G.S. 110-90 · Violation

Name of Operation: ANN STREET UNITED METH. CHURCH DAY SCHOOL Facility ID: 1659000 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 38 Completed Date: 3/18/2025 Age: From 2 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates with a Notice of Compliance effective September 15, 2006. The center's compliance history was reviewed with the operator. The program’s compliance history was one hundred (100%) percent as of March 18, 2025. The license was posted, and the restrictions were in compliance. The most recent sanitation inspection was conducted on March 17, 2025, with a superior rating. The most recent fire inspection was conducted on September 9, 2024. There are six (6) approved indoor spaces and one (1) approved outdoor space. Fifty-one (51) children between the ages of two (2) and five (5) are enrolled and thirty-eight (38) children were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in your classrooms. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today. All indoor and outdoor areas were monitored. Preschool children assigned to indoor space #1 were observed in the outdoor space riding tricycles, kicking balls, running, climbing, and sliding. Younger preschool children assigned to indoor space #2 were seated at tables painting trees with watercolors. Preschool children assigned to indoor spaces #3 and #5 were engaged in a variety of free play activities which included puzzles, patterning, bristle blocks, dot coloring, trains, car, trucks, computer games, writing with markers, magnetic shapes, small legos, and cooking and feeding baby dolls in the dramatic area. Health and Safety trainings and the Shaken Baby and Abusive Head Trauma Policy were monitored today, and requirements were met. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two (2) out of eight (8) staff files did not have verification of staff completion of First Aid training from an approved training organization. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) out of eight (8) staff files did not have verification of staff completion of the CPR course from an approved training organization. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member did not complete the Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of employment. The staff member’s date of employment was December 12, 2024. .1102(g) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before Friday, March 28, 2025, 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 that any information submitted by you is considered 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. Mail or email the information to: Andrea Johnson, Child Care Consultant PO Box 904 Beaufort, NC 28516 Andrea.johnson@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: CPR and First Aid: For the health and safety of the children, all staff members are required to obtain CPR and First Aid certification and keep it current. Renewing this certificate is crucial for staff to be refreshed in first aid and other lifesaving techniques as well as receiving the most up to date information. I suggest you set a reminder on your calendar to keep track of expiration dates and/or seek out training from additional approved agencies when staff are not able to attend courses offered locally or at the facility. Health and Safety Trainings: Technical assistance was provided today regarding completion of the required Health and Safety topics, most of which are now available for FREE on DCDEE's training platform called Moodle. As discussed, you may use Moodle to start repetition of topics, and it will also count towards your on-going hours due for this year. In the future, I urge you to take workshops on a more regular basis rather than waiting until the last minute to complete your training hours. Please see instructions for Moodle access below: Visit https://www.dcdee.moodle.nc.gov/ Recognizing and Responding to Suspicions of Child Maltreatment: Remember, the Recognizing and Responding to Suspicions of Child Maltreatment training must be taken at www.preventchildabusenc.org, but the rest of the topics (except CPR/First Aid) are available on Moodle. Please let me know if you need assistance with the Moodle platform. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Clean Classrooms for Carolina Kids™ Deadline Extended! Due to the recent impacts of Hurricane Helene and other natural disasters, the Clean Classrooms for Carolina Kids™ enrollment deadline has been revised statewide, and schools and child care facilities that have not yet enrolled should complete the online process by May 31, 2025. The lead-based paint and asbestos enrollment surveys must be completed for ALL schools and child care facilities within school districts prior to receiving on-site inspections. As this is a legislatively mandated effort, facilities are required to meet rule requirements (NC 10A NCAC 41C.1001-1007, NC 154A NCAC 18A.2816). Clean Classrooms for Carolina Kids™ is designed to ensure facilities meet all requirements, receive direct support throughout the participation process, and have access to communication resources. This program is free, covers testing, inspections, and mitigation, and is intended to improve child-occupied facilities across North Carolina. Provider Access to the Background Check Management System: 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 As we discussed today, you are currently in the process of completing enrollment in the ABCMS portal, and violations may be cited during future visits, if your facility does not meet this requirement. 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. Moodle Helpful Hints: 1. When on the Moodle homepage, scroll down past the three-square boxes to find directions to self-register for various training opportunities. 