G.S. 110-90 · Violation

Name of Operation: COMMUNITY CHRISTIAN ACADEMY Facility ID: 36000568 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 9 Completed Date: 11/4/2025 Age: From 3 To 5 Total Minutes: 101 Time In: 11:19 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with all applicable child care requirements for a routine unannounced visit. You, Lindsey Revels, Administrator, assisted me with the visit. You provided me with applicable program and staff records for review. The last annual compliance visit was conducted on April 3, 2025. This program currently operates with a notice of compliance issued on August 14, 2017. Permit restrictions include 1st shift (Daytime care). The North Carolina Secretary of State website was reviewed on November 3, 2025, and Bessemer City Community Church was listed current-active. Limited monitoring was conducted. A walk-through was completed today, and all indoor and outdoor areas were monitored. During the walkthrough, eight (8) children and one (1) staff member had exited the Chapel. The approved fire inspection conducted on 11/10/2016 and the approved building inspection conducted on 10/30/2016 listed the chapel as a designated space for special activity use. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play activities indoors, handwashing and personal care routines, lunch, and naptime. You stated no staff have been hired since the last visit. Applicable records for existing staff were reviewed. All staff were listed on the ABCMS Provider Portal roster for this facility. Inspections/Drills: The most recent approved fire inspection for your facility was conducted on September 3, 2025. The most recent sanitation inspection for your facility was conducted on February 17, 2025. A superior sanitation classification was issued with 4 demerits noted on the grade card. The most recent monthly fire drill was conducted on October 31, 2025, at 10:07am. The most recent quarterly lockdown/shelter-in-place drill was a lockdown conducted on October 31, 2025, at 3:00pm. The most recent monthly playground inspection was completed on October 10, 2025, by Lindsey Revels. The facilities EPR Plan was reviewed on August 14, 2025. Lead and Asbestos Testing: The analysis date for the most recent lead water test was November 28, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated the on-site visit required for asbestos was completed on August 20, 2025 and results are pending, and lead-based paint testing was completed. The following violation was observed. Violation Number Comment Rule 1797 The child care provider that is a firm, partnership, association, or corporation, the chief executive officer or other person serving in like capacity or a person designated by the chief executive officer as responsible for the operation of the facility, did not complete criminal history background check. The Pastor/Registered Agent, Franklin Ross, had a qualification letter on file that expired on August 26, 2019. G.S. 110-90.2 & .2703(c) Reminders & Resources: Fire Inspections You must schedule and obtain a fire inspection within 12 months of your center's previous fire inspection and notify the local fire inspector when it is time for your center's annual fire inspection. You must submit the original of the approved annual fire inspection report to your Child Care Consultant within one week of the inspection visit on the form provided by the Division. Health & Safety Trainings All staff must complete on-going health and safety trainings every five years. Lead Water Testing Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. Automated Background Check Management System (ABCMS) The Division must be notified of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. DCDEE Website 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. Compliance History The program’s compliance history was ninety-six percent (96%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0003. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@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 .1102 · Violation

Name of Operation: COMMUNITY CHRISTIAN ACADEMY Facility ID: 36000568 Consultant: VACANT TEAM 3 Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 12 Completed Date: 5/16/2024 Age: From 2 To 4 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Lindsey Revels, Administrator, assisted me with the visit. Farran Rhyne accompanied me on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a G.S. 110-106 permit effective August 14, 2017. The permit restriction for 1st shift care was in compliance. The Secretary of State website was checked on May 8, 2024, and your business Bessemer City Community Chuurch, is 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, your consultant 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. You conducted the walkthrough of the facility with me. We observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group graduation practice time and lunchtime. The center's compliance history was at 87% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of two children’s files were reviewed. No new staff members have been hired since the annual compliance visit conducted July 27, 2023. A sample of one existing staff files were reviewed. The last monthly fire drill was practiced on 4/30/24. The last shelter-in-place drill was practiced on 4/30/24. The last monthly playground inspection was completed on 5/7/24. Your program is not registered in the Clean Water for US Kids program. Lead water testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina. The most recent sanitation inspection for your facility was conducted on January 23, 2024. A superior classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on March 7, 2024. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: 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. A fire inspection was completed 9/8/22 and the next completed inspection was on 9/25/23. 10A NCAC 09 .0304(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 12/2/21 had a First Aid certificate on file that expired 11/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 12/2/21 had a CPR certification on file that expired 11/2023. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled 1/29/21 had a medical report on file dated 3/26/24. GS110-91(1) 1329 Application for enrollment did not include all required information. One child enrolled 9/6/22, did not have all required information on the original application or the application completed 8/23/23. .0801(a)(1-7) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last documented review of the EPR plan by trained staff was dated June 16, 2022. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member employed 12/2/21 did not have verification of an annual review of the EPR plan on file. .0607(f) The violation(s) documented must be corrected immediately. On or before May 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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 the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Item #106 Operators must schedule and obtain a fire inspection within 12 months of the previous inspection.10A NCAC 09. 0304(a). You have had a fire inspection on 9/25/23 and another inspection completed on 3/7/24. This violation is corrected at visit. Items #1048 and #1049 All staff must complete a certification in First Aid and CPR training appropriate to the age of the children in care. Verification of training must be in the staff file. 10A NCAC 09 .1102(c-d). We discussed that the CPR/First Aid training will need to be completed within the next 2 weeks. If training is unavailable, please email me to request an extension for these trainings. Item #1321 A medical exam must be on file before or within 30 days of enrollment. G.S. 110-81(1). The child enrolled 1/29/21 had a medical exam on file that was dated 3/26/24. This violation was corrected during visit. Item #1329 Applications for enrollment must include all required information including any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns and fears or behavior characteristics that the child has. 10A NCAC 09.0801(a)(5-6) We discussed that all questions on the application for enrollment should be completed or listed as n/a in order to address that the requirements have been addressed. The child enrolled 9/6/22, did not have all required information on the original application or on the current updated application. We discussed that you will need to meet with the parent and complete missing requirements. Item #1824 The trained staff must review the EPR plan annually or whenever changes occur. 10A NCAC 09.0607(e ). We discussed that you will need to go into the EPR portal and review for any needed updates. When the review is completed if no changes are needed, print the first page of the plan which will listed the date of the completed review. Item #1825 All staff must review the center’s EPR plan on an annual basis with the trained staff. Documentation of this review must be kept on file. 10A NCAC 09.0607(f). We discussed that the review of the plan may be a part of the new school year orientation. There will need to be a written verification when the staff members reviewed the plan. Consultation or other topics discussed today: We discussed the staff and children’s file checklists may be used as tools to assist with record management. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. 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. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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: COMMUNITY CHRISTIAN ACADEMY Facility ID: 36000568 Consultant: VACANT TEAM 3 Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 12 Completed Date: 5/16/2024 Age: From 2 To 4 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Lindsey Revels, Administrator, assisted me with the visit. Farran Rhyne accompanied me on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a G.S. 110-106 permit effective August 14, 2017. The permit restriction for 1st shift care was in compliance. The Secretary of State website was checked on May 8, 2024, and your business Bessemer City Community Chuurch, is 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, your consultant 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. You conducted the walkthrough of the facility with me. We observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group graduation practice time and lunchtime. The center's compliance history was at 87% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of two children’s files were reviewed. No new staff members have been hired since the annual compliance visit conducted July 27, 2023. A sample of one existing staff files were reviewed. The last monthly fire drill was practiced on 4/30/24. The last shelter-in-place drill was practiced on 4/30/24. The last monthly playground inspection was completed on 5/7/24. Your program is not registered in the Clean Water for US Kids program. Lead water testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina. The most recent sanitation inspection for your facility was conducted on January 23, 2024. A superior classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on March 7, 2024. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: 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. A fire inspection was completed 9/8/22 and the next completed inspection was on 9/25/23. 10A NCAC 09 .0304(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 12/2/21 had a First Aid certificate on file that expired 11/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 12/2/21 had a CPR certification on file that expired 11/2023. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled 1/29/21 had a medical report on file dated 3/26/24. GS110-91(1) 1329 Application for enrollment did not include all required information. One child enrolled 9/6/22, did not have all required information on the original application or the application completed 8/23/23. .0801(a)(1-7) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last documented review of the EPR plan by trained staff was dated June 16, 2022. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member employed 12/2/21 did not have verification of an annual review of the EPR plan on file. .0607(f) The violation(s) documented must be corrected immediately. On or before May 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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 the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Item #106 Operators must schedule and obtain a fire inspection within 12 months of the previous inspection.10A NCAC 09. 0304(a). You have had a fire inspection on 9/25/23 and another inspection completed on 3/7/24. This violation is corrected at visit. Items #1048 and #1049 All staff must complete a certification in First Aid and CPR training appropriate to the age of the children in care. Verification of training must be in the staff file. 10A NCAC 09 .1102(c-d). We discussed that the CPR/First Aid training will need to be completed within the next 2 weeks. If training is unavailable, please email me to request an extension for these trainings. Item #1321 A medical exam must be on file before or within 30 days of enrollment. G.S. 110-81(1). The child enrolled 1/29/21 had a medical exam on file that was dated 3/26/24. This violation was corrected during visit. Item #1329 Applications for enrollment must include all required information including any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns and fears or behavior characteristics that the child has. 10A NCAC 09.0801(a)(5-6) We discussed that all questions on the application for enrollment should be completed or listed as n/a in order to address that the requirements have been addressed. The child enrolled 9/6/22, did not have all required information on the original application or on the current updated application. We discussed that you will need to meet with the parent and complete missing requirements. Item #1824 The trained staff must review the EPR plan annually or whenever changes occur. 10A NCAC 09.0607(e ). We discussed that you will need to go into the EPR portal and review for any needed updates. When the review is completed if no changes are needed, print the first page of the plan which will listed the date of the completed review. Item #1825 All staff must review the center’s EPR plan on an annual basis with the trained staff. Documentation of this review must be kept on file. 10A NCAC 09.0607(f). We discussed that the review of the plan may be a part of the new school year orientation. There will need to be a written verification when the staff members reviewed the plan. Consultation or other topics discussed today: We discussed the staff and children’s file checklists may be used as tools to assist with record management. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. 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. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0304 · Violation

Name of Operation: COMMUNITY CHRISTIAN ACADEMY Facility ID: 36000568 Consultant: VACANT TEAM 3 Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 12 Completed Date: 5/16/2024 Age: From 2 To 4 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Lindsey Revels, Administrator, assisted me with the visit. Farran Rhyne accompanied me on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a G.S. 110-106 permit effective August 14, 2017. The permit restriction for 1st shift care was in compliance. The Secretary of State website was checked on May 8, 2024, and your business Bessemer City Community Chuurch, is 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, your consultant 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. You conducted the walkthrough of the facility with me. We observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group graduation practice time and lunchtime. The center's compliance history was at 87% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of two children’s files were reviewed. No new staff members have been hired since the annual compliance visit conducted July 27, 2023. A sample of one existing staff files were reviewed. The last monthly fire drill was practiced on 4/30/24. The last shelter-in-place drill was practiced on 4/30/24. The last monthly playground inspection was completed on 5/7/24. Your program is not registered in the Clean Water for US Kids program. Lead water testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina. The most recent sanitation inspection for your facility was conducted on January 23, 2024. A superior classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on March 7, 2024. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: 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. A fire inspection was completed 9/8/22 and the next completed inspection was on 9/25/23. 10A NCAC 09 .0304(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 12/2/21 had a First Aid certificate on file that expired 11/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 12/2/21 had a CPR certification on file that expired 11/2023. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled 1/29/21 had a medical report on file dated 3/26/24. GS110-91(1) 1329 Application for enrollment did not include all required information. One child enrolled 9/6/22, did not have all required information on the original application or the application completed 8/23/23. .0801(a)(1-7) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last documented review of the EPR plan by trained staff was dated June 16, 2022. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member employed 12/2/21 did not have verification of an annual review of the EPR plan on file. .0607(f) The violation(s) documented must be corrected immediately. On or before May 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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 the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Item #106 Operators must schedule and obtain a fire inspection within 12 months of the previous inspection.10A NCAC 09. 0304(a). You have had a fire inspection on 9/25/23 and another inspection completed on 3/7/24. This violation is corrected at visit. Items #1048 and #1049 All staff must complete a certification in First Aid and CPR training appropriate to the age of the children in care. Verification of training must be in the staff file. 10A NCAC 09 .1102(c-d). We discussed that the CPR/First Aid training will need to be completed within the next 2 weeks. If training is unavailable, please email me to request an extension for these trainings. Item #1321 A medical exam must be on file before or within 30 days of enrollment. G.S. 110-81(1). The child enrolled 1/29/21 had a medical exam on file that was dated 3/26/24. This violation was corrected during visit. Item #1329 Applications for enrollment must include all required information including any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns and fears or behavior characteristics that the child has. 10A NCAC 09.0801(a)(5-6) We discussed that all questions on the application for enrollment should be completed or listed as n/a in order to address that the requirements have been addressed. The child enrolled 9/6/22, did not have all required information on the original application or on the current updated application. We discussed that you will need to meet with the parent and complete missing requirements. Item #1824 The trained staff must review the EPR plan annually or whenever changes occur. 10A NCAC 09.0607(e ). We discussed that you will need to go into the EPR portal and review for any needed updates. When the review is completed if no changes are needed, print the first page of the plan which will listed the date of the completed review. Item #1825 All staff must review the center’s EPR plan on an annual basis with the trained staff. Documentation of this review must be kept on file. 10A NCAC 09.0607(f). We discussed that the review of the plan may be a part of the new school year orientation. There will need to be a written verification when the staff members reviewed the plan. Consultation or other topics discussed today: We discussed the staff and children’s file checklists may be used as tools to assist with record management. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. 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. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 09.0607 · Violation

