10A NCAC 09 .0302 · Violation

Name of Operation: FIRST UNITED METHODIST DAY CARE CENTER Facility ID: 3655054 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 1/22/2026 Number Present: 31 Completed Date: 1/22/2026 Age: From 0 To 5 Total Minutes: 357 Time In: 07:47 AM Time Out: 12:38 PM Time In: 03:09 PM Time Out: 04:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Boyce O’Tuel, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a notice of compliance issued May 14, 2023. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on January 22, 2026, and your business, First United Methodist Church of Belmont, NC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, outdoor play, group time, lunch and free play during the visit. The last sanitation inspection was conducted on November 14, 2025. A “superior” classification was issued with four (4) demerits noted on the grade card. The last fire inspection on file was conducted on February 13, 2024. The last fire drill was conducted on January 7, 2026. The last emergency drill documented was conducted on July 17, 2025. The last playground inspection on file was conducted on December 31, 2024. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on January 17, 2025. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility has not completed lead-based paint and asbestos testing. Please log into your account through Clean Classrooms for Carolina Kids to complete lead-based paint and asbestos training immediately. Five (5) children’s files were reviewed during the visit. Eight (8) new staff files and one (1) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection on file was conducted on February 13, 2024. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space A#1, two (2) children were not signed out on January 21, 2026, one (1) child was not signed out on January 8, 2026, and one (1) child was not signed out on January 7, 2026. In Space #3, one (1) child was not signed out on January 16, 2026, and one (1) child was not signed out on January 7, 2026. In Space #4, one (1) child was not signed out on January 7, 2026. 10A NCAC 09 .0302(d)(4) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #4, three (3) bottles containing human milk were not labeled with the date and two (2) bottles of human milk were labeled January 21, 2026. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. No fire drill was documented in October 2025 or December 2025. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #4, one (1) tube of Desitin Maximum Strength Paste, two (2) tubes of Boudreauxs Butt Paste Max Strength, and two (2) tubes of Triple Paste Skin Protectant were on the shelf beside the diaper changing surface, three (3) feet from the ground. 15A NCAC 18A .2820(d) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection on file was conducted on December 31, 2024. .0605(q) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In Space #4, an electric space heater was plugged in and operating on the shelf, three (3) feet from the ground, above the mini refrigerator used to store infant bottles. GS 110-91 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff member, employed on June 2, 2025, did not have a medical exam on file. 10A NCAC 09 .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) staff member, employed on June 2, 2025, did not complete the process of a five-year recheck for a criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The most recent update of the emergency information for one (1) child, enrolled on April 8, 2024, was completed on April 5, 2024. The most recent update of the emergency information for one (1) child, enrolled on November 14, 2022, was completed on November 4, 2024. The most recent update of the emergency information for one (1) child, enrolled on January 30, 2023, was completed on November 4, 2024. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, enrolled on June 4, 2025, did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) staff member, employed on June 2, 2025, did not have a current qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place or lockdown drill documented was conducted on July 17, 2025. .0604(u);.0302(d)(8) The violations documented must be corrected immediately. On or before February 5, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 88%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Each operator must schedule and obtain a fire inspection within 12 months of the facility’s previous fire inspection. The operator must notify the local fire inspector when it is time for the center's annual fire inspection. The operator must 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 suggested you contact the Fire Inspector at least one (1) month prior to the due date of the next fire inspection to ensure an inspection is conducted in a timely manner. I provided you with the contact information for the fire inspector that conducted your last inspection (704-718-1541) during the visit. I suggested you contact your inspector today to request an inspection. 2. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 3. All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages must be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk must be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days must be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer. In addition, frozen human milk must be labeled with the date that it is thawed for use. Human milk that was previously frozen and has been thawed shall be refrigerated and stored for no more than 24 hours from when it was thawed. Human milk that was previously frozen and has been thawed may not be refrozen for storage at the child care center. I suggested you remind parents of children enrolled in the room for infants that they must place labels with the child’s name and the date the bottle was prepared on bottles or sippy cups prior to bringing them to the facility. I also suggested you review this information with staff members assigned to the room for infants to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. Additionally, I suggested that you remind staff and parents of children enrolled in the infant classroom that bottles must be returned home or discarded at the end of the day, and that labels with previous dates listed on them may not be reused. Glass bottles are a hazard as they can shatter or break. I suggested you remind staff to be extra cautious when using glass bottles. Per Caring for Our Children, it is suggested that a silicone sleeve or bottle jacket is used when using glass bottles. I also suggest you create a policy regarding the use of glass in classrooms with children. 4. Fire drills must be conducted at least once a month and documented on a fire drill log. I suggested you set a reminder on your calendar and/or conduct fire drills on the same day as monthly playground inspections to ensure the drills are conducted at least once per month, as required. I also suggested that you immediately document the drill on the fire drill log after the drill is conducted. Fire drills should be conducted at different times each month for each group of children. As a reminder, the alarm system must be used when conducting the drill. 5. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children (at least five feet from the ground), but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use (at least five feet from the ground), but are not required to be in locked storage. Teachers must keep any personal medications they bring into the facility in locked storage as well. I suggested you remind staff that all diaper creams should be placed in the baskets used to store diapers which are more than five (5) feet from the ground. Diaper creams should be returned to storage five (5) feet or more from the ground immediately after use. The Lead Teacher assigned to Space #4 placed all diaper creams in baskets more than five (5) feet from the ground during the visit and stated they would remain there when not in use. 6. A monthly playground inspection must be conducted by an individual trained in playground safety requirements. A trained administrator or staff person must make a record of each inspection using a playground inspection checklist provided by the Division. The checklist is to be signed by the person who conducts the inspection and must be maintained for 12 months in the center's files for review by a representative of the Division. Continue to use the playground inspection checklist provided by DCDEE. This checklist may also be accessed through the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/P/Playground_Inspection_Checklist.pdf?ver=CxfeyCmo15O0_ztbu2--ng%3d%3d. I suggested you plan to conduct the playground inspections on the same day fire drills are conducted to ensure a month does not get skipped. After completion of the inspection, I suggested you immediately complete the documentation of the check on the checklist and place the inspection checklist in your playground inspection notebook to ensure it is on file and available for review at all times. I encouraged you to register for and complete the Playground Safety training through the Partnership for Children of Lincoln and Gaston Counties on February 3 and 5, 2026. 7. Space heaters are not permitted in child care facilities. I suggested you remind all staff members of this information. I also suggested you continue to use the thermometers in the infant room to ensure proper temperature is maintained per your facility’s safe sleep policy. The space heater was unplugged and removed during the visit. You stated space heaters will no longer be used at the facility. 8. Child care providers and uncompensated providers who are not substitute providers or volunteers as including the director, must have a medical exam on file that is signed by a health care professional that indicates that the person is emotionally and physically fit to care for children prior to employment. When submitted, the medical statement may not be older than 12 months. I suggested you use the staff medical exam form found on the DCDEE website under the “Provider” tab to ensure the medical exams for staff members contain all information required by rule. I also suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I demonstrated how to access this checklist on the DCDEE website during the visit. Additionally, I suggested you have new staff members provide the medical statement to you during the hiring process. 9. Prior to the expiration date of the current qualifying letter, all staff members must complete and submit the required forms and information to complete a criminal background check. I suggested you set calendar reminders, or create a working document to track the expiration dates of the qualifying letters for all staff members to ensure all staff members maintain a current and valid qualifying letter. I suggested you use the ABCMS Provider Portal to keep track of expiration dates of qualifying letters for all staff members. I also suggested you remind staff two (2) months prior to the expiration date of their qualifying letter to complete an application for an updated qualifying letter to begin the process. Additionally, I suggested that you review staff files regularly to ensure no qualifying letters have expired. The staff member completed the application for the criminal background check on January 16, 2026, and has an appointment scheduled for January 23, 2026, to submit fingerprints. 10. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create an enrollment packet to ensure all required documentation is obtained during the enrollment process. I also suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually as required. You stated you plan to have families update their emergency information during the registration process in August each year. 11. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I demonstrated how to access provider documents and forms on the DCDEE website during the visit. 12. All staff members must have a valid, current qualifying letter on file. I suggested you create a working document or use the ABCMS Provider Portal to track the expiration dates of qualifying letters to ensure all staff members maintain a current and valid qualifying letter. I also suggested you review staff files regularly to ensure no qualifying letters have expired. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I demonstrated how to access the staff file checklist on the DCDEE website during the visit. The staff member completed the application for the criminal background check on January 16, 2026, and has an appointment scheduled for January 23, 2026, to submit fingerprints. 13. Shelter-in-Place or Lockdown drills must be completed at least once every three (3) months. I suggested you create calendar reminders at least one year in advance to ensure drills are conducted at least once every three (3) months. I suggested you document the drill immediately after the drill is conducted to ensure required documentation is on file and available for review. Continue to document drills on the drill log form found on the DCDEE website. Consultation: 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. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: FIRST UNITED METHODIST DAY CARE CENTER Facility ID: 3655054 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 1/22/2026 Number Present: 31 Completed Date: 1/22/2026 Age: From 0 To 5 Total Minutes: 357 Time In: 07:47 AM Time Out: 12:38 PM Time In: 03:09 PM Time Out: 04:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Boyce O’Tuel, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a notice of compliance issued May 14, 2023. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on January 22, 2026, and your business, First United Methodist Church of Belmont, NC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, outdoor play, group time, lunch and free play during the visit. The last sanitation inspection was conducted on November 14, 2025. A “superior” classification was issued with four (4) demerits noted on the grade card. The last fire inspection on file was conducted on February 13, 2024. The last fire drill was conducted on January 7, 2026. The last emergency drill documented was conducted on July 17, 2025. The last playground inspection on file was conducted on December 31, 2024. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on January 17, 2025. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility has not completed lead-based paint and asbestos testing. Please log into your account through Clean Classrooms for Carolina Kids to complete lead-based paint and asbestos training immediately. Five (5) children’s files were reviewed during the visit. Eight (8) new staff files and one (1) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection on file was conducted on February 13, 2024. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space A#1, two (2) children were not signed out on January 21, 2026, one (1) child was not signed out on January 8, 2026, and one (1) child was not signed out on January 7, 2026. In Space #3, one (1) child was not signed out on January 16, 2026, and one (1) child was not signed out on January 7, 2026. In Space #4, one (1) child was not signed out on January 7, 2026. 