2. If you do not access a training opportunity for 150 days, the training will be suspended. To regain access, email a request to set status to “active” including the name of the training course to dcdee_moodle_support@dhhs.nc.gov. Send any questions about DCDEE Moodle trainings to dcdee_moodle_support@dhhs.nc.gov. Tips for MY NCID Users: Did you know that if you do not login to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. Coming Soon: Week of the Young Child! The Week of the Young Child is coming up, April 5-11, 2025. Join us as we celebrate our youngest learners! Start planning your week around NAEYC’s daily classroom celebration themes or create your own. Reminders: Emergency Drills: Please remember to conduct a fire drill on or before March 31, 2025. Outdoor Inspections: Please remember to conduct a playground inspection on or before March 31, 2025. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, printed, and signed. You were given a copy of this visit summary for your files. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: ANN STREET UNITED METH. CHURCH DAY SCHOOL Facility ID: 1659000 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 38 Completed Date: 3/18/2025 Age: From 2 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates with a Notice of Compliance effective September 15, 2006. The center's compliance history was reviewed with the operator. The program’s compliance history was one hundred (100%) percent as of March 18, 2025. The license was posted, and the restrictions were in compliance. The most recent sanitation inspection was conducted on March 17, 2025, with a superior rating. The most recent fire inspection was conducted on September 9, 2024. There are six (6) approved indoor spaces and one (1) approved outdoor space. Fifty-one (51) children between the ages of two (2) and five (5) are enrolled and thirty-eight (38) children were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in your classrooms. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today. All indoor and outdoor areas were monitored. Preschool children assigned to indoor space #1 were observed in the outdoor space riding tricycles, kicking balls, running, climbing, and sliding. Younger preschool children assigned to indoor space #2 were seated at tables painting trees with watercolors. Preschool children assigned to indoor spaces #3 and #5 were engaged in a variety of free play activities which included puzzles, patterning, bristle blocks, dot coloring, trains, car, trucks, computer games, writing with markers, magnetic shapes, small legos, and cooking and feeding baby dolls in the dramatic area. Health and Safety trainings and the Shaken Baby and Abusive Head Trauma Policy were monitored today, and requirements were met. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two (2) out of eight (8) staff files did not have verification of staff completion of First Aid training from an approved training organization. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) out of eight (8) staff files did not have verification of staff completion of the CPR course from an approved training organization. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member did not complete the Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of employment. The staff member’s date of employment was December 12, 2024. .1102(g) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before Friday, March 28, 2025, 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 that any information submitted by you is considered 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. Mail or email the information to: Andrea Johnson, Child Care Consultant PO Box 904 Beaufort, NC 28516 Andrea.johnson@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: CPR and First Aid: For the health and safety of the children, all staff members are required to obtain CPR and First Aid certification and keep it current. Renewing this certificate is crucial for staff to be refreshed in first aid and other lifesaving techniques as well as receiving the most up to date information. I suggest you set a reminder on your calendar to keep track of expiration dates and/or seek out training from additional approved agencies when staff are not able to attend courses offered locally or at the facility. Health and Safety Trainings: Technical assistance was provided today regarding completion of the required Health and Safety topics, most of which are now available for FREE on DCDEE's training platform called Moodle. As discussed, you may use Moodle to start repetition of topics, and it will also count towards your on-going hours due for this year. In the future, I urge you to take workshops on a more regular basis rather than waiting until the last minute to complete your training hours. Please see instructions for Moodle access below: Visit https://www.dcdee.moodle.nc.gov/ Recognizing and Responding to Suspicions of Child Maltreatment: Remember, the Recognizing and Responding to Suspicions of Child Maltreatment training must be taken at www.preventchildabusenc.org, but the rest of the topics (except CPR/First Aid) are available on Moodle. Please let me know if you need assistance with the Moodle platform. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Clean Classrooms for Carolina Kids™ Deadline Extended! Due to the recent impacts of Hurricane Helene and other natural disasters, the Clean Classrooms for Carolina Kids™ enrollment deadline has been revised statewide, and schools and child care facilities that have not yet enrolled should complete the online process by May 31, 2025. The lead-based paint and asbestos enrollment surveys must be completed for ALL schools and child care facilities within school districts prior to receiving on-site inspections. As this is a legislatively mandated effort, facilities are required to meet rule requirements (NC 10A NCAC 41C.1001-1007, NC 154A NCAC 18A.2816). Clean Classrooms for Carolina Kids™ is designed to ensure facilities meet all requirements, receive direct support throughout the participation process, and have access to communication resources. This program is free, covers testing, inspections, and mitigation, and is intended to improve child-occupied facilities across North Carolina. Provider Access to the Background Check Management System: 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 As we discussed today, you are currently in the process of completing enrollment in the ABCMS portal, and violations may be cited during future visits, if your facility does not meet this requirement. 