothes, doll house, manipulative, and sand/sensory container. Supervision and interaction were adequate. In 4C, eight (8) children, three-to-twelve years of age, and one (1) teacher engaged in free play. Some children colored and the other children played with dolls and a doll house. Two (2) school-age children present today have files at the facility, per Ms. Neighbors. The children in 4B and 4C played on the playground. Two (2) teachers positioned themselves in the middle of the playground, apart from each other. The children played with slide structures, pretend kitchen, sandbox, tunnel, riding toys and other accessories. The plastic playhouse where the incident occurred on 7/1/24 was still present on the playground. The entrance to the playhouse is blocked by the pretend kitchen, and no children entered the house during observation. The playhouse is scheduled to be removed today. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. One (1) child, three (3) years of age, exited the classroom 3A and entered the classroom 2A to use the bathroom unaccompanied by an adult. Per interview with the teacher in 3A, the child told him/her that he/she needed to use the bathroom. While the teacher in 3A made a phone call to ask for additional personnel to aid the child use the bathroom, the child exited the classroom 3A and entered 2A independently. By the time the teacher in 3A hung up the phone and went to the doorway, the child already entered 2A. .1801(a)(1-5) Technical assistance was provided as follows: 303: Supervision All children shall be adequately supervised at all times, including rest time. Teachers use their vision and hearing to make sure that the children are engaged in safe play. All safety precautions that prevent supervision mistakes should be in place. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Corrective Action Plan: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Consultation is provided as follows: We discussed the process of Administrative Action. Due to the nature of violation cited during today’s visit, a follow-up visit shall be conducted to verify the correction of the violation. An additional visit, every four-to-six week may be conducted before the determination for Action is determined. 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well being of young children. 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: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0724-056L Visit Date: 7/18/2024 Number Present: 41 Completed Date: 7/18/2024 Age: From 2 To 12 Total Minutes: 175 Time In: 09:25 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is to verify compliance on the child care requirements during a complaint follow-up visit. A Handwritten report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit due to lack of MiFi connection. The handwritten copy of the visit summary was printed and left with you. Ms. Neighbors accompanied me today. This computerized generated report of today’s visit was completed later in the day and shared with Ms. Neighbors via email. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of today prior to this visit. The facility operates with a four-star license issued on 11/13/19. The Special Services/Restrictions includes daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, and meets reduced ratios. The complaint report was received by the Division of Child Development and Early Education on 7/5/24 and sent to me on the same day. During a compliant visit conducted on 7/8/24, allegation of supervision was substantiated due to five (5) children on the playground were playing a “Butt Game” without teacher’s knowledge. Children were observed during today’s visit. In 2B, a group of four (4) children, two-to-three year of age, and one (1) child, nine (9) years of age engaged in free play with dress up clothes, house keeping and books. One (1) teacher was present, supervised and interacted with the children. In 3A, a group of six (6) children, two-to-three years of age, engaged in free play with housekeeping materials. One (1) teacher was present, supervised and interacted with the children. In 2A, a group of five (5) children, two-to-three years of age, engaged in free play with manipulative, pretend people, magnetic tiles and other materials. Two (2) teachers were present. One (1) teacher sat with the children in the manipulative area, and the other teacher stood by the bathroom and supervised the children. During my observation, one (1) child, who was unaccompanied by an adult, came into the classroom 2A to use the bathroom. After the child came in to 2A and closed the door, the teacher from 3A came to the door to see if the child made it to 2A. Per interview with Ms. Neighbors, the children in 3A typically use the bathroom located by the stairs. The teacher in 3A takes all the children together to the bathroom. However, there is one (1) child who cannot wait to transition to the bathroom by the stairs when he/she needs to go to the bathroom. When it occurs, the child is sent to classroom 2A to use their bathroom. Per interview with the teacher in 3A, the child notified the teacher that he/she needed to use the bathroom. Both entrance doors to the classroom 3A was open at the time of the incident. When the teacher in 3A attempted to make a phone call in order to get extra personnel to cover him/her so that he/she could aid the child to use the bathroom, the child went ahead and existed the door far from the phone. The teacher saw the child exit the door, hung up the phone and came to the doorway to supervise the child. By the time the teacher was in the doorway, the child already entered classroom 2A. I also interviewed a teacher in 2A. During the incident today, the teacher was unaware that the child was going to come into his/her classroom until the child showed up in the classroom. This child uses the bathroom in 2A occasionally, and the teachers in 2A and 3A typically communicate verbally across the hallway when it occurs. The communication did not occur today. In 4A, eight (8) children, three-to-four-years of age, and one (1) teacher were present. The children played with stuffed animals, science toys, blocks, art and books. The supervision and interaction were adequate. In 4B, there were nine (9) children, four-to-five years of age, and one (1) teacher present. The children played with Legos and doll house. Some children colored. One (1) of the children arrived during the observation. The child entered the classroom 3C to use the bathroom an washed his/her hands. The teacher in 4B stood in the doorway in 4B until the child returned to the classroom. The teacher in 3C also supervised the child use the bathroom. In 3C, eight (8) children, three-to-four years of age and one (1) teacher engaged in free play with dress-up clothes, doll house, manipulative, and sand/sensory container. Supervision and interaction were adequate. In 4C, eight (8) children, three-to-twelve years of age, and one (1) teacher engaged in free play. Some children colored and the other children played with dolls and a doll house. Two (2) school-age children present today have files at the facility, per Ms. Neighbors. The children in 4B and 4C played on the playground. Two (2) teachers positioned themselves in the middle of the playground, apart from each other. The children played with slide structures, pretend kitchen, sandbox, tunnel, riding toys and other accessories. The plastic playhouse where the incident occurred on 7/1/24 was still present on the playground. The entrance to the playhouse is blocked by the pretend kitchen, and no children entered the house during observation. The playhouse is scheduled to be removed today. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. One (1) child, three (3) years of age, exited the classroom 3A and entered the classroom 2A to use the bathroom unaccompanied by an adult. Per interview with the teacher in 3A, the child told him/her that he/she needed to use the bathroom. While the teacher in 3A made a phone call to ask for additional personnel to aid the child use the bathroom, the child exited the classroom 3A and entered 2A independently. By the time the teacher in 3A hung up the phone and went to the doorway, the child already entered 2A. .1801(a)(1-5) Technical assistance was provided as follows: 303: Supervision All children shall be adequately supervised at all times, including rest time. Teachers use their vision and hearing to make sure that the children are engaged in safe play. All safety precautions that prevent supervision mistakes should be in place. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Corrective Action Plan: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Consultation is provided as follows: We discussed the process of Administrative Action. Due to the nature of violation cited during today’s visit, a follow-up visit shall be conducted to verify the correction of the violation. An additional visit, every four-to-six week may be conducted before the determination for Action is determined. 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well being of young children. 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 .1801 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0724-056L Visit Date: 7/8/2024 Number Present: 51 Completed Date: 7/8/2024 Age: From 2 To 12 Total Minutes: 120 Time In: 09:00 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. 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 Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Neighbors assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of today prior to this visit. The facility operates with a four-star license issued on 11/13/19. The Special Services/Restrictions includes daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, and meets reduced ratios. The complaint was received by the Division of Child Development and Early Education on 7/5/24 and sent to me on the same day. There is a concern regarding supervision. At the time of the incident occurred on 7/1/24, there were three (3) classrooms combined on the playground with three (3) teachers. Based on the interview with Ms. Neighbors and three (3) teachers, there were no witnesses to the incident, but one (1) child reported the teacher in classroom 4C about the incident. On 7/1/24, five (5) children were involved in the “butt game” in the playhouse on the playground. The children ranged from three (3) to five (5) years of age from classroom 3A, 4B and 4C. In the playhouse, the children pulled their pants to show each other their bottoms. Three (3) teachers were positioned away from each other to supervise all areas of the playground. The teacher positioned closest to the playhouse was engaged with another child and talking about bugs and did not directly witness the incident. Per interview, the teacher claimed that he/she did not look at the direction of the house no more than 2-3 minutes. One (1) of the children later reported to the teacher from 4C about the incident while they were still on the playground. While the teacher from 4C placed all five (5) children on the tires to discuss the incident, the other teachers from 3A and 4B found out about the incident. The teacher from 3A reported Ms. Neighbors about the incident at the end of the day. Per Ms. Neighbors, two (2) parents came in to talk to her regarding the incident next day and told her that one (1) of the children kissed the other child above her private during the “butt game”. No children reported this incident o the teachers on 7/1/24. There are three (3) playhouses on the playground. The plastic one located on the corner of the playground with a green roof has little opening and it is difficult to supervise the children visually compared to the other two houses. Ms. Neighbors has requested the maintenance personnel to remove the playhouse from the playground due to supervision hazard. The playhouse is currently blocked off so that the children cannot use it. I observed the children during the visit. In 3C, a group of nine (9) children three-to-four-years of age engaged in free play with dress-up clothes, coloring ad other materials. In 4A, a group of eight (8) children, three-to-four years of age engaged in free play with music instruments, sensory materials and coloring. In 4B, a group of eight (8) children, four-to-five years of age engaged in writing, blocks, play phones, pretend food and dolls. In 4C, the children engaged in free art with glue and collage materials. There was a child, twelve (12) years of age, was present. He/she has a file at the center. Supervision and interaction with children in the classrooms were adequate. On the playground, two (2) classrooms, 4B and 4C are combined with two (2) teachers. The children played with riding toys, slides and other gross motor activities. Due to the playhouse being inaccessible to the children, the supervision seemed easier. Two (2) teachers were positioned away from each other. The supervision was adequate during today’s visit. Based on the interview, the children were not adequately supervised during the incident occurred on 7/1/24 in the playhouse on the playground. Therefore, the allegation regarding supervision is substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On 7/1/24, one (1) child from 3A, two (2) children from 4B and two (2) children from 4C engaged in the "Butt game" in the playhouse on the preschool playground. The children pulled their pants down to show each other their bottoms. There were three (3) teachers present on the playground but did not witness the incidents. One (1) of the children reported to the teacher from 4C after the incident occurred. .1801(a)(1-5) Technical assistance was provided as follows: 303: Supervision All children shall be adequately supervised at all times, including rest time. Teachers use their vision and hearing to make sure that the children are engaged in safe play. Ms. Neighbors has requested the maintenance personnel to remove the playhouse from the playground. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Corrective Action Plan: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Consultation is provided as follows: We discussed the process of Administrative Action. Due to the nature of violation cited during today’s visit, a follow-up visit shall be conducted to verify the correction of the violation. Additional visit, every four-to-six week may be conducted before the determination for Action is determined. 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well being of young children. 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 .2201 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0724-056L Visit Date: 7/8/2024 Number Present: 51 Completed Date: 7/8/2024 Age: From 2 To 12 Total Minutes: 120 Time In: 09:00 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. 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 Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Neighbors assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of today prior to this visit. The facility operates with a four-star license issued on 11/13/19. The Special Services/Restrictions includes daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, and meets reduced ratios. The complaint was received by the Division of Child Development and Early Education on 7/5/24 and sent to me on the same day. There is a concern regarding supervision. At the time of the incident occurred on 7/1/24, there were three (3) classrooms combined on the playground with three (3) teachers. Based on the interview with Ms. Neighbors and three (3) teachers, there were no witnesses to the incident, but one (1) child reported the teacher in classroom 4C about the incident. On 7/1/24, five (5) children were involved in the “butt game” in the playhouse on the playground. The children ranged from three (3) to five (5) years of age from classroom 3A, 4B and 4C. In the playhouse, the children pulled their pants to show each other their bottoms. Three (3) teachers were positioned away from each other to supervise all areas of the playground. The teacher positioned closest to the playhouse was engaged with another child and talking about bugs and did not directly witness the incident. Per interview, the teacher claimed that he/she did not look at the direction of the house no more than 2-3 minutes. One (1) of the children later reported to the teacher from 4C about the incident while they were still on the playground. While the teacher from 4C placed all five (5) children on the tires to discuss the incident, the other teachers from 3A and 4B found out about the incident. The teacher from 3A reported Ms. Neighbors about the incident at the end of the day. Per Ms. Neighbors, two (2) parents came in to talk to her regarding the incident next day and told her that one (1) of the children kissed the other child above her private during the “butt game”. No children reported this incident o the teachers on 7/1/24. There are three (3) playhouses on the playground. The plastic one located on the corner of the playground with a green roof has little opening and it is difficult to supervise the children visually compared to the other two houses. Ms. Neighbors has requested the maintenance personnel to remove the playhouse from the playground due to supervision hazard. The playhouse is currently blocked off so that the children cannot use it. I observed the children during the visit. In 3C, a group of nine (9) children three-to-four-years of age engaged in free play with dress-up clothes, coloring ad other materials. In 4A, a group of eight (8) children, three-to-four years of age engaged in free play with music instruments, sensory materials and coloring. In 4B, a group of eight (8) children, four-to-five years of age engaged in writing, blocks, play phones, pretend food and dolls. In 4C, the children engaged in free art with glue and collage materials. There was a child, twelve (12) years of age, was present. He/she has a file at the center. Supervision and interaction with children in the classrooms were adequate. On the playground, two (2) classrooms, 4B and 4C are combined with two (2) teachers. The children played with riding toys, slides and other gross motor activities. Due to the playhouse being inaccessible to the children, the supervision seemed easier. Two (2) teachers were positioned away from each other. The supervision was adequate during today’s visit. Based on the interview, the children were not adequately supervised during the incident occurred on 7/1/24 in the playhouse on the playground. Therefore, the allegation regarding supervision is substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On 7/1/24, one (1) child from 3A, two (2) children from 4B and two (2) children from 4C engaged in the "Butt game" in the playhouse on the preschool playground. The children pulled their pants down to show each other their bottoms. There were three (3) teachers present on the playground but did not witness the incidents. One (1) of the children reported to the teacher from 4C after the incident occurred. .1801(a)(1-5) Technical assistance was provided as follows: 303: Supervision All children shall be adequately supervised at all times, including rest time. Teachers use their vision and hearing to make sure that the children are engaged in safe play. Ms. Neighbors has requested the maintenance personnel to remove the playhouse from the playground. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Corrective Action Plan: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Consultation is provided as follows: We discussed the process of Administrative Action. Due to the nature of violation cited during today’s visit, a follow-up visit shall be conducted to verify the correction of the violation. Additional visit, every four-to-six week may be conducted before the determination for Action is determined. 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well being of young children. 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: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0724-056L Visit Date: 7/8/2024 Number Present: 51 Completed Date: 7/8/2024 Age: From 2 To 12 Total Minutes: 120 Time In: 09:00 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. 