10A NCAC 09 .0304 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/4/2026 Number Present: 83 Completed Date: 6/4/2026 Age: From 0 To 5 Total Minutes: 465 Time In: 09:15 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Lorrie Looper, administrator, during the visit. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Ms. Looper was available to assist me and answer questions during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79%) percentage as of 6/2/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Greenway Baptist Church of Boone, N.C., is current/active as 6/2/26. Permit type – Five-star license, issued 1/15/19. Special Services/Restrictions – Daytime care only, meets enhances ratios. The last annual compliance visit was conducted on 6/11/25. The last fire drill was practiced on 5/28/26. The last shelter-in-place drill was practiced on 3/31/26. The last playground inspection was documented on 5/15/26. The last fire inspection was approved on 10/16/25. The last sanitation inspection was conducted on 2/27/26 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 8/16/23 without hazards. This is due again prior to 8/16/26. Lead paint and asbestos testing is marked complete with no hazards. Upon my arrival I was greeted at the door by the administrator. She stated that she had been expecting me anytime, so she already knew the reason for today’s visit. Ms. Looper and Ms. Sherry Mast, the assistant director, took turns accompanying me during the visit. Today I started my observation on the playgrounds. Children were playing on the climbers, digging in the dirt and sand, throwing balls and participating in pretend play. Inside the infants were napping, participating in floor play and getting their diapers changed. As I made my way down the hall, some of the children were out of the classroom and out on the playground. I checked diaper cream and sunscreens. Children began coming inside from outside, washing hands and having story time, songs and fingerplays until lunch arrived. After children ate lunch, they transitioned to their mats for rest time, then cleaned up from nap and prepared for snack, free play and outdoor play and departure. Lunch today consisted of egg and vegetable casserole, which contained broccoli, cheese, eggs and tortillas. They also had pineapples and milk. I monitored ten (10) children’s files today, however, they have approximately twenty-nine (29) staff with twelve (12) new staff. Due to the number of staff and the number of new staff, I will need to make a return visit to monitor the staff files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An inhaler in space #3, did not have parent permission. Sunscreen in space #3 did not have parent permission form. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler in space #3, was not in a pharmacy labeled container. .0803(2)(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff did not have orientation documented as completed. .1101(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. There were three (3) staff that did not have first aid within the 90 days of hire. .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. There were three (3) staff that did not have CPR within the 90 days of hire. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff did not have orientation documented as completed. .1101(a)(b) 1843 When only one caregiver was required to meet staff/child ratio for a center located in a residence and children under two are in care, that person concurrently performed food preparation or other duties that are not direct child care responsibilities. .0713(c)(2) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the climbers and slides did not measure the minimum of six (6) inches that is required. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. There were three (3) staff that did not have Recognizing and Responding to Suspicions of Child Maltreatment training within the 90 days of hire. .1102(g) Technical assistance was provided as follows: Item #844 Prescribed medicine was not in original pharmacy labeled container. 10A NCAC 09 .0803(2)(a) *An inhaler in space #3, was not in a pharmacy labeled container. *Parent was contacted to obtain the pharmacy labeled container. Item #842 A drug or medicine was administered without written authorization and/or instructions from a child's parent or authorized health professional. 10A NCAC 09 .0803(1)(a)&(b) *An inhaler in space #3, did not have parent permission. Sunscreen in space #3 did not have parent permission form. Item #1867 The depth of the loose surfacing was not based on critical height of the equipment. 10 A NCAC 09 .0605(k)(1-4) *The mulch around the climbers and slides did not measure the minimum of six (6) inches that is required. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by date here 6/18/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • There is an updated Summary of the Law poster that needs to be posted and brochure that needs to be given out to families upon enrollment. • Stabilize the storage unit on the preschool playground. Children have dug the dirt out from one side of the unit. • Assure that all cords are secure and taped to the walls. • Assure that all hand sanitizer is above five (5) feet high. • The administrator stated that they were in the process of working on their self-studies for Pathway #1. They are also working hard on getting classrooms started with Creative Curriculum and working on rearranging classrooms. • They have hired a curriculum coach to assist with curriculum implementation. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/4/2026 Number Present: 83 Completed Date: 6/4/2026 Age: From 0 To 5 Total Minutes: 465 Time In: 09:15 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Lorrie Looper, administrator, during the visit. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Ms. Looper was available to assist me and answer questions during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79%) percentage as of 6/2/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Greenway Baptist Church of Boone, N.C., is current/active as 6/2/26. Permit type – Five-star license, issued 1/15/19. Special Services/Restrictions – Daytime care only, meets enhances ratios. The last annual compliance visit was conducted on 6/11/25. The last fire drill was practiced on 5/28/26. The last shelter-in-place drill was practiced on 3/31/26. The last playground inspection was documented on 5/15/26. The last fire inspection was approved on 10/16/25. The last sanitation inspection was conducted on 2/27/26 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 8/16/23 without hazards. This is due again prior to 8/16/26. Lead paint and asbestos testing is marked complete with no hazards. Upon my arrival I was greeted at the door by the administrator. She stated that she had been expecting me anytime, so she already knew the reason for today’s visit. Ms. Looper and Ms. Sherry Mast, the assistant director, took turns accompanying me during the visit. Today I started my observation on the playgrounds. Children were playing on the climbers, digging in the dirt and sand, throwing balls and participating in pretend play. Inside the infants were napping, participating in floor play and getting their diapers changed. As I made my way down the hall, some of the children were out of the classroom and out on the playground. I checked diaper cream and sunscreens. Children began coming inside from outside, washing hands and having story time, songs and fingerplays until lunch arrived. After children ate lunch, they transitioned to their mats for rest time, then cleaned up from nap and prepared for snack, free play and outdoor play and departure. Lunch today consisted of egg and vegetable casserole, which contained broccoli, cheese, eggs and tortillas. They also had pineapples and milk. I monitored ten (10) children’s files today, however, they have approximately twenty-nine (29) staff with twelve (12) new staff. Due to the number of staff and the number of new staff, I will need to make a return visit to monitor the staff files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An inhaler in space #3, did not have parent permission. Sunscreen in space #3 did not have parent permission form. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler in space #3, was not in a pharmacy labeled container. .0803(2)(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff did not have orientation documented as completed. .1101(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. There were three (3) staff that did not have first aid within the 90 days of hire. .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. There were three (3) staff that did not have CPR within the 90 days of hire. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff did not have orientation documented as completed. .1101(a)(b) 1843 When only one caregiver was required to meet staff/child ratio for a center located in a residence and children under two are in care, that person concurrently performed food preparation or other duties that are not direct child care responsibilities. .0713(c)(2) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the climbers and slides did not measure the minimum of six (6) inches that is required. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. There were three (3) staff that did not have Recognizing and Responding to Suspicions of Child Maltreatment training within the 90 days of hire. .1102(g) Technical assistance was provided as follows: Item #844 Prescribed medicine was not in original pharmacy labeled container. 10A NCAC 09 .0803(2)(a) *An inhaler in space #3, was not in a pharmacy labeled container. *Parent was contacted to obtain the pharmacy labeled container. Item #842 A drug or medicine was administered without written authorization and/or instructions from a child's parent or authorized health professional. 10A NCAC 09 .0803(1)(a)&(b) *An inhaler in space #3, did not have parent permission. Sunscreen in space #3 did not have parent permission form. Item #1867 The depth of the loose surfacing was not based on critical height of the equipment. 10 A NCAC 09 .0605(k)(1-4) *The mulch around the climbers and slides did not measure the minimum of six (6) inches that is required. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by date here 6/18/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • There is an updated Summary of the Law poster that needs to be posted and brochure that needs to be given out to families upon enrollment. • Stabilize the storage unit on the preschool playground. Children have dug the dirt out from one side of the unit. • Assure that all cords are secure and taped to the walls. • Assure that all hand sanitizer is above five (5) feet high. • The administrator stated that they were in the process of working on their self-studies for Pathway #1. They are also working hard on getting classrooms started with Creative Curriculum and working on rearranging classrooms. • They have hired a curriculum coach to assist with curriculum implementation. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/4/2026 Number Present: 83 Completed Date: 6/4/2026 Age: From 0 To 5 Total Minutes: 465 Time In: 09:15 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Lorrie Looper, administrator, during the visit. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Ms. Looper was available to assist me and answer questions during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79%) percentage as of 6/2/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Greenway Baptist Church of Boone, N.C., is current/active as 6/2/26. Permit type – Five-star license, issued 1/15/19. Special Services/Restrictions – Daytime care only, meets enhances ratios. The last annual compliance visit was conducted on 6/11/25. The last fire drill was practiced on 5/28/26. The last shelter-in-place drill was practiced on 3/31/26. The last playground inspection was documented on 5/15/26. The last fire inspection was approved on 10/16/25. The last sanitation inspection was conducted on 2/27/26 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 8/16/23 without hazards. This is due again prior to 8/16/26. Lead paint and asbestos testing is marked complete with no hazards. Upon my arrival I was greeted at the door by the