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. Moodle Helpful Hints: 1. When on the Moodle homepage, scroll down past the three-square boxes to find directions to self-register for various training opportunities. 2. If you do not access a training opportunity for 150 days, the training will be suspended. To regain access, email a request to set status to “active” including the name of the training course to dcdee_moodle_support@dhhs.nc.gov. Send any questions about DCDEE Moodle trainings to dcdee_moodle_support@dhhs.nc.gov. Tips for MY NCID Users: Did you know that if you do not login to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. Coming Soon: Week of the Young Child! The Week of the Young Child is coming up, April 5-11, 2025. Join us as we celebrate our youngest learners! Start planning your week around NAEYC’s daily classroom celebration themes or create your own. Reminders: Emergency Drills: Please remember to conduct a fire drill on or before March 31, 2025. Outdoor Inspections: Please remember to conduct a playground inspection on or before March 31, 2025. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, printed, and signed. You were given a copy of this visit summary for your files. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 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: ANN STREET UNITED METH. CHURCH DAY SCHOOL Facility ID: 1659000 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 1/16/2024 Number Present: 45 Completed Date: 1/16/2024 Age: From 2 To 5 Total Minutes: 231 Time In: 08:39 AM Time Out: 12:30 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 with applicable childcare requirements pertinent to your annual compliance visit. Your program currently operates with a Notice of Compliance issued August 10, 2006. Administrator, Emily Ann Graham was present and available for consultation today. The last annual compliance was conducted on January 23, 2023. The sanitation inspection was completed December 19, 2023, with a “Superior” classification. The last fire inspection was conducted January 13, 2023. Your facility was approved for 1st shift care, children only cared for on the ground level, no cooking allowed in the facility, and children less than 2.5 years old in rooms with direct exits. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percent. The NC Secretary of State website was reviewed on January 16, 2024, and Ann Street United Methodist Church was listed as current-active. Forty-eight (48) children between the ages of two (2) and five (5) are enrolled and forty-five (45) were present today. Age-appropriate materials and activities were provided for all children. Older preschool children assigned to indoor space #1 were seated at a table eating morning snack, which consisted of carrots, crackers, and milk. Younger preschoolers assigned to indoor space #2 were coloring ducks. Children assigned to indoor spaces #3 and #4 were engaged in group time activities. During the group times, children reviewed the days of the week, weather, vowel sounds, and word rhyming. All staff members were actively involved with the children. Food service, handwashing, and toileting procedures were monitored, and requirements were met. Today, you reported that your facility currently is not providing transportation. The outdoor space had a variety of gross motor equipment including scooter, tricycles, an alligator see saw, small basketball goal, a stationary fire truck, a stationary riding two-seat riding motorcycle, a stationary riding two-seat riding school bus, swings, two (2) playhouses, covered sand box with sand toys, and a large climbing structure with two (2) slides. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on January 13, 2023. 10A NCAC 09 .0304(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member hired August 23, 2023, did not successfully complete certification in First Aid appropriate to the age of the children in care. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member hired August 23, 2023, did not successfully complete certification in CPR training appropriate to the age of the children in care. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) out of five (5) children records reviewed did not have a medical exam or health assessment on file before or within 30 days after admission. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) out of five (5) children records reviewed did not have immunization records on file before or within 30 days after admission. 10A NCAC 09 .0302(d)(2) 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 violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Friday, January 26, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violation/s was/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. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Expired Fire Inspection: Your last fire inspection was on January 13, 2023. Child Care Rule 10A NCAC 09 .0304 (a) states that 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. I suggest noting the date of your most recent inspection on a calendar and setting a reminder for yourself to call and request your inspection at least one month in advance of the deadline. Children Records The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive, and social needs. CPR and First Aid: For the health and safety of the children, all staff members are required to obtain CPR and First Aid certification and keep it current. Renewing this certification is crucial for staff to be refreshed in first aid and other lifesaving techniques as well as receive the most up to date information. I suggest you set a reminder on your calendar to keep track of expiration dates and/or seek out training from additional approved agencies when staff is not able to attend courses offered locally or at the facility. Importance