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 Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Neighbors assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of today prior to this visit. The facility operates with a four-star license issued on 11/13/19. The Special Services/Restrictions includes daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, and meets reduced ratios. The complaint was received by the Division of Child Development and Early Education on 7/5/24 and sent to me on the same day. There is a concern regarding supervision. At the time of the incident occurred on 7/1/24, there were three (3) classrooms combined on the playground with three (3) teachers. Based on the interview with Ms. Neighbors and three (3) teachers, there were no witnesses to the incident, but one (1) child reported the teacher in classroom 4C about the incident. On 7/1/24, five (5) children were involved in the “butt game” in the playhouse on the playground. The children ranged from three (3) to five (5) years of age from classroom 3A, 4B and 4C. In the playhouse, the children pulled their pants to show each other their bottoms. Three (3) teachers were positioned away from each other to supervise all areas of the playground. The teacher positioned closest to the playhouse was engaged with another child and talking about bugs and did not directly witness the incident. Per interview, the teacher claimed that he/she did not look at the direction of the house no more than 2-3 minutes. One (1) of the children later reported to the teacher from 4C about the incident while they were still on the playground. While the teacher from 4C placed all five (5) children on the tires to discuss the incident, the other teachers from 3A and 4B found out about the incident. The teacher from 3A reported Ms. Neighbors about the incident at the end of the day. Per Ms. Neighbors, two (2) parents came in to talk to her regarding the incident next day and told her that one (1) of the children kissed the other child above her private during the “butt game”. No children reported this incident o the teachers on 7/1/24. There are three (3) playhouses on the playground. The plastic one located on the corner of the playground with a green roof has little opening and it is difficult to supervise the children visually compared to the other two houses. Ms. Neighbors has requested the maintenance personnel to remove the playhouse from the playground due to supervision hazard. The playhouse is currently blocked off so that the children cannot use it. I observed the children during the visit. In 3C, a group of nine (9) children three-to-four-years of age engaged in free play with dress-up clothes, coloring ad other materials. In 4A, a group of eight (8) children, three-to-four years of age engaged in free play with music instruments, sensory materials and coloring. In 4B, a group of eight (8) children, four-to-five years of age engaged in writing, blocks, play phones, pretend food and dolls. In 4C, the children engaged in free art with glue and collage materials. There was a child, twelve (12) years of age, was present. He/she has a file at the center. Supervision and interaction with children in the classrooms were adequate. On the playground, two (2) classrooms, 4B and 4C are combined with two (2) teachers. The children played with riding toys, slides and other gross motor activities. Due to the playhouse being inaccessible to the children, the supervision seemed easier. Two (2) teachers were positioned away from each other. The supervision was adequate during today’s visit. Based on the interview, the children were not adequately supervised during the incident occurred on 7/1/24 in the playhouse on the playground. Therefore, the allegation regarding supervision is substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On 7/1/24, one (1) child from 3A, two (2) children from 4B and two (2) children from 4C engaged in the "Butt game" in the playhouse on the preschool playground. The children pulled their pants down to show each other their bottoms. There were three (3) teachers present on the playground but did not witness the incidents. One (1) of the children reported to the teacher from 4C after the incident occurred. .1801(a)(1-5) Technical assistance was provided as follows: 303: Supervision All children shall be adequately supervised at all times, including rest time. Teachers use their vision and hearing to make sure that the children are engaged in safe play. Ms. Neighbors has requested the maintenance personnel to remove the playhouse from the playground. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Corrective Action Plan: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Consultation is provided as follows: We discussed the process of Administrative Action. Due to the nature of violation cited during today’s visit, a follow-up visit shall be conducted to verify the correction of the violation. Additional visit, every four-to-six week may be conducted before the determination for Action is determined. 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well being of young children. 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: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 51 Completed Date: 4/15/2024 Age: From 2 To 5 Total Minutes: 195 Time In: 09:30 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Neighbors accompanied me. indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of 4/13/24. Permit type – Four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, meets reduced ratios. The last annual compliance visit was conducted on 10/31/23. The last fire drill was practiced on 3/14/24. The last lockdown was practiced on 1/29/24. The last playground inspection was documented on 3/4/24. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 9/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #3, a group of two-to-three-year-old children engaged in free play. The children played with puzzles and gears. No medications were maintained in the classroom. In space #2B, a group of two-to-three-year-old children transitioned to the playground. The schedule was altered due to expected temperature hike today. The children played with slide structures, merry-go-round, riding toys and other gross motor accessories. One diaper cream and a can of sunscreen were maintained in the classroom with the permission forms. In space #2A, a group of two-year-old children finished up free play while the teacher aided bathroom use by a few children. The children engaged in art activity and played with puzzles. The group also transitioned to the playground shortly after free play time. No medications are maintained in the classroom. In space #4A, a group of four-year-old children engaged in group time. The teacher talked about butterflies with the children. No medications are maintained in this classroom. A group of four-to-five-year-old children in space #4B transitioned from the classroom to the playground. Prior to going outside, the group of the children used the bathroom located by the stairs. No medications are maintained in the classroom. On the playground, the children played with riding toys, sand, slide structures and other gross motor accessories. Sand is used for loose surfacing and the depth of the sand was adequate. In space #4C, a group of four-to-five-year-old children engaged in math activity during the group time. The children counted by five(5) with the teacher and recited Christianity lessons. In space #3C, a group of three-to-four-year-old children participated in group time. The teacher read a book about butterflies to the children. Ms. Neighbors ordered caterpillars for the children to observe its growth. Today’s lunch was hot ham & cheese sandwich, baked beans, corn, strawberries and milk. The items were accurately listed on the menu. Supervision and interaction were adequate. Thirteen (13) existing staff files were reviewed for criminal background letters, First Aid and CPR certificates. All staff members have current background letters and FA/CPR certificates in their files. 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 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #2B, Aquaphor healing ointment for a child expired in February 2024, and it was not returned to the parents or discarded. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #3, a grocery bag of clean clothes was located on top of the cots, which was approximately thirty-five (35) inches high. In space #2B, two bags of Parent choice gentle clean wipes with a warning label " Keep out of reach of children" was accessible to the children on the shelves by the entrance door. in space 2A, diapers in plastic wrapper were accessible to the children under diaper changing table. .0604(q) Technical assistance was provided as follows: 849: Expired medication Expired medication shall be returned to the parent or discarded within seventy-two (72) hours of its expiration date. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 858: plastics Any easily torn plastics or plastics with warning shall be inaccessible to the children. You can either purchase tougher plastic covers/containers for the baby wipes and install baby proof device on the changing table cabinets to make those items inaccessible to the children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 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 4/29/24. 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: Rated License Cohort information: Nazarene Christian is in cohort two (2). We have discussed the prep-year assessment process and staff education during the visit. The program will be qualified to go through the prep-year assessment during July 2024 through June 2025. To complete the assessment during the prep-year, you should apply for the assessment before February 2025. You scored two (2) points for education points. In order to score 5pts or higher, at least fifty (50) percent of lead teachers have to have a credential and 9-12 additional semester hours in EC credit. Reminder: Your lockdown/Shelter-in-place drill is due this month. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 51 Completed Date: 4/15/2024 Age: From 2 To 5 Total Minutes: 195 Time In: 09:30 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Neighbors accompanied me. indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of 4/13/24. Permit type – Four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, meets reduced ratios. The last annual compliance visit was conducted on 10/31/23. The last fire drill was practiced on 3/14/24. The last lockdown was practiced on 1/29/24. The last playground inspection was documented on 3/4/24. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 9/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #3, a group of two-to-three-year-old children engaged in free play. The children played with puzzles and gears. No medications were maintained in the classroom. In space #2B, a group of two-to-three-year-old children transitioned to the playground. The schedule was altered due to expected temperature hike today. The children played with slide structures, merry-go-round, riding toys and other gross motor accessories. One diaper cream and a can of sunscreen were maintained in the classroom with the permission forms. In space #2A, a group of two-year-old children finished up free play while the teacher aided bathroom use by a few children. The children engaged in art activity and played with puzzles. The group also transitioned to the playground shortly after free play time. No medications are maintained in the classroom. In space #4A, a group of four-year-old children engaged in group time. The teacher talked about butterflies with the children. No medications are maintained in this classroom. A group of four-to-five-year-old children in space #4B transitioned from the classroom to the playground. Prior to going outside, the group of the children used the bathroom located by the stairs. No medications are maintained in the classroom. On the playground, the children played with riding toys, sand, slide structures and other gross motor accessories. Sand is used for loose surfacing and the depth of the sand was adequate. In space #4C, a group of four-to-five-year-old children engaged in math activity during the group time. The children counted by five(5) with the teacher and recited Christianity lessons. In space #3C, a group of three-to-four-year-old children participated in group time. The teacher read a book about butterflies to the children. Ms. Neighbors ordered caterpillars for the children to observe its growth. Today’s lunch was hot ham & cheese sandwich, baked beans, corn, strawberries and milk. The items were accurately listed on the menu. Supervision and interaction were adequate. Thirteen (13) existing staff files were reviewed for criminal background letters, First Aid and CPR certificates. All staff members have current background letters and FA/CPR certificates in their files. 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 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #2B, Aquaphor healing ointment for a child expired in February 2024, and it was not returned to the parents or discarded. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #3, a grocery bag of clean clothes was located on top of the cots, which was approximately thirty-five (35) inches high. In space #2B, two bags of Parent choice gentle clean wipes with a warning label " Keep out of reach of children" was accessible to the children on the shelves by the entrance door. in space 2A, diapers in plastic wrapper were accessible to the children under diaper changing table. .0604(q) Technical assistance was provided as follows: 849: Expired medication Expired medication shall be returned to the parent or discarded within seventy-two (72) hours of its expiration date. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 858: plastics Any easily torn plastics or plastics with warning shall be inaccessible to the children. You can either purchase tougher plastic covers/containers for the baby wipes and install baby proof device on the changing table cabinets to make those items inaccessible to the children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 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 4/29/24. 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: Rated License Cohort information: Nazarene Christian is in cohort two (2). We have discussed the prep-year assessment process and staff education during the visit. The program will be qualified to go through the prep-year assessment during July 2024 through June 2025. To complete the assessment during the prep-year, you should apply for the assessment before February 2025. You scored two (2) points for education points. In order to score 5pts or higher, at least fifty (50) percent of lead teachers have to have a credential and 9-12 additional semester hours in EC credit. Reminder: Your lockdown/Shelter-in-place drill is due this month. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 51 Completed Date: 4/15/2024 Age: From 2 To 5 Total Minutes: 195 Time In: 09:30 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Neighbors accompanied me. indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of 4/13/24. Permit type – Four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, meets reduced ratios. The last annual compliance visit was conducted on 10/31/23. The last fire drill was practiced on 3/14/24. The last lockdown was practiced on 1/29/24. The last playground inspection was documented on 3/4/24. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 9/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #3, a group of two-to-three-year-old children engaged in free play. The children played with puzzles and gears. No medications were maintained in the classroom. In space #2B, a group of two-to-three-year-old children transitioned to the playground. The schedule was altered due to expected temperature hike today. The children played with slide structures, merry-go-round, riding toys and other gross motor accessories. One diaper cream and a can of sunscreen were maintained in the classroom with the permission forms. In space #2A, a group of two-year-old children finished up free play while the teacher aided bathroom use by a few children. The children engaged in art activity and played with puzzles. The group also transitioned to the playground shortly after free play time. No medications are maintained in the classroom. In space #4A, a group of four-year-old children engaged in group time. The teacher talked about butterflies with the children. No medications are maintained in this classroom. A group of four-to-five-year-old children in space #4B transitioned from the classroom to the playground. Prior to going outside, the group of the children used the bathroom located by the stairs. No medications are maintained in the classroom. On the playground, the children played with riding toys, sand, slide structures and other gross motor accessories. Sand is used for loose surfacing and the depth of the sand was adequate. In space #4C, a group of four-to-five-year-old children engaged in math activity during the group time. The children counted by five(5) with the teacher and recited Christianity lessons. In space #3C, a group of three-to-four-year-old children participated in group time. The teacher read a book about butterflies to the children. Ms. Neighbors ordered caterpillars for the children to observe its growth. Today’s lunch was hot ham & cheese sandwich, baked beans, corn, strawberries and milk. The items were accurately listed on the menu. Supervision and interaction were adequate. Thirteen (13) existing staff files were reviewed for criminal background letters, First Aid and CPR certificates. All staff members have current background letters and FA/CPR certificates in their files. 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 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #2B, Aquaphor healing ointment for a child expired in February 2024, and it was not returned to the parents or discarded. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #3, a grocery bag of clean clothes was located on top of the cots, which was approximately thirty-five (35) inches high. In space #2B, two bags of Parent choice gentle clean wipes with a warning label " Keep out of reach of children" was accessible to the children on the shelves by the entrance door. in space 2A, diapers in plastic wrapper were accessible to the children under diaper changing table. .0604(q) Technical assistance was provided as follows: 849: Expired medication Expired medication shall be returned to the parent or discarded within seventy-two (72) hours of its expiration date. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 858: plastics Any easily torn plastics or plastics with warning shall be inaccessible to the children. You can either purchase tougher plastic covers/containers for the baby wipes and install baby proof device on the changing table cabinets to make those items inaccessible to the children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 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 4/29/24. 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: Rated License Cohort information: Nazarene Christian is in cohort two (2). We have discussed the prep-year assessment process and staff education during the visit. The program will be qualified to go through the prep-year assessment during July 2024 through June 2025. To complete the assessment during the prep-year, you should apply for the assessment before February 2025. You scored two (2) points for education points. In order to score 5pts or higher, at least fifty (50) percent of lead teachers have to have a credential and 9-12 additional semester hours in EC credit. Reminder: Your lockdown/Shelter-in-place drill is due this month. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 51 Completed Date: 4/15/2024 Age: From 2 To 5 Total Minutes: 195 Time In: 09:30 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Neighbors accompanied me. indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of 4/13/24. Permit type – Four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, meets reduced ratios. The last annual compliance visit was conducted on 10/31/23. The last fire drill was practiced on 3/14/24. The last lockdown was practiced on 1/29/24. The last playground inspection was documented on 3/4/24. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 9/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #3, a group of two-to-three-year-old children engaged in free play. The children played with puzzles and gears. No medications were maintained in the classroom. In space #2B, a group of two-to-three-year-old children transitioned to the playground. The schedule was altered due to expected temperature hike today. The children played with slide structures, merry-go-round, riding toys and other gross motor accessories. One diaper cream and a can of sunscreen were maintained in the classroom with the permission forms. In space #2A, a group of two-year-old children finished up free play while the teacher aided bathroom use by a few children. The children engaged in art activity and played with puzzles. The group also transitioned to the playground shortly after free play time. No medications are maintained in the classroom. In space #4A, a group of four-year-old children engaged in group time. The teacher talked about butterflies with the children. No medications are maintained in this classroom. A group of four-to-five-year-old children in space #4B transitioned from the classroom to the playground. Prior to going outside, the group of the children used the bathroom located by the stairs. No medications are maintained in the classroom. On the playground, the children played with riding toys, sand, slide structures and other gross motor accessories. Sand is used for loose surfacing and the depth of the sand was adequate. In space #4C, a group of four-to-five-year-old children engaged in math activity during the group time. The children counted by five(5) with the teacher and recited Christianity lessons. In space #3C, a group of three-to-four-year-old children participated in group time. The teacher read a book about butterflies to the children. Ms. Neighbors ordered caterpillars for the children to observe its growth. Today’s lunch was hot ham & cheese sandwich, baked beans, corn, strawberries and milk. The items were accurately listed on the menu. Supervision and interaction were adequate. Thirteen (13) existing staff files were reviewed for criminal background letters, First Aid and CPR certificates. All staff members have current background letters and FA/CPR certificates in their files. 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 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #2B, Aquaphor healing ointment for a child expired in February 2024, and it was not returned to the parents or discarded. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #3, a grocery bag of clean clothes was located on top of the cots, which was approximately thirty-five (35) inches high. In space #2B, two bags of Parent choice gentle clean wipes with a warning label " Keep out of reach of children" was accessible to the children on the shelves by the entrance door. in space 2A, diapers in plastic wrapper were accessible to the children under diaper changing table. .0604(q) Technical assistance was provided as follows: 849: Expired medication Expired medication shall be returned to the parent or discarded within seventy-two (72) hours of its expiration date. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 858: plastics Any easily torn plastics or plastics with warning shall be inaccessible to the children. You can either purchase tougher plastic covers/containers for the baby wipes and install baby proof device on the changing table cabinets to make those items inaccessible to the children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 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 4/29/24. 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: Rated License Cohort information: Nazarene Christian is in cohort two (2). We have discussed the prep-year assessment process and staff education during the visit. The program will be qualified to go through the prep-year assessment during July 2024 through June 2025. To complete the assessment during the prep-year, you should apply for the assessment before February 2025. You scored two (2) points for education points. In order to score 5pts or higher, at least fifty (50) percent of lead teachers have to have a credential and 9-12 additional semester hours in EC credit. Reminder: Your lockdown/Shelter-in-place drill is due this month. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 51 Completed Date: 4/15/2024 Age: From 2 To 5 Total Minutes: 195 Time In: 09:30 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Neighbors accompanied me. indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of 4/13/24. Permit type – Four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, meets reduced ratios. The last annual compliance visit was conducted on 10/31/23. The last fire drill was practiced on 3/14/24. The last lockdown was practiced on 1/29/24. The last playground inspection was documented on 3/4/24. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 9/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #3, a group of two-to-three-year-old children engaged in free play. The children played with puzzles and gears. No medications were maintained in the classroom. In space #2B, a group of two-to-three-year-old children transitioned to the playground. The schedule was altered due to expected temperature hike today. The children played with slide structures, merry-go-round, riding toys and other gross motor accessories. One diaper cream and a can of sunscreen were maintained in the classroom with the permission forms. In space #2A, a group of two-year-old children finished up free play while the teacher aided bathroom use by a few children. The children engaged in art activity and played with puzzles. The group also transitioned to the playground shortly after free play time. No medications are maintained in the classroom. In space #4A, a group of four-year-old children engaged in group time. The teacher talked about butterflies with the children. No medications are maintained in this classroom. A group of four-to-five-year-old children in space #4B transitioned from the classroom to the playground. Prior to going outside, the group of the children used the bathroom located by the stairs. No medications are maintained in the classroom. On the playground, the children played with riding toys, sand, slide structures and other gross motor accessories. Sand is used for loose surfacing and the depth of the sand was adequate. In space #4C, a group of four-to-five-year-old children engaged in math activity during the group time. The children counted by five(5) with the teacher and recited Christianity lessons. In space #3C, a group of three-to-four-year-old children participated in group time. The teacher read a book about butterflies to the children. Ms. Neighbors ordered caterpillars for the children to observe its growth. Today’s lunch was hot ham & cheese sandwich, baked beans, corn, strawberries and milk. The items were accurately listed on the menu. Supervision and interaction were adequate. Thirteen (13) existing staff files were reviewed for criminal background letters, First Aid and CPR certificates. All staff members have current background letters and FA/CPR certificates in their files. 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 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #2B, Aquaphor healing ointment for a child expired in February 2024, and it was not returned to the parents or discarded. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #3, a grocery bag of clean clothes was located on top of the cots, which was approximately thirty-five (35) inches high. In space #2B, two bags of Parent choice gentle clean wipes with a warning label " Keep out of reach of children" was accessible to the children on the shelves by the entrance door. in space 2A, diapers in plastic wrapper were accessible to the children under diaper changing table. .0604(q) Technical assistance was provided as follows: 849: Expired medication Expired medication shall be returned to the parent or discarded within seventy-two (72) hours of its expiration date. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 858: plastics Any easily torn plastics or plastics with warning shall be inaccessible to the children. You can either purchase tougher plastic covers/containers for the baby wipes and install baby proof device on the changing table cabinets to make those items inaccessible to the children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 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 4/29/24. 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: Rated License Cohort information: Nazarene Christian is in cohort two (2). We have discussed the prep-year assessment process and staff education during the visit. The program will be qualified to go through the prep-year assessment during July 2024 through June 2025. To complete the assessment during the prep-year, you should apply for the assessment before February 2025. You scored two (2) points for education points. In order to score 5pts or higher, at least fifty (50) percent of lead teachers have to have a credential and 9-12 additional semester hours in EC credit. Reminder: Your lockdown/Shelter-in-place drill is due this month. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 51 Completed Date: 4/15/2024 Age: From 2 To 5 Total Minutes: 195 Time In: 09:30 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Neighbors accompanied me. indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of 4/13/24. Permit type – Four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, meets reduced ratios. The last annual compliance visit was conducted on 10/31/23. The last fire drill was practiced on 3/14/24. The last lockdown was practiced on 1/29/24. The last playground inspection was documented on 3/4/24. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 9/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #3, a group of two-to-three-year-old children engaged in free play. The children played with puzzles and gears. No medications were maintained in the classroom. In space #2B, a group of two-to-three-year-old children transitioned to the playground. The schedule was altered due to expected temperature hike today. The children played with slide structures, merry-go-round, riding toys and other gross motor accessories. One diaper cream and a can of sunscreen were maintained in the classroom with the permission forms. In space #2A, a group of two-year-old children finished up free play while the teacher aided bathroom use by a few children. The children engaged in art activity and played with puzzles. The group also transitioned to the playground shortly after free play time. No medications are maintained in the classroom. In space #4A, a group of four-year-old children engaged in group time. The teacher talked about butterflies with the children. No medications are maintained in this classroom. A group of four-to-five-year-old children in space #4B transitioned from the classroom to the playground. Prior to going outside, the group of the children used the bathroom located by the stairs. No medications are maintained in the classroom. On the playground, the children played with riding toys, sand, slide structures and other gross motor accessories. Sand is used for loose surfacing and the depth of the sand was adequate. In space #4C, a group of four-to-five-year-old children engaged in math activity during the group time. The children counted by five(5) with the teacher and recited Christianity lessons. In space #3C, a group of three-to-four-year-old children participated in group time. The teacher read a book about butterflies to the children. Ms. Neighbors ordered caterpillars for the children to observe its growth. Today’s lunch was hot ham & cheese sandwich, baked beans, corn, strawberries and milk. The items were accurately listed on the menu. Supervision and interaction were adequate. Thirteen (13) existing staff files were reviewed for criminal background letters, First Aid and CPR certificates. All staff members have current background letters and FA/CPR certificates in their files. 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 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #2B, Aquaphor healing ointment for a child expired in February 2024, and it was not returned to the parents or discarded. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #3, a grocery bag of clean clothes was located on top of the cots, which was approximately thirty-five (35) inches high. In space #2B, two bags of Parent choice gentle clean wipes with a warning label " Keep out of reach of children" was accessible to the children on the shelves by the entrance door. in space 2A, diapers in plastic wrapper were accessible to the children under diaper changing table. .0604(q) Technical assistance was provided as follows: 849: Expired medication Expired medication shall be returned to the parent or discarded within seventy-two (72) hours of its expiration date. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 858: plastics Any easily torn plastics or plastics with warning shall be inaccessible to the children. You can either purchase tougher plastic covers/containers for the baby wipes and install baby proof device on the changing table cabinets to make those items inaccessible to the children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 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 4/29/24. 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: Rated License Cohort information: Nazarene Christian is in cohort two (2). We have discussed the prep-year assessment process and staff education during the visit. The program will be qualified to go through the prep-year assessment during July 2024 through June 2025. To complete the assessment during the prep-year, you should apply for the assessment before February 2025. You scored two (2) points for education points. In order to score 5pts or higher, at least fifty (50) percent of lead teachers have to have a credential and 9-12 additional semester hours in EC credit. Reminder: Your lockdown/Shelter-in-place drill is due this month. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 51 Completed Date: 4/15/2024 Age: From 2 To 5 Total Minutes: 195 Time In: 09:30 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Neighbors accompanied me. indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of 4/13/24. Permit type – Four-star center license issued on 11/13/19. Special Services/Restrictions – daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, meets reduced ratios. The last annual compliance visit was conducted on 10/31/23. The last fire drill was practiced on 3/14/24. The last lockdown was practiced on 1/29/24. The last playground inspection was documented on 3/4/24. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 9/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #3, a group of two-to-three-year-old children engaged in free play. The children played with puzzles and gears. No medications were maintained in the classroom. In space #2B, a group of two-to-three-year-old children transitioned to the playground. The schedule was altered due to expected temperature hike today. The children played with slide structures, merry-go-round, riding toys and other gross motor accessories. One diaper cream and a can of sunscreen were maintained in the classroom with the permission forms. In space #2A, a group of two-year-old children finished up free play while the teacher aided bathroom use by a few children. The children engaged in art activity and played with puzzles. The group also transitioned to the playground shortly after free play time. No medications are maintained in the classroom. In space #4A, a group of four-year-old children engaged in group time. The teacher talked about butterflies with the children. No medications are maintained in this classroom. A group of four-to-five-year-old children in space #4B transitioned from the classroom to the playground. Prior to going outside, the group of the children used the bathroom located by the stairs. No medications are maintained in the classroom. On the playground, the children played with riding toys, sand, slide structures and other gross motor accessories. Sand is used for loose surfacing and the depth of the sand was adequate. In space #4C, a group of four-to-five-year-old children engaged in math activity during the group time. The children counted by five(5) with the teacher and recited Christianity lessons. In space #3C, a group of three-to-four-year-old children participated in group time. The teacher read a book about butterflies to the children. Ms. Neighbors ordered caterpillars for the children to observe its growth. Today’s lunch was hot ham & cheese sandwich, baked beans, corn, strawberries and milk. The items were accurately listed on the menu. Supervision and interaction were adequate. Thirteen (13) existing staff files were reviewed for criminal background letters, First Aid and CPR certificates. All staff members have current background letters and FA/CPR certificates in their files. 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 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #2B, Aquaphor healing ointment for a child expired in February 2024, and it was not returned to the parents or discarded. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #3, a grocery bag of clean clothes was located on top of the cots, which was approximately thirty-five (35) inches high. In space #2B, two bags of Parent choice gentle clean wipes with a warning label " Keep out of reach of children" was accessible to the children on the shelves by the entrance door. in space 2A, diapers in plastic wrapper were accessible to the children under diaper changing table. .0604(q) Technical assistance was provided as follows: 849: Expired medication Expired medication shall be returned to the parent or discarded within seventy-two (72) hours of its expiration date. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 858: plastics Any easily torn plastics or plastics with warning shall be inaccessible to the children. You can either purchase tougher plastic covers/containers for the baby wipes and install baby proof device on the changing table cabinets to make those items inaccessible to the children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 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 4/29/24. 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: Rated License Cohort information: Nazarene Christian is in cohort two (2). We have discussed the prep-year assessment process and staff education during the visit. The program will be qualified to go through the prep-year assessment during July 2024 through June 2025. To complete the assessment during the prep-year, you should apply for the assessment before February 2025. You scored two (2) points for education points. In order to score 5pts or higher, at least fifty (50) percent of lead teachers have to have a credential and 9-12 additional semester hours in EC credit. Reminder: Your lockdown/Shelter-in-place drill is due this month. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 42 Completed Date: 10/31/2023 Age: From 2 To 5 Total Minutes: 240 Time In: 09:15 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was printed and left on site with you. Today, Peggy Neighbors, Administrator, accompanied me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. 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-three (93) percentage as of 10/29/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Asheville First Church of the Nazarene, Inc., is current/active as of 10/29/23. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions: daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only and meets reduced ratios. The last annual compliance visit was conducted on 11/10/23. The last fire drill was practiced on 10/26/23. The last lockdown drill was practiced on 10/20/23. The last playground inspection was documented on 10/10/23. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 9/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. The facility’s EPR plan was last reviewed on 6/16/23. Upon arrival, I announced my presence and the purpose of the visit. I observed eight (8) classrooms and two (2) licensed spaces. Space 3A is only used for diaper changing purposes. One (1) child’s diaper was changed in 3A during the visit. In 2A, a group of two-year-old children engaged in free play using pretend food, magnetic tiles and toy barn. Diaper changing procedure was observed and was in compliance. In 2B, a group of two-to-three-year-old children created artwork using stickers and crayons with teachers. Space 2A and 2B are adjacent and separated by a gate. One (1) teacher (assistant) aides both classrooms. In space three (3), a group of two-to-three-year-old children engaged in a small group activity using upper case/lower case letter match alligators. In 4A, a group of three-to-four-year-old children engaged in free play using baby dolls, pasta sensory bucket and art materials. In 3C, a group of three-to-four-year-old children played with dress up clothes and other housekeeping materials. One (1) child was playing with sandbox. In 4B, a group of four-to-five-year-old children played with dress up clothes, draft materials, toy animals and blocks. One (1) child danced in the group area. In 4C, a group of four-to-five-year-old children engaged in morning work. The group of children created seasonal art using pumpkin and decorated it with creative art materials and practiced their names. The gym and two (2) playgrounds were monitored. Gym is divided into two (2) separate space by the gates. Riding toys and gross motor accessories were available for children to play with. Outdoor space one (1) and two (2) are currently used as one (1) space. There is a heavy portable slide structure, and the bottom step is cracked. This is considered a permanent structure due to its weight. This slide is scheduled to be removed and supervised by the teachers not to use it. The sand around the permanent slide structure was measured for seven (7) inches. There were no hazardous materials observed. The children used riding toys, play houses, ran and chased one another on the playground. On outdoor space three (3), there were two (2) slide structures buried in the ground on the hill, marry-go-round, riding toys and other accessories. Lunch was served during the visit. Today’ menu was Chicken Tetrazzini, peas, carrots peaches, a roll, and milk. The items were listed on the menu. Children on the first floor ate lunch in their classroom, and the older children upstairs ate in the cafeteria. No over-the-counter medication or prescriptions were maintained at this center. Five (5) children’s files were monitored. One (1) new staff file and two (2) existing staff files were monitored. The review of prevention of shaken baby syndrome and abusive head trauma policy is included in children’s application as part of operational policy, and the staff has taken the training from the Child Care Health Consultant. Consultation for the requirement of acknowledgement of the policy was provided during today’s visit. Going forward, this will be cited as a violation. 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/ This facility does not transport children. The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In 4C, four (4) children were signed in while five (5) children were present. 10A NCAC 09 .0302(d)(4) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. A bag of diapers in plastic wrappers were stored under the changing table in 2A. .0604(q) Technical assistance was provided as follows: 125: Daily record of arrival and Departure: An accurate record of arrival and departure time for each child shall be maintained on a daily basis. If arrival and departure times were logged in by the parents, please monitor the log and fill in the time as needed. Attendance record is one of the important pieces of information to maintain supervision. When the head counts and the attendance log do not match, the correction should be made. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 861: easily torn plastics Easily torn plastics, such as plastic wrappers, Ziplock bags, and some plastic bags for baby wipes shall be accessible to children under three (3) years of age. Such plastics pose a choking hazard to young children. Please remove plastic wrappers from diapers, paper towels, toilet paper, plastic cups, etc. For baby wipes, please read the label for “keep out of reach of children”. If the warning states to keep it out of reach of children, the item must be maintained at least five (5) feet above the floor. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 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 11/14/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Prevention of Shaken Baby and Abusive Head Trauma Policy: According to the rule, 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA, the center’s Shaken Baby syndrome policy must be shared with staff members and parents. Additionally, an acknowledgment of receipt of the policy shall be obtained and filed. Please see the requirements below. A sample copy of the acknowledgement for staff members and parents in English and Spanish was printed from the Division’s website and shared with Ms. Neighbors. Parents: The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain the following and be maintained in the child’s file for review by the Division: (1) The child’s name; (2) The date the child first attended the center; (3) The date the operator’s policy was given and explained to the parent; (4) The parent’s name; (5) The parent’s signature; and (6) The date the parent signed the acknowledgment. Staff members: (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Nazarene Christian is in Cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 and June 2026. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 42 Completed Date: 10/31/2023 Age: From 2 To 5 Total Minutes: 240 Time In: 09:15 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was printed and left on site with you. Today, Peggy Neighbors, Administrator, accompanied me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. 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-three (93) percentage as of 10/29/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Asheville First Church of the Nazarene, Inc., is current/active as of 10/29/23. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions: daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only and meets reduced ratios. The last annual compliance visit was conducted on 11/10/23. The last fire drill was practiced on 10/26/23. The last lockdown drill was practiced on 10/20/23. The last playground inspection was documented on 10/10/23. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 9/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. The facility’s EPR plan was last reviewed on 6/16/23. Upon arrival, I announced my presence and the purpose of the visit. I observed eight (8) classrooms and two (2) licensed spaces. Space 3A is only used for diaper changing purposes. One (1) child’s diaper was changed in 3A during the visit. In 2A, a group of two-year-old children engaged in free play using pretend food, magnetic tiles and toy barn. Diaper changing procedure was observed and was in compliance. In 2B, a group of two-to-three-year-old children created artwork using stickers and crayons with teachers. Space 2A and 2B are adjacent and separated by a gate. One (1) teacher (assistant) aides both classrooms. In space three (3), a group of two-to-three-year-old children engaged in a small group activity using upper case/lower case letter match alligators. In 4A, a group of three-to-four-year-old children engaged in free play using baby dolls, pasta sensory bucket and art materials. In 3C, a group of three-to-four-year-old children played with dress up clothes and other housekeeping materials. One (1) child was playing with sandbox. In 4B, a group of four-to-five-year-old children played with dress up clothes, draft materials, toy animals and blocks. One (1) child danced in the group area. In 4C, a group of four-to-five-year-old children engaged in morning work. The group of children created seasonal art using pumpkin and decorated it with creative art materials and practiced their names. The gym and two (2) playgrounds were monitored. Gym is divided into two (2) separate space by the gates. Riding toys and gross motor accessories were available for children to play with. Outdoor space one (1) and two (2) are currently used as one (1) space. There is a heavy portable slide structure, and the bottom step is cracked. This is considered a permanent structure due to its weight. This slide is scheduled to be removed and supervised by the teachers not to use it. The sand around the permanent slide structure was measured for seven (7) inches. There were no hazardous materials observed. The children used riding toys, play houses, ran and chased one another on the playground. On outdoor space three (3), there were two (2) slide structures buried in the ground on the hill, marry-go-round, riding toys and other accessories. Lunch was served during the visit. Today’ menu was Chicken Tetrazzini, peas, carrots peaches, a roll, and milk. The items were listed on the menu. Children on the first floor ate lunch in their classroom, and the older children upstairs ate in the cafeteria. No over-the-counter medication or prescriptions were maintained at this center. Five (5) children’s files were monitored. One (1) new staff file and two (2) existing staff files were monitored. The review of prevention of shaken baby syndrome and abusive head trauma policy is included in children’s application as part of operational policy, and the staff has taken the training from the Child Care Health Consultant. Consultation for the requirement of acknowledgement of the policy was provided during today’s visit. Going forward, this will be cited as a violation. 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/ This facility does not transport children. The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In 4C, four (4) children were signed in while five (5) children were present. 10A NCAC 09 .0302(d)(4) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. A bag of diapers in plastic wrappers were stored under the changing table in 2A. .0604(q) Technical assistance was provided as follows: 125: Daily record of arrival and Departure: An accurate record of arrival and departure time for each child shall be maintained on a daily basis. If arrival and departure times were logged in by the parents, please monitor the log and fill in the time as needed. Attendance record is one of the important pieces of information to maintain supervision. When the head counts and the attendance log do not match, the correction should be made. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 861: easily torn plastics Easily torn plastics, such as plastic wrappers, Ziplock bags, and some plastic bags for baby wipes shall be accessible to children under three (3) years of age. Such plastics pose a choking hazard to young children. Please remove plastic wrappers from diapers, paper towels, toilet paper, plastic cups, etc. For baby wipes, please read the label for “keep out of reach of children”. If the warning states to keep it out of reach of children, the item must be maintained at least five (5) feet above the floor. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 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 11/14/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Prevention of Shaken Baby and Abusive Head Trauma Policy: According to the rule, 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA, the center’s Shaken Baby syndrome policy must be shared with staff members and parents. Additionally, an acknowledgment of receipt of the policy shall be obtained and filed. Please see the requirements below. A sample copy of the acknowledgement for staff members and parents in English and Spanish was printed from the Division’s website and shared with Ms. Neighbors. Parents: The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain the following and be maintained in the child’s file for review by the Division: (1) The child’s name; (2) The date the child first attended the center; (3) The date the operator’s policy was given and explained to the parent; (4) The parent’s name; (5) The parent’s signature; and (6) The date the parent signed the acknowledgment. Staff members: (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Nazarene Christian is in Cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 and June 2026. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 42 Completed Date: 10/31/2023 Age: From 2 To 5 Total Minutes: 240 Time In: 09:15 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was printed and left on site with you. Today, Peggy Neighbors, Administrator, accompanied me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. 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-three (93) percentage as of 10/29/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Asheville First Church of the Nazarene, Inc., is current/active as of 10/29/23. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions: daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only and meets reduced ratios. The last annual compliance visit was conducted on 11/10/23. The last fire drill was practiced on 10/26/23. The last lockdown drill was practiced on 10/20/23. The last playground inspection was documented on 10/10/23. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 9/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. The facility’s EPR plan was last reviewed on 6/16/23. Upon arrival, I announced my presence and the purpose of the visit. I observed eight (8) classrooms and two (2) licensed spaces. Space 3A is only used for diaper changing purposes. One (1) child’s diaper was changed in 3A during the visit. In 2A, a group of two-year-old children engaged in free play using pretend food, magnetic tiles and toy barn. Diaper changing procedure was observed and was in compliance. In 2B, a group of two-to-three-year-old children created artwork using stickers and crayons with teachers. Space 2A and 2B are adjacent and separated by a gate. One (1) teacher (assistant) aides both classrooms. In space three (3), a group of two-to-three-year-old children engaged in a small group activity using upper case/lower case letter match alligators. In 4A, a group of three-to-four-year-old children engaged in free play using baby dolls, pasta sensory bucket and art materials. In 3C, a group of three-to-four-year-old children played with dress up clothes and other housekeeping materials. One (1) child was playing with sandbox. In 4B, a group of four-to-five-year-old children played with dress up clothes, draft materials, toy animals and blocks. One (1) child danced in the group area. In 4C, a group of four-to-five-year-old children engaged in morning work. The group of children created seasonal art using pumpkin and decorated it with creative art materials and practiced their names. The gym and two (2) playgrounds were monitored. Gym is divided into two (2) separate space by the gates. Riding toys and gross motor accessories were available for children to play with. Outdoor space one (1) and two (2) are currently used as one (1) space. There is a heavy portable slide structure, and the bottom step is cracked. This is considered a permanent structure due to its weight. This slide is scheduled to be removed and supervised by the teachers not to use it. The sand around the permanent slide structure was measured for seven (7) inches. There were no hazardous materials observed. The children used riding toys, play houses, ran and chased one another on the playground. On outdoor space three (3), there were two (2) slide structures buried in the ground on the hill, marry-go-round, riding toys and other accessories. Lunch was served during the visit. Today’ menu was Chicken Tetrazzini, peas, carrots peaches, a roll, and milk. The items were listed on the menu. Children on the first floor ate lunch in their classroom, and the older children upstairs ate in the cafeteria. No over-the-counter medication or prescriptions were maintained at this center. Five (5) children’s files were monitored. One (1) new staff file and two (2) existing staff files were monitored. The review of prevention of shaken baby syndrome and abusive head trauma policy is included in children’s application as part of operational policy, and the staff has taken the training from the Child Care Health Consultant. Consultation for the requirement of acknowledgement of the policy was provided during today’s visit. Going forward, this will be cited as a violation. 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/ This facility does not transport children. The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In 4C, four (4) children were signed in while five (5) children were present. 10A NCAC 09 .0302(d)(4) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. A bag of diapers in plastic wrappers were stored under the changing table in 2A. .0604(q) Technical assistance was provided as follows: 125: Daily record of arrival and Departure: An accurate record of arrival and departure time for each child shall be maintained on a daily basis. If arrival and departure times were logged in by the parents, please monitor the log and fill in the time as needed. Attendance record is one of the important pieces of information to maintain supervision. When the head counts and the attendance log do not match, the correction should be made. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 861: easily torn plastics Easily torn plastics, such as plastic wrappers, Ziplock bags, and some plastic bags for baby wipes shall be accessible to children under three (3) years of age. Such plastics pose a choking hazard to young children. Please remove plastic wrappers from diapers, paper towels, toilet paper, plastic cups, etc. For baby wipes, please read the label for “keep out of reach of children”. If the warning states to keep it out of reach of children, the item must be maintained at least five (5) feet above the floor. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 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 11/14/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Prevention of Shaken Baby and Abusive Head Trauma Policy: According to the rule, 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA, the center’s Shaken Baby syndrome policy must be shared with staff members and parents. Additionally, an acknowledgment of receipt of the policy shall be obtained and filed. Please see the requirements below. A sample copy of the acknowledgement for staff members and parents in English and Spanish was printed from the Division’s website and shared with Ms. Neighbors. Parents: The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain the following and be maintained in the child’s file for review by the Division: (1) The child’s name; (2) The date the child first attended the center; (3) The date the operator’s policy was given and explained to the parent; (4) The parent’s name; (5) The parent’s signature; and (6) The date the parent signed the acknowledgment. Staff members: (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Nazarene Christian is in Cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 and June 2026. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0608 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 42 Completed Date: 10/31/2023 Age: From 2 To 5 Total Minutes: 240 Time In: 09:15 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was printed and left on site with you. Today, Peggy Neighbors, Administrator, accompanied me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. 