administrator. She stated that she had been expecting me anytime, so she already knew the reason for today’s visit. Ms. Looper and Ms. Sherry Mast, the assistant director, took turns accompanying me during the visit. Today I started my observation on the playgrounds. Children were playing on the climbers, digging in the dirt and sand, throwing balls and participating in pretend play. Inside the infants were napping, participating in floor play and getting their diapers changed. As I made my way down the hall, some of the children were out of the classroom and out on the playground. I checked diaper cream and sunscreens. Children began coming inside from outside, washing hands and having story time, songs and fingerplays until lunch arrived. After children ate lunch, they transitioned to their mats for rest time, then cleaned up from nap and prepared for snack, free play and outdoor play and departure. Lunch today consisted of egg and vegetable casserole, which contained broccoli, cheese, eggs and tortillas. They also had pineapples and milk. I monitored ten (10) children’s files today, however, they have approximately twenty-nine (29) staff with twelve (12) new staff. Due to the number of staff and the number of new staff, I will need to make a return visit to monitor the staff files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An inhaler in space #3, did not have parent permission. Sunscreen in space #3 did not have parent permission form. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler in space #3, was not in a pharmacy labeled container. .0803(2)(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff did not have orientation documented as completed. .1101(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. There were three (3) staff that did not have first aid within the 90 days of hire. .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. There were three (3) staff that did not have CPR within the 90 days of hire. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff did not have orientation documented as completed. .1101(a)(b) 1843 When only one caregiver was required to meet staff/child ratio for a center located in a residence and children under two are in care, that person concurrently performed food preparation or other duties that are not direct child care responsibilities. .0713(c)(2) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the climbers and slides did not measure the minimum of six (6) inches that is required. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. There were three (3) staff that did not have Recognizing and Responding to Suspicions of Child Maltreatment training within the 90 days of hire. .1102(g) Technical assistance was provided as follows: Item #844 Prescribed medicine was not in original pharmacy labeled container. 10A NCAC 09 .0803(2)(a) *An inhaler in space #3, was not in a pharmacy labeled container. *Parent was contacted to obtain the pharmacy labeled container. Item #842 A drug or medicine was administered without written authorization and/or instructions from a child's parent or authorized health professional. 10A NCAC 09 .0803(1)(a)&(b) *An inhaler in space #3, did not have parent permission. Sunscreen in space #3 did not have parent permission form. Item #1867 The depth of the loose surfacing was not based on critical height of the equipment. 10 A NCAC 09 .0605(k)(1-4) *The mulch around the climbers and slides did not measure the minimum of six (6) inches that is required. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by date here 6/18/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • There is an updated Summary of the Law poster that needs to be posted and brochure that needs to be given out to families upon enrollment. • Stabilize the storage unit on the preschool playground. Children have dug the dirt out from one side of the unit. • Assure that all cords are secure and taped to the walls. • Assure that all hand sanitizer is above five (5) feet high. • The administrator stated that they were in the process of working on their self-studies for Pathway #1. They are also working hard on getting classrooms started with Creative Curriculum and working on rearranging classrooms. • They have hired a curriculum coach to assist with curriculum implementation. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/4/2026 Number Present: 83 Completed Date: 6/4/2026 Age: From 0 To 5 Total Minutes: 465 Time In: 09:15 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Lorrie Looper, administrator, during the visit. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Ms. Looper was available to assist me and answer questions during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79%) percentage as of 6/2/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Greenway Baptist Church of Boone, N.C., is current/active as 6/2/26. Permit type – Five-star license, issued 1/15/19. Special Services/Restrictions – Daytime care only, meets enhances ratios. The last annual compliance visit was conducted on 6/11/25. The last fire drill was practiced on 5/28/26. The last shelter-in-place drill was practiced on 3/31/26. The last playground inspection was documented on 5/15/26. The last fire inspection was approved on 10/16/25. The last sanitation inspection was conducted on 2/27/26 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 8/16/23 without hazards. This is due again prior to 8/16/26. Lead paint and asbestos testing is marked complete with no hazards. Upon my arrival I was greeted at the door by the administrator. She stated that she had been expecting me anytime, so she already knew the reason for today’s visit. Ms. Looper and Ms. Sherry Mast, the assistant director, took turns accompanying me during the visit. Today I started my observation on the playgrounds. Children were playing on the climbers, digging in the dirt and sand, throwing balls and participating in pretend play. Inside the infants were napping, participating in floor play and getting their diapers changed. As I made my way down the hall, some of the children were out of the classroom and out on the playground. I checked diaper cream and sunscreens. Children began coming inside from outside, washing hands and having story time, songs and fingerplays until lunch arrived. After children ate lunch, they transitioned to their mats for rest time, then cleaned up from nap and prepared for snack, free play and outdoor play and departure. Lunch today consisted of egg and vegetable casserole, which contained broccoli, cheese, eggs and tortillas. They also had pineapples and milk. I monitored ten (10) children’s files today, however, they have approximately twenty-nine (29) staff with twelve (12) new staff. Due to the number of staff and the number of new staff, I will need to make a return visit to monitor the staff files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An inhaler in space #3, did not have parent permission. Sunscreen in space #3 did not have parent permission form. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler in space #3, was not in a pharmacy labeled container. .0803(2)(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff did not have orientation documented as completed. .1101(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. There were three (3) staff that did not have first aid within the 90 days of hire. .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. There were three (3) staff that did not have CPR within the 90 days of hire. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff did not have orientation documented as completed. .1101(a)(b) 1843 When only one caregiver was required to meet staff/child ratio for a center located in a residence and children under two are in care, that person concurrently performed food preparation or other duties that are not direct child care responsibilities. .0713(c)(2) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the climbers and slides did not measure the minimum of six (6) inches that is required. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. There were three (3) staff that did not have Recognizing and Responding to Suspicions of Child Maltreatment training within the 90 days of hire. .1102(g) Technical assistance was provided as follows: Item #844 Prescribed medicine was not in original pharmacy labeled container. 10A NCAC 09 .0803(2)(a) *An inhaler in space #3, was not in a pharmacy labeled container. *Parent was contacted to obtain the pharmacy labeled container. Item #842 A drug or medicine was administered without written authorization and/or instructions from a child's parent or authorized health professional. 10A NCAC 09 .0803(1)(a)&(b) *An inhaler in space #3, did not have parent permission. Sunscreen in space #3 did not have parent permission form. Item #1867 The depth of the loose surfacing was not based on critical height of the equipment. 10 A NCAC 09 .0605(k)(1-4) *The mulch around the climbers and slides did not measure the minimum of six (6) inches that is required. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by date here 6/18/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • There is an updated Summary of the Law poster that needs to be posted and brochure that needs to be given out to families upon enrollment. • Stabilize the storage unit on the preschool playground. Children have dug the dirt out from one side of the unit. • Assure that all cords are secure and taped to the walls. • Assure that all hand sanitizer is above five (5) feet high. • The administrator stated that they were in the process of working on their self-studies for Pathway #1. They are also working hard on getting classrooms started with Creative Curriculum and working on rearranging classrooms. • They have hired a curriculum coach to assist with curriculum implementation. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/4/2026 Number Present: 83 Completed Date: 6/4/2026 Age: From 0 To 5 Total Minutes: 465 Time In: 09:15 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Lorrie Looper, administrator, during the visit. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Ms. Looper was available to assist me and answer questions during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79%) percentage as of 6/2/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Greenway Baptist Church of Boone, N.C., is current/active as 6/2/26. Permit type – Five-star license, issued 1/15/19. Special Services/Restrictions – Daytime care only, meets enhances ratios. The last annual compliance visit was conducted on 6/11/25. The last fire drill was practiced on 5/28/26. The last shelter-in-place drill was practiced on 3/31/26. The last playground inspection was documented on 5/15/26. The last fire inspection was approved on 10/16/25. The last sanitation inspection was conducted on 2/27/26 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 8/16/23 without hazards. This is due again prior to 8/16/26. Lead paint and asbestos testing is marked complete with no hazards. Upon my arrival I was greeted at the door by the administrator. She stated that she had been expecting me anytime, so she already knew the reason for today’s visit. Ms. Looper and Ms. Sherry Mast, the assistant director, took turns accompanying me during the visit. Today I started my observation on the playgrounds. Children were playing on the climbers, digging in the dirt and sand, throwing balls and participating in pretend play. Inside the infants were napping, participating in floor play and getting their diapers changed. As I made my way down the hall, some of the children were out of the classroom and out on the playground. I checked diaper cream and sunscreens. Children began coming inside from outside, washing hands and having story time, songs and fingerplays until lunch arrived. After children ate lunch, they transitioned to their mats for rest time, then cleaned up from nap and prepared for snack, free play and outdoor play and departure. Lunch today consisted of egg and vegetable casserole, which contained broccoli, cheese, eggs and tortillas. They also had pineapples and milk. I monitored ten (10) children’s files today, however, they have approximately twenty-nine (29) staff with twelve (12) new staff. Due to the number of staff and the number of new staff, I will need to make a return visit to monitor the staff files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An inhaler in space #3, did not have parent permission. Sunscreen in space #3 did not have parent permission form. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler in space #3, was not in a pharmacy labeled container. .0803(2)(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff did not have orientation documented as completed. .1101(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. There were three (3) staff that did not have first aid within the 90 days of hire. .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. There were three (3) staff that did not have CPR within the 90 days of hire. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff did not have orientation documented as completed. .1101(a)(b) 1843 When only one caregiver was required to meet staff/child ratio for a center located in a residence and children under two are in care, that person concurrently performed food preparation or other duties that are not direct child care responsibilities. .0713(c)(2) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the climbers and slides did not measure the minimum of six (6) inches that is required. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. There were three (3) staff that did not have Recognizing and Responding to Suspicions of Child Maltreatment training within the 90 days of hire. .1102(g) Technical assistance was provided as follows: Item #844 Prescribed medicine was not in original pharmacy labeled container. 10A NCAC 09 .0803(2)(a) *An inhaler in space #3, was not in a pharmacy labeled container. *Parent was contacted to obtain the pharmacy labeled container. Item #842 A drug or medicine was administered without written authorization and/or instructions from a child's parent or authorized health professional. 10A NCAC 09 .0803(1)(a)&(b) *An inhaler in space #3, did not have parent permission. Sunscreen in space #3 did not have parent permission form. Item #1867 The depth of the loose surfacing was not based on critical height of the equipment. 10 A NCAC 09 .0605(k)(1-4) *The mulch around the climbers and slides did not measure the minimum of six (6) inches that is required. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by date here 6/18/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • There is an updated Summary of the Law poster that needs to be posted and brochure that needs to be given out to families upon enrollment. • Stabilize the storage unit on the preschool playground. Children have dug the dirt out from one side of the unit. • Assure that all cords are secure and taped to the walls. • Assure that all hand sanitizer is above five (5) feet high. • The administrator stated that they were in the process of working on their self-studies for Pathway #1. They are also working hard on getting classrooms started with Creative Curriculum and working on rearranging classrooms. • They have hired a curriculum coach to assist with curriculum implementation. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/4/2026 Number Present: 83 Completed Date: 6/4/2026 Age: From 0 To 5 Total Minutes: 465 Time In: 09:15 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Lorrie Looper, administrator, during the visit. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Ms. Looper was available to assist me and answer questions during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine (79%) percentage as of 6/2/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Greenway Baptist Church of Boone, N.C., is current/active as 6/2/26. Permit type – Five-star license, issued 1/15/19. Special Services/Restrictions – Daytime care only, meets enhances ratios. The last annual compliance visit was conducted on 6/11/25. The last fire drill was practiced on 5/28/26. The last shelter-in-place drill was practiced on 3/31/26. The last playground inspection was documented on 5/15/26. The last fire inspection was approved on 10/16/25. The last sanitation inspection was conducted on 2/27/26 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 8/16/23 without hazards. This is due again prior to 8/16/26. Lead paint and asbestos testing is marked complete with no hazards. Upon my arrival I was greeted at the door by the administrator. She stated that she had been expecting me anytime, so she already knew the reason for today’s visit. Ms. Looper and Ms. Sherry Mast, the assistant director, took turns accompanying me during the visit. Today I started my observation on the playgrounds. Children were playing on the climbers, digging in the dirt and sand, throwing balls and participating in pretend play. Inside the infants were napping, participating in floor play and getting their diapers changed. As I made my way down the hall, some of the children were out of the classroom and out on the playground. I checked diaper cream and sunscreens. Children began coming inside from outside, washing hands and having story time, songs and fingerplays until lunch arrived. After children ate lunch, they transitioned to their mats for rest time, then cleaned up from nap and prepared for snack, free play and outdoor play and departure. Lunch today consisted of egg and vegetable casserole, which contained broccoli, cheese, eggs and tortillas. They also had pineapples and milk. I monitored ten (10) children’s files today, however, they have approximately twenty-nine (29) staff with twelve (12) new staff. Due to the number of staff and the number of new staff, I will need to make a return visit to monitor the staff files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An inhaler in space #3, did not have parent permission. Sunscreen in space #3 did not have parent permission form. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler in space #3, was not in a pharmacy labeled container. .0803(2)(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff did not have orientation documented as completed. .1101(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. There were three (3) staff that did not have first aid within the 90 days of hire. .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. There were three (3) staff that did not have CPR within the 90 days of hire. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff did not have orientation documented as completed. .1101(a)(b) 1843 When only one caregiver was required to meet staff/child ratio for a center located in a residence and children under two are in care, that person concurrently performed food preparation or other duties that are not direct child care responsibilities. .0713(c)(2) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the climbers and slides did not measure the minimum of six (6) inches that is required. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. There were three (3) staff that did not have Recognizing and Responding to Suspicions of Child Maltreatment training within the 90 days of hire. .1102(g) Technical assistance was provided as follows: Item #844 Prescribed medicine was not in original pharmacy labeled container. 10A NCAC 09 .0803(2)(a) *An inhaler in space #3, was not in a pharmacy labeled container. *Parent was contacted to obtain the pharmacy labeled container. Item #842 A drug or medicine was administered without written authorization and/or instructions from a child's parent or authorized health professional. 10A NCAC 09 .0803(1)(a)&(b) *An inhaler in space #3, did not have parent permission. Sunscreen in space #3 did not have parent permission form. Item #1867 The depth of the loose surfacing was not based on critical height of the equipment. 10 A NCAC 09 .0605(k)(1-4) *The mulch around the climbers and slides did not measure the minimum of six (6) inches that is required. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by date here 6/18/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • There is an updated Summary of the Law poster that needs to be posted and brochure that needs to be given out to families upon enrollment. • Stabilize the storage unit on the preschool playground. Children have dug the dirt out from one side of the unit. • Assure that all cords are secure and taped to the walls. • Assure that all hand sanitizer is above five (5) feet high. • The administrator stated that they were in the process of working on their self-studies for Pathway #1. They are also working hard on getting classrooms started with Creative Curriculum and working on rearranging classrooms. • They have hired a curriculum coach to assist with curriculum implementation. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: 1025-204L Visit Date: 10/16/2025 Number Present: 78 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 11:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit is to follow up on a self-report that that was made on 10/13/25 by Sherry Mast, interim/assistant director regarding supervision. Today’s visit is also to follow up and monitor the administrative action issued 7/30/25. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Sherry Mast, interim director/assistant director, during the visit. An electronic signed copy of the visit summary was left on-site and available to be emailed to you. Sherry Mast, interim/assistant director, assisted me during today’s visit. The facility operates with a five-star license issued on 1/15/19. The Special Services/Restrictions includes; daytime care only, meeting enhanced space and reduced ratios. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 10/16/2025. The self-report was received on 10/13/2025 and sent to me on 10/15/2025. Ms. Mast stated a supervision incident occurred at approximately 5:17pm on Friday 10/10/25. Ms. Mast was not on site when the incident occurred. The facility is in transition and hiring a new administrator. Sue Sheets is a lead teacher in the classroom where the incident occurred, however, she is also the interim assistant director and was in the office when the incident occurred. The two (2) teachers that were in the classroom are part time employees that work the closing shift. Ms. Sheets stated that a teacher asked the child something (did s/he need to the bathroom), there were several parents picking up children at one time and the classroom got hectic. The parent came to pick up the child and immediately went to the office and stated that “they lost my child”. Ms. Sheets ran down the hall and saw the child out of the corner of her eye playing in the room alone. The child was in the unsupervised classroom for one (1) minute (from 5:17 to 5:18). Ms. Sheets called Ms. Mast at closing to make her aware of the situation. On Monday 10/13/25, Ms. Mast pulled the video footage to see the child was left in the room by themselves for one (1) minute. Ms. Mast talked to the child’s parent Monday morning to discuss the situation and how it will be handled. Ms. Then contact the board and submitted a self-report to me, Georgia Lee Marshall, licensing consultant. The video footage was unable to be viewed today due to the administrator’s computer is being worked on and the administrator is the only one who has access to the video footage. During today’s visit, I observed children during floor play, preparing for rest and rest time. As I was documenting today’s visit, I observed several parents coming to pick up their child. When parents arrive, the get buzzed in to gain access to the building. Only staff have the code for the door. Based on the report, staff interviews, according to the report, it was confirmed that supervision was out of compliance on 10/10/2025. During today’s I also followed up on the administrative action and the progress of the competition of the corrective action plan. The administrative action was posted in the hallway of the facility. 1. A review of child care rules was conducted on 9/25/25 with Monica Houck from 10 to 12:30. This training session was recorded for the part-time staff that could not attend. There are still five (5) staff that need to watch the video and sign the roster to complete this item. 2. I have received a written plan from the previous administrator that describes the staff board with due dates to help with maintaining record. Ms. Mast is in the process of updating the staff training board where staff can keep up with the renewal dates of their criminal background checks, health & safety training, first aid, CPR and other specialized training courses. 