10A NCAC 09 .0302(d)(4) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #4, three (3) bottles containing human milk were not labeled with the date and two (2) bottles of human milk were labeled January 21, 2026. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. No fire drill was documented in October 2025 or December 2025. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #4, one (1) tube of Desitin Maximum Strength Paste, two (2) tubes of Boudreauxs Butt Paste Max Strength, and two (2) tubes of Triple Paste Skin Protectant were on the shelf beside the diaper changing surface, three (3) feet from the ground. 15A NCAC 18A .2820(d) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection on file was conducted on December 31, 2024. .0605(q) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In Space #4, an electric space heater was plugged in and operating on the shelf, three (3) feet from the ground, above the mini refrigerator used to store infant bottles. GS 110-91 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff member, employed on June 2, 2025, did not have a medical exam on file. 10A NCAC 09 .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) staff member, employed on June 2, 2025, did not complete the process of a five-year recheck for a criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The most recent update of the emergency information for one (1) child, enrolled on April 8, 2024, was completed on April 5, 2024. The most recent update of the emergency information for one (1) child, enrolled on November 14, 2022, was completed on November 4, 2024. The most recent update of the emergency information for one (1) child, enrolled on January 30, 2023, was completed on November 4, 2024. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, enrolled on June 4, 2025, did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) staff member, employed on June 2, 2025, did not have a current qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place or lockdown drill documented was conducted on July 17, 2025. .0604(u);.0302(d)(8) The violations documented must be corrected immediately. On or before February 5, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 88%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Each operator must schedule and obtain a fire inspection within 12 months of the facility’s previous fire inspection. The operator must notify the local fire inspector when it is time for the center's annual fire inspection. The operator must 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 suggested you contact the Fire Inspector at least one (1) month prior to the due date of the next fire inspection to ensure an inspection is conducted in a timely manner. I provided you with the contact information for the fire inspector that conducted your last inspection (704-718-1541) during the visit. I suggested you contact your inspector today to request an inspection. 2. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 3. All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages must be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk must be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days must be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer. In addition, frozen human milk must be labeled with the date that it is thawed for use. Human milk that was previously frozen and has been thawed shall be refrigerated and stored for no more than 24 hours from when it was thawed. Human milk that was previously frozen and has been thawed may not be refrozen for storage at the child care center. I suggested you remind parents of children enrolled in the room for infants that they must place labels with the child’s name and the date the bottle was prepared on bottles or sippy cups prior to bringing them to the facility. I also suggested you review this information with staff members assigned to the room for infants to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. Additionally, I suggested that you remind staff and parents of children enrolled in the infant classroom that bottles must be returned home or discarded at the end of the day, and that labels with previous dates listed on them may not be reused. Glass bottles are a hazard as they can shatter or break. I suggested you remind staff to be extra cautious when using glass bottles. Per Caring for Our Children, it is suggested that a silicone sleeve or bottle jacket is used when using glass bottles. I also suggest you create a policy regarding the use of glass in classrooms with children. 4. Fire drills must be conducted at least once a month and documented on a fire drill log. I suggested you set a reminder on your calendar and/or conduct fire drills on the same day as monthly playground inspections to ensure the drills are conducted at least once per month, as required. I also suggested that you immediately document the drill on the fire drill log after the drill is conducted. Fire drills should be conducted at different times each month for each group of children. As a reminder, the alarm system must be used when conducting the drill. 5. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children (at least five feet from the ground), but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use (at least five feet from the ground), but are not required to be in locked storage. Teachers must keep any personal medications they bring into the facility in locked storage as well. I suggested you remind staff that all diaper creams should be placed in the baskets used to store diapers which are more than five (5) feet from the ground. Diaper creams should be returned to storage five (5) feet or more from the ground immediately after use. The Lead Teacher assigned to Space #4 placed all diaper creams in baskets more than five (5) feet from the ground during the visit and stated they would remain there when not in use. 6. A monthly playground inspection must be conducted by an individual trained in playground safety requirements. A trained administrator or staff person must make a record of each inspection using a playground inspection checklist provided by the Division. The checklist is to be signed by the person who conducts the inspection and must be maintained for 12 months in the center's files for review by a representative of the Division. Continue to use the playground inspection checklist provided by DCDEE. This checklist may also be accessed through the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/P/Playground_Inspection_Checklist.pdf?ver=CxfeyCmo15O0_ztbu2--ng%3d%3d. I suggested you plan to conduct the playground inspections on the same day fire drills are conducted to ensure a month does not get skipped. After completion of the inspection, I suggested you immediately complete the documentation of the check on the checklist and place the inspection checklist in your playground inspection notebook to ensure it is on file and available for review at all times. I encouraged you to register for and complete the Playground Safety training through the Partnership for Children of Lincoln and Gaston Counties on February 3 and 5, 2026. 7. Space heaters are not permitted in child care facilities. I suggested you remind all staff members of this information. I also suggested you continue to use the thermometers in the infant room to ensure proper temperature is maintained per your facility’s safe sleep policy. The space heater was unplugged and removed during the visit. You stated space heaters will no longer be used at the facility. 8. Child care providers and uncompensated providers who are not substitute providers or volunteers as including the director, must have a medical exam on file that is signed by a health care professional that indicates that the person is emotionally and physically fit to care for children prior to employment. When submitted, the medical statement may not be older than 12 months. I suggested you use the staff medical exam form found on the DCDEE website under the “Provider” tab to ensure the medical exams for staff members contain all information required by rule. I also suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I demonstrated how to access this checklist on the DCDEE website during the visit. Additionally, I suggested you have new staff members provide the medical statement to you during the hiring process. 9. Prior to the expiration date of the current qualifying letter, all staff members must complete and submit the required forms and information to complete a criminal background check. I suggested you set calendar reminders, or create a working document to track the expiration dates of the qualifying letters for all staff members to ensure all staff members maintain a current and valid qualifying letter. I suggested you use the ABCMS Provider Portal to keep track of expiration dates of qualifying letters for all staff members. I also suggested you remind staff two (2) months prior to the expiration date of their qualifying letter to complete an application for an updated qualifying letter to begin the process. Additionally, I suggested that you review staff files regularly to ensure no qualifying letters have expired. The staff member completed the application for the criminal background check on January 16, 2026, and has an appointment scheduled for January 23, 2026, to submit fingerprints. 10. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create an enrollment packet to ensure all required documentation is obtained during the enrollment process. I also suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually as required. You stated you plan to have families update their emergency information during the registration process in August each year. 11. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I demonstrated how to access provider documents and forms on the DCDEE website during the visit. 12. All staff members must have a valid, current qualifying letter on file. I suggested you create a working document or use the ABCMS Provider Portal to track the expiration dates of qualifying letters to ensure all staff members maintain a current and valid qualifying letter. I also suggested you review staff files regularly to ensure no qualifying letters have expired. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I demonstrated how to access the staff file checklist on the DCDEE website during the visit. The staff member completed the application for the criminal background check on January 16, 2026, and has an appointment scheduled for January 23, 2026, to submit fingerprints. 13. Shelter-in-Place or Lockdown drills must be completed at least once every three (3) months. I suggested you create calendar reminders at least one year in advance to ensure drills are conducted at least once every three (3) months. I suggested you document the drill immediately after the drill is conducted to ensure required documentation is on file and available for review. Continue to document drills on the drill log form found on the DCDEE website. Consultation: 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. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: FIRST UNITED METHODIST DAY CARE CENTER Facility ID: 3655054 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 1/22/2026 Number Present: 31 Completed Date: 1/22/2026 Age: From 0 To 5 Total Minutes: 357 Time In: 07:47 AM Time Out: 12:38 PM Time In: 03:09 PM Time Out: 04:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Boyce O’Tuel, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a notice of compliance issued May 14, 2023. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on January 22, 2026, and your business, First United Methodist Church of Belmont, NC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, outdoor play, group time, lunch and free play during the visit. The last sanitation inspection was conducted on November 14, 2025. A “superior” classification was issued with four (4) demerits noted on the grade card. The last fire inspection on file was conducted on February 13, 2024. The last fire drill was conducted on January 7, 2026. The last emergency drill documented was conducted on July 17, 2025. The last playground inspection on file was conducted on December 31, 2024. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on January 17, 2025. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility has not completed lead-based paint and asbestos testing. Please log into your account through Clean Classrooms for Carolina Kids to complete lead-based paint and asbestos training immediately. Five (5) children’s files were reviewed during the visit. Eight (8) new staff files and one (1) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection on file was conducted on February 13, 2024. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space A#1, two (2) children were not signed out on January 21, 2026, one (1) child was not signed out on January 8, 2026, and one (1) child was not signed out on January 7, 2026. In Space #3, one (1) child was not signed out on January 16, 2026, and one (1) child was not signed out on January 7, 2026. In Space #4, one (1) child was not signed out on January 7, 2026. 10A NCAC 09 .0302(d)(4) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #4, three (3) bottles containing human milk were not labeled with the date and two (2) bottles of human milk were labeled January 21, 2026. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. No fire drill was documented in October 2025 or December 2025. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #4, one (1) tube of Desitin Maximum Strength Paste, two (2) tubes of Boudreauxs Butt Paste Max Strength, and two (2) tubes of Triple Paste Skin Protectant were on the shelf beside the diaper changing surface, three (3) feet from the ground. 15A NCAC 18A .2820(d) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection on file was conducted on December 31, 2024. .0605(q) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In Space #4, an electric space heater was plugged in and operating on the shelf, three (3) feet from the ground, above the mini refrigerator used to store infant bottles. GS 110-91 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff member, employed on June 2, 2025, did not have a medical exam on file. 10A NCAC 09 .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) staff member, employed on June 2, 2025, did not complete the process of a five-year recheck for a criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The most recent update of the emergency information for one (1) child, enrolled on April 8, 2024, was completed on April 5, 2024. The most recent update of the emergency information for one (1) child, enrolled on November 14, 2022, was completed on November 4, 2024. The most recent update of the emergency information for one (1) child, enrolled on January 30, 2023, was completed on November 4, 2024. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, enrolled on June 4, 2025, did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) staff member, employed on June 2, 2025, did not have a current qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place or lockdown drill documented was conducted on July 17, 2025. .0604(u);.0302(d)(8) The violations documented must be corrected immediately. On or before February 5, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 88%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Each operator must schedule and obtain a fire inspection within 12 months of the facility’s previous fire inspection. The operator must notify the local fire inspector when it is time for the center's annual fire inspection. The operator must 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 suggested you contact the Fire Inspector at least one (1) month prior to the due date of the next fire inspection to ensure an inspection is conducted in a timely manner. I provided you with the contact information for the fire inspector that conducted your last inspection (704-718-1541) during the visit. I suggested you contact your inspector today to request an inspection. 2. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 3. All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages must be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk must be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days must be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer. In addition, frozen human milk must be labeled with the date that it is thawed for use. Human milk that was previously frozen and has been thawed shall be refrigerated and stored for no more than 24 hours from when it was thawed. Human milk that was previously frozen and has been thawed may not be refrozen for storage at the child care center. I suggested you remind parents of children enrolled in the room for infants that they must place labels with the child’s name and the date the bottle was prepared on bottles or sippy cups prior to bringing them to the facility. I also suggested you review this information with staff members assigned to the room for infants to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. Additionally, I suggested that you remind staff and parents of children enrolled in the infant classroom that bottles must be returned home or discarded at the end of the day, and that labels with previous dates listed on them may not be reused. Glass bottles are a hazard as they can shatter or break. I suggested you remind staff to be extra cautious when using glass bottles. Per Caring for Our Children, it is suggested that a silicone sleeve or bottle jacket is used when using glass bottles. I also suggest you create a policy regarding the use of glass in classrooms with children. 4. Fire drills must be conducted at least once a month and documented on a fire drill log. I suggested you set a reminder on your calendar and/or conduct fire drills on the same day as monthly playground inspections to ensure the drills are conducted at least once per month, as required. I also suggested that you immediately document the drill on the fire drill log after the drill is conducted. Fire drills should be conducted at different times each month for each group of children. As a reminder, the alarm system must be used when conducting the drill. 5. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children (at least five feet from the ground), but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use (at least five feet from the ground), but are not required to be in locked storage. Teachers must keep any personal medications they bring into the facility in locked storage as well. I suggested you remind staff that all diaper creams should be placed in the baskets used to store diapers which are more than five (5) feet from the ground. Diaper creams should be returned to storage five (5) feet or more from the ground immediately after use. The Lead Teacher assigned to Space #4 placed all diaper creams in baskets more than five (5) feet from the ground during the visit and stated they would remain there when not in use. 6. A monthly playground inspection must be conducted by an individual trained in playground safety requirements. A trained administrator or staff person must make a record of each inspection using a playground inspection checklist provided by the Division. The checklist is to be signed by the person who conducts the inspection and must be maintained for 12 months in the center's files for review by a representative of the Division. Continue to use the playground inspection checklist provided by DCDEE. This checklist may also be accessed through the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/P/Playground_Inspection_Checklist.pdf?ver=CxfeyCmo15O0_ztbu2--ng%3d%3d. I suggested you plan to conduct the playground inspections on the same day fire drills are conducted to ensure a month does not get skipped. After completion of the inspection, I suggested you immediately complete the documentation of the check on the checklist and place the inspection checklist in your playground inspection notebook to ensure it is on file and available for review at all times. I encouraged you to register for and complete the Playground Safety training through the Partnership for Children of Lincoln and Gaston Counties on February 3 and 5, 2026. 7. Space heaters are not permitted in child care facilities. I suggested you remind all staff members of this information. I also suggested you continue to use the thermometers in the infant room to ensure proper temperature is maintained per your facility’s safe sleep policy. The space heater was unplugged and removed during the visit. You stated space heaters will no longer be used at the facility. 8. Child care providers and uncompensated providers who are not substitute providers or volunteers as including the director, must have a medical exam on file that is signed by a health care professional that indicates that the person is emotionally and physically fit to care for children prior to employment. When submitted, the medical statement may not be older than 12 months. I suggested you use the staff medical exam form found on the DCDEE website under the “Provider” tab to ensure the medical exams for staff members contain all information required by rule. I also suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I demonstrated how to access this checklist on the DCDEE website during the visit. Additionally, I suggested you have new staff members provide the medical statement to you during the hiring process. 9. Prior to the expiration date of the current qualifying letter, all staff members must complete and submit the required forms and information to complete a criminal background check. I suggested you set calendar reminders, or create a working document to track the expiration dates of the qualifying letters for all staff members to ensure all staff members maintain a current and valid qualifying letter. I suggested you use the ABCMS Provider Portal to keep track of expiration dates of qualifying letters for all staff members. I also suggested you remind staff two (2) months prior to the expiration date of their qualifying letter to complete an application for an updated qualifying letter to begin the process. Additionally, I suggested that you review staff files regularly to ensure no qualifying letters have expired. The staff member completed the application for the criminal background check on January 16, 2026, and has an appointment scheduled for January 23, 2026, to submit fingerprints. 10. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create an enrollment packet to ensure all required documentation is obtained during the enrollment process. I also suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually as required. You stated you plan to have families update their emergency information during the registration process in August each year. 11. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I demonstrated how to access provider documents and forms on the DCDEE website during the visit. 12. All staff members must have a valid, current qualifying letter on file. I suggested you create a working document or use the ABCMS Provider Portal to track the expiration dates of qualifying letters to ensure all staff members maintain a current and valid qualifying letter. I also suggested you review staff files regularly to ensure no qualifying letters have expired. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I demonstrated how to access the staff file checklist on the DCDEE website during the visit. The staff member completed the application for the criminal background check on January 16, 2026, and has an appointment scheduled for January 23, 2026, to submit fingerprints. 13. Shelter-in-Place or Lockdown drills must be completed at least once every three (3) months. I suggested you create calendar reminders at least one year in advance to ensure drills are conducted at least once every three (3) months. I suggested you document the drill immediately after the drill is conducted to ensure required documentation is on file and available for review. Continue to document drills on the drill log form found on the DCDEE website. Consultation: 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. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: FIRST UNITED METHODIST DAY CARE CENTER Facility ID: 3655054 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 1/22/2026 Number Present: 31 Completed Date: 1/22/2026 Age: From 0 To 5 Total Minutes: 357 Time In: 07:47 AM Time Out: 12:38 PM Time In: 03:09 PM Time Out: 04:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Boyce O’Tuel, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a notice of compliance issued May 14, 2023. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on January 22, 2026, and your business, First United Methodist Church of Belmont, NC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, outdoor play, group time, lunch and free play during the visit. The last sanitation inspection was conducted on November 14, 2025. A “superior” classification was issued with four (4) demerits noted on the grade card. The last fire inspection on file was conducted on February 13, 2024. The last fire drill was conducted on January 7, 2026. The last emergency drill documented was conducted on July 17, 2025. The last playground inspection on file was conducted on December 31, 2024. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on January 17, 2025. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility has not completed lead-based paint and asbestos testing. Please log into your account through Clean Classrooms for Carolina Kids to complete lead-based paint and asbestos training immediately. Five (5) children’s files were reviewed during the visit. Eight (8) new staff files and one (1) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection on file was conducted on February 13, 2024. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space A#1, two (2) children were not signed out on January 21, 2026, one (1) child was not signed out on January 8, 2026, and one (1) child was not signed out on January 7, 2026. In Space #3, one (1) child was not signed out on January 16, 2026, and one (1) child was not signed out on January 7, 2026. In Space #4, one (1) child was not signed out on January 7, 2026. 10A NCAC 09 .0302(d)(4) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #4, three (3) bottles containing human milk were not labeled with the date and two (2) bottles of human milk were labeled January 21, 2026. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. No fire drill was documented in October 2025 or December 2025. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #4, one (1) tube of Desitin Maximum Strength Paste, two (2) tubes of Boudreauxs Butt Paste Max Strength, and two (2) tubes of Triple Paste Skin Protectant were on the shelf beside the diaper changing surface, three (3) feet from the ground. 15A NCAC 18A .2820(d) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection on file was conducted on December 31, 2024. .0605(q) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In Space #4, an electric space heater was plugged in and operating on the shelf, three (3) feet from the ground, above the mini refrigerator used to store infant bottles. GS 110-91 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff member, employed on June 2, 2025, did not have a medical exam on file. 10A NCAC 09 .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) staff member, employed on June 2, 2025, did not complete the process of a five-year recheck for a criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The most recent update of the emergency information for one (1) child, enrolled on April 8, 2024, was completed on April 5, 2024. The most recent update of the emergency information for one (1) child, enrolled on November 14, 2022, was completed on November 4, 2024. The most recent update of the emergency information for one (1) child, enrolled on January 30, 2023, was completed on November 4, 2024. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, enrolled on June 4, 2025, did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) staff member, employed on June 2, 2025, did not have a current qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place or lockdown drill documented was conducted on July 17, 2025. .0604(u);.0302(d)(8) The violations documented must be corrected immediately. On or before February 5, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 88%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Each operator must schedule and obtain a fire inspection within 12 months of the facility’s previous fire inspection. The operator must notify the local fire inspector when it is time for the center's annual fire inspection. The operator must 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 suggested you contact the Fire Inspector at least one (1) month prior to the due date of the next fire inspection to ensure an inspection is conducted in a timely manner. I provided you with the contact information for the fire inspector that conducted your last inspection (704-718-1541) during the visit. I suggested you contact your inspector today to request an inspection. 2. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 3. All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages must be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk must be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days must be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer. In addition, frozen human milk must be labeled with the date that it is thawed for use. Human milk that was previously frozen and has been thawed shall be refrigerated and stored for no more than 24 hours from when it was thawed. Human milk that was previously frozen and has been thawed may not be refrozen for storage at the child care center. I suggested you remind parents of children enrolled in the room for infants that they must place labels with the child’s name and the date the bottle was prepared on bottles or sippy cups prior to bringing them to the facility. I also suggested you review this information with staff members assigned to the room for infants to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. Additionally, I suggested that you remind staff and parents of children enrolled in the infant classroom that bottles must be returned home or discarded at the end of the day, and that labels with previous dates listed on them may not be reused. Glass bottles are a hazard as they can shatter or break. I suggested you remind staff to be extra cautious when using glass bottles. Per Caring for Our Children, it is suggested that a silicone sleeve or bottle jacket is used when using glass bottles. I also suggest you create a policy regarding the use of glass in classrooms with children. 