Name of Operation: COMMUNITY CHRISTIAN ACADEMY Facility ID: 36000568 Consultant: VACANT TEAM 3 Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 12 Completed Date: 5/16/2024 Age: From 2 To 4 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Lindsey Revels, Administrator, assisted me with the visit. Farran Rhyne accompanied me on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a G.S. 110-106 permit effective August 14, 2017. The permit restriction for 1st shift care was in compliance. The Secretary of State website was checked on May 8, 2024, and your business Bessemer City Community Chuurch, is 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, your consultant 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. You conducted the walkthrough of the facility with me. We observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group graduation practice time and lunchtime. The center's compliance history was at 87% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of two children’s files were reviewed. No new staff members have been hired since the annual compliance visit conducted July 27, 2023. A sample of one existing staff files were reviewed. The last monthly fire drill was practiced on 4/30/24. The last shelter-in-place drill was practiced on 4/30/24. The last monthly playground inspection was completed on 5/7/24. Your program is not registered in the Clean Water for US Kids program. Lead water testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina. The most recent sanitation inspection for your facility was conducted on January 23, 2024. A superior classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on March 7, 2024. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: 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. A fire inspection was completed 9/8/22 and the next completed inspection was on 9/25/23. 10A NCAC 09 .0304(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 12/2/21 had a First Aid certificate on file that expired 11/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 12/2/21 had a CPR certification on file that expired 11/2023. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled 1/29/21 had a medical report on file dated 3/26/24. GS110-91(1) 1329 Application for enrollment did not include all required information. One child enrolled 9/6/22, did not have all required information on the original application or the application completed 8/23/23. .0801(a)(1-7) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last documented review of the EPR plan by trained staff was dated June 16, 2022. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member employed 12/2/21 did not have verification of an annual review of the EPR plan on file. .0607(f) The violation(s) documented must be corrected immediately. On or before May 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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 the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Item #106 Operators must schedule and obtain a fire inspection within 12 months of the previous inspection.10A NCAC 09. 0304(a). You have had a fire inspection on 9/25/23 and another inspection completed on 3/7/24. This violation is corrected at visit. Items #1048 and #1049 All staff must complete a certification in First Aid and CPR training appropriate to the age of the children in care. Verification of training must be in the staff file. 10A NCAC 09 .1102(c-d). We discussed that the CPR/First Aid training will need to be completed within the next 2 weeks. If training is unavailable, please email me to request an extension for these trainings. Item #1321 A medical exam must be on file before or within 30 days of enrollment. G.S. 110-81(1). The child enrolled 1/29/21 had a medical exam on file that was dated 3/26/24. This violation was corrected during visit. Item #1329 Applications for enrollment must include all required information including any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns and fears or behavior characteristics that the child has. 10A NCAC 09.0801(a)(5-6) We discussed that all questions on the application for enrollment should be completed or listed as n/a in order to address that the requirements have been addressed. The child enrolled 9/6/22, did not have all required information on the original application or on the current updated application. We discussed that you will need to meet with the parent and complete missing requirements. Item #1824 The trained staff must review the EPR plan annually or whenever changes occur. 10A NCAC 09.0607(e ). We discussed that you will need to go into the EPR portal and review for any needed updates. When the review is completed if no changes are needed, print the first page of the plan which will listed the date of the completed review. Item #1825 All staff must review the center’s EPR plan on an annual basis with the trained staff. Documentation of this review must be kept on file. 10A NCAC 09.0607(f). We discussed that the review of the plan may be a part of the new school year orientation. There will need to be a written verification when the staff members reviewed the plan. Consultation or other topics discussed today: We discussed the staff and children’s file checklists may be used as tools to assist with record management. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. 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. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 09.0801 · Violation

Name of Operation: COMMUNITY CHRISTIAN ACADEMY Facility ID: 36000568 Consultant: VACANT TEAM 3 Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 12 Completed Date: 5/16/2024 Age: From 2 To 4 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Lindsey Revels, Administrator, assisted me with the visit. Farran Rhyne accompanied me on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a G.S. 110-106 permit effective August 14, 2017. The permit restriction for 1st shift care was in compliance. The Secretary of State website was checked on May 8, 2024, and your business Bessemer City Community Chuurch, is 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, your consultant 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. You conducted the walkthrough of the facility with me. We observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group graduation practice time and lunchtime. The center's compliance history was at 87% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of two children’s files were reviewed. No new staff members have been hired since the annual compliance visit conducted July 27, 2023. A sample of one existing staff files were reviewed. The last monthly fire drill was practiced on 4/30/24. The last shelter-in-place drill was practiced on 4/30/24. The last monthly playground inspection was completed on 5/7/24. Your program is not registered in the Clean Water for US Kids program. Lead water testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina. The most recent sanitation inspection for your facility was conducted on January 23, 2024. A superior classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on March 7, 2024. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: 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. A fire inspection was completed 9/8/22 and the next completed inspection was on 9/25/23. 10A NCAC 09 .0304(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 12/2/21 had a First Aid certificate on file that expired 11/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 12/2/21 had a CPR certification on file that expired 11/2023. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled 1/29/21 had a medical report on file dated 3/26/24. GS110-91(1) 1329 Application for enrollment did not include all required information. One child enrolled 9/6/22, did not have all required information on the original application or the application completed 8/23/23. .0801(a)(1-7) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last documented review of the EPR plan by trained staff was dated June 16, 2022. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member employed 12/2/21 did not have verification of an annual review of the EPR plan on file. .0607(f) The violation(s) documented must be corrected immediately. On or before May 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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 the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Item #106 Operators must schedule and obtain a fire inspection within 12 months of the previous inspection.10A NCAC 09. 0304(a). You have had a fire inspection on 9/25/23 and another inspection completed on 3/7/24. This violation is corrected at visit. Items #1048 and #1049 All staff must complete a certification in First Aid and CPR training appropriate to the age of the children in care. Verification of training must be in the staff file. 10A NCAC 09 .1102(c-d). We discussed that the CPR/First Aid training will need to be completed within the next 2 weeks. If training is unavailable, please email me to request an extension for these trainings. Item #1321 A medical exam must be on file before or within 30 days of enrollment. G.S. 110-81(1). The child enrolled 1/29/21 had a medical exam on file that was dated 3/26/24. This violation was corrected during visit. Item #1329 Applications for enrollment must include all required information including any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns and fears or behavior characteristics that the child has. 10A NCAC 09.0801(a)(5-6) We discussed that all questions on the application for enrollment should be completed or listed as n/a in order to address that the requirements have been addressed. The child enrolled 9/6/22, did not have all required information on the original application or on the current updated application. We discussed that you will need to meet with the parent and complete missing requirements. Item #1824 The trained staff must review the EPR plan annually or whenever changes occur. 10A NCAC 09.0607(e ). We discussed that you will need to go into the EPR portal and review for any needed updates. When the review is completed if no changes are needed, print the first page of the plan which will listed the date of the completed review. Item #1825 All staff must review the center’s EPR plan on an annual basis with the trained staff. Documentation of this review must be kept on file. 10A NCAC 09.0607(f). We discussed that the review of the plan may be a part of the new school year orientation. There will need to be a written verification when the staff members reviewed the plan. Consultation or other topics discussed today: We discussed the staff and children’s file checklists may be used as tools to assist with record management. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. 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. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: COMMUNITY CHRISTIAN ACADEMY Facility ID: 36000568 Consultant: VACANT TEAM 3 Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 12 Completed Date: 5/16/2024 Age: From 2 To 4 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Lindsey Revels, Administrator, assisted me with the visit. Farran Rhyne accompanied me on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a G.S. 110-106 permit effective August 14, 2017. The permit restriction for 1st shift care was in compliance. The Secretary of State website was checked on May 8, 2024, and your business Bessemer City Community Chuurch, is 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, your consultant 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. You conducted the walkthrough of the facility with me. We observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group graduation practice time and lunchtime. The center's compliance history was at 87% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of two children’s files were reviewed. No new staff members have been hired since the annual compliance visit conducted July 27, 2023. A sample of one existing staff files were reviewed. The last monthly fire drill was practiced on 4/30/24. The last shelter-in-place drill was practiced on 4/30/24. The last monthly playground inspection was completed on 5/7/24. Your program is not registered in the Clean Water for US Kids program. Lead water testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina. The most recent sanitation inspection for your facility was conducted on January 23, 2024. A superior classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on March 7, 2024. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: 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. A fire inspection was completed 9/8/22 and the next completed inspection was on 9/25/23. 10A NCAC 09 .0304(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 12/2/21 had a First Aid certificate on file that expired 11/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 12/2/21 had a CPR certification on file that expired 11/2023. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled 1/29/21 had a medical report on file dated 3/26/24. GS110-91(1) 1329 Application for enrollment did not include all required information. One child enrolled 9/6/22, did not have all required information on the original application or the application completed 8/23/23. .0801(a)(1-7) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last documented review of the EPR plan by trained staff was dated June 16, 2022. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member employed 12/2/21 did not have verification of an annual review of the EPR plan on file. .0607(f) The violation(s) documented must be corrected immediately. On or before May 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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 the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Item #106 Operators must schedule and obtain a fire inspection within 12 months of the previous inspection.10A NCAC 09. 0304(a). You have had a fire inspection on 9/25/23 and another inspection completed on 3/7/24. This violation is corrected at visit. Items #1048 and #1049 All staff must complete a certification in First Aid and CPR training appropriate to the age of the children in care. Verification of training must be in the staff file. 10A NCAC 09 .1102(c-d). We discussed that the CPR/First Aid training will need to be completed within the next 2 weeks. If training is unavailable, please email me to request an extension for these trainings. Item #1321 A medical exam must be on file before or within 30 days of enrollment. G.S. 110-81(1). The child enrolled 1/29/21 had a medical exam on file that was dated 3/26/24. This violation was corrected during visit. Item #1329 Applications for enrollment must include all required information including any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns and fears or behavior characteristics that the child has. 10A NCAC 09.0801(a)(5-6) We discussed that all questions on the application for enrollment should be completed or listed as n/a in order to address that the requirements have been addressed. The child enrolled 9/6/22, did not have all required information on the original application or on the current updated application. We discussed that you will need to meet with the parent and complete missing requirements. Item #1824 The trained staff must review the EPR plan annually or whenever changes occur. 10A NCAC 09.0607(e ). We discussed that you will need to go into the EPR portal and review for any needed updates. When the review is completed if no changes are needed, print the first page of the plan which will listed the date of the completed review. Item #1825 All staff must review the center’s EPR plan on an annual basis with the trained staff. Documentation of this review must be kept on file. 10A NCAC 09.0607(f). We discussed that the review of the plan may be a part of the new school year orientation. There will need to be a written verification when the staff members reviewed the plan. Consultation or other topics discussed today: We discussed the staff and children’s file checklists may be used as tools to assist with record management. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. 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. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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. 110-81 · Violation

Name of Operation: COMMUNITY CHRISTIAN ACADEMY Facility ID: 36000568 Consultant: VACANT TEAM 3 Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 12 Completed Date: 5/16/2024 Age: From 2 To 4 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Lindsey Revels, Administrator, assisted me with the visit. Farran Rhyne accompanied me on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a G.S. 110-106 permit effective August 14, 2017. The permit restriction for 1st shift care was in compliance. The Secretary of State website was checked on May 8, 2024, and your business Bessemer City Community Chuurch, is 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, your consultant 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. You conducted the walkthrough of the facility with me. We observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group graduation practice time and lunchtime. The center's compliance history was at 87% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of two children’s files were reviewed. No new staff members have been hired since the annual compliance visit conducted July 27, 2023. A sample of one existing staff files were reviewed. The last monthly fire drill was practiced on 4/30/24. The last shelter-in-place drill was practiced on 4/30/24. The last monthly playground inspection was completed on 5/7/24. Your program is not registered in the Clean Water for US Kids program. Lead water testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina. The most recent sanitation inspection for your facility was conducted on January 23, 2024. A superior classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on March 7, 2024. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: 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. A fire inspection was completed 9/8/22 and the next completed inspection was on 9/25/23. 10A NCAC 09 .0304(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 12/2/21 had a First Aid certificate on file that expired 11/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 12/2/21 had a CPR certification on file that expired 11/2023. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled 1/29/21 had a medical report on file dated 3/26/24. GS110-91(1) 1329 Application for enrollment did not include all required information. One child enrolled 9/6/22, did not have all required information on the original application or the application completed 8/23/23. .0801(a)(1-7) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last documented review of the EPR plan by trained staff was dated June 16, 2022. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member employed 12/2/21 did not have verification of an annual review of the EPR plan on file. .0607(f) The violation(s) documented must be corrected immediately. On or before May 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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 the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Item #106 Operators must schedule and obtain a fire inspection within 12 months of the previous inspection.10A NCAC 09. 0304(a). You have had a fire inspection on 9/25/23 and another inspection completed on 3/7/24. This violation is corrected at visit. Items #1048 and #1049 All staff must complete a certification in First Aid and CPR training appropriate to the age of the children in care. Verification of training must be in the staff file. 10A NCAC 09 .1102(c-d). We discussed that the CPR/First Aid training will need to be completed within the next 2 weeks. If training is unavailable, please email me to request an extension for these trainings. Item #1321 A medical exam must be on file before or within 30 days of enrollment. G.S. 110-81(1). The child enrolled 1/29/21 had a medical exam on file that was dated 3/26/24. This violation was corrected during visit. Item #1329 Applications for enrollment must include all required information including any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns and fears or behavior characteristics that the child has. 10A NCAC 09.0801(a)(5-6) We discussed that all questions on the application for enrollment should be completed or listed as n/a in order to address that the requirements have been addressed. The child enrolled 9/6/22, did not have all required information on the original application or on the current updated application. We discussed that you will need to meet with the parent and complete missing requirements. Item #1824 The trained staff must review the EPR plan annually or whenever changes occur. 10A NCAC 09.0607(e ). We discussed that you will need to go into the EPR portal and review for any needed updates. When the review is completed if no changes are needed, print the first page of the plan which will listed the date of the completed review. Item #1825 All staff must review the center’s EPR plan on an annual basis with the trained staff. Documentation of this review must be kept on file. 10A NCAC 09.0607(f). We discussed that the review of the plan may be a part of the new school year orientation. There will need to be a written verification when the staff members reviewed the plan. Consultation or other topics discussed today: We discussed the staff and children’s file checklists may be used as tools to assist with record management. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. 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. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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

GS110-91 · Violation