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-three (93) percentage as of 10/29/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Asheville First Church of the Nazarene, Inc., is current/active as of 10/29/23. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions: daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only and meets reduced ratios. The last annual compliance visit was conducted on 11/10/23. The last fire drill was practiced on 10/26/23. The last lockdown drill was practiced on 10/20/23. The last playground inspection was documented on 10/10/23. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 9/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. The facility’s EPR plan was last reviewed on 6/16/23. Upon arrival, I announced my presence and the purpose of the visit. I observed eight (8) classrooms and two (2) licensed spaces. Space 3A is only used for diaper changing purposes. One (1) child’s diaper was changed in 3A during the visit. In 2A, a group of two-year-old children engaged in free play using pretend food, magnetic tiles and toy barn. Diaper changing procedure was observed and was in compliance. In 2B, a group of two-to-three-year-old children created artwork using stickers and crayons with teachers. Space 2A and 2B are adjacent and separated by a gate. One (1) teacher (assistant) aides both classrooms. In space three (3), a group of two-to-three-year-old children engaged in a small group activity using upper case/lower case letter match alligators. In 4A, a group of three-to-four-year-old children engaged in free play using baby dolls, pasta sensory bucket and art materials. In 3C, a group of three-to-four-year-old children played with dress up clothes and other housekeeping materials. One (1) child was playing with sandbox. In 4B, a group of four-to-five-year-old children played with dress up clothes, draft materials, toy animals and blocks. One (1) child danced in the group area. In 4C, a group of four-to-five-year-old children engaged in morning work. The group of children created seasonal art using pumpkin and decorated it with creative art materials and practiced their names. The gym and two (2) playgrounds were monitored. Gym is divided into two (2) separate space by the gates. Riding toys and gross motor accessories were available for children to play with. Outdoor space one (1) and two (2) are currently used as one (1) space. There is a heavy portable slide structure, and the bottom step is cracked. This is considered a permanent structure due to its weight. This slide is scheduled to be removed and supervised by the teachers not to use it. The sand around the permanent slide structure was measured for seven (7) inches. There were no hazardous materials observed. The children used riding toys, play houses, ran and chased one another on the playground. On outdoor space three (3), there were two (2) slide structures buried in the ground on the hill, marry-go-round, riding toys and other accessories. Lunch was served during the visit. Today’ menu was Chicken Tetrazzini, peas, carrots peaches, a roll, and milk. The items were listed on the menu. Children on the first floor ate lunch in their classroom, and the older children upstairs ate in the cafeteria. No over-the-counter medication or prescriptions were maintained at this center. Five (5) children’s files were monitored. One (1) new staff file and two (2) existing staff files were monitored. The review of prevention of shaken baby syndrome and abusive head trauma policy is included in children’s application as part of operational policy, and the staff has taken the training from the Child Care Health Consultant. Consultation for the requirement of acknowledgement of the policy was provided during today’s visit. Going forward, this will be cited as a violation. 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/ This facility does not transport children. The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In 4C, four (4) children were signed in while five (5) children were present. 10A NCAC 09 .0302(d)(4) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. A bag of diapers in plastic wrappers were stored under the changing table in 2A. .0604(q) Technical assistance was provided as follows: 125: Daily record of arrival and Departure: An accurate record of arrival and departure time for each child shall be maintained on a daily basis. If arrival and departure times were logged in by the parents, please monitor the log and fill in the time as needed. Attendance record is one of the important pieces of information to maintain supervision. When the head counts and the attendance log do not match, the correction should be made. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 861: easily torn plastics Easily torn plastics, such as plastic wrappers, Ziplock bags, and some plastic bags for baby wipes shall be accessible to children under three (3) years of age. Such plastics pose a choking hazard to young children. Please remove plastic wrappers from diapers, paper towels, toilet paper, plastic cups, etc. For baby wipes, please read the label for “keep out of reach of children”. If the warning states to keep it out of reach of children, the item must be maintained at least five (5) feet above the floor. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 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 11/14/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Prevention of Shaken Baby and Abusive Head Trauma Policy: According to the rule, 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA, the center’s Shaken Baby syndrome policy must be shared with staff members and parents. Additionally, an acknowledgment of receipt of the policy shall be obtained and filed. Please see the requirements below. A sample copy of the acknowledgement for staff members and parents in English and Spanish was printed from the Division’s website and shared with Ms. Neighbors. Parents: The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain the following and be maintained in the child’s file for review by the Division: (1) The child’s name; (2) The date the child first attended the center; (3) The date the operator’s policy was given and explained to the parent; (4) The parent’s name; (5) The parent’s signature; and (6) The date the parent signed the acknowledgment. Staff members: (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Nazarene Christian is in Cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 and June 2026. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 42 Completed Date: 10/31/2023 Age: From 2 To 5 Total Minutes: 240 Time In: 09:15 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was printed and left on site with you. Today, Peggy Neighbors, Administrator, accompanied me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. 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-three (93) percentage as of 10/29/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Asheville First Church of the Nazarene, Inc., is current/active as of 10/29/23. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions: daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only and meets reduced ratios. The last annual compliance visit was conducted on 11/10/23. The last fire drill was practiced on 10/26/23. The last lockdown drill was practiced on 10/20/23. The last playground inspection was documented on 10/10/23. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 9/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. The facility’s EPR plan was last reviewed on 6/16/23. Upon arrival, I announced my presence and the purpose of the visit. I observed eight (8) classrooms and two (2) licensed spaces. Space 3A is only used for diaper changing purposes. One (1) child’s diaper was changed in 3A during the visit. In 2A, a group of two-year-old children engaged in free play using pretend food, magnetic tiles and toy barn. Diaper changing procedure was observed and was in compliance. In 2B, a group of two-to-three-year-old children created artwork using stickers and crayons with teachers. Space 2A and 2B are adjacent and separated by a gate. One (1) teacher (assistant) aides both classrooms. In space three (3), a group of two-to-three-year-old children engaged in a small group activity using upper case/lower case letter match alligators. In 4A, a group of three-to-four-year-old children engaged in free play using baby dolls, pasta sensory bucket and art materials. In 3C, a group of three-to-four-year-old children played with dress up clothes and other housekeeping materials. One (1) child was playing with sandbox. In 4B, a group of four-to-five-year-old children played with dress up clothes, draft materials, toy animals and blocks. One (1) child danced in the group area. In 4C, a group of four-to-five-year-old children engaged in morning work. The group of children created seasonal art using pumpkin and decorated it with creative art materials and practiced their names. The gym and two (2) playgrounds were monitored. Gym is divided into two (2) separate space by the gates. Riding toys and gross motor accessories were available for children to play with. Outdoor space one (1) and two (2) are currently used as one (1) space. There is a heavy portable slide structure, and the bottom step is cracked. This is considered a permanent structure due to its weight. This slide is scheduled to be removed and supervised by the teachers not to use it. The sand around the permanent slide structure was measured for seven (7) inches. There were no hazardous materials observed. The children used riding toys, play houses, ran and chased one another on the playground. On outdoor space three (3), there were two (2) slide structures buried in the ground on the hill, marry-go-round, riding toys and other accessories. Lunch was served during the visit. Today’ menu was Chicken Tetrazzini, peas, carrots peaches, a roll, and milk. The items were listed on the menu. Children on the first floor ate lunch in their classroom, and the older children upstairs ate in the cafeteria. No over-the-counter medication or prescriptions were maintained at this center. Five (5) children’s files were monitored. One (1) new staff file and two (2) existing staff files were monitored. The review of prevention of shaken baby syndrome and abusive head trauma policy is included in children’s application as part of operational policy, and the staff has taken the training from the Child Care Health Consultant. Consultation for the requirement of acknowledgement of the policy was provided during today’s visit. Going forward, this will be cited as a violation. 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/ This facility does not transport children. The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In 4C, four (4) children were signed in while five (5) children were present. 10A NCAC 09 .0302(d)(4) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. A bag of diapers in plastic wrappers were stored under the changing table in 2A. .0604(q) Technical assistance was provided as follows: 125: Daily record of arrival and Departure: An accurate record of arrival and departure time for each child shall be maintained on a daily basis. If arrival and departure times were logged in by the parents, please monitor the log and fill in the time as needed. Attendance record is one of the important pieces of information to maintain supervision. When the head counts and the attendance log do not match, the correction should be made. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 861: easily torn plastics Easily torn plastics, such as plastic wrappers, Ziplock bags, and some plastic bags for baby wipes shall be accessible to children under three (3) years of age. Such plastics pose a choking hazard to young children. Please remove plastic wrappers from diapers, paper towels, toilet paper, plastic cups, etc. For baby wipes, please read the label for “keep out of reach of children”. If the warning states to keep it out of reach of children, the item must be maintained at least five (5) feet above the floor. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 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 11/14/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Prevention of Shaken Baby and Abusive Head Trauma Policy: According to the rule, 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA, the center’s Shaken Baby syndrome policy must be shared with staff members and parents. Additionally, an acknowledgment of receipt of the policy shall be obtained and filed. Please see the requirements below. A sample copy of the acknowledgement for staff members and parents in English and Spanish was printed from the Division’s website and shared with Ms. Neighbors. Parents: The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain the following and be maintained in the child’s file for review by the Division: (1) The child’s name; (2) The date the child first attended the center; (3) The date the operator’s policy was given and explained to the parent; (4) The parent’s name; (5) The parent’s signature; and (6) The date the parent signed the acknowledgment. Staff members: (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Nazarene Christian is in Cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 and June 2026. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 42 Completed Date: 10/31/2023 Age: From 2 To 5 Total Minutes: 240 Time In: 09:15 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was printed and left on site with you. Today, Peggy Neighbors, Administrator, accompanied me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. 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-three (93) percentage as of 10/29/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Asheville First Church of the Nazarene, Inc., is current/active as of 10/29/23. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions: daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only and meets reduced ratios. The last annual compliance visit was conducted on 11/10/23. The last fire drill was practiced on 10/26/23. The last lockdown drill was practiced on 10/20/23. The last playground inspection was documented on 10/10/23. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 9/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. The facility’s EPR plan was last reviewed on 6/16/23. Upon arrival, I announced my presence and the purpose of the visit. I observed eight (8) classrooms and two (2) licensed spaces. Space 3A is only used for diaper changing purposes. One (1) child’s diaper was changed in 3A during the visit. In 2A, a group of two-year-old children engaged in free play using pretend food, magnetic tiles and toy barn. Diaper changing procedure was observed and was in compliance. In 2B, a group of two-to-three-year-old children created artwork using stickers and crayons with teachers. Space 2A and 2B are adjacent and separated by a gate. One (1) teacher (assistant) aides both classrooms. In space three (3), a group of two-to-three-year-old children engaged in a small group activity using upper case/lower case letter match alligators. In 4A, a group of three-to-four-year-old children engaged in free play using baby dolls, pasta sensory bucket and art materials. In 3C, a group of three-to-four-year-old children played with dress up clothes and other housekeeping materials. One (1) child was playing with sandbox. In 4B, a group of four-to-five-year-old children played with dress up clothes, draft materials, toy animals and blocks. One (1) child danced in the group area. In 4C, a group of four-to-five-year-old children engaged in morning work. The group of children created seasonal art using pumpkin and decorated it with creative art materials and practiced their names. The gym and two (2) playgrounds were monitored. Gym is divided into two (2) separate space by the gates. Riding toys and gross motor accessories were available for children to play with. Outdoor space one (1) and two (2) are currently used as one (1) space. There is a heavy portable slide structure, and the bottom step is cracked. This is considered a permanent structure due to its weight. This slide is scheduled to be removed and supervised by the teachers not to use it. The sand around the permanent slide structure was measured for seven (7) inches. There were no hazardous materials observed. The children used riding toys, play houses, ran and chased one another on the playground. On outdoor space three (3), there were two (2) slide structures buried in the ground on the hill, marry-go-round, riding toys and other accessories. Lunch was served during the visit. Today’ menu was Chicken Tetrazzini, peas, carrots peaches, a roll, and milk. The items were listed on the menu. Children on the first floor ate lunch in their classroom, and the older children upstairs ate in the cafeteria. No over-the-counter medication or prescriptions were maintained at this center. Five (5) children’s files were monitored. One (1) new staff file and two (2) existing staff files were monitored. The review of prevention of shaken baby syndrome and abusive head trauma policy is included in children’s application as part of operational policy, and the staff has taken the training from the Child Care Health Consultant. Consultation for the requirement of acknowledgement of the policy was provided during today’s visit. Going forward, this will be cited as a violation. 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/ This facility does not transport children. The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In 4C, four (4) children were signed in while five (5) children were present. 10A NCAC 09 .0302(d)(4) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. A bag of diapers in plastic wrappers were stored under the changing table in 2A. .0604(q) Technical assistance was provided as follows: 125: Daily record of arrival and Departure: An accurate record of arrival and departure time for each child shall be maintained on a daily basis. If arrival and departure times were logged in by the parents, please monitor the log and fill in the time as needed. Attendance record is one of the important pieces of information to maintain supervision. When the head counts and the attendance log do not match, the correction should be made. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 861: easily torn plastics Easily torn plastics, such as plastic wrappers, Ziplock bags, and some plastic bags for baby wipes shall be accessible to children under three (3) years of age. Such plastics pose a choking hazard to young children. Please remove plastic wrappers from diapers, paper towels, toilet paper, plastic cups, etc. For baby wipes, please read the label for “keep out of reach of children”. If the warning states to keep it out of reach of children, the item must be maintained at least five (5) feet above the floor. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 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 11/14/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Prevention of Shaken Baby and Abusive Head Trauma Policy: According to the rule, 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA, the center’s Shaken Baby syndrome policy must be shared with staff members and parents. Additionally, an acknowledgment of receipt of the policy shall be obtained and filed. Please see the requirements below. A sample copy of the acknowledgement for staff members and parents in English and Spanish was printed from the Division’s website and shared with Ms. Neighbors. Parents: The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain the following and be maintained in the child’s file for review by the Division: (1) The child’s name; (2) The date the child first attended the center; (3) The date the operator’s policy was given and explained to the parent; (4) The parent’s name; (5) The parent’s signature; and (6) The date the parent signed the acknowledgment. Staff members: (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Nazarene Christian is in Cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 and June 2026. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 42 Completed Date: 10/31/2023 Age: From 2 To 5 Total Minutes: 240 Time In: 09:15 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was printed and left on site with you. Today, Peggy Neighbors, Administrator, accompanied me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. 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-three (93) percentage as of 10/29/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Asheville First Church of the Nazarene, Inc., is current/active as of 10/29/23. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions: daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only and meets reduced ratios. The last annual compliance visit was conducted on 11/10/23. The last fire drill was practiced on 10/26/23. The last lockdown drill was practiced on 10/20/23. The last playground inspection was documented on 10/10/23. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 9/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. The facility’s EPR plan was last reviewed on 6/16/23. Upon arrival, I announced my presence and the purpose of the visit. I observed eight (8) classrooms and two (2) licensed spaces. Space 3A is only used for diaper changing purposes. One (1) child’s diaper was changed in 3A during the visit. In 2A, a group of two-year-old children engaged in free play using pretend food, magnetic tiles and toy barn. Diaper changing procedure was observed and was in compliance. In 2B, a group of two-to-three-year-old children created artwork using stickers and crayons with teachers. Space 2A and 2B are adjacent and separated by a gate. One (1) teacher (assistant) aides both classrooms. In space three (3), a group of two-to-three-year-old children engaged in a small group activity using upper case/lower case letter match alligators. In 4A, a group of three-to-four-year-old children engaged in free play using baby dolls, pasta sensory bucket and art materials. In 3C, a group of three-to-four-year-old children played with dress up clothes and other housekeeping materials. One (1) child was playing with sandbox. In 4B, a group of four-to-five-year-old children played with dress up clothes, draft materials, toy animals and blocks. One (1) child danced in the group area. In 4C, a group of four-to-five-year-old children engaged in morning work. The group of children created seasonal art using pumpkin and decorated it with creative art materials and practiced their names. The gym and two (2) playgrounds were monitored. Gym is divided into two (2) separate space by the gates. Riding toys and gross motor accessories were available for children to play with. Outdoor space one (1) and two (2) are currently used as one (1) space. There is a heavy portable slide structure, and the bottom step is cracked. This is considered a permanent structure due to its weight. This slide is scheduled to be removed and supervised by the teachers not to use it. The sand around the permanent slide structure was measured for seven (7) inches. There were no hazardous materials observed. The children used riding toys, play houses, ran and chased one another on the playground. On outdoor space three (3), there were two (2) slide structures buried in the ground on the hill, marry-go-round, riding toys and other accessories. Lunch was served during the visit. Today’ menu was Chicken Tetrazzini, peas, carrots peaches, a roll, and milk. The items were listed on the menu. Children on the first floor ate lunch in their classroom, and the older children upstairs ate in the cafeteria. No over-the-counter medication or prescriptions were maintained at this center. Five (5) children’s files were monitored. One (1) new staff file and two (2) existing staff files were monitored. The review of prevention of shaken baby syndrome and abusive head trauma policy is included in children’s application as part of operational policy, and the staff has taken the training from the Child Care Health Consultant. Consultation for the requirement of acknowledgement of the policy was provided during today’s visit. Going forward, this will be cited as a violation. 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/ This facility does not transport children. The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In 4C, four (4) children were signed in while five (5) children were present. 10A NCAC 09 .0302(d)(4) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. A bag of diapers in plastic wrappers were stored under the changing table in 2A. .0604(q) Technical assistance was provided as follows: 125: Daily record of arrival and Departure: An accurate record of arrival and departure time for each child shall be maintained on a daily basis. If arrival and departure times were logged in by the parents, please monitor the log and fill in the time as needed. Attendance record is one of the important pieces of information to maintain supervision. When the head counts and the attendance log do not match, the correction should be made. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 861: easily torn plastics Easily torn plastics, such as plastic wrappers, Ziplock bags, and some plastic bags for baby wipes shall be accessible to children under three (3) years of age. Such plastics pose a choking hazard to young children. Please remove plastic wrappers from diapers, paper towels, toilet paper, plastic cups, etc. For baby wipes, please read the label for “keep out of reach of children”. If the warning states to keep it out of reach of children, the item must be maintained at least five (5) feet above the floor. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 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 11/14/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Prevention of Shaken Baby and Abusive Head Trauma Policy: According to the rule, 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA, the center’s Shaken Baby syndrome policy must be shared with staff members and parents. Additionally, an acknowledgment of receipt of the policy shall be obtained and filed. Please see the requirements below. A sample copy of the acknowledgement for staff members and parents in English and Spanish was printed from the Division’s website and shared with Ms. Neighbors. Parents: The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain the following and be maintained in the child’s file for review by the Division: (1) The child’s name; (2) The date the child first attended the center; (3) The date the operator’s policy was given and explained to the parent; (4) The parent’s name; (5) The parent’s signature; and (6) The date the parent signed the acknowledgment. Staff members: (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Nazarene Christian is in Cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 and June 2026. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 42 Completed Date: 10/31/2023 Age: From 2 To 5 Total Minutes: 240 Time In: 09:15 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was printed and left on site with you. Today, Peggy Neighbors, Administrator, accompanied me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. 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-three (93) percentage as of 10/29/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Asheville First Church of the Nazarene, Inc., is current/active as of 10/29/23. Permit type – four-star center license issued on 11/13/19. Special Services/Restrictions: daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only and meets reduced ratios. The last annual compliance visit was conducted on 11/10/23. The last fire drill was practiced on 10/26/23. The last lockdown drill was practiced on 10/20/23. The last playground inspection was documented on 10/10/23. The last fire inspection was approved on 10/18/23. The last sanitation inspection was conducted on 9/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. The facility’s EPR plan was last reviewed on 6/16/23. Upon arrival, I announced my presence and the purpose of the visit. I observed eight (8) classrooms and two (2) licensed spaces. Space 3A is only used for diaper changing purposes. One (1) child’s diaper was changed in 3A during the visit. In 2A, a group of two-year-old children engaged in free play using pretend food, magnetic tiles and toy barn. Diaper changing procedure was observed and was in compliance. In 2B, a group of two-to-three-year-old children created artwork using stickers and crayons with teachers. Space 2A and 2B are adjacent and separated by a gate. One (1) teacher (assistant) aides both classrooms. In space three (3), a group of two-to-three-year-old children engaged in a small group activity using upper case/lower case letter match alligators. In 4A, a group of three-to-four-year-old children engaged in free play using baby dolls, pasta sensory bucket and art materials. In 3C, a group of three-to-four-year-old children played with dress up clothes and other housekeeping materials. One (1) child was playing with sandbox. In 4B, a group of four-to-five-year-old children played with dress up clothes, draft materials, toy animals and blocks. One (1) child danced in the group area. In 4C, a group of four-to-five-year-old children engaged in morning work. The group of children created seasonal art using pumpkin and decorated it with creative art materials and practiced their names. The gym and two (2) playgrounds were monitored. Gym is divided into two (2) separate space by the gates. Riding toys and gross motor accessories were available for children to play with. Outdoor space one (1) and two (2) are currently used as one (1) space. There is a heavy portable slide structure, and the bottom step is cracked. This is considered a permanent structure due to its weight. This slide is scheduled to be removed and supervised by the teachers not to use it. The sand around the permanent slide structure was measured for seven (7) inches. There were no hazardous materials observed. The children used riding toys, play houses, ran and chased one another on the playground. On outdoor space three (3), there were two (2) slide structures buried in the ground on the hill, marry-go-round, riding toys and other accessories. Lunch was served during the visit. Today’ menu was Chicken Tetrazzini, peas, carrots peaches, a roll, and milk. The items were listed on the menu. Children on the first floor ate lunch in their classroom, and the older children upstairs ate in the cafeteria. No over-the-counter medication or prescriptions were maintained at this center. Five (5) children’s files were monitored. One (1) new staff file and two (2) existing staff files were monitored. The review of prevention of shaken baby syndrome and abusive head trauma policy is included in children’s application as part of operational policy, and the staff has taken the training from the Child Care Health Consultant. Consultation for the requirement of acknowledgement of the policy was provided during today’s visit. Going forward, this will be cited as a violation. 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/ This facility does not transport children. The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In 4C, four (4) children were signed in while five (5) children were present. 10A NCAC 09 .0302(d)(4) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. A bag of diapers in plastic wrappers were stored under the changing table in 2A. .0604(q) Technical assistance was provided as follows: 125: Daily record of arrival and Departure: An accurate record of arrival and departure time for each child shall be maintained on a daily basis. If arrival and departure times were logged in by the parents, please monitor the log and fill in the time as needed. Attendance record is one of the important pieces of information to maintain supervision. When the head counts and the attendance log do not match, the correction should be made. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 861: easily torn plastics Easily torn plastics, such as plastic wrappers, Ziplock bags, and some plastic bags for baby wipes shall be accessible to children under three (3) years of age. Such plastics pose a choking hazard to young children. Please remove plastic wrappers from diapers, paper towels, toilet paper, plastic cups, etc. For baby wipes, please read the label for “keep out of reach of children”. If the warning states to keep it out of reach of children, the item must be maintained at least five (5) feet above the floor. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 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 11/14/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Prevention of Shaken Baby and Abusive Head Trauma Policy: According to the rule, 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA, the center’s Shaken Baby syndrome policy must be shared with staff members and parents. Additionally, an acknowledgment of receipt of the policy shall be obtained and filed. Please see the requirements below. A sample copy of the acknowledgement for staff members and parents in English and Spanish was printed from the Division’s website and shared with Ms. Neighbors. Parents: The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain the following and be maintained in the child’s file for review by the Division: (1) The child’s name; (2) The date the child first attended the center; (3) The date the operator’s policy was given and explained to the parent; (4) The parent’s name; (5) The parent’s signature; and (6) The date the parent signed the acknowledgment. Staff members: (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Nazarene Christian is in Cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 and June 2026. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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 to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0923-352L Visit Date: 10/2/2023 Number Present: 41 Completed Date: 10/2/2023 Age: From 2 To 5 Total Minutes: 225 Time In: 10:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Complaint visit. Computer generated report of today's visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was printed left on-site to you. Today, Peggy Neighbors, Administrator, was available during today’s visit. The limited monitoring of child care rules were conducted including program records, staff/child ratios, permit restrictions, discipline, routine, supervision, developmentally appropriate environment and health. The complaint report was received by the Division on 9/27/23 and sent to me on the same day. The concerns are about the developmentally appropriate environment, records, sanitation and health. Per report a child, three (3) years of age experienced two (2) injuries at school. The teacher was not aware of the first incident. There was a second incident where the child was scratched by another child. The reporter also stated that the child was often placed in the toddler classroom and sit in soiled pull-up all day. The reporter stated that the child was terminated on 9/26/23 without two-weeks notice stated in the parent handbook. Nazarene Christian operates with four (4) star center license issued on 11/13/19 with restriction: daytime care, children under 2 ½ years old in rooms with direct exit only, meets enhanced space and reduced ratios. Upon arrival, I announced my presence and the purpose of the visit. I interviewed Ms. Neighbors and the teacher in the classroom where the child was cared for. The program record and classrooms, 3A, where the child on the report was enrolled in and 2A, where the child was placed occasionally were monitored. The child on the report was one (1) of four (4) children enrolled in August/September 2023. The child’s first day was 8/28/23. The child was a three-year-old child with disabilities. The two incidents were reviewed. Per incident reports, an incident occurred on 8/28/23 at 10:30 am. The child was playing with a ball on the hill on the 2-3-year-old playground. The child tumbled down on the hill and hit his/her lips on the pole. The pole was for the shade structure on the playground. Per report, the call was made to a parent, though the time of the call was not recorded. The incident report was signed by the teacher, the parent and Ms. Neighbors on 8/28/23. The incident was logged on the incident log and maintained in the child’s file. The second incident occurred on 8/30/23 at 10:20 pm. The child in the report laid down on top of another child in the classroom. The child who was under the child in the report got upset and scratched the child’s face. The incident was notified to the parent by report and the teacher, the parent, and Ms. Neighbors signed the report on 8/30/23. The incident was logged on the incident log, and the report was maintained in the child’s file. Per interview with the teacher, the child in the report wore a pull-up upon arrival due to the fact that the child wet himself/herself when he/she was upset. The diaper was changed around 10am - 12pm when the floater for the center gave each staff member a break. Per interview, the teacher stated that the child’s pull-up was wet on most days when he/she was changed. The child was potty-trained but had a habit of wetting himself/herself when upset. The child came in to school upset on most days. The child was fully potty-trained and asked to go to the bathroom during the day when he/she was calm. There is no bathroom in the classroom 3A. When needed, the children used the bathroom in the classroom 2A. The child’s pull-up was changed in classroom 2A. Per interview with Ms. Neighbors, she and the parent had a conversation about the child’s behavior on 9/1/23. During the conversation, Ms. Neighbors shared her concerns that the facility was not meeting the child’s needs due to the behavioral concerns. The parent informed that the child had a place at another child care facility, and they had qualified staff member(2) to work with the child. The parent told Ms. Neighbors that the child would be starting at the new child care center on 10/1/23.The teacher in the classroom collaborated on this statement. After this conversation, Ms. Neighbors noted that the child’s last day would be 9/29/23. The parent and Ms. Neighbors had a conversation on 9/19/23. The parent called to notify that she/he would attend IEP meeting for the child on the 21st. Ms. Neighbors notified the parent that the facility was going to be closed on 9/21/23. In the conversation, the parent notified Ms. Neighbors that the child was not leaving Nazarene Christian. At the time, Ms. Neighbors notified the parents that the child’s last day was set to be on 9/29/23. The child came on 9/26/23 but has been absent on other days. Per the facility’s parent handbook under behavioral management, it is stated that other facilities may be recommended when all behavioral management were attempted but not effective. The two (2) weeks’ notice was noted under the termination section. In this section, the facility asks parents to give 2-weeks’ notice to fill the spot with time laps. This section is noted for the parents’ part and not for the facility. For allegations of violations of developmentally appropriate environment, two (2) incidents with injuries occurred in the beginning of the school year, when the teachers were still learning about children. The incident reports were created sufficiently and communicated with the parent in a timely manner. Therefore, the allegations of violating the developmentally appropriate environment were unsubstantiated. For allegation of violation of sanitation and health, the child’s pull-up was not changed whenever the child needed to be changed rather than on a schedule. Therefore, the allegation of violation of sanitation and health is substantiated. It was known fact that the child came in to the classroom upset on most morning, and the child wet himself/herself when he/she was upset. Yet the pull-up was not changed until 10 am - 12 pm. The diapers/pull-ups should have been changed as soon as possible after the child soiled his/her pull-up. The facility followed the procedures written on the parent handbook without mistakes. Therefore, the allegation of violations of report was unsubstantiated. 