4. Fire drills must be conducted at least once a month and documented on a fire drill log. I suggested you set a reminder on your calendar and/or conduct fire drills on the same day as monthly playground inspections to ensure the drills are conducted at least once per month, as required. I also suggested that you immediately document the drill on the fire drill log after the drill is conducted. Fire drills should be conducted at different times each month for each group of children. As a reminder, the alarm system must be used when conducting the drill. 5. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children (at least five feet from the ground), but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use (at least five feet from the ground), but are not required to be in locked storage. Teachers must keep any personal medications they bring into the facility in locked storage as well. I suggested you remind staff that all diaper creams should be placed in the baskets used to store diapers which are more than five (5) feet from the ground. Diaper creams should be returned to storage five (5) feet or more from the ground immediately after use. The Lead Teacher assigned to Space #4 placed all diaper creams in baskets more than five (5) feet from the ground during the visit and stated they would remain there when not in use. 6. A monthly playground inspection must be conducted by an individual trained in playground safety requirements. A trained administrator or staff person must make a record of each inspection using a playground inspection checklist provided by the Division. The checklist is to be signed by the person who conducts the inspection and must be maintained for 12 months in the center's files for review by a representative of the Division. Continue to use the playground inspection checklist provided by DCDEE. This checklist may also be accessed through the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/P/Playground_Inspection_Checklist.pdf?ver=CxfeyCmo15O0_ztbu2--ng%3d%3d. I suggested you plan to conduct the playground inspections on the same day fire drills are conducted to ensure a month does not get skipped. After completion of the inspection, I suggested you immediately complete the documentation of the check on the checklist and place the inspection checklist in your playground inspection notebook to ensure it is on file and available for review at all times. I encouraged you to register for and complete the Playground Safety training through the Partnership for Children of Lincoln and Gaston Counties on February 3 and 5, 2026. 7. Space heaters are not permitted in child care facilities. I suggested you remind all staff members of this information. I also suggested you continue to use the thermometers in the infant room to ensure proper temperature is maintained per your facility’s safe sleep policy. The space heater was unplugged and removed during the visit. You stated space heaters will no longer be used at the facility. 8. Child care providers and uncompensated providers who are not substitute providers or volunteers as including the director, must have a medical exam on file that is signed by a health care professional that indicates that the person is emotionally and physically fit to care for children prior to employment. When submitted, the medical statement may not be older than 12 months. I suggested you use the staff medical exam form found on the DCDEE website under the “Provider” tab to ensure the medical exams for staff members contain all information required by rule. I also suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I demonstrated how to access this checklist on the DCDEE website during the visit. Additionally, I suggested you have new staff members provide the medical statement to you during the hiring process. 9. Prior to the expiration date of the current qualifying letter, all staff members must complete and submit the required forms and information to complete a criminal background check. I suggested you set calendar reminders, or create a working document to track the expiration dates of the qualifying letters for all staff members to ensure all staff members maintain a current and valid qualifying letter. I suggested you use the ABCMS Provider Portal to keep track of expiration dates of qualifying letters for all staff members. I also suggested you remind staff two (2) months prior to the expiration date of their qualifying letter to complete an application for an updated qualifying letter to begin the process. Additionally, I suggested that you review staff files regularly to ensure no qualifying letters have expired. The staff member completed the application for the criminal background check on January 16, 2026, and has an appointment scheduled for January 23, 2026, to submit fingerprints. 10. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create an enrollment packet to ensure all required documentation is obtained during the enrollment process. I also suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually as required. You stated you plan to have families update their emergency information during the registration process in August each year. 11. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I demonstrated how to access provider documents and forms on the DCDEE website during the visit. 12. All staff members must have a valid, current qualifying letter on file. I suggested you create a working document or use the ABCMS Provider Portal to track the expiration dates of qualifying letters to ensure all staff members maintain a current and valid qualifying letter. I also suggested you review staff files regularly to ensure no qualifying letters have expired. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I demonstrated how to access the staff file checklist on the DCDEE website during the visit. The staff member completed the application for the criminal background check on January 16, 2026, and has an appointment scheduled for January 23, 2026, to submit fingerprints. 13. Shelter-in-Place or Lockdown drills must be completed at least once every three (3) months. I suggested you create calendar reminders at least one year in advance to ensure drills are conducted at least once every three (3) months. I suggested you document the drill immediately after the drill is conducted to ensure required documentation is on file and available for review. Continue to document drills on the drill log form found on the DCDEE website. Consultation: 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. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: FIRST UNITED METHODIST DAY CARE CENTER Facility ID: 3655054 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 1/22/2026 Number Present: 31 Completed Date: 1/22/2026 Age: From 0 To 5 Total Minutes: 357 Time In: 07:47 AM Time Out: 12:38 PM Time In: 03:09 PM Time Out: 04:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Boyce O’Tuel, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a notice of compliance issued May 14, 2023. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on January 22, 2026, and your business, First United Methodist Church of Belmont, NC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, outdoor play, group time, lunch and free play during the visit. The last sanitation inspection was conducted on November 14, 2025. A “superior” classification was issued with four (4) demerits noted on the grade card. The last fire inspection on file was conducted on February 13, 2024. The last fire drill was conducted on January 7, 2026. The last emergency drill documented was conducted on July 17, 2025. The last playground inspection on file was conducted on December 31, 2024. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on January 17, 2025. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility has not completed lead-based paint and asbestos testing. Please log into your account through Clean Classrooms for Carolina Kids to complete lead-based paint and asbestos training immediately. Five (5) children’s files were reviewed during the visit. Eight (8) new staff files and one (1) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection on file was conducted on February 13, 2024. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space A#1, two (2) children were not signed out on January 21, 2026, one (1) child was not signed out on January 8, 2026, and one (1) child was not signed out on January 7, 2026. In Space #3, one (1) child was not signed out on January 16, 2026, and one (1) child was not signed out on January 7, 2026. In Space #4, one (1) child was not signed out on January 7, 2026. 10A NCAC 09 .0302(d)(4) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #4, three (3) bottles containing human milk were not labeled with the date and two (2) bottles of human milk were labeled January 21, 2026. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. No fire drill was documented in October 2025 or December 2025. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #4, one (1) tube of Desitin Maximum Strength Paste, two (2) tubes of Boudreauxs Butt Paste Max Strength, and two (2) tubes of Triple Paste Skin Protectant were on the shelf beside the diaper changing surface, three (3) feet from the ground. 15A NCAC 18A .2820(d) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection on file was conducted on December 31, 2024. .0605(q) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In Space #4, an electric space heater was plugged in and operating on the shelf, three (3) feet from the ground, above the mini refrigerator used to store infant bottles. GS 110-91 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff member, employed on June 2, 2025, did not have a medical exam on file. 10A NCAC 09 .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) staff member, employed on June 2, 2025, did not complete the process of a five-year recheck for a criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The most recent update of the emergency information for one (1) child, enrolled on April 8, 2024, was completed on April 5, 2024. The most recent update of the emergency information for one (1) child, enrolled on November 14, 2022, was completed on November 4, 2024. The most recent update of the emergency information for one (1) child, enrolled on January 30, 2023, was completed on November 4, 2024. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, enrolled on June 4, 2025, did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) staff member, employed on June 2, 2025, did not have a current qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place or lockdown drill documented was conducted on July 17, 2025. .0604(u);.0302(d)(8) The violations documented must be corrected immediately. On or before February 5, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 88%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Each operator must schedule and obtain a fire inspection within 12 months of the facility’s previous fire inspection. The operator must notify the local fire inspector when it is time for the center's annual fire inspection. The operator must 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 suggested you contact the Fire Inspector at least one (1) month prior to the due date of the next fire inspection to ensure an inspection is conducted in a timely manner. I provided you with the contact information for the fire inspector that conducted your last inspection (704-718-1541) during the visit. I suggested you contact your inspector today to request an inspection. 2. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 3. All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages must be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk must be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days must be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer. In addition, frozen human milk must be labeled with the date that it is thawed for use. Human milk that was previously frozen and has been thawed shall be refrigerated and stored for no more than 24 hours from when it was thawed. Human milk that was previously frozen and has been thawed may not be refrozen for storage at the child care center. I suggested you remind parents of children enrolled in the room for infants that they must place labels with the child’s name and the date the bottle was prepared on bottles or sippy cups prior to bringing them to the facility. I also suggested you review this information with staff members assigned to the room for infants to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. Additionally, I suggested that you remind staff and parents of children enrolled in the infant classroom that bottles must be returned home or discarded at the end of the day, and that labels with previous dates listed on them may not be reused. Glass bottles are a hazard as they can shatter or break. I suggested you remind staff to be extra cautious when using glass bottles. Per Caring for Our Children, it is suggested that a silicone sleeve or bottle jacket is used when using glass bottles. I also suggest you create a policy regarding the use of glass in classrooms with children. 4. Fire drills must be conducted at least once a month and documented on a fire drill log. I suggested you set a reminder on your calendar and/or conduct fire drills on the same day as monthly playground inspections to ensure the drills are conducted at least once per month, as required. I also suggested that you immediately document the drill on the fire drill log after the drill is conducted. Fire drills should be conducted at different times each month for each group of children. As a reminder, the alarm system must be used when conducting the drill. 5. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children (at least five feet from the ground), but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use (at least five feet from the ground), but are not required to be in locked storage. Teachers must keep any personal medications they bring into the facility in locked storage as well. I suggested you remind staff that all diaper creams should be placed in the baskets used to store diapers which are more than five (5) feet from the ground. Diaper creams should be returned to storage five (5) feet or more from the ground immediately after use. The Lead Teacher assigned to Space #4 placed all diaper creams in baskets more than five (5) feet from the ground during the visit and stated they would remain there when not in use. 6. A monthly playground inspection must be conducted by an individual trained in playground safety requirements. A trained administrator or staff person must make a record of each inspection using a playground inspection checklist provided by the Division. The checklist is to be signed by the person who conducts the inspection and must be maintained for 12 months in the center's files for review by a representative of the Division. Continue to use the playground inspection checklist provided by DCDEE. This checklist may also be accessed through the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/P/Playground_Inspection_Checklist.pdf?ver=CxfeyCmo15O0_ztbu2--ng%3d%3d. I suggested you plan to conduct the playground inspections on the same day fire drills are conducted to ensure a month does not get skipped. After completion of the inspection, I suggested you immediately complete the documentation of the check on the checklist and place the inspection checklist in your playground inspection notebook to ensure it is on file and available for review at all times. I encouraged you to register for and complete the Playground Safety training through the Partnership for Children of Lincoln and Gaston Counties on February 3 and 5, 2026. 