Name of Operation: COMMUNITY CHRISTIAN ACADEMY Facility ID: 36000568 Consultant: VACANT TEAM 3 Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 12 Completed Date: 5/16/2024 Age: From 2 To 4 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Lindsey Revels, Administrator, assisted me with the visit. Farran Rhyne accompanied me on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a G.S. 110-106 permit effective August 14, 2017. The permit restriction for 1st shift care was in compliance. The Secretary of State website was checked on May 8, 2024, and your business Bessemer City Community Chuurch, is 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, your consultant 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. You conducted the walkthrough of the facility with me. We observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group graduation practice time and lunchtime. The center's compliance history was at 87% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of two children’s files were reviewed. No new staff members have been hired since the annual compliance visit conducted July 27, 2023. A sample of one existing staff files were reviewed. The last monthly fire drill was practiced on 4/30/24. The last shelter-in-place drill was practiced on 4/30/24. The last monthly playground inspection was completed on 5/7/24. Your program is not registered in the Clean Water for US Kids program. Lead water testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina. The most recent sanitation inspection for your facility was conducted on January 23, 2024. A superior classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on March 7, 2024. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: 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. A fire inspection was completed 9/8/22 and the next completed inspection was on 9/25/23. 10A NCAC 09 .0304(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 12/2/21 had a First Aid certificate on file that expired 11/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 12/2/21 had a CPR certification on file that expired 11/2023. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled 1/29/21 had a medical report on file dated 3/26/24. GS110-91(1) 1329 Application for enrollment did not include all required information. One child enrolled 9/6/22, did not have all required information on the original application or the application completed 8/23/23. .0801(a)(1-7) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last documented review of the EPR plan by trained staff was dated June 16, 2022. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member employed 12/2/21 did not have verification of an annual review of the EPR plan on file. .0607(f) The violation(s) documented must be corrected immediately. On or before May 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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 the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Item #106 Operators must schedule and obtain a fire inspection within 12 months of the previous inspection.10A NCAC 09. 0304(a). You have had a fire inspection on 9/25/23 and another inspection completed on 3/7/24. This violation is corrected at visit. Items #1048 and #1049 All staff must complete a certification in First Aid and CPR training appropriate to the age of the children in care. Verification of training must be in the staff file. 10A NCAC 09 .1102(c-d). We discussed that the CPR/First Aid training will need to be completed within the next 2 weeks. If training is unavailable, please email me to request an extension for these trainings. Item #1321 A medical exam must be on file before or within 30 days of enrollment. G.S. 110-81(1). The child enrolled 1/29/21 had a medical exam on file that was dated 3/26/24. This violation was corrected during visit. Item #1329 Applications for enrollment must include all required information including any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns and fears or behavior characteristics that the child has. 10A NCAC 09.0801(a)(5-6) We discussed that all questions on the application for enrollment should be completed or listed as n/a in order to address that the requirements have been addressed. The child enrolled 9/6/22, did not have all required information on the original application or on the current updated application. We discussed that you will need to meet with the parent and complete missing requirements. Item #1824 The trained staff must review the EPR plan annually or whenever changes occur. 10A NCAC 09.0607(e ). We discussed that you will need to go into the EPR portal and review for any needed updates. When the review is completed if no changes are needed, print the first page of the plan which will listed the date of the completed review. Item #1825 All staff must review the center’s EPR plan on an annual basis with the trained staff. Documentation of this review must be kept on file. 10A NCAC 09.0607(f). We discussed that the review of the plan may be a part of the new school year orientation. There will need to be a written verification when the staff members reviewed the plan. Consultation or other topics discussed today: We discussed the staff and children’s file checklists may be used as tools to assist with record management. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. 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. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: COMMUNITY CHRISTIAN ACADEMY Facility ID: 36000568 Consultant: VACANT TEAM 3 Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 12 Completed Date: 5/16/2024 Age: From 2 To 4 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Lindsey Revels, Administrator, assisted me with the visit. Farran Rhyne accompanied me on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a G.S. 110-106 permit effective August 14, 2017. The permit restriction for 1st shift care was in compliance. The Secretary of State website was checked on May 8, 2024, and your business Bessemer City Community Chuurch, is 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, your consultant 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. You conducted the walkthrough of the facility with me. We observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group graduation practice time and lunchtime. The center's compliance history was at 87% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of two children’s files were reviewed. No new staff members have been hired since the annual compliance visit conducted July 27, 2023. A sample of one existing staff files were reviewed. The last monthly fire drill was practiced on 4/30/24. The last shelter-in-place drill was practiced on 4/30/24. The last monthly playground inspection was completed on 5/7/24. Your program is not registered in the Clean Water for US Kids program. Lead water testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina. The most recent sanitation inspection for your facility was conducted on January 23, 2024. A superior classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on March 7, 2024. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: 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. A fire inspection was completed 9/8/22 and the next completed inspection was on 9/25/23. 10A NCAC 09 .0304(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 12/2/21 had a First Aid certificate on file that expired 11/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 12/2/21 had a CPR certification on file that expired 11/2023. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled 1/29/21 had a medical report on file dated 3/26/24. GS110-91(1) 1329 Application for enrollment did not include all required information. One child enrolled 9/6/22, did not have all required information on the original application or the application completed 8/23/23. .0801(a)(1-7) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last documented review of the EPR plan by trained staff was dated June 16, 2022. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member employed 12/2/21 did not have verification of an annual review of the EPR plan on file. .0607(f) The violation(s) documented must be corrected immediately. On or before May 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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 the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Item #106 Operators must schedule and obtain a fire inspection within 12 months of the previous inspection.10A NCAC 09. 0304(a). You have had a fire inspection on 9/25/23 and another inspection completed on 3/7/24. This violation is corrected at visit. Items #1048 and #1049 All staff must complete a certification in First Aid and CPR training appropriate to the age of the children in care. Verification of training must be in the staff file. 10A NCAC 09 .1102(c-d). We discussed that the CPR/First Aid training will need to be completed within the next 2 weeks. If training is unavailable, please email me to request an extension for these trainings. Item #1321 A medical exam must be on file before or within 30 days of enrollment. G.S. 110-81(1). The child enrolled 1/29/21 had a medical exam on file that was dated 3/26/24. This violation was corrected during visit. Item #1329 Applications for enrollment must include all required information including any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns and fears or behavior characteristics that the child has. 10A NCAC 09.0801(a)(5-6) We discussed that all questions on the application for enrollment should be completed or listed as n/a in order to address that the requirements have been addressed. The child enrolled 9/6/22, did not have all required information on the original application or on the current updated application. We discussed that you will need to meet with the parent and complete missing requirements. Item #1824 The trained staff must review the EPR plan annually or whenever changes occur. 10A NCAC 09.0607(e ). We discussed that you will need to go into the EPR portal and review for any needed updates. When the review is completed if no changes are needed, print the first page of the plan which will listed the date of the completed review. Item #1825 All staff must review the center’s EPR plan on an annual basis with the trained staff. Documentation of this review must be kept on file. 10A NCAC 09.0607(f). We discussed that the review of the plan may be a part of the new school year orientation. There will need to be a written verification when the staff members reviewed the plan. Consultation or other topics discussed today: We discussed the staff and children’s file checklists may be used as tools to assist with record management. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. 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. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: COMMUNITY CHRISTIAN ACADEMY Facility ID: 36000568 Consultant: VACANT TEAM 3 Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 12 Completed Date: 5/16/2024 Age: From 2 To 4 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Lindsey Revels, Administrator, assisted me with the visit. Farran Rhyne accompanied me on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a G.S. 110-106 permit effective August 14, 2017. The permit restriction for 1st shift care was in compliance. The Secretary of State website was checked on May 8, 2024, and your business Bessemer City Community Chuurch, is 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, your consultant 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. You conducted the walkthrough of the facility with me. We observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group graduation practice time and lunchtime. The center's compliance history was at 87% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of two children’s files were reviewed. No new staff members have been hired since the annual compliance visit conducted July 27, 2023. A sample of one existing staff files were reviewed. The last monthly fire drill was practiced on 4/30/24. The last shelter-in-place drill was practiced on 4/30/24. The last monthly playground inspection was completed on 5/7/24. Your program is not registered in the Clean Water for US Kids program. Lead water testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina. The most recent sanitation inspection for your facility was conducted on January 23, 2024. A superior classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on March 7, 2024. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: 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. A fire inspection was completed 9/8/22 and the next completed inspection was on 9/25/23. 10A NCAC 09 .0304(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 12/2/21 had a First Aid certificate on file that expired 11/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 12/2/21 had a CPR certification on file that expired 11/2023. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled 1/29/21 had a medical report on file dated 3/26/24. GS110-91(1) 1329 Application for enrollment did not include all required information. One child enrolled 9/6/22, did not have all required information on the original application or the application completed 8/23/23. .0801(a)(1-7) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last documented review of the EPR plan by trained staff was dated June 16, 2022. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member employed 12/2/21 did not have verification of an annual review of the EPR plan on file. .0607(f) The violation(s) documented must be corrected immediately. On or before May 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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 the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Item #106 Operators must schedule and obtain a fire inspection within 12 months of the previous inspection.10A NCAC 09. 0304(a). You have had a fire inspection on 9/25/23 and another inspection completed on 3/7/24. This violation is corrected at visit. Items #1048 and #1049 All staff must complete a certification in First Aid and CPR training appropriate to the age of the children in care. Verification of training must be in the staff file. 10A NCAC 09 .1102(c-d). We discussed that the CPR/First Aid training will need to be completed within the next 2 weeks. If training is unavailable, please email me to request an extension for these trainings. Item #1321 A medical exam must be on file before or within 30 days of enrollment. G.S. 110-81(1). The child enrolled 1/29/21 had a medical exam on file that was dated 3/26/24. This violation was corrected during visit. Item #1329 Applications for enrollment must include all required information including any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns and fears or behavior characteristics that the child has. 10A NCAC 09.0801(a)(5-6) We discussed that all questions on the application for enrollment should be completed or listed as n/a in order to address that the requirements have been addressed. The child enrolled 9/6/22, did not have all required information on the original application or on the current updated application. We discussed that you will need to meet with the parent and complete missing requirements. Item #1824 The trained staff must review the EPR plan annually or whenever changes occur. 10A NCAC 09.0607(e ). We discussed that you will need to go into the EPR portal and review for any needed updates. When the review is completed if no changes are needed, print the first page of the plan which will listed the date of the completed review. Item #1825 All staff must review the center’s EPR plan on an annual basis with the trained staff. Documentation of this review must be kept on file. 10A NCAC 09.0607(f). We discussed that the review of the plan may be a part of the new school year orientation. There will need to be a written verification when the staff members reviewed the plan. Consultation or other topics discussed today: We discussed the staff and children’s file checklists may be used as tools to assist with record management. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. 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. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: COMMUNITY CHRISTIAN ACADEMY Facility ID: 36000568 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 4 Completed Date: 7/27/2023 Age: From 3 To 4 Total Minutes: 236 Time In: 09:29 AM Time Out: 01:25 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. Upon arrival, the purpose of today’s visit was reviewed with you, Lindsey Revels, Administrator. Your program currently operates with a G.S. 110-106 Notice of Compliance effective August 14, 2017. The permit restriction included 1st shift care. The NC Secretary of State website was reviewed on July 24, 2023 and Bessemer City Community Church was listed as current/active. You reported no changes to the ownership of the facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 93 percent as of July 24, 2023. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Two staff files were reviewed, with one new staff file. Two children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on December 6, 2022. A superior sanitation classification was issued with no demerits. The most recent fire inspection for your facility was conducted on September 8, 2022. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. One employee, hired 8/16/21, did not have verification of staff orientation available at the time of the visit. G.S. 110-91(9); .0304(g); .2318 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One bottle of Swiffer Wet Jet cleaner with double warnings was accessible to children in the bathroom in Space # 1. .2820(b) 847 Parent's medication authorization did not include required information. One, 3 year old child, did not have a permission to administer medication form on file for a Ventolin HFA inhaler. 10A NCAC 09 .0803(4)(6-9) 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 employee, who began work on 10/11/22, had a TB test completed 10/15/22. .0701(a) The violation(s) documented must be corrected immediately. On or before August 10, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 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. Technical assistance on violations was reviewed with you. Areas discussed included: Hazardous products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). You removed the Swiffer Wet Jet cleaner from the bathroom and locked it in a storage cabinet. This violation was corrected during the visit. TB Test : 1033 On or before the first day of work, all staff must provide results indicating they are free of active TB and/or provide a TB screening that is not older than 12 months. 10A NCAC 09 .0701(a) The staff member employed 10/11/22, had a completed TB test on 10/15/22. The TB test results are on file. This violation was corrected during the visit. Medication Administration Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9 You reported that the parent may have taken this form home by accident. You will follow up with the parent and obtain the needed permission. Maintaining Records: Each center must retain records as described in 10A NCAC 09 .0302(d) and make them available to division staff. You reported that the new employee orientation for the employee hired was completed but there is no verification of the orientation in the file. You plan to get the necessary paperwork completed to reflect that the orientation has been completed. Consultation or other topics discussed today (the following items reviewed were in compliance today): We discussion storage of emergency medications that are inaccessible to children, rather than in locked storage. We discussed that a staff member's medical file must be maintained separately from the staff member's individual personnel file in the center. We discussed retention of records and that this information can be found in 10A NCAC 09 .2318. 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. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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: COMMUNITY CHRISTIAN ACADEMY Facility ID: 36000568 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 4 Completed Date: 7/27/2023 Age: From 3 To 4 Total Minutes: 236 Time In: 09:29 AM Time Out: 01:25 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. Upon arrival, the purpose of today’s visit was reviewed with you, Lindsey Revels, Administrator. Your program currently operates with a G.S. 110-106 Notice of Compliance effective August 14, 2017. The permit restriction included 1st shift care. The NC Secretary of State website was reviewed on July 24, 2023 and Bessemer City Community Church was listed as current/active. You reported no changes to the ownership of the facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 93 percent as of July 24, 2023. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Two staff files were reviewed, with one new staff file. Two children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on December 6, 2022. A superior sanitation classification was issued with no demerits. The most recent fire inspection for your facility was conducted on September 8, 2022. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. One employee, hired 8/16/21, did not have verification of staff orientation available at the time of the visit. G.S. 110-91(9); .0304(g); .2318 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One bottle of Swiffer Wet Jet cleaner with double warnings was accessible to children in the bathroom in Space # 1. .2820(b) 847 Parent's medication authorization did not include required information. One, 3 year old child, did not have a permission to administer medication form on file for a Ventolin HFA inhaler. 