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 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. Per teacher interview, the child's pull-up were changed 10 am - 12 pm on a daily basis though the child was known to wet pull-up when he/she got upset. The child came to school upset on a daily basis 10A NCAC 09 .0806(a) Technical assistance was provided as follows: 401: Diaper/pull-up change Diaper/pull-up change must be conducted as needed when the child soils his/her diaper. It cannot be conducted on schedule. 10A NCAC 09 .0806 TOILETING, CLOTHING AND LINENS (a) Diapers shall be changed whenever they become soiled or wet and not on a shift basis. 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 10/16/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed staff/child ratios. A child who is twelve (12) to twenty-four (24) months of age cannot be in the same classroom as children who is three (3) years or older. The child shall be at least twenty-five (25) months old to be with children who are three (3) years of age or older. The child on the report was supervised by a teacher during use of bathroom in 2A and the child is no longer enrolled. The two-year-old child in 2B is older than twenty-five (25) months old. For future reference, please pay close attention to each child’s age if classrooms are combined on any occasions. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0806 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0923-352L Visit Date: 10/2/2023 Number Present: 41 Completed Date: 10/2/2023 Age: From 2 To 5 Total Minutes: 225 Time In: 10:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Complaint visit. Computer generated report of today's visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was printed left on-site to you. Today, Peggy Neighbors, Administrator, was available during today’s visit. The limited monitoring of child care rules were conducted including program records, staff/child ratios, permit restrictions, discipline, routine, supervision, developmentally appropriate environment and health. The complaint report was received by the Division on 9/27/23 and sent to me on the same day. The concerns are about the developmentally appropriate environment, records, sanitation and health. Per report a child, three (3) years of age experienced two (2) injuries at school. The teacher was not aware of the first incident. There was a second incident where the child was scratched by another child. The reporter also stated that the child was often placed in the toddler classroom and sit in soiled pull-up all day. The reporter stated that the child was terminated on 9/26/23 without two-weeks notice stated in the parent handbook. Nazarene Christian operates with four (4) star center license issued on 11/13/19 with restriction: daytime care, children under 2 ½ years old in rooms with direct exit only, meets enhanced space and reduced ratios. Upon arrival, I announced my presence and the purpose of the visit. I interviewed Ms. Neighbors and the teacher in the classroom where the child was cared for. The program record and classrooms, 3A, where the child on the report was enrolled in and 2A, where the child was placed occasionally were monitored. The child on the report was one (1) of four (4) children enrolled in August/September 2023. The child’s first day was 8/28/23. The child was a three-year-old child with disabilities. The two incidents were reviewed. Per incident reports, an incident occurred on 8/28/23 at 10:30 am. The child was playing with a ball on the hill on the 2-3-year-old playground. The child tumbled down on the hill and hit his/her lips on the pole. The pole was for the shade structure on the playground. Per report, the call was made to a parent, though the time of the call was not recorded. The incident report was signed by the teacher, the parent and Ms. Neighbors on 8/28/23. The incident was logged on the incident log and maintained in the child’s file. The second incident occurred on 8/30/23 at 10:20 pm. The child in the report laid down on top of another child in the classroom. The child who was under the child in the report got upset and scratched the child’s face. The incident was notified to the parent by report and the teacher, the parent, and Ms. Neighbors signed the report on 8/30/23. The incident was logged on the incident log, and the report was maintained in the child’s file. Per interview with the teacher, the child in the report wore a pull-up upon arrival due to the fact that the child wet himself/herself when he/she was upset. The diaper was changed around 10am - 12pm when the floater for the center gave each staff member a break. Per interview, the teacher stated that the child’s pull-up was wet on most days when he/she was changed. The child was potty-trained but had a habit of wetting himself/herself when upset. The child came in to school upset on most days. The child was fully potty-trained and asked to go to the bathroom during the day when he/she was calm. There is no bathroom in the classroom 3A. When needed, the children used the bathroom in the classroom 2A. The child’s pull-up was changed in classroom 2A. Per interview with Ms. Neighbors, she and the parent had a conversation about the child’s behavior on 9/1/23. During the conversation, Ms. Neighbors shared her concerns that the facility was not meeting the child’s needs due to the behavioral concerns. The parent informed that the child had a place at another child care facility, and they had qualified staff member(2) to work with the child. The parent told Ms. Neighbors that the child would be starting at the new child care center on 10/1/23.The teacher in the classroom collaborated on this statement. After this conversation, Ms. Neighbors noted that the child’s last day would be 9/29/23. The parent and Ms. Neighbors had a conversation on 9/19/23. The parent called to notify that she/he would attend IEP meeting for the child on the 21st. Ms. Neighbors notified the parent that the facility was going to be closed on 9/21/23. In the conversation, the parent notified Ms. Neighbors that the child was not leaving Nazarene Christian. At the time, Ms. Neighbors notified the parents that the child’s last day was set to be on 9/29/23. The child came on 9/26/23 but has been absent on other days. Per the facility’s parent handbook under behavioral management, it is stated that other facilities may be recommended when all behavioral management were attempted but not effective. The two (2) weeks’ notice was noted under the termination section. In this section, the facility asks parents to give 2-weeks’ notice to fill the spot with time laps. This section is noted for the parents’ part and not for the facility. For allegations of violations of developmentally appropriate environment, two (2) incidents with injuries occurred in the beginning of the school year, when the teachers were still learning about children. The incident reports were created sufficiently and communicated with the parent in a timely manner. Therefore, the allegations of violating the developmentally appropriate environment were unsubstantiated. For allegation of violation of sanitation and health, the child’s pull-up was not changed whenever the child needed to be changed rather than on a schedule. Therefore, the allegation of violation of sanitation and health is substantiated. It was known fact that the child came in to the classroom upset on most morning, and the child wet himself/herself when he/she was upset. Yet the pull-up was not changed until 10 am - 12 pm. The diapers/pull-ups should have been changed as soon as possible after the child soiled his/her pull-up. The facility followed the procedures written on the parent handbook without mistakes. Therefore, the allegation of violations of report was unsubstantiated. 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 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. Per teacher interview, the child's pull-up were changed 10 am - 12 pm on a daily basis though the child was known to wet pull-up when he/she got upset. The child came to school upset on a daily basis 10A NCAC 09 .0806(a) Technical assistance was provided as follows: 401: Diaper/pull-up change Diaper/pull-up change must be conducted as needed when the child soils his/her diaper. It cannot be conducted on schedule. 10A NCAC 09 .0806 TOILETING, CLOTHING AND LINENS (a) Diapers shall be changed whenever they become soiled or wet and not on a shift basis. 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 10/16/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed staff/child ratios. A child who is twelve (12) to twenty-four (24) months of age cannot be in the same classroom as children who is three (3) years or older. The child shall be at least twenty-five (25) months old to be with children who are three (3) years of age or older. The child on the report was supervised by a teacher during use of bathroom in 2A and the child is no longer enrolled. The two-year-old child in 2B is older than twenty-five (25) months old. For future reference, please pay close attention to each child’s age if classrooms are combined on any occasions. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0923-352L Visit Date: 10/2/2023 Number Present: 41 Completed Date: 10/2/2023 Age: From 2 To 5 Total Minutes: 225 Time In: 10:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Complaint visit. Computer generated report of today's visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was printed left on-site to you. Today, Peggy Neighbors, Administrator, was available during today’s visit. The limited monitoring of child care rules were conducted including program records, staff/child ratios, permit restrictions, discipline, routine, supervision, developmentally appropriate environment and health. The complaint report was received by the Division on 9/27/23 and sent to me on the same day. The concerns are about the developmentally appropriate environment, records, sanitation and health. Per report a child, three (3) years of age experienced two (2) injuries at school. The teacher was not aware of the first incident. There was a second incident where the child was scratched by another child. The reporter also stated that the child was often placed in the toddler classroom and sit in soiled pull-up all day. The reporter stated that the child was terminated on 9/26/23 without two-weeks notice stated in the parent handbook. Nazarene Christian operates with four (4) star center license issued on 11/13/19 with restriction: daytime care, children under 2 ½ years old in rooms with direct exit only, meets enhanced space and reduced ratios. Upon arrival, I announced my presence and the purpose of the visit. I interviewed Ms. Neighbors and the teacher in the classroom where the child was cared for. The program record and classrooms, 3A, where the child on the report was enrolled in and 2A, where the child was placed occasionally were monitored. The child on the report was one (1) of four (4) children enrolled in August/September 2023. The child’s first day was 8/28/23. The child was a three-year-old child with disabilities. The two incidents were reviewed. Per incident reports, an incident occurred on 8/28/23 at 10:30 am. The child was playing with a ball on the hill on the 2-3-year-old playground. The child tumbled down on the hill and hit his/her lips on the pole. The pole was for the shade structure on the playground. Per report, the call was made to a parent, though the time of the call was not recorded. The incident report was signed by the teacher, the parent and Ms. Neighbors on 8/28/23. The incident was logged on the incident log and maintained in the child’s file. The second incident occurred on 8/30/23 at 10:20 pm. The child in the report laid down on top of another child in the classroom. The child who was under the child in the report got upset and scratched the child’s face. The incident was notified to the parent by report and the teacher, the parent, and Ms. Neighbors signed the report on 8/30/23. The incident was logged on the incident log, and the report was maintained in the child’s file. Per interview with the teacher, the child in the report wore a pull-up upon arrival due to the fact that the child wet himself/herself when he/she was upset. The diaper was changed around 10am - 12pm when the floater for the center gave each staff member a break. Per interview, the teacher stated that the child’s pull-up was wet on most days when he/she was changed. The child was potty-trained but had a habit of wetting himself/herself when upset. The child came in to school upset on most days. The child was fully potty-trained and asked to go to the bathroom during the day when he/she was calm. There is no bathroom in the classroom 3A. When needed, the children used the bathroom in the classroom 2A. The child’s pull-up was changed in classroom 2A. Per interview with Ms. Neighbors, she and the parent had a conversation about the child’s behavior on 9/1/23. During the conversation, Ms. Neighbors shared her concerns that the facility was not meeting the child’s needs due to the behavioral concerns. The parent informed that the child had a place at another child care facility, and they had qualified staff member(2) to work with the child. The parent told Ms. Neighbors that the child would be starting at the new child care center on 10/1/23.The teacher in the classroom collaborated on this statement. After this conversation, Ms. Neighbors noted that the child’s last day would be 9/29/23. The parent and Ms. Neighbors had a conversation on 9/19/23. The parent called to notify that she/he would attend IEP meeting for the child on the 21st. Ms. Neighbors notified the parent that the facility was going to be closed on 9/21/23. In the conversation, the parent notified Ms. Neighbors that the child was not leaving Nazarene Christian. At the time, Ms. Neighbors notified the parents that the child’s last day was set to be on 9/29/23. The child came on 9/26/23 but has been absent on other days. Per the facility’s parent handbook under behavioral management, it is stated that other facilities may be recommended when all behavioral management were attempted but not effective. The two (2) weeks’ notice was noted under the termination section. In this section, the facility asks parents to give 2-weeks’ notice to fill the spot with time laps. This section is noted for the parents’ part and not for the facility. For allegations of violations of developmentally appropriate environment, two (2) incidents with injuries occurred in the beginning of the school year, when the teachers were still learning about children. The incident reports were created sufficiently and communicated with the parent in a timely manner. Therefore, the allegations of violating the developmentally appropriate environment were unsubstantiated. For allegation of violation of sanitation and health, the child’s pull-up was not changed whenever the child needed to be changed rather than on a schedule. Therefore, the allegation of violation of sanitation and health is substantiated. It was known fact that the child came in to the classroom upset on most morning, and the child wet himself/herself when he/she was upset. Yet the pull-up was not changed until 10 am - 12 pm. The diapers/pull-ups should have been changed as soon as possible after the child soiled his/her pull-up. The facility followed the procedures written on the parent handbook without mistakes. Therefore, the allegation of violations of report was unsubstantiated. 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 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. Per teacher interview, the child's pull-up were changed 10 am - 12 pm on a daily basis though the child was known to wet pull-up when he/she got upset. The child came to school upset on a daily basis 10A NCAC 09 .0806(a) Technical assistance was provided as follows: 401: Diaper/pull-up change Diaper/pull-up change must be conducted as needed when the child soils his/her diaper. It cannot be conducted on schedule. 10A NCAC 09 .0806 TOILETING, CLOTHING AND LINENS (a) Diapers shall be changed whenever they become soiled or wet and not on a shift basis. 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 10/16/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed staff/child ratios. A child who is twelve (12) to twenty-four (24) months of age cannot be in the same classroom as children who is three (3) years or older. The child shall be at least twenty-five (25) months old to be with children who are three (3) years of age or older. The child on the report was supervised by a teacher during use of bathroom in 2A and the child is no longer enrolled. The two-year-old child in 2B is older than twenty-five (25) months old. For future reference, please pay close attention to each child’s age if classrooms are combined on any occasions. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0923-352L Visit Date: 10/2/2023 Number Present: 41 Completed Date: 10/2/2023 Age: From 2 To 5 Total Minutes: 225 Time In: 10:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Complaint visit. Computer generated report of today's visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was printed left on-site to you. Today, Peggy Neighbors, Administrator, was available during today’s visit. The limited monitoring of child care rules were conducted including program records, staff/child ratios, permit restrictions, discipline, routine, supervision, developmentally appropriate environment and health. The complaint report was received by the Division on 9/27/23 and sent to me on the same day. The concerns are about the developmentally appropriate environment, records, sanitation and health. Per report a child, three (3) years of age experienced two (2) injuries at school. The teacher was not aware of the first incident. There was a second incident where the child was scratched by another child. The reporter also stated that the child was often placed in the toddler classroom and sit in soiled pull-up all day. The reporter stated that the child was terminated on 9/26/23 without two-weeks notice stated in the parent handbook. Nazarene Christian operates with four (4) star center license issued on 11/13/19 with restriction: daytime care, children under 2 ½ years old in rooms with direct exit only, meets enhanced space and reduced ratios. Upon arrival, I announced my presence and the purpose of the visit. I interviewed Ms. Neighbors and the teacher in the classroom where the child was cared for. The program record and classrooms, 3A, where the child on the report was enrolled in and 2A, where the child was placed occasionally were monitored. The child on the report was one (1) of four (4) children enrolled in August/September 2023. The child’s first day was 8/28/23. The child was a three-year-old child with disabilities. The two incidents were reviewed. Per incident reports, an incident occurred on 8/28/23 at 10:30 am. The child was playing with a ball on the hill on the 2-3-year-old playground. The child tumbled down on the hill and hit his/her lips on the pole. The pole was for the shade structure on the playground. Per report, the call was made to a parent, though the time of the call was not recorded. The incident report was signed by the teacher, the parent and Ms. Neighbors on 8/28/23. The incident was logged on the incident log and maintained in the child’s file. The second incident occurred on 8/30/23 at 10:20 pm. The child in the report laid down on top of another child in the classroom. The child who was under the child in the report got upset and scratched the child’s face. The incident was notified to the parent by report and the teacher, the parent, and Ms. Neighbors signed the report on 8/30/23. The incident was logged on the incident log, and the report was maintained in the child’s file. Per interview with the teacher, the child in the report wore a pull-up upon arrival due to the fact that the child wet himself/herself when he/she was upset. The diaper was changed around 10am - 12pm when the floater for the center gave each staff member a break. Per interview, the teacher stated that