7. Space heaters are not permitted in child care facilities. I suggested you remind all staff members of this information. I also suggested you continue to use the thermometers in the infant room to ensure proper temperature is maintained per your facility’s safe sleep policy. The space heater was unplugged and removed during the visit. You stated space heaters will no longer be used at the facility. 8. Child care providers and uncompensated providers who are not substitute providers or volunteers as including the director, must have a medical exam on file that is signed by a health care professional that indicates that the person is emotionally and physically fit to care for children prior to employment. When submitted, the medical statement may not be older than 12 months. I suggested you use the staff medical exam form found on the DCDEE website under the “Provider” tab to ensure the medical exams for staff members contain all information required by rule. I also suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I demonstrated how to access this checklist on the DCDEE website during the visit. Additionally, I suggested you have new staff members provide the medical statement to you during the hiring process. 9. Prior to the expiration date of the current qualifying letter, all staff members must complete and submit the required forms and information to complete a criminal background check. I suggested you set calendar reminders, or create a working document to track the expiration dates of the qualifying letters for all staff members to ensure all staff members maintain a current and valid qualifying letter. I suggested you use the ABCMS Provider Portal to keep track of expiration dates of qualifying letters for all staff members. I also suggested you remind staff two (2) months prior to the expiration date of their qualifying letter to complete an application for an updated qualifying letter to begin the process. Additionally, I suggested that you review staff files regularly to ensure no qualifying letters have expired. The staff member completed the application for the criminal background check on January 16, 2026, and has an appointment scheduled for January 23, 2026, to submit fingerprints. 10. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create an enrollment packet to ensure all required documentation is obtained during the enrollment process. I also suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually as required. You stated you plan to have families update their emergency information during the registration process in August each year. 11. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I demonstrated how to access provider documents and forms on the DCDEE website during the visit. 12. All staff members must have a valid, current qualifying letter on file. I suggested you create a working document or use the ABCMS Provider Portal to track the expiration dates of qualifying letters to ensure all staff members maintain a current and valid qualifying letter. I also suggested you review staff files regularly to ensure no qualifying letters have expired. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I demonstrated how to access the staff file checklist on the DCDEE website during the visit. The staff member completed the application for the criminal background check on January 16, 2026, and has an appointment scheduled for January 23, 2026, to submit fingerprints. 13. Shelter-in-Place or Lockdown drills must be completed at least once every three (3) months. I suggested you create calendar reminders at least one year in advance to ensure drills are conducted at least once every three (3) months. I suggested you document the drill immediately after the drill is conducted to ensure required documentation is on file and available for review. Continue to document drills on the drill log form found on the DCDEE website. Consultation: 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. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: FIRST UNITED METHODIST DAY CARE CENTER Facility ID: 3655054 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 6/9/2025 Number Present: 39 Completed Date: 6/9/2025 Age: From 0 To 4 Total Minutes: 157 Time In: 12:08 PM Time Out: 02:45 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 your program for compliance with applicable child care requirements for a routine unannounced visit. You, Heather Gaskins, Administrator, assisted me with today’s visit. Your program currently operates with a notice of compliance issued May 24, 2013. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on June 9, 2025, and your business, First United Methodist Church of Belmont, NC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on December 27, 2024. A “superior” classification was issued with two (2) demerits noted on the grade card. The last fire inspection was conducted on February 13, 2024. The most recent fire drill was conducted on June 9, 2025, the most recent emergency drill was conducted on April 14, 2025, and the most recent playground inspection was conducted on May 14, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on January 17, 2025. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility has not completed testing for lead-based paint and asbestos. Please complete the registration and training and follow instructions for lead-based paint and asbestos testing immediately. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines, lunch, group time, free play, and nap during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Three (3) new staff members were hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The facility’s notice of compliance was not posted anywhere in the facility. G.S. 110-99(a1) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. In Space #3, an electric fan was on a table to the left of the housekeeping center, accessible to children. The fan was plugged in and running and was not mounted or fitted with a mesh guard. In Space #5a/b, an electric fan was on top of the cabinet used to store mats for naps. The fan was plugged in and running and was not mounted or fitted with a mesh guard. 10A NCAC 09 .0604(d) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #5a/b, one (1) bottle of Equate Sunscreen Kids and one (1) bottle of Trader Joes Zinc Oxide Mineral Sunscreen were on a shelf under a cabinet to the right of the handwashing sink, one (1) foot six (6) inches from the ground, accessible to children. 15A NCAC 18A .2820(d) 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 #4, one (1) tube of Mustela Mineral Sunscreen Face and Body expired February 2025. In Space #6, the permission to administer medication form for one (1) tube of Coppertone Sport Sunscreen expired on May 3, 2025. In Space #6, one (1) tube of Coppertone Sport Sunscreen expired April 2025. In Space #6, there was no permission to administer medication form for one (1) tube of Boudreauxs Butt Paste Max Strength. In Space #6, the permission to administer medication form for one (1) container of Amazon Basics Petroleum Jelly expired on April 15, 2025. In Space #7, one (1) tube of Aquaphor Healing Paste Baby Fast Relief Diaper Rash Paste expired February 2025. .0803(12) The violations documented must be corrected immediately. On or before June 23, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 92%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Each child care facility must display its current license in a prominent place at all times. I suggested you place your notice of compliance in a frame and hang on the wall at the entrance of the facility to ensure it does not get misplaced. You located the notice of compliance during the visit and posted it on the wall across from the entrance door to the child care facility. 2. Electric fans must be mounted out of the reach of children or must be fitted with a mesh guard to prevent access by children. I suggested you purchase a mesh cover for the fan and provided you with information on an appropriate mesh guard from a retailer. The fans were unplugged and removed from the classrooms during the visit. 3. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children (at least five feet from the ground), but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use (at least five feet from the ground), but are not required to be in locked storage. Additionally, I suggested you purchase a lock box to use to store medications in each classroom, or keep all sunscreens and diaper creams on the shelf used to store diapers, more than five (5) feet from the ground. The sunscreens were moved to a shelf more than five (5) feet from the ground during the visit. 4. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. I suggested you have teachers check all medications and permission forms at least once a month to ensure no medication or permission forms are expired. No medication should be accepted by the facility after it has already expired or without an accompanying Permission to Administer Medication Form. I also suggested you review this information with all staff members. Consultation As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: FIRST UNITED METHODIST DAY CARE CENTER Facility ID: 3655054 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 6/9/2025 Number Present: 39 Completed Date: 6/9/2025 Age: From 0 To 4 Total Minutes: 157 Time In: 12:08 PM Time Out: 02:45 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 your program for compliance with applicable child care requirements for a routine unannounced visit. You, Heather Gaskins, Administrator, assisted me with today’s visit. Your program currently operates with a notice of compliance issued May 24, 2013. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on June 9, 2025, and your business, First United Methodist Church of Belmont, NC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on December 27, 2024. A “superior” classification was issued with two (2) demerits noted on the grade card. The last fire inspection was conducted on February 13, 2024. The most recent fire drill was conducted on June 9, 2025, the most recent emergency drill was conducted on April 14, 2025, and the most recent playground inspection was conducted on May 14, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on January 17, 2025. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility has not completed testing for lead-based paint and asbestos. Please complete the registration and training and follow instructions for lead-based paint and asbestos testing immediately. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines, lunch, group time, free play, and nap during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Three (3) new staff members were hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The facility’s notice of compliance was not posted anywhere in the facility. G.S. 110-99(a1) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. In Space #3, an electric fan was on a table to the left of the housekeeping center, accessible to children. The fan was plugged in and running and was not mounted or fitted with a mesh guard. In Space #5a/b, an electric fan was on top of the cabinet used to store mats for naps. The fan was plugged in and running and was not mounted or fitted with a mesh guard. 10A NCAC 09 .0604(d) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #5a/b, one (1) bottle of Equate Sunscreen Kids and one (1) bottle of Trader Joes Zinc Oxide Mineral Sunscreen were on a shelf under a cabinet to the right of the handwashing sink, one (1) foot six (6) inches from the ground, accessible to children. 15A NCAC 18A .2820(d) 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 #4, one (1) tube of Mustela Mineral Sunscreen Face and Body expired February 2025. In Space #6, the permission to administer medication form for one (1) tube of Coppertone Sport Sunscreen expired on May 3, 2025. In Space #6, one (1) tube of Coppertone Sport Sunscreen expired April 2025. In Space #6, there was no permission to administer medication form for one (1) tube of Boudreauxs Butt Paste Max Strength. In Space #6, the permission to administer medication form for one (1) container of Amazon Basics Petroleum Jelly expired on April 15, 2025. In Space #7, one (1) tube of Aquaphor Healing Paste Baby Fast Relief Diaper Rash Paste expired February 2025. .0803(12) The violations documented must be corrected immediately. On or before June 23, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 92%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Each child care facility must display its current license in a prominent place at all times. I suggested you place your notice of compliance in a frame and hang on the wall at the entrance of the facility to ensure it does not get misplaced. You located the notice of compliance during the visit and posted it on the wall across from the entrance door to the child care facility. 2. Electric fans must be mounted out of the reach of children or must be fitted with a mesh guard to prevent access by children. I suggested you purchase a mesh cover for the fan and provided you with information on an appropriate mesh guard from a retailer. The fans were unplugged and removed from the classrooms during the visit. 3. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children (at least five feet from the ground), but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use (at least five feet from the ground), but are not required to be in locked storage. Additionally, I suggested you purchase a lock box to use to store medications in each classroom, or keep all sunscreens and diaper creams on the shelf used to store diapers, more than five (5) feet from the ground. The sunscreens were moved to a shelf more than five (5) feet from the ground during the visit. 4. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. I suggested you have teachers check all medications and permission forms at least once a month to ensure no medication or permission forms are expired. No medication should be accepted by the facility after it has already expired or without an accompanying Permission to Administer Medication Form. I also suggested you review this information with all staff members. Consultation As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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. 110-99 · Violation