3. I need documentation from the staff meeting that should have been held to go over the administrative action and the plan that has been put into place to ensure that records are up to date. I should receive a sign-in sheet with printed names of staff along with their signature, the date, time and length of meeting along with minutes of what all was discussed. When all of these items are corrected the administrative action should end on October 30, 2025. The secretary of state website has been updated and is good standing. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Per self-report made on 10/13/2025 a three-year-old child was left unsupervised for approximately one (1) minute. .1801(a)(1-5) Technical assistance was provided as follows: Item #303 Per self-report made on 10/13/2025 a three-year-old child was left unsupervised for approximately one (1) minute. We discussed children must be seen and heard at all times. When parents are picking up children in the afternoon it can get hectic, I suggest that one of the teacher’s stay near the doorway to monitor who comes in and out of the classroom and to make sure all children are signed out. Rule reference: 10A NCAC 09 .1801(a)(1-5) Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/30/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 29698 Please call me at 828-4334-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed conducting a staff meeting to review adequate supervisions and providing an interactive scenario for staff to be involved in. • I recommend reaching out to Watauga Children’s Council for additional active supervision training. • Due to the facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1801 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: 1025-204L Visit Date: 10/16/2025 Number Present: 78 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 11:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit is to follow up on a self-report that that was made on 10/13/25 by Sherry Mast, interim/assistant director regarding supervision. Today’s visit is also to follow up and monitor the administrative action issued 7/30/25. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Sherry Mast, interim director/assistant director, during the visit. An electronic signed copy of the visit summary was left on-site and available to be emailed to you. Sherry Mast, interim/assistant director, assisted me during today’s visit. The facility operates with a five-star license issued on 1/15/19. The Special Services/Restrictions includes; daytime care only, meeting enhanced space and reduced ratios. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 10/16/2025. The self-report was received on 10/13/2025 and sent to me on 10/15/2025. Ms. Mast stated a supervision incident occurred at approximately 5:17pm on Friday 10/10/25. Ms. Mast was not on site when the incident occurred. The facility is in transition and hiring a new administrator. Sue Sheets is a lead teacher in the classroom where the incident occurred, however, she is also the interim assistant director and was in the office when the incident occurred. The two (2) teachers that were in the classroom are part time employees that work the closing shift. Ms. Sheets stated that a teacher asked the child something (did s/he need to the bathroom), there were several parents picking up children at one time and the classroom got hectic. The parent came to pick up the child and immediately went to the office and stated that “they lost my child”. Ms. Sheets ran down the hall and saw the child out of the corner of her eye playing in the room alone. The child was in the unsupervised classroom for one (1) minute (from 5:17 to 5:18). Ms. Sheets called Ms. Mast at closing to make her aware of the situation. On Monday 10/13/25, Ms. Mast pulled the video footage to see the child was left in the room by themselves for one (1) minute. Ms. Mast talked to the child’s parent Monday morning to discuss the situation and how it will be handled. Ms. Then contact the board and submitted a self-report to me, Georgia Lee Marshall, licensing consultant. The video footage was unable to be viewed today due to the administrator’s computer is being worked on and the administrator is the only one who has access to the video footage. During today’s visit, I observed children during floor play, preparing for rest and rest time. As I was documenting today’s visit, I observed several parents coming to pick up their child. When parents arrive, the get buzzed in to gain access to the building. Only staff have the code for the door. Based on the report, staff interviews, according to the report, it was confirmed that supervision was out of compliance on 10/10/2025. During today’s I also followed up on the administrative action and the progress of the competition of the corrective action plan. The administrative action was posted in the hallway of the facility. 1. A review of child care rules was conducted on 9/25/25 with Monica Houck from 10 to 12:30. This training session was recorded for the part-time staff that could not attend. There are still five (5) staff that need to watch the video and sign the roster to complete this item. 2. I have received a written plan from the previous administrator that describes the staff board with due dates to help with maintaining record. Ms. Mast is in the process of updating the staff training board where staff can keep up with the renewal dates of their criminal background checks, health & safety training, first aid, CPR and other specialized training courses. 3. I need documentation from the staff meeting that should have been held to go over the administrative action and the plan that has been put into place to ensure that records are up to date. I should receive a sign-in sheet with printed names of staff along with their signature, the date, time and length of meeting along with minutes of what all was discussed. When all of these items are corrected the administrative action should end on October 30, 2025. The secretary of state website has been updated and is good standing. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Per self-report made on 10/13/2025 a three-year-old child was left unsupervised for approximately one (1) minute. .1801(a)(1-5) Technical assistance was provided as follows: Item #303 Per self-report made on 10/13/2025 a three-year-old child was left unsupervised for approximately one (1) minute. We discussed children must be seen and heard at all times. When parents are picking up children in the afternoon it can get hectic, I suggest that one of the teacher’s stay near the doorway to monitor who comes in and out of the classroom and to make sure all children are signed out. Rule reference: 10A NCAC 09 .1801(a)(1-5) Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/30/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 29698 Please call me at 828-4334-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed conducting a staff meeting to review adequate supervisions and providing an interactive scenario for staff to be involved in. • I recommend reaching out to Watauga Children’s Council for additional active supervision training. • Due to the facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 71 Completed Date: 9/11/2025 Age: From 0 To 4 Total Minutes: 135 Time In: 10:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit is to follow-up on an administrative action that this facility just received due to having sixteen or more violations during the visit that was conducted on June 11, 2025. A follow-up visit was conducted on June 26, 2025 and August 7, 2025. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. The administrative action was posted in the hallway of the facility. Today, I observed eight (8) groups of children in a variety of activities. I observed children playing in centers, getting diapers changed and playing outside on the playground. During today's visit, Ms. Taylor showed me a staff training board that she created so that staff can look to see when and if their criminal background check needs to be renewed, as well as other training renewal dates. This meets part of the corrective active plan requirements. A review of child care rules is set for 9/25/25 with Monica Houck and me from 10 to 12:30. Ms. Taylor stated that a board meeting was held on 9/9/25. The board now has the Secretary of State Website information to update as well as the application and legal designee forms that need to be undated. She will inform me when these are updated. The following violations were documented during today’s visit: Violation Number Comment Rule 605 Toilet fixtures were not cleaned and disinfected at least daily and when visibly soiled. The commode in space #7 was visibly stained and needed to be cleaned. 15A NCAC 18A.2817(b) 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. The storage room is space #7 was left unlocked. There was lotion and teacher's belongings inside the closet. .2820(b) Technical Assistance: Item #605 Toilet fixtures were not cleaned and disinfected at least daily and when visibly soiled. *The commode in space #7 was visibly stained and needed to be cleaned. Item #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. *The storage closet in space #7 was left unlocked. There was lotion and teacher’s belongings inside the closet. This was corrected during the visit. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by August 25, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 69 Completed Date: 8/7/2025 Age: From 0 To 5 Total Minutes: 275 Time In: 10:15 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit is to follow-up on an administrative action that this facility just received due to having sixteen or more violations during the visit that was conducted on June 11, 2025. A follow-up visit was conducted on June 26, 2025. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. The administrative action was posted in the hallway of the facility. Today, I observed eight (8) groups of children in a variety of activities. I observed children playing in centers, getting diapers changed and playing outside on the playground. During today's visit, Ms. Taylor asked about the details of transferring to a Religious Exempt Program (GS 110.106, letter of intent). We discussed this today and I will send her more information. The following violations were documented during today’s visit: Violation Number Comment Rule 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. In space #3 there was dirt and sand in the corner of the changing table. Space #4b also had sand in the corner of the changing table but they were in the process of changing diapers. This is a repeat violation. 15A NCAC 18A .2819(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #3 there was a plastic ziplock bag as well as plastic food service gloves on a low shelf. .0604(q) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #3 there was a laminator in the floor of the classroom. .0604(e) Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. *In space #3 there was a laminator in the floor of the classroom. Item #619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. *In space #3 there was dirt and sand in the corner of the changing table. Space #4b also had sand in the corner of the changing table but they were in the process of changing diapers. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. *In space #3 there was a plastic ziplock bag as well as plastic food service gloves on a low shelf. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by August 28, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/26/2025 Number Present: 72 Completed Date: 6/26/2025 Age: From 0 To 5 Total Minutes: 240 Time In: 10:15 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to follow-up on violations cited during your annual compliance visit conducted on 6/11/25. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, Administrator, during the visit. A signed copy of today’s visit was left on site today. An electronic copy of the visit summary is available electronically upon request. Upon my arrival I explained to Ms. Taylor the reason for my visit today. During the annual compliance visit on 6/11/25, a repeat violation was cited for CPR training and more than 16 