10A NCAC 09 .0803(4)(6-9) 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 employee, who began work on 10/11/22, had a TB test completed 10/15/22. .0701(a) The violation(s) documented must be corrected immediately. On or before August 10, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 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. Technical assistance on violations was reviewed with you. Areas discussed included: Hazardous products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). You removed the Swiffer Wet Jet cleaner from the bathroom and locked it in a storage cabinet. This violation was corrected during the visit. TB Test : 1033 On or before the first day of work, all staff must provide results indicating they are free of active TB and/or provide a TB screening that is not older than 12 months. 10A NCAC 09 .0701(a) The staff member employed 10/11/22, had a completed TB test on 10/15/22. The TB test results are on file. This violation was corrected during the visit. Medication Administration Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9 You reported that the parent may have taken this form home by accident. You will follow up with the parent and obtain the needed permission. Maintaining Records: Each center must retain records as described in 10A NCAC 09 .0302(d) and make them available to division staff. You reported that the new employee orientation for the employee hired was completed but there is no verification of the orientation in the file. You plan to get the necessary paperwork completed to reflect that the orientation has been completed. Consultation or other topics discussed today (the following items reviewed were in compliance today): We discussion storage of emergency medications that are inaccessible to children, rather than in locked storage. We discussed that a staff member's medical file must be maintained separately from the staff member's individual personnel file in the center. We discussed retention of records and that this information can be found in 10A NCAC 09 .2318. 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. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: COMMUNITY CHRISTIAN ACADEMY Facility ID: 36000568 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 4 Completed Date: 7/27/2023 Age: From 3 To 4 Total Minutes: 236 Time In: 09:29 AM Time Out: 01:25 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. Upon arrival, the purpose of today’s visit was reviewed with you, Lindsey Revels, Administrator. Your program currently operates with a G.S. 110-106 Notice of Compliance effective August 14, 2017. The permit restriction included 1st shift care. The NC Secretary of State website was reviewed on July 24, 2023 and Bessemer City Community Church was listed as current/active. You reported no changes to the ownership of the facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 93 percent as of July 24, 2023. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Two staff files were reviewed, with one new staff file. Two children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on December 6, 2022. A superior sanitation classification was issued with no demerits. The most recent fire inspection for your facility was conducted on September 8, 2022. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. One employee, hired 8/16/21, did not have verification of staff orientation available at the time of the visit. G.S. 110-91(9); .0304(g); .2318 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One bottle of Swiffer Wet Jet cleaner with double warnings was accessible to children in the bathroom in Space # 1. .2820(b) 847 Parent's medication authorization did not include required information. One, 3 year old child, did not have a permission to administer medication form on file for a Ventolin HFA inhaler. 10A NCAC 09 .0803(4)(6-9) 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 employee, who began work on 10/11/22, had a TB test completed 10/15/22. .0701(a) The violation(s) documented must be corrected immediately. On or before August 10, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 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. Technical assistance on violations was reviewed with you. Areas discussed included: Hazardous products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). You removed the Swiffer Wet Jet cleaner from the bathroom and locked it in a storage cabinet. This violation was corrected during the visit. TB Test : 1033 On or before the first day of work, all staff must provide results indicating they are free of active TB and/or provide a TB screening that is not older than 12 months. 10A NCAC 09 .0701(a) The staff member employed 10/11/22, had a completed TB test on 10/15/22. The TB test results are on file. This violation was corrected during the visit. Medication Administration Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9 You reported that the parent may have taken this form home by accident. You will follow up with the parent and obtain the needed permission. Maintaining Records: Each center must retain records as described in 10A NCAC 09 .0302(d) and make them available to division staff. You reported that the new employee orientation for the employee hired was completed but there is no verification of the orientation in the file. You plan to get the necessary paperwork completed to reflect that the orientation has been completed. Consultation or other topics discussed today (the following items reviewed were in compliance today): We discussion storage of emergency medications that are inaccessible to children, rather than in locked storage. We discussed that a staff member's medical file must be maintained separately from the staff member's individual personnel file in the center. We discussed retention of records and that this information can be found in 10A NCAC 09 .2318. 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. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 .2318 · Violation

Name of Operation: COMMUNITY CHRISTIAN ACADEMY Facility ID: 36000568 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 4 Completed Date: 7/27/2023 Age: From 3 To 4 Total Minutes: 236 Time In: 09:29 AM Time Out: 01:25 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. Upon arrival, the purpose of today’s visit was reviewed with you, Lindsey Revels, Administrator. Your program currently operates with a G.S. 110-106 Notice of Compliance effective August 14, 2017. The permit restriction included 1st shift care. The NC Secretary of State website was reviewed on July 24, 2023 and Bessemer City Community Church was listed as current/active. You reported no changes to the ownership of the facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 93 percent as of July 24, 2023. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Two staff files were reviewed, with one new staff file. Two children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on December 6, 2022. A superior sanitation classification was issued with no demerits. The most recent fire inspection for your facility was conducted on September 8, 2022. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. One employee, hired 8/16/21, did not have verification of staff orientation available at the time of the visit. G.S. 110-91(9); .0304(g); .2318 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One bottle of Swiffer Wet Jet cleaner with double warnings was accessible to children in the bathroom in Space # 1. .2820(b) 847 Parent's medication authorization did not include required information. One, 3 year old child, did not have a permission to administer medication form on file for a Ventolin HFA inhaler. 10A NCAC 09 .0803(4)(6-9) 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 employee, who began work on 10/11/22, had a TB test completed 10/15/22. .0701(a) The violation(s) documented must be corrected immediately. On or before August 10, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 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. Technical assistance on violations was reviewed with you. Areas discussed included: Hazardous products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). You removed the Swiffer Wet Jet cleaner from the bathroom and locked it in a storage cabinet. This violation was corrected during the visit. TB Test : 1033 On or before the first day of work, all staff must provide results indicating they are free of active TB and/or provide a TB screening that is not older than 12 months. 10A NCAC 09 .0701(a) The staff member employed 10/11/22, had a completed TB test on 10/15/22. The TB test results are on file. This violation was corrected during the visit. Medication Administration Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9 You reported that the parent may have taken this form home by accident. You will follow up with the parent and obtain the needed permission. Maintaining Records: Each center must retain records as described in 10A NCAC 09 .0302(d) and make them available to division staff. You reported that the new employee orientation for the employee hired was completed but there is no verification of the orientation in the file. You plan to get the necessary paperwork completed to reflect that the orientation has been completed. Consultation or other topics discussed today (the following items reviewed were in compliance today): We discussion storage of emergency medications that are inaccessible to children, rather than in locked storage. We discussed that a staff member's medical file must be maintained separately from the staff member's individual personnel file in the center. We discussed retention of records and that this information can be found in 10A NCAC 09 .2318. 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. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: COMMUNITY CHRISTIAN ACADEMY Facility ID: 36000568 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 4 Completed Date: 7/27/2023 Age: From 3 To 4 Total Minutes: 236 Time In: 09:29 AM Time Out: 01:25 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. Upon arrival, the purpose of today’s visit was reviewed with you, Lindsey Revels, Administrator. Your program currently operates with a G.S. 110-106 Notice of Compliance effective August 14, 2017. The permit restriction included 1st shift care. The NC Secretary of State website was reviewed on July 24, 2023 and Bessemer City Community Church was listed as current/active. You reported no changes to the ownership of the facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 93 percent as of July 24, 2023. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Two staff files were reviewed, with one new staff file. Two children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on December 6, 2022. A superior sanitation classification was issued with no demerits. The most recent fire inspection for your facility was conducted on September 8, 2022. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. One employee, hired 8/16/21, did not have verification of staff orientation available at the time of the visit. G.S. 110-91(9); .0304(g); .2318 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One bottle of Swiffer Wet Jet cleaner with double warnings was accessible to children in the bathroom in Space # 1. .2820(b) 847 Parent's medication authorization did not include required information. One, 3 year old child, did not have a permission to administer medication form on file for a Ventolin HFA inhaler. 10A NCAC 09 .0803(4)(6-9) 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 employee, who began work on 10/11/22, had a TB test completed 10/15/22. .0701(a) The violation(s) documented must be corrected immediately. On or before August 10, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 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. Technical assistance on violations was reviewed with you. Areas discussed included: Hazardous products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). You removed the Swiffer Wet Jet cleaner from the bathroom and locked it in a storage cabinet. This violation was corrected during the visit. TB Test : 1033 On or before the first day of work, all staff must provide results indicating they are free of active TB and/or provide a TB screening that is not older than 12 months. 10A NCAC 09 .0701(a) The staff member employed 10/11/22, had a completed TB test on 10/15/22. The TB test results are on file. This violation was corrected during the visit. Medication Administration Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9 You reported that the parent may have taken this form home by accident. You will follow up with the parent and obtain the needed permission. Maintaining Records: Each center must retain records as described in 10A NCAC 09 .0302(d) and make them available to division staff. You reported that the new employee orientation for the employee hired was completed but there is no verification of the orientation in the file. You plan to get the necessary paperwork completed to reflect that the orientation has been completed. Consultation or other topics discussed today (the following items reviewed were in compliance today): We discussion storage of emergency medications that are inaccessible to children, rather than in locked storage. We discussed that a staff member's medical file must be maintained separately from the staff member's individual personnel file in the center. We discussed retention of records and that this information can be found in 10A NCAC 09 .2318. 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. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: COMMUNITY CHRISTIAN ACADEMY Facility ID: 36000568 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 4 Completed Date: 7/27/2023 Age: From 3 To 4 Total Minutes: 236 Time In: 09:29 AM Time Out: 01:25 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. Upon arrival, the purpose of today’s visit was reviewed with you, Lindsey Revels, Administrator. Your program currently operates with a G.S. 110-106 Notice of Compliance effective August 14, 2017. The permit restriction included 1st shift care. The NC Secretary of State website was reviewed on July 24, 2023 and Bessemer City Community Church was listed as current/active. You reported no changes to the ownership of the facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 93 percent as of July 24, 2023. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Two staff files were reviewed, with one new staff file. Two children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on December 6, 2022. A superior sanitation classification was issued with no demerits. The most recent fire inspection for your facility was conducted on September 8, 2022. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. One employee, hired 8/16/21, did not have verification of staff orientation available at the time of the visit. G.S. 110-91(9); .0304(g); .2318 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One bottle of Swiffer Wet Jet cleaner with double warnings was accessible to children in the bathroom in Space # 1. .2820(b) 847 Parent's medication authorization did not include required information. One, 3 year old child, did not have a permission to administer medication form on file for a Ventolin HFA inhaler. 10A NCAC 09 .0803(4)(6-9) 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 employee, who began work on 10/11/22, had a TB test completed 10/15/22. .0701(a) The violation(s) documented must be corrected immediately. On or before August 10, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 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. Technical assistance on violations was reviewed with you. Areas discussed included: Hazardous products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). You removed the Swiffer Wet Jet cleaner from the bathroom and locked it in a storage cabinet. This violation was corrected during the visit. TB Test : 1033 On or before the first day of work, all staff must provide results indicating they are free of active TB and/or provide a TB screening that is not older than 12 months. 10A NCAC 09 .0701(a) The staff member employed 10/11/22, had a completed TB test on 10/15/22. The TB test results are on file. This violation was corrected during the visit. Medication Administration Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9 You reported that the parent may have taken this form home by accident. You will follow up with the parent and obtain the needed permission. Maintaining Records: Each center must retain records as described in 10A NCAC 09 .0302(d) and make them available to division staff. You reported that the new employee orientation for the employee hired was completed but there is no verification of the orientation in the file. You plan to get the necessary paperwork completed to reflect that the orientation has been completed. Consultation or other topics discussed today (the following items reviewed were in compliance today): We discussion storage of emergency medications that are inaccessible to children, rather than in locked storage. We discussed that a staff member's medical file must be maintained separately from the staff member's individual personnel file in the center. We discussed retention of records and that this information can be found in 10A NCAC 09 .2318. 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. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: COMMUNITY CHRISTIAN ACADEMY Facility ID: 36000568 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 4 Completed Date: 7/27/2023 Age: From 3 To 4 Total Minutes: 236 Time In: 09:29 AM Time Out: 01:25 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. Upon arrival, the purpose of today’s visit was reviewed with you, Lindsey Revels, Administrator. Your program currently operates with a G.S. 110-106 Notice of Compliance effective August 14, 2017. The permit restriction included 1st shift care. The NC Secretary of State website was reviewed on July 24, 2023 and Bessemer City Community Church was listed as current/active. You reported no changes to the ownership of the facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 93 percent as of July 24, 2023. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Two staff files were reviewed, with one new staff file. Two children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on December 6, 2022. A superior sanitation classification was issued with no demerits. The most recent fire inspection for your facility was conducted on September 8, 2022. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. One employee, hired 8/16/21, did not have verification of staff orientation available at the time of the visit. G.S. 110-91(9); .0304(g); .2318 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One bottle of Swiffer Wet Jet cleaner with double warnings was accessible to children in the bathroom in Space # 1. .2820(b) 847 Parent's medication authorization did not include required information. One, 3 year old child, did not have a permission to administer medication form on file for a Ventolin HFA inhaler. 10A NCAC 09 .0803(4)(6-9) 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 employee, who began work on 10/11/22, had a TB test completed 10/15/22. .0701(a) The violation(s) documented must be corrected immediately. On or before August 10, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 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. Technical assistance on violations was reviewed with you. Areas discussed included: Hazardous products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). You removed the Swiffer Wet Jet cleaner from the bathroom and locked it in a storage cabinet. This violation was corrected during the visit. TB Test : 1033 On or before the first day of work, all staff must provide results indicating they are free of active TB and/or provide a TB screening that is not older than 12 months. 10A NCAC 09 .0701(a) The staff member employed 10/11/22, had a completed TB test on 10/15/22. The TB test results are on file. This violation was corrected during the visit. Medication Administration Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9 You reported that the parent may have taken this form home by accident. You will follow up with the parent and obtain the needed permission. Maintaining Records: Each center must retain records as described in 10A NCAC 09 .0302(d) and make them available to division staff. You reported that the new employee orientation for the employee hired was completed but there is no verification of the orientation in the file. You plan to get the necessary paperwork completed to reflect that the orientation has been completed. Consultation or other topics discussed today (the following items reviewed were in compliance today): We discussion storage of emergency medications that are inaccessible to children, rather than in locked storage. We discussed that a staff member's medical file must be maintained separately from the staff member's individual personnel file in the center. We discussed retention of records and that this information can be found in 10A NCAC 09 .2318. 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. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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