Name of Operation: FIRST UNITED METHODIST DAY CARE CENTER Facility ID: 3655054 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 6/9/2025 Number Present: 39 Completed Date: 6/9/2025 Age: From 0 To 4 Total Minutes: 157 Time In: 12:08 PM Time Out: 02:45 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 your program for compliance with applicable child care requirements for a routine unannounced visit. You, Heather Gaskins, Administrator, assisted me with today’s visit. Your program currently operates with a notice of compliance issued May 24, 2013. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on June 9, 2025, and your business, First United Methodist Church of Belmont, NC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on December 27, 2024. A “superior” classification was issued with two (2) demerits noted on the grade card. The last fire inspection was conducted on February 13, 2024. The most recent fire drill was conducted on June 9, 2025, the most recent emergency drill was conducted on April 14, 2025, and the most recent playground inspection was conducted on May 14, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on January 17, 2025. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility has not completed testing for lead-based paint and asbestos. Please complete the registration and training and follow instructions for lead-based paint and asbestos testing immediately. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines, lunch, group time, free play, and nap during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Three (3) new staff members were hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The facility’s notice of compliance was not posted anywhere in the facility. G.S. 110-99(a1) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. In Space #3, an electric fan was on a table to the left of the housekeeping center, accessible to children. The fan was plugged in and running and was not mounted or fitted with a mesh guard. In Space #5a/b, an electric fan was on top of the cabinet used to store mats for naps. The fan was plugged in and running and was not mounted or fitted with a mesh guard. 10A NCAC 09 .0604(d) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #5a/b, one (1) bottle of Equate Sunscreen Kids and one (1) bottle of Trader Joes Zinc Oxide Mineral Sunscreen were on a shelf under a cabinet to the right of the handwashing sink, one (1) foot six (6) inches from the ground, accessible to children. 15A NCAC 18A .2820(d) 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 #4, one (1) tube of Mustela Mineral Sunscreen Face and Body expired February 2025. In Space #6, the permission to administer medication form for one (1) tube of Coppertone Sport Sunscreen expired on May 3, 2025. In Space #6, one (1) tube of Coppertone Sport Sunscreen expired April 2025. In Space #6, there was no permission to administer medication form for one (1) tube of Boudreauxs Butt Paste Max Strength. In Space #6, the permission to administer medication form for one (1) container of Amazon Basics Petroleum Jelly expired on April 15, 2025. In Space #7, one (1) tube of Aquaphor Healing Paste Baby Fast Relief Diaper Rash Paste expired February 2025. .0803(12) The violations documented must be corrected immediately. On or before June 23, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 92%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Each child care facility must display its current license in a prominent place at all times. I suggested you place your notice of compliance in a frame and hang on the wall at the entrance of the facility to ensure it does not get misplaced. You located the notice of compliance during the visit and posted it on the wall across from the entrance door to the child care facility. 2. Electric fans must be mounted out of the reach of children or must be fitted with a mesh guard to prevent access by children. I suggested you purchase a mesh cover for the fan and provided you with information on an appropriate mesh guard from a retailer. The fans were unplugged and removed from the classrooms during the visit. 3. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children (at least five feet from the ground), but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use (at least five feet from the ground), but are not required to be in locked storage. Additionally, I suggested you purchase a lock box to use to store medications in each classroom, or keep all sunscreens and diaper creams on the shelf used to store diapers, more than five (5) feet from the ground. The sunscreens were moved to a shelf more than five (5) feet from the ground during the visit. 4. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. I suggested you have teachers check all medications and permission forms at least once a month to ensure no medication or permission forms are expired. No medication should be accepted by the facility after it has already expired or without an accompanying Permission to Administer Medication Form. I also suggested you review this information with all staff members. Consultation As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: FIRST UNITED METHODIST DAY CARE CENTER Facility ID: 3655054 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 2/19/2025 Number Present: 21 Completed Date: 2/19/2025 Age: From 0 To 4 Total Minutes: 164 Time In: 09:16 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Heather Gaskins, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a notice of compliance issued May 14, 2013. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on February 19, 2025, and your business, First United Methodist Church of Belmont, NC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines, lunch, free play, nap and group time during the visit. The last sanitation inspection was conducted on December 27, 2024. A “superior” classification was issued with five (5) demerits noted on the grade card. The last fire inspection was conducted on February 6, 2025. The last fire drill was conducted on February 7, 2025. The last emergency drill was conducted on January 22, 2025. The last playground inspection was conducted on February 19, 2025. Five (5) children’s files were reviewed during the visit. Three (3) new staff files and one (1) existing staff file were reviewed during the visit. The following violation was observed/documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the playground, there was a sharp metal piece protruding from the anchor of the steering wheel on the yellow truck. .0601(c) The violation documented must be corrected immediately. On or before March 5, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations was corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 86%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. The staff member conducting playground inspections should thoroughly check the playground to ensure equipment and furnishings are sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions, and pinch and crush points. I suggested you remind teachers to check the playgrounds daily to ensure all equipment is safe and in good repair. Any items that are considered hazardous should be repaired or removed immediately. You stated you will make the yellow truck inaccessible to children by covering it until it can be removed. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: FIRST UNITED METHODIST DAY CARE CENTER Facility ID: 3655054 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 3/25/2024 Number Present: 31 Completed Date: 3/25/2024 Age: From 0 To 5 Total Minutes: 204 Time In: 08:21 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Heather Gaskins, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a notice of compliance issued Mary 14, 2013. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on February 6, 2024, and your business, First United Methodist Church of Belmont, NC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on August 25, 2023. A “superior” classification was issued with three (3) demerits noted on the grade card. The last fire inspection was conducted on February 13, 2024. The last fire drill was conducted on February 29, 2024. The last emergency drill was conducted on January 29, 2024. The last playground inspection was conducted on February 20, 2024. Four (4) children’s files were reviewed during the visit. One (1) new staff file and one (1) existing staff file were reviewed during the visit. The following violations were observed/documented during the 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 Space #1, two (2) children were not signed out on March 7, 2024, one (1) child was not signed out on March 18, 2024, and two (2) children were not signed out on March 20, 2023. In Space #3, one (1) child was not signed out on March 20, 2024. In Space #5a, one (1) child was not signed out on March 13, 2024. 10A NCAC 09 .0302(d)(4) 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 #1, the Permission to Administer Medication Form for one (1) tube of Cerave Moisturizing Cream expired on November 14, 2023. In Space #5a, the Permission to Administer Medication Form for one (1) tube of Aquaphor Healing Ointment Advanced Therapy expired on January 19, 2024. In Space #5a, there was no Permission to Administer Medication Form for one (1) tube of Weleda Baby Calendula Diaper Rash Cream. In Space #5a, there was no Permission to Administer Medication Form for one (1) tube of Beauty Counter Balm for All. In Space #6, the Permission to Administer Medication Form for one (1) tube of Lotrimin Antifungal Clotrimazole Cream expired on February 26, 2024. In Space #6, there was no Permission to Administer Medication Form for one (1) tube of Boudreauxs Butt Paste Max Strength Diaper Rash Ointment. In Space #6, there was no Permission to Administer Medication Form for one (1) container of Triple Paste Medicated Ointment. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In Space #4, the room assigned to infants, a copy of the facility’s safe sleep policy was not posted. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff member, employed on January 19, 2023, had a medical exam on file dated March 1, 2024. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff member, employed on January 19, 2024, had a TB test on file dated March 1, 2024. .0701(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space #6, three (3) Chick-fil-a cups, one (1) of which contained a brown liquid, were on the windowsill to the right of the diaper changing table. .0901(i) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by April 8, 2024. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 89%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed on clipboards at the entrance to the classroom. Use these forms to document arrival and departure of each child each day. I suggested you create a daily checklist for each classroom to ensure all required tasks are completed each day. 2. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must 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, should be discarded. For emergency medications, obtain a new prescription from the parent to ensure necessary medications are on site at all times. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. Teachers should periodically check medications and permission forms to ensure no medication or permission forms are expired, missing, or withdrawn by the parents. I suggested you have teachers check all medications and permission forms once a month on the day the fire inspection is conducted to ensure all required information is on file. Continue to use the Medication Administration Permission Form and Log found on the DCDEE website under the “Provider” tab. 3. The center must post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. I suggested you keep extra copies of the facility’s safe sleep policy in the room assigned to infants so that a new copy may be posted if the policy falls off the wall or is misplaced. You posted a copy of the facility’s safe sleep policy in the room assigned to infants during the visit. 4. Child care providers and uncompensated providers who are not substitute providers or volunteers as including the director, must have a medical exam on file that is signed by a health care professional that indicates that the person is emotionally and physically fit to care for children prior to employment. When submitted, the medical statement may not be older than 12 months. I suggested you continue to use the staff medical exam found on the DCDEE website under the “Provider” tab to ensure the medical exams for staff members contain all information required by rule. Staff members should not be permitted to work until a medical exam is on file. 5. All staff, including the director and individuals who volunteer more than once per week must have the results indicating the individual is free of active tuberculosis on file on or before the first day of work. This must be obtained within the 12 months prior to the date of employment and must be on file on or before the employee’s first day of work. New staff members should not be permitted to begin work until they have the results of a TB test showing negative results or screening form on file. I suggested you review staff files regularly to ensure no documentation has been discarded or misplaced. 6. Staff must role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements outlined in the Meal Patterns for Children while in the presence of children in care. Staff may not consume any item not outlined in the above-mentioned requirements in the classroom. The Chick-fil-a cups were removed from the classroom during the visit. I suggested you review nutrition requirements with all staff. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: FIRST UNITED METHODIST DAY CARE CENTER Facility ID: 3655054 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 3/25/2024 Number Present: 31 Completed Date: 3/25/2024 Age: From 0 To 5 Total Minutes: 204 Time In: 08:21 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Heather Gaskins, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a notice of compliance issued Mary 14, 2013. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on February 6, 2024, and your business, First United Methodist Church of Belmont, NC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on August 25, 2023. A “superior” classification was issued with three (3) demerits noted on the grade card. The last fire inspection was conducted on February 13, 2024. The last fire drill was conducted on February 29, 2024. The last emergency drill was conducted on January 29, 2024. The last playground inspection was conducted on February 20, 2024. Four (4) children’s files were reviewed during the visit. One (1) new staff file and one (1) existing staff file were reviewed during the visit. The following violations were observed/documented during the 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 Space #1, two (2) children were not signed out on March 7, 2024, one (1) child was not signed out on March 18, 2024, and two (2) children were not signed out on March 20, 2023. In Space #3, one (1) child was not signed out on March 20, 2024. In Space #5a, one (1) child was not signed out on March 13, 2024. 