of Resilient Surfacing Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). As we discussed today, please till the mulch in areas around the large climber. Updated COVID and Flu Vaccines: As seasonal respiratory illnesses surge, NCDHHS is urging people to get tested and seek treatment early to prevent severe illness. The latest data show high numbers of people being seen in hospital emergency departments with respiratory illness symptoms across North Carolina. People with mild symptoms should seek testing and treatment from their regular health care provider, urgent care, or a telehealth provider, rather than going to the emergency department during this spike in COVID-19, flu, RSV, and other respiratory illnesses. In addition to testing and treatment, flu and COVID-19 vaccinations are readily available at pharmacies, private medical offices and some federally qualified health care centers and local health departments. Go to vaccines.gov today to find a vaccine location near you. Reminders: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, signed, emailed to you, and copies were printed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: ANN STREET UNITED METH. CHURCH DAY SCHOOL Facility ID: 1659000 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 1/16/2024 Number Present: 45 Completed Date: 1/16/2024 Age: From 2 To 5 Total Minutes: 231 Time In: 08:39 AM Time Out: 12:30 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 with applicable childcare requirements pertinent to your annual compliance visit. Your program currently operates with a Notice of Compliance issued August 10, 2006. Administrator, Emily Ann Graham was present and available for consultation today. The last annual compliance was conducted on January 23, 2023. The sanitation inspection was completed December 19, 2023, with a “Superior” classification. The last fire inspection was conducted January 13, 2023. Your facility was approved for 1st shift care, children only cared for on the ground level, no cooking allowed in the facility, and children less than 2.5 years old in rooms with direct exits. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percent. The NC Secretary of State website was reviewed on January 16, 2024, and Ann Street United Methodist Church was listed as current-active. Forty-eight (48) children between the ages of two (2) and five (5) are enrolled and forty-five (45) were present today. Age-appropriate materials and activities were provided for all children. Older preschool children assigned to indoor space #1 were seated at a table eating morning snack, which consisted of carrots, crackers, and milk. Younger preschoolers assigned to indoor space #2 were coloring ducks. Children assigned to indoor spaces #3 and #4 were engaged in group time activities. During the group times, children reviewed the days of the week, weather, vowel sounds, and word rhyming. All staff members were actively involved with the children. Food service, handwashing, and toileting procedures were monitored, and requirements were met. Today, you reported that your facility currently is not providing transportation. The outdoor space had a variety of gross motor equipment including scooter, tricycles, an alligator see saw, small basketball goal, a stationary fire truck, a stationary riding two-seat riding motorcycle, a stationary riding two-seat riding school bus, swings, two (2) playhouses, covered sand box with sand toys, and a large climbing structure with two (2) slides. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on January 13, 2023. 10A NCAC 09 .0304(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member hired August 23, 2023, did not successfully complete certification in First Aid appropriate to the age of the children in care. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member hired August 23, 2023, did not successfully complete certification in CPR training appropriate to the age of the children in care. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) out of five (5) children records reviewed did not have a medical exam or health assessment on file before or within 30 days after admission. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) out of five (5) children records reviewed did not have immunization records on file before or within 30 days after admission. 10A NCAC 09 .0302(d)(2) 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 violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Friday, January 26, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violation/s was/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. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Expired Fire Inspection: Your last fire inspection was on January 13, 2023. Child Care Rule 10A NCAC 09 .0304 (a) states that 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. I suggest noting the date of your most recent inspection on a calendar and setting a reminder for yourself to call and request your inspection at least one month in advance of the deadline. Children Records The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive, and social needs. CPR and First Aid: For the health and safety of the children, all staff members are required to obtain CPR and First Aid certification and keep it current. Renewing this certification is crucial for staff to be refreshed in first aid and other lifesaving techniques as well as receive the most up to date information. I suggest you set a reminder on your calendar to keep track of expiration dates and/or seek out training from additional approved agencies when staff is not able to attend courses offered locally or at the facility. Importance of Resilient Surfacing Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). As we discussed today, please till the mulch in areas around the large climber. Updated COVID and Flu Vaccines: As seasonal respiratory illnesses surge, NCDHHS is urging people to get tested and seek treatment early to prevent severe illness. The latest data show high numbers of people being seen in hospital emergency departments