the child’s pull-up was wet on most days when he/she was changed. The child was potty-trained but had a habit of wetting himself/herself when upset. The child came in to school upset on most days. The child was fully potty-trained and asked to go to the bathroom during the day when he/she was calm. There is no bathroom in the classroom 3A. When needed, the children used the bathroom in the classroom 2A. The child’s pull-up was changed in classroom 2A. Per interview with Ms. Neighbors, she and the parent had a conversation about the child’s behavior on 9/1/23. During the conversation, Ms. Neighbors shared her concerns that the facility was not meeting the child’s needs due to the behavioral concerns. The parent informed that the child had a place at another child care facility, and they had qualified staff member(2) to work with the child. The parent told Ms. Neighbors that the child would be starting at the new child care center on 10/1/23.The teacher in the classroom collaborated on this statement. After this conversation, Ms. Neighbors noted that the child’s last day would be 9/29/23. The parent and Ms. Neighbors had a conversation on 9/19/23. The parent called to notify that she/he would attend IEP meeting for the child on the 21st. Ms. Neighbors notified the parent that the facility was going to be closed on 9/21/23. In the conversation, the parent notified Ms. Neighbors that the child was not leaving Nazarene Christian. At the time, Ms. Neighbors notified the parents that the child’s last day was set to be on 9/29/23. The child came on 9/26/23 but has been absent on other days. Per the facility’s parent handbook under behavioral management, it is stated that other facilities may be recommended when all behavioral management were attempted but not effective. The two (2) weeks’ notice was noted under the termination section. In this section, the facility asks parents to give 2-weeks’ notice to fill the spot with time laps. This section is noted for the parents’ part and not for the facility. For allegations of violations of developmentally appropriate environment, two (2) incidents with injuries occurred in the beginning of the school year, when the teachers were still learning about children. The incident reports were created sufficiently and communicated with the parent in a timely manner. Therefore, the allegations of violating the developmentally appropriate environment were unsubstantiated. For allegation of violation of sanitation and health, the child’s pull-up was not changed whenever the child needed to be changed rather than on a schedule. Therefore, the allegation of violation of sanitation and health is substantiated. It was known fact that the child came in to the classroom upset on most morning, and the child wet himself/herself when he/she was upset. Yet the pull-up was not changed until 10 am - 12 pm. The diapers/pull-ups should have been changed as soon as possible after the child soiled his/her pull-up. The facility followed the procedures written on the parent handbook without mistakes. Therefore, the allegation of violations of report was unsubstantiated. 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 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. Per teacher interview, the child's pull-up were changed 10 am - 12 pm on a daily basis though the child was known to wet pull-up when he/she got upset. The child came to school upset on a daily basis 10A NCAC 09 .0806(a) Technical assistance was provided as follows: 401: Diaper/pull-up change Diaper/pull-up change must be conducted as needed when the child soils his/her diaper. It cannot be conducted on schedule. 10A NCAC 09 .0806 TOILETING, CLOTHING AND LINENS (a) Diapers shall be changed whenever they become soiled or wet and not on a shift basis. 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 10/16/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed staff/child ratios. A child who is twelve (12) to twenty-four (24) months of age cannot be in the same classroom as children who is three (3) years or older. The child shall be at least twenty-five (25) months old to be with children who are three (3) years of age or older. The child on the report was supervised by a teacher during use of bathroom in 2A and the child is no longer enrolled. The two-year-old child in 2B is older than twenty-five (25) months old. For future reference, please pay close attention to each child’s age if classrooms are combined on any occasions. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0923-352L Visit Date: 10/2/2023 Number Present: 41 Completed Date: 10/2/2023 Age: From 2 To 5 Total Minutes: 225 Time In: 10:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Complaint visit. Computer generated report of today's visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was printed left on-site to you. Today, Peggy Neighbors, Administrator, was available during today’s visit. The limited monitoring of child care rules were conducted including program records, staff/child ratios, permit restrictions, discipline, routine, supervision, developmentally appropriate environment and health. The complaint report was received by the Division on 9/27/23 and sent to me on the same day. The concerns are about the developmentally appropriate environment, records, sanitation and health. Per report a child, three (3) years of age experienced two (2) injuries at school. The teacher was not aware of the first incident. There was a second incident where the child was scratched by another child. The reporter also stated that the child was often placed in the toddler classroom and sit in soiled pull-up all day. The reporter stated that the child was terminated on 9/26/23 without two-weeks notice stated in the parent handbook. Nazarene Christian operates with four (4) star center license issued on 11/13/19 with restriction: daytime care, children under 2 ½ years old in rooms with direct exit only, meets enhanced space and reduced ratios. Upon arrival, I announced my presence and the purpose of the visit. I interviewed Ms. Neighbors and the teacher in the classroom where the child was cared for. The program record and classrooms, 3A, where the child on the report was enrolled in and 2A, where the child was placed occasionally were monitored. The child on the report was one (1) of four (4) children enrolled in August/September 2023. The child’s first day was 8/28/23. The child was a three-year-old child with disabilities. The two incidents were reviewed. Per incident reports, an incident occurred on 8/28/23 at 10:30 am. The child was playing with a ball on the hill on the 2-3-year-old playground. The child tumbled down on the hill and hit his/her lips on the pole. The pole was for the shade structure on the playground. Per report, the call was made to a parent, though the time of the call was not recorded. The incident report was signed by the teacher, the parent and Ms. Neighbors on 8/28/23. The incident was logged on the incident log and maintained in the child’s file. The second incident occurred on 8/30/23 at 10:20 pm. The child in the report laid down on top of another child in the classroom. The child who was under the child in the report got upset and scratched the child’s face. The incident was notified to the parent by report and the teacher, the parent, and Ms. Neighbors signed the report on 8/30/23. The incident was logged on the incident log, and the report was maintained in the child’s file. Per interview with the teacher, the child in the report wore a pull-up upon arrival due to the fact that the child wet himself/herself when he/she was upset. The diaper was changed around 10am - 12pm when the floater for the center gave each staff member a break. Per interview, the teacher stated that the child’s pull-up was wet on most days when he/she was changed. The child was potty-trained but had a habit of wetting himself/herself when upset. The child came in to school upset on most days. The child was fully potty-trained and asked to go to the bathroom during the day when he/she was calm. There is no bathroom in the classroom 3A. When needed, the children used the bathroom in the classroom 2A. The child’s pull-up was changed in classroom 2A. Per interview with Ms. Neighbors, she and the parent had a conversation about the child’s behavior on 9/1/23. During the conversation, Ms. Neighbors shared her concerns that the facility was not meeting the child’s needs due to the behavioral concerns. The parent informed that the child had a place at another child care facility, and they had qualified staff member(2) to work with the child. The parent told Ms. Neighbors that the child would be starting at the new child care center on 10/1/23.The teacher in the classroom collaborated on this statement. After this conversation, Ms. Neighbors noted that the child’s last day would be 9/29/23. The parent and Ms. Neighbors had a conversation on 9/19/23. The parent called to notify that she/he would attend IEP meeting for the child on the 21st. Ms. Neighbors notified the parent that the facility was going to be closed on 9/21/23. In the conversation, the parent notified Ms. Neighbors that the child was not leaving Nazarene Christian. At the time, Ms. Neighbors notified the parents that the child’s last day was set to be on 9/29/23. The child came on 9/26/23 but has been absent on other days. Per the facility’s parent handbook under behavioral management, it is stated that other facilities may be recommended when all behavioral management were attempted but not effective. The two (2) weeks’ notice was noted under the termination section. In this section, the facility asks parents to give 2-weeks’ notice to fill the spot with time laps. This section is noted for the parents’ part and not for the facility. For allegations of violations of developmentally appropriate environment, two (2) incidents with injuries occurred in the beginning of the school year, when the teachers were still learning about children. The incident reports were created sufficiently and communicated with the parent in a timely manner. Therefore, the allegations of violating the developmentally appropriate environment were unsubstantiated. For allegation of violation of sanitation and health, the child’s pull-up was not changed whenever the child needed to be changed rather than on a schedule. Therefore, the allegation of violation of sanitation and health is substantiated. It was known fact that the child came in to the classroom upset on most morning, and the child wet himself/herself when he/she was upset. Yet the pull-up was not changed until 10 am - 12 pm. The diapers/pull-ups should have been changed as soon as possible after the child soiled his/her pull-up. The facility followed the procedures written on the parent handbook without mistakes. Therefore, the allegation of violations of report was unsubstantiated. 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 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. Per teacher interview, the child's pull-up were changed 10 am - 12 pm on a daily basis though the child was known to wet pull-up when he/she got upset. The child came to school upset on a daily basis 10A NCAC 09 .0806(a) Technical assistance was provided as follows: 401: Diaper/pull-up change Diaper/pull-up change must be conducted as needed when the child soils his/her diaper. It cannot be conducted on schedule. 10A NCAC 09 .0806 TOILETING, CLOTHING AND LINENS (a) Diapers shall be changed whenever they become soiled or wet and not on a shift basis. 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 10/16/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed staff/child ratios. A child who is twelve (12) to twenty-four (24) months of age cannot be in the same classroom as children who is three (3) years or older. The child shall be at least twenty-five (25) months old to be with children who are three (3) years of age or older. The child on the report was supervised by a teacher during use of bathroom in 2A and the child is no longer enrolled. The two-year-old child in 2B is older than twenty-five (25) months old. For future reference, please pay close attention to each child’s age if classrooms are combined on any occasions. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: NAZARENE CHRISTIAN Facility ID: 1159001 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0923-352L Visit Date: 10/2/2023 Number Present: 41 Completed Date: 10/2/2023 Age: From 2 To 5 Total Minutes: 225 Time In: 10:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Complaint visit. Computer generated report of today's visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Peggy Neighbors, Administrator, during the visit. An electronic signed copy of the visit summary was printed left on-site to you. Today, Peggy Neighbors, Administrator, was available during today’s visit. The limited monitoring of child care rules were conducted including program records, staff/child ratios, permit restrictions, discipline, routine, supervision, developmentally appropriate environment and health. The complaint report was received by the Division on 9/27/23 and sent to me on the same day. The concerns are about the developmentally appropriate environment, records, sanitation and health. Per report a child, three (3) years of age experienced two (2) injuries at school. The teacher was not aware of the first incident. There was a second incident where the child was scratched by another child. The reporter also stated that the child was often placed in the toddler classroom and sit in soiled pull-up all day. The reporter stated that the child was terminated on 9/26/23 without two-weeks notice stated in the parent handbook. Nazarene Christian operates with four (4) star center license issued on 11/13/19 with restriction: daytime care, children under 2 ½ years old in rooms with direct exit only, meets enhanced space and reduced ratios. Upon arrival, I announced my presence and the purpose of the visit. I interviewed Ms. Neighbors and the teacher in the classroom where the child was cared for. The program record and classrooms, 3A, where the child on the report was enrolled in and 2A, where the child was placed occasionally were monitored. The child on the report was one (1) of four (4) children enrolled in August/September 2023. The child’s first day was 8/28/23. The child was a three-year-old child with disabilities. The two incidents were reviewed. Per incident reports, an incident occurred on 8/28/23 at 10:30 am. The child was playing with a ball on the hill on the 2-3-year-old playground. The child tumbled down on the hill and hit his/her lips on the pole. The pole was for the shade structure on the playground. Per report, the call was made to a parent, though the time of the call was not recorded. The incident report was signed by the teacher, the parent and Ms. Neighbors on 8/28/23. The incident was logged on the incident log and maintained in the child’s file. The second incident occurred on 8/30/23 at 10:20 pm. The child in the report laid down on top of another child in the classroom. The child who was under the child in the report got upset and scratched the child’s face. The incident was notified to the parent by report and the teacher, the parent, and Ms. Neighbors signed the report on 8/30/23. The incident was logged on the incident log, and the report was maintained in the child’s file. Per interview with the teacher, the child in the report wore a pull-up upon arrival due to the fact that the child wet himself/herself when he/she was upset. The diaper was changed around 10am - 12pm when the floater for the center gave each staff member a break. Per interview, the teacher stated that the child’s pull-up was wet on most days when he/she was changed. The child was potty-trained but had a habit of wetting himself/herself when upset. The child came in to school upset on most days. The child was fully potty-trained and asked to go to the bathroom during the day when he/she was calm. There is no bathroom in the classroom 3A. When needed, the children used the bathroom in the classroom 2A. The child’s pull-up was changed in classroom 2A. Per interview with Ms. Neighbors, she and the parent had a conversation about the child’s behavior on 9/1/23. During the conversation, Ms. Neighbors shared her concerns that the facility was not meeting the child’s needs due to the behavioral concerns. The parent informed that the child had a place at another child care facility, and they had qualified staff member(2) to work with the child. The parent told Ms. Neighbors that the child would be starting at the new child care center on 10/1/23.The teacher in the classroom collaborated on this statement. After this conversation, Ms. Neighbors noted that the child’s last day would be 9/29/23. The parent and Ms. Neighbors had a conversation on 9/19/23. The parent called to notify that she/he would attend IEP meeting for the child on the 21st. Ms. Neighbors notified the parent that the facility was going to be closed on 9/21/23. In the conversation, the parent notified Ms. Neighbors that the child was not leaving Nazarene Christian. At the time, Ms. Neighbors notified the parents that the child’s last day was set to be on 9/29/23. The child came on 9/26/23 but has been absent on other days. Per the facility’s parent handbook under behavioral management, it is stated that other facilities may be recommended when all behavioral management were attempted but not effective. The two (2) weeks’ notice was noted under the termination section. In this section, the facility asks parents to give 2-weeks’ notice to fill the spot with time laps. This section is noted for the parents’ part and not for the facility. For allegations of violations of developmentally appropriate environment, two (2) incidents with injuries occurred in the beginning of the school year, when the teachers were still learning about children. The incident reports were created sufficiently and communicated with the parent in a timely manner. Therefore, the allegations of violating the developmentally appropriate environment were unsubstantiated. For allegation of violation of sanitation and health, the child’s pull-up was not changed whenever the child needed to be changed rather than on a schedule. Therefore, the allegation of violation of sanitation and health is substantiated. It was known fact that the child came in to the classroom upset on most morning, and the child wet himself/herself when he/she was upset. Yet the pull-up was not changed until 10 am - 12 pm. The diapers/pull-ups should have been changed as soon as possible after the child soiled his/her pull-up. The facility followed the procedures written on the parent handbook without mistakes. Therefore, the allegation of violations of report was unsubstantiated. 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 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. Per teacher interview, the child's pull-up were changed 10 am - 12 pm on a daily basis though the child was known to wet pull-up when he/she got upset. The child came to school upset on a daily basis 10A NCAC 09 .0806(a) Technical assistance was provided as follows: 401: Diaper/pull-up change Diaper/pull-up change must be conducted as needed when the child soils his/her diaper. It cannot be conducted on schedule. 10A NCAC 09 .0806 TOILETING, CLOTHING AND LINENS (a) Diapers shall be changed whenever they become soiled or wet and not on a shift basis. 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 10/16/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed staff/child ratios. A child who is twelve (12) to twenty-four (24) months of age cannot be in the same classroom as children who is three (3) years or older. The child shall be at least twenty-five (25) months old to be with children who are three (3) years of age or older. The child on the report was supervised by a teacher during use of bathroom in 2A and the child is no longer enrolled. The two-year-old child in 2B is older than twenty-five (25) months old. For future reference, please pay close attention to each child’s age if classrooms are combined on any occasions. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times