10A NCAC 09 .0302(d)(4) 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 #1, the Permission to Administer Medication Form for one (1) tube of Cerave Moisturizing Cream expired on November 14, 2023. In Space #5a, the Permission to Administer Medication Form for one (1) tube of Aquaphor Healing Ointment Advanced Therapy expired on January 19, 2024. In Space #5a, there was no Permission to Administer Medication Form for one (1) tube of Weleda Baby Calendula Diaper Rash Cream. In Space #5a, there was no Permission to Administer Medication Form for one (1) tube of Beauty Counter Balm for All. In Space #6, the Permission to Administer Medication Form for one (1) tube of Lotrimin Antifungal Clotrimazole Cream expired on February 26, 2024. In Space #6, there was no Permission to Administer Medication Form for one (1) tube of Boudreauxs Butt Paste Max Strength Diaper Rash Ointment. In Space #6, there was no Permission to Administer Medication Form for one (1) container of Triple Paste Medicated Ointment. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In Space #4, the room assigned to infants, a copy of the facility’s safe sleep policy was not posted. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff member, employed on January 19, 2023, had a medical exam on file dated March 1, 2024. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff member, employed on January 19, 2024, had a TB test on file dated March 1, 2024. .0701(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space #6, three (3) Chick-fil-a cups, one (1) of which contained a brown liquid, were on the windowsill to the right of the diaper changing table. .0901(i) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by April 8, 2024. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 89%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed on clipboards at the entrance to the classroom. Use these forms to document arrival and departure of each child each day. I suggested you create a daily checklist for each classroom to ensure all required tasks are completed each day. 2. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must 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, should be discarded. For emergency medications, obtain a new prescription from the parent to ensure necessary medications are on site at all times. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. Teachers should periodically check medications and permission forms to ensure no medication or permission forms are expired, missing, or withdrawn by the parents. I suggested you have teachers check all medications and permission forms once a month on the day the fire inspection is conducted to ensure all required information is on file. Continue to use the Medication Administration Permission Form and Log found on the DCDEE website under the “Provider” tab. 3. The center must post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. I suggested you keep extra copies of the facility’s safe sleep policy in the room assigned to infants so that a new copy may be posted if the policy falls off the wall or is misplaced. You posted a copy of the facility’s safe sleep policy in the room assigned to infants during the visit. 4. Child care providers and uncompensated providers who are not substitute providers or volunteers as including the director, must have a medical exam on file that is signed by a health care professional that indicates that the person is emotionally and physically fit to care for children prior to employment. When submitted, the medical statement may not be older than 12 months. I suggested you continue to use the staff medical exam found on the DCDEE website under the “Provider” tab to ensure the medical exams for staff members contain all information required by rule. Staff members should not be permitted to work until a medical exam is on file. 5. All staff, including the director and individuals who volunteer more than once per week must have the results indicating the individual is free of active tuberculosis on file on or before the first day of work. This must be obtained within the 12 months prior to the date of employment and must be on file on or before the employee’s first day of work. New staff members should not be permitted to begin work until they have the results of a TB test showing negative results or screening form on file. I suggested you review staff files regularly to ensure no documentation has been discarded or misplaced. 6. Staff must role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements outlined in the Meal Patterns for Children while in the presence of children in care. Staff may not consume any item not outlined in the above-mentioned requirements in the classroom. The Chick-fil-a cups were removed from the classroom during the visit. I suggested you review nutrition requirements with all staff. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: FIRST UNITED METHODIST DAY CARE CENTER Facility ID: 3655054 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 3/25/2024 Number Present: 31 Completed Date: 3/25/2024 Age: From 0 To 5 Total Minutes: 204 Time In: 08:21 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Heather Gaskins, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a notice of compliance issued Mary 14, 2013. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on February 6, 2024, and your business, First United Methodist Church of Belmont, NC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on August 25, 2023. A “superior” classification was issued with three (3) demerits noted on the grade card. The last fire inspection was conducted on February 13, 2024. The last fire drill was conducted on February 29, 2024. The last emergency drill was conducted on January 29, 2024. The last playground inspection was conducted on February 20, 2024. Four (4) children’s files were reviewed during the visit. One (1) new staff file and one (1) existing staff file were reviewed during the visit. The following violations were observed/documented during the 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 Space #1, two (2) children were not signed out on March 7, 2024, one (1) child was not signed out on March 18, 2024, and two (2) children were not signed out on March 20, 2023. In Space #3, one (1) child was not signed out on March 20, 2024. In Space #5a, one (1) child was not signed out on March 13, 2024. 10A NCAC 09 .0302(d)(4) 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 #1, the Permission to Administer Medication Form for one (1) tube of Cerave Moisturizing Cream expired on November 14, 2023. In Space #5a, the Permission to Administer Medication Form for one (1) tube of Aquaphor Healing Ointment Advanced Therapy expired on January 19, 2024. In Space #5a, there was no Permission to Administer Medication Form for one (1) tube of Weleda Baby Calendula Diaper Rash Cream. In Space #5a, there was no Permission to Administer Medication Form for one (1) tube of Beauty Counter Balm for All. In Space #6, the Permission to Administer Medication Form for one (1) tube of Lotrimin Antifungal Clotrimazole Cream expired on February 26, 2024. In Space #6, there was no Permission to Administer Medication Form for one (1) tube of Boudreauxs Butt Paste Max Strength Diaper Rash Ointment. In Space #6, there was no Permission to Administer Medication Form for one (1) container of Triple Paste Medicated Ointment. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In Space #4, the room assigned to infants, a copy of the facility’s safe sleep policy was not posted. .0606(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff member, employed on January 19, 2023, had a medical exam on file dated March 1, 2024. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff member, employed on January 19, 2024, had a TB test on file dated March 1, 2024. .0701(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space #6, three (3) Chick-fil-a cups, one (1) of which contained a brown liquid, were on the windowsill to the right of the diaper changing table. .0901(i) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by April 8, 2024. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 89%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed on clipboards at the entrance to the classroom. Use these forms to document arrival and departure of each child each day. I suggested you create a daily checklist for each classroom to ensure all required tasks are completed each day. 2. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must 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, should be discarded. For emergency medications, obtain a new prescription from the parent to ensure necessary medications are on site at all times. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. Standing permission to administer 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, may be given for up to twelve (12) months. Teachers should periodically check medications and permission forms to ensure no medication or permission forms are expired, missing, or withdrawn by the parents. I suggested you have teachers check all medications and permission forms once a month on the day the fire inspection is conducted to ensure all required information is on file. Continue to use the Medication Administration Permission Form and Log found on the DCDEE website under the “Provider” tab. 3. The center must post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. I suggested you keep extra copies of the facility’s safe sleep policy in the room assigned to infants so that a new copy may be posted if the policy falls off the wall or is misplaced. You posted a copy of the facility’s safe sleep policy in the room assigned to infants during the visit. 4. Child care providers and uncompensated providers who are not substitute providers or volunteers as including the director, must have a medical exam on file that is signed by a health care professional that indicates that the person is emotionally and physically fit to care for children prior to employment. When submitted, the medical statement may not be older than 12 months. I suggested you continue to use the staff medical exam found on the DCDEE website under the “Provider” tab to ensure the medical exams for staff members contain all information required by rule. Staff members should not be permitted to work until a medical exam is on file. 5. All staff, including the director and individuals who volunteer more than once per week must have the results indicating the individual is free of active tuberculosis on file on or before the first day of work. This must be obtained within the 12 months prior to the date of employment and must be on file on or before the employee’s first day of work. New staff members should not be permitted to begin work until they have the results of a TB test showing negative results or screening form on file. I suggested you review staff files regularly to ensure no documentation has been discarded or misplaced. 6. Staff must role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements outlined in the Meal Patterns for Children while in the presence of children in care. Staff may not consume any item not outlined in the above-mentioned requirements in the classroom. The Chick-fil-a cups were removed from the classroom during the visit. I suggested you review nutrition requirements with all staff. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: FIRST UNITED METHODIST DAY CARE CENTER Facility ID: 3655054 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 26 Completed Date: 10/31/2023 Age: From 0 To 5 Total Minutes: 217 Time In: 08:48 AM Time Out: 12:25 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. You, Heather Gaskins, Administrator, assisted me with today’s visit. Your program currently operates with a notice of compliance issued May 14, 2013. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on October 31, 2023 and your business, First United Methodist Church of Belmont, North Carolina was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, group time, outdoor play, special activities, and free play during today’s visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. No new staff members were hired since the last visit. You provided me with a copy of the documentation from the Environmental Health Sanitation department which approved the new sinks added to the facility. You divided Space #5 into two (2) spaces with a movable room divider. Per your request, the two (2) spaces were measured during today’s visit. Based on today’s measurements and your permit restrictions, Space #5a has a maximum capacity of nine (9) children and Space #5b has a maximum capacity of fifteen (15) children. Space #5a and Space #5b are not approved for use at this time. You stated you would contact me once Space #5a and Space #5b were set up for use with developmentally appropriate equipment and materials to schedule an additional visit to approve Space #5a and Space #5b. The most recent sanitation inspection for your facility was conducted on August 25, 2023. A superior sanitation classification was issued with three (3) demerits. The most recent approved fire inspection for your facility was conducted on February 17, 2023. The following violations were observed/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 Space #1, one (1) child was not signed out on October 24, 2023. In Space #3, one (1) child present on October 31, 2023, was not signed in on October 31, 2023. In Space #6, one (1) child was not signed out on October 2, 2023. In Space #7, one (1) child was not signed out on October 6, 2023, two (2) children were not signed out on October 10, 2023, one (1) child was not signed out on October 11, 2023, two (2) children were not signed out on October 12, 2023, and two (2) children were not signed out on October 25, 2023. In Space #23, eight (8) children were not signed in on any of the days of operation in October 2023. 10A NCAC 09 .0302(d)(4) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. In Space #4, one (1) electric fan was on top of the storage cabinet and was not mounted or fitted with a mesh guard. 10A NCAC 09 .0604(d) 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 #4, one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste expired September 2023, and one (1) tube of Boudreauxs Butt Past Diaper Rash Ointment expired August 2023. .0803(12) 1301 Center did not maintain a record of daily attendance. In Space #1, attendance was not documented on October 30, 2023. In Space #3, attendance was not documented on October 18, 2023, October 19, 2023, October 20, 2023, October 23, 2023, October 24, 2023, October 25, 2023, October 26, 2023, October 27, 2023, or October 30, 2023. GS 110-91(9) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 14, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 89%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed on a clipboard at the entrance to the classroom. Use these forms to document arrival and departure of each child each day. I reminded you that school age children who are dropped off at the facility by the public school bus must be signed into the facility once they arrive. I suggested you create a daily checklist for each classroom to ensure all required tasks are completed each day. 2. Electric fans must be mounted out of the reach of children or must be fitted with a mesh guard to prevent access by children. You removed the fan from the classroom during the visit and stated it would not be placed back in the classroom. 3. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must 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, should be discarded. I suggested you have staff check all medications and permission slips at least once per month to ensure no medications or permission to administer medication forms have expired. You removed the medications during the visit and stated you would inform the parents that they needed to retrieve them. 4. Daily attendance must be maintained for each child every day. When a child is absent, they must be marked absent on the attendance sheet. I suggested you create a daily checklist for each classroom to ensure all required records are maintained. Consultation Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: FIRST UNITED METHODIST DAY CARE CENTER Facility ID: 3655054 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 26 Completed Date: 10/31/2023 Age: From 0 To 5 Total Minutes: 217 Time In: 08:48 AM Time Out: 12:25 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. You, Heather Gaskins, Administrator, assisted me with today’s visit. Your program currently operates with a notice of compliance issued May 14, 2013. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on October 31, 2023 and your business, First United Methodist Church of Belmont, North Carolina was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, group time, outdoor play, special activities, and free play during today’s visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. No new staff members were hired since the last visit. You provided me with a copy of the documentation from the Environmental Health Sanitation department which approved the new sinks added to the facility. You divided Space #5 into two (2) spaces with a movable room divider. Per your request, the two (2) spaces were measured during today’s visit. Based on today’s measurements and your permit restrictions, Space #5a has a maximum capacity of nine (9) children and Space #5b has a maximum capacity of fifteen (15) children. Space #5a and Space #5b are not approved for use at this time. You stated you would contact me once Space #5a and Space #5b were set up for use with developmentally appropriate equipment and materials to schedule an additional visit to approve Space #5a and Space #5b. The most recent sanitation inspection for your facility was conducted on August 25, 2023. A superior sanitation classification was issued with three (3) demerits. The most recent approved fire inspection for your facility was conducted on February 17, 2023. The following violations were observed/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 Space #1, one (1) child was not signed out on October 24, 2023. In Space #3, one (1) child present on October 31, 2023, was not signed in on October 31, 2023. In Space #6, one (1) child was not signed out on October 2, 2023. In Space #7, one (1) child was not signed out on October 6, 2023, two (2) children were not signed out on October 10, 2023, one (1) child was not signed out on October 11, 2023, two (2) children were not signed out on October 12, 2023, and two (2) children were not signed out on October 25, 2023. In Space #23, eight (8) children were not signed in on any of the days of operation in October 2023. 10A NCAC 09 .0302(d)(4) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. In Space #4, one (1) electric fan was on top of the storage cabinet and was not mounted or fitted with a mesh guard. 10A NCAC 09 .0604(d) 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 #4, one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste expired September 2023, and one (1) tube of Boudreauxs Butt Past Diaper Rash Ointment expired August 2023. .0803(12) 1301 Center did not maintain a record of daily attendance. In Space #1, attendance was not documented on October 30, 2023. In Space #3, attendance was not documented on October 18, 2023, October 19, 2023, October 20, 2023, October 23, 2023, October 24, 2023, October 25, 2023, October 26, 2023, October 27, 2023, or October 30, 2023. GS 110-91(9) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 14, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 89%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed on a clipboard at the entrance to the classroom. Use these forms to document arrival and departure of each child each day. I reminded you that school age children who are dropped off at the facility by the public school bus must be signed into the facility once they arrive. I suggested you create a daily checklist for each classroom to ensure all required tasks are completed each day. 2. Electric fans must be mounted out of the reach of children or must be fitted with a mesh guard to prevent access by children. You removed the fan from the classroom during the visit and stated it would not be placed back in the classroom. 3. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must 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, should be discarded. I suggested you have staff check all medications and permission slips at least once per month to ensure no medications or permission to administer medication forms have expired. You removed the medications during the visit and stated you would inform the parents that they needed to retrieve them. 4. Daily attendance must be maintained for each child every day. When a child is absent, they must be marked absent on the attendance sheet. I suggested you create a daily checklist for each classroom to ensure all required records are maintained. Consultation Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: FIRST UNITED METHODIST DAY CARE CENTER Facility ID: 3655054 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 26 Completed Date: 10/31/2023 Age: From 0 To 5 Total Minutes: 217 Time In: 08:48 AM Time Out: 12:25 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. You, Heather Gaskins, Administrator, assisted me with today’s visit. Your program currently operates with a notice of compliance issued May 14, 2013. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on October 31, 2023 and your business, First United Methodist Church of Belmont, North Carolina was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, group time, outdoor play, special activities, and free play during today’s visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. No new staff members were hired since the last visit. You provided me with a copy of the documentation from the Environmental Health Sanitation department which approved the new sinks added to the facility. You divided Space #5 into two (2) spaces with a movable room divider. Per your request, the two (2) spaces were measured during today’s visit. Based on today’s measurements and your permit restrictions, Space #5a has a maximum capacity of nine (9) children and Space #5b has a maximum capacity of fifteen (15) children. Space #5a and Space #5b are not approved for use at this time. You stated you would contact me once Space #5a and Space #5b were set up for use with developmentally appropriate equipment and materials to schedule an additional visit to approve Space #5a and Space #5b. The most recent sanitation inspection for your facility was conducted on August 25, 2023. A superior sanitation classification was issued with three (3) demerits. The most recent approved fire inspection for your facility was conducted on February 17, 2023. The following violations were observed/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 Space #1, one (1) child was not signed out on October 24, 2023. In Space #3, one (1) child present on October 31, 2023, was not signed in on October 31, 2023. In Space #6, one (1) child was not signed out on October 2, 2023. In Space #7, one (1) child was not signed out on October 6, 2023, two (2) children were not signed out on October 10, 2023, one (1) child was not signed out on October 11, 2023, two (2) children were not signed out on October 12, 2023, and two (2) children were not signed out on October 25, 2023. In Space #23, eight (8) children were not signed in on any of the days of operation in October 2023. 10A NCAC 09 .0302(d)(4) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. In Space #4, one (1) electric fan was on top of the storage cabinet and was not mounted or fitted with a mesh guard. 10A NCAC 09 .0604(d) 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 #4, one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste expired September 2023, and one (1) tube of Boudreauxs Butt Past Diaper Rash Ointment expired August 2023. .0803(12) 1301 Center did not maintain a record of daily attendance. In Space #1, attendance was not documented on October 30, 2023. In Space #3, attendance was not documented on October 18, 2023, October 19, 2023, October 20, 2023, October 23, 2023, October 24, 2023, October 25, 2023, October 26, 2023, October 27, 2023, or October 30, 2023. GS 110-91(9) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 14, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 89%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed on a clipboard at the entrance to the classroom. Use these forms to document arrival and departure of each child each day. I reminded you that school age children who are dropped off at the facility by the public school bus must be signed into the facility once they arrive. I suggested you create a daily checklist for each classroom to ensure all required tasks are completed each day. 2. Electric fans must be mounted out of the reach of children or must be fitted with a mesh guard to prevent access by children. You removed the fan from the classroom during the visit and stated it would not be placed back in the classroom. 3. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must 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, should be discarded. I suggested you have staff check all medications and permission slips at least once per month to ensure no medications or permission to administer medication forms have expired. You removed the medications during the visit and stated you would inform the parents that they needed to retrieve them. 4. Daily attendance must be maintained for each child every day. When a child is absent, they must be marked absent on the attendance sheet. I suggested you create a daily checklist for each classroom to ensure all required records are maintained. Consultation Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: FIRST UNITED METHODIST DAY CARE CENTER Facility ID: 3655054 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 26 Completed Date: 10/31/2023 Age: From 0 To 5 Total Minutes: 217 Time In: 08:48 AM Time Out: 12:25 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. You, Heather Gaskins, Administrator, assisted me with today’s visit. Your program currently operates with a notice of compliance issued May 14, 2013. The permit restrictions were in compliance including First Shift (daytime care). The Secretary of State website was checked on October 31, 2023 and your business, First United Methodist Church of Belmont, North Carolina was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, group time, outdoor play, special activities, and free play during today’s visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. No new staff members were hired since the last visit. You provided me with a copy of the documentation from the Environmental Health Sanitation department which approved the new sinks added to the facility. You divided Space #5 into two (2) spaces with a movable room divider. Per your request, the two (2) spaces were measured during today’s visit. Based on today’s measurements and your permit restrictions, Space #5a has a maximum capacity of nine (9) children and Space #5b has a maximum capacity of fifteen (15) children. Space #5a and Space #5b are not approved for use at this time. You stated you would contact me once Space #5a and Space #5b were set up for use with developmentally appropriate equipment and materials to schedule an additional visit to approve Space #5a and Space #5b. The most recent sanitation inspection for your facility was conducted on August 25, 2023. A superior sanitation classification was issued with three (3) demerits. The most recent approved fire inspection for your facility was conducted on February 17, 2023. The following violations were observed/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 Space #1, one (1) child was not signed out on October 24, 2023. In Space #3, one (1) child present on October 31, 2023, was not signed in on October 31, 2023. In Space #6, one (1) child was not signed out on October 2, 2023. In Space #7, one (1) child was not signed out on October 6, 2023, two (2) children were not signed out on October 10, 2023, one (1) child was not signed out on October 11, 2023, two (2) children were not signed out on October 12, 2023, and two (2) children were not signed out on October 25, 2023. In Space #23, eight (8) children were not signed in on any of the days of operation in October 2023. 10A NCAC 09 .0302(d)(4) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. In Space #4, one (1) electric fan was on top of the storage cabinet and was not mounted or fitted with a mesh guard. 10A NCAC 09 .0604(d) 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 #4, one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste expired September 2023, and one (1) tube of Boudreauxs Butt Past Diaper Rash Ointment expired August 2023. .0803(12) 1301 Center did not maintain a record of daily attendance. In Space #1, attendance was not documented on October 30, 2023. In Space #3, attendance was not documented on October 18, 2023, October 19, 2023, October 20, 2023, October 23, 2023, October 24, 2023, October 25, 2023, October 26, 2023, October 27, 2023, or October 30, 2023. GS 110-91(9) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 14, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 89%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You have sign in/out sheets printed and placed on a clipboard at the entrance to the classroom. Use these forms to document arrival and departure of each child each day. I reminded you that school age children who are dropped off at the facility by the public school bus must be signed into the facility once they arrive. I suggested you create a daily checklist for each classroom to ensure all required tasks are completed each day. 2. Electric fans must be mounted out of the reach of children or must be fitted with a mesh guard to prevent access by children. You removed the fan from the classroom during the visit and stated it would not be placed back in the classroom. 3. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must 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, should be discarded. I suggested you have staff check all medications and permission slips at least once per month to ensure no medications or permission to administer medication forms have expired. You removed the medications during the visit and stated you would inform the parents that they needed to retrieve them. 4. Daily attendance must be maintained for each child every day. When a child is absent, they must be marked absent on the attendance sheet. I suggested you create a daily checklist for each classroom to ensure all required records are maintained. Consultation Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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