with respiratory illness symptoms across North Carolina. People with mild symptoms should seek testing and treatment from their regular health care provider, urgent care, or a telehealth provider, rather than going to the emergency department during this spike in COVID-19, flu, RSV, and other respiratory illnesses. In addition to testing and treatment, flu and COVID-19 vaccinations are readily available at pharmacies, private medical offices and some federally qualified health care centers and local health departments. Go to vaccines.gov today to find a vaccine location near you. Reminders: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, signed, emailed to you, and copies were printed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: ANN STREET UNITED METH. CHURCH DAY SCHOOL Facility ID: 1659000 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 1/16/2024 Number Present: 45 Completed Date: 1/16/2024 Age: From 2 To 5 Total Minutes: 231 Time In: 08:39 AM Time Out: 12:30 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 with applicable childcare requirements pertinent to your annual compliance visit. Your program currently operates with a Notice of Compliance issued August 10, 2006. Administrator, Emily Ann Graham was present and available for consultation today. The last annual compliance was conducted on January 23, 2023. The sanitation inspection was completed December 19, 2023, with a “Superior” classification. The last fire inspection was conducted January 13, 2023. Your facility was approved for 1st shift care, children only cared for on the ground level, no cooking allowed in the facility, and children less than 2.5 years old in rooms with direct exits. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percent. The NC Secretary of State website was reviewed on January 16, 2024, and Ann Street United Methodist Church was listed as current-active. Forty-eight (48) children between the ages of two (2) and five (5) are enrolled and forty-five (45) were present today. Age-appropriate materials and activities were provided for all children. Older preschool children assigned to indoor space #1 were seated at a table eating morning snack, which consisted of carrots, crackers, and milk. Younger preschoolers assigned to indoor space #2 were coloring ducks. Children assigned to indoor spaces #3 and #4 were engaged in group time activities. During the group times, children reviewed the days of the week, weather, vowel sounds, and word rhyming. All staff members were actively involved with the children. Food service, handwashing, and toileting procedures were monitored, and requirements were met. Today, you reported that your facility currently is not providing transportation. The outdoor space had a variety of gross motor equipment including scooter, tricycles, an alligator see saw, small basketball goal, a stationary fire truck, a stationary riding two-seat riding motorcycle, a stationary riding two-seat riding school bus, swings, two (2) playhouses, covered sand box with sand toys, and a large climbing structure with two (2) slides. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on January 13, 2023. 10A NCAC 09 .0304(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member hired August 23, 2023, did not successfully complete certification in First Aid appropriate to the age of the children in care. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member hired August 23, 2023, did not successfully complete certification in CPR training appropriate to the age of the children in care. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) out of five (5) children records reviewed did not have a medical exam or health assessment on file before or within 30 days after admission. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) out of five (5) children records reviewed did not have immunization records on file before or within 30 days after admission. 10A NCAC 09 .0302(d)(2) 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 violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Friday, January 26, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violation/s was/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. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Expired Fire Inspection: Your last fire inspection was on January 13, 2023. Child Care Rule 10A NCAC 09 .0304 (a) states that 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. I suggest noting the date of your most recent inspection on a calendar and setting a reminder for yourself to call and request your inspection at least one month in advance of the deadline. Children Records The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive, and social needs. CPR and First Aid: For the health and safety of the children, all staff members are required to obtain CPR and First Aid certification and keep it current. Renewing this certification is crucial for staff to be refreshed in first aid and other lifesaving techniques as well as receive the most up to date information. I suggest you set a reminder on your calendar to keep track of expiration dates and/or seek out training from additional approved agencies when staff is not able to attend courses offered locally or at the facility. Importance of Resilient Surfacing Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). As we discussed today, please till the mulch in areas around the large climber. Updated COVID and Flu Vaccines: As seasonal respiratory illnesses surge, NCDHHS is urging people to get tested and seek treatment early to prevent severe illness. The latest data show high numbers of people being seen in hospital emergency departments with respiratory illness symptoms across North Carolina. People with mild symptoms should seek testing and treatment from their regular health care provider, urgent care, or a telehealth provider, rather than going to the emergency department during this spike in COVID-19, flu, RSV, and other respiratory illnesses. In addition to testing and treatment, flu and COVID-19 vaccinations are readily available at pharmacies, private medical offices and some federally qualified health care centers and local health departments. Go to vaccines.gov today to find a vaccine location near you. Reminders: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, signed, emailed to you, and copies were printed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 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

GS110-91 · Violation

Name of Operation: ANN STREET UNITED METH. CHURCH DAY SCHOOL Facility ID: 1659000 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 1/16/2024 Number Present: 45 Completed Date: 1/16/2024 Age: From 2 To 5 Total Minutes: 231 Time In: 08:39 AM Time Out: 12:30 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 with applicable childcare requirements pertinent to your annual compliance visit. Your program currently operates with a Notice of Compliance issued August 10, 2006. Administrator, Emily Ann Graham was present and available for consultation today. The last annual compliance was conducted on January 23, 2023. The sanitation inspection was completed December 19, 2023, with a “Superior” classification. The last fire inspection was conducted January 13, 2023. Your facility was approved for 1st shift care, children only cared for on the ground level, no cooking allowed in the facility, and children less than 2.5 years old in rooms with direct exits. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percent. The NC Secretary of State website was reviewed on January 16, 2024, and Ann Street United Methodist Church was listed as current-active. Forty-eight (48) children between the ages of two (2) and five (5) are enrolled and forty-five (45) were present today. Age-appropriate materials and activities were provided for all children. Older preschool children assigned to indoor space #1 were seated at a table eating morning snack, which consisted of carrots, crackers, and milk. Younger preschoolers assigned to indoor space #2 were coloring ducks. Children assigned to indoor spaces #3 and #4 were engaged in group time activities. During the group times, children reviewed the days of the week, weather, vowel sounds, and word rhyming. All staff members were actively involved with the children. Food service, handwashing, and toileting procedures were monitored, and requirements were met. Today, you reported that your facility currently is not providing transportation. The outdoor space had a variety of gross motor equipment including scooter, tricycles, an alligator see saw, small basketball goal, a stationary fire truck, a stationary riding two-seat riding motorcycle, a stationary riding two-seat riding school bus, swings, two (2) playhouses, covered sand box with sand toys, and a large climbing structure with two (2) slides. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on January 13, 2023. 10A NCAC 09 .0304(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member hired August 23, 2023, did not successfully complete certification in First Aid appropriate to the age of the children in care. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member hired August 23, 2023, did not successfully complete certification in CPR training appropriate to the age of the children in care. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) out of five (5) children records reviewed did not have a medical exam or health assessment on file before or within 30 days after admission. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) out of five (5) children records reviewed did not have immunization records on file before or within 30 days after admission. 10A NCAC 09 .0302(d)(2) 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 violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Friday, January 26, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violation/s was/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. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Expired Fire Inspection: Your last fire inspection was on January 13, 2023. Child Care Rule 10A NCAC 09 .0304 (a) states that 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. I suggest noting the date of your most recent inspection on a calendar and setting a reminder for yourself to call and request your inspection at least one month in advance of the deadline. Children Records The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive, and social needs. CPR and First Aid: For the health and safety of the children, all staff members are required to obtain CPR and First Aid certification and keep it current. Renewing this certification is crucial for staff to be refreshed in first aid and other lifesaving techniques as well as receive the most up to date information. I suggest you set a reminder on your calendar to keep track of expiration dates and/or seek out training from additional approved agencies when staff is not able to attend courses offered locally or at the facility. Importance of Resilient Surfacing Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). As we discussed today, please till the mulch in areas around the large climber. Updated COVID and Flu Vaccines: As seasonal respiratory illnesses surge, NCDHHS is urging people to get tested and seek treatment early to prevent severe illness. The latest data show high numbers of people being seen in hospital emergency departments with respiratory illness symptoms across North Carolina. People with mild symptoms should seek testing and treatment from their regular health care provider, urgent care, or a telehealth provider, rather than going to the emergency department during this spike in COVID-19, flu, RSV, and other respiratory illnesses. In addition to testing and treatment, flu and COVID-19 vaccinations are readily available at pharmacies, private medical offices and some federally qualified health care centers and local health departments. Go to vaccines.gov today to find a vaccine location near you. Reminders: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, signed, emailed to you, and copies were printed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 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: ANN STREET UNITED METH. CHURCH DAY SCHOOL Facility ID: 1659000 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 1/16/2024 Number Present: 45 Completed Date: 1/16/2024 Age: From 2 To 5 Total Minutes: 231 Time In: 08:39 AM Time Out: 12:30 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 with applicable childcare requirements pertinent to your annual compliance visit. Your program currently operates with a Notice of Compliance issued August 10, 2006. Administrator, Emily Ann Graham was present and available for consultation today. The last annual compliance was conducted on January 23, 2023. The sanitation inspection was completed December 19, 2023, with a “Superior” classification. The last fire inspection was conducted January 13, 2023. Your facility was approved for 1st shift care, children only cared for on the ground level, no cooking allowed in the facility, and children less than 2.5 years old in rooms with direct exits. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percent. The NC Secretary of State website was reviewed on January 16, 2024, and Ann Street United Methodist Church was listed as current-active. Forty-eight (48) children between the ages of two (2) and five (5) are enrolled and forty-five (45) were present today. Age-appropriate materials and activities were provided for all children. Older preschool children assigned to indoor space #1 were seated at a table eating morning snack, which consisted of carrots, crackers, and milk. Younger preschoolers assigned to indoor space #2 were coloring ducks. Children assigned to indoor spaces #3 and #4 were engaged in group time activities. During the group times, children reviewed the days of the week, weather, vowel sounds, and word rhyming. All staff members were actively involved with the children. Food service, handwashing, and toileting procedures were monitored, and requirements were met. Today, you reported that your facility currently is not providing transportation. The outdoor space had a variety of gross motor equipment including scooter, tricycles, an alligator see saw, small basketball goal, a stationary fire truck, a stationary riding two-seat riding motorcycle, a stationary riding two-seat riding school bus, swings, two (2) playhouses, covered sand box with sand toys, and a large climbing structure with two (2) slides. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on January 13, 2023. 10A NCAC 09 .0304(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member hired August 23, 2023, did not successfully complete certification in First Aid appropriate to the age of the children in care. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member hired August 23, 2023, did not successfully complete certification in CPR training appropriate to the age of the children in care. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) out of five (5) children records reviewed did not have a medical exam or health assessment on file before or within 30 days after admission. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) out of five (5) children records reviewed did not have immunization records on file before or within 30 days after admission. 10A NCAC 09 .0302(d)(2) 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 violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Friday, January 26, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violation/s was/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. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Expired Fire Inspection: Your last fire inspection was on January 13, 2023. Child Care Rule 10A NCAC 09 .0304 (a) states that 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. I suggest noting the date of your most recent inspection on a calendar and setting a reminder for yourself to call and request your inspection at least one month in advance of the deadline. Children Records The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive, and social needs. CPR and First Aid: For the health and safety of the children, all staff members are required to obtain CPR and First Aid certification and keep it current. Renewing this certification is crucial for staff to be refreshed in first aid and other lifesaving techniques as well as receive the most up to date information. I suggest you set a reminder on your calendar to keep track of expiration dates and/or seek out training from additional approved agencies when staff is not able to attend courses offered locally or at the facility. Importance of Resilient Surfacing Nationally, nearly 70% of playground related injuries are from falls. Fall injuries are the result of two things: 1) The height a child falls from and 2) The material/surface the child falls upon. Provide “soft” resilient surfacing under and around stationary playground equipment. Refer to 10A NCAC 09 .0605(h)(i). As we discussed today, please till the mulch in areas around the large climber. Updated COVID and Flu Vaccines: As seasonal respiratory illnesses surge, NCDHHS is urging people to get tested and seek treatment early to prevent severe illness. The latest data show high numbers of people being seen in hospital emergency departments with respiratory illness symptoms across North Carolina. People with mild symptoms should seek testing and treatment from their regular health care provider, urgent care, or a telehealth provider, rather than going to the emergency department during this spike in COVID-19, flu, RSV, and other respiratory illnesses. In addition to testing and treatment, flu and COVID-19 vaccinations are readily available at pharmacies, private medical offices and some federally qualified health care centers and local health departments. Go to vaccines.gov today to find a vaccine location near you. Reminders: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, signed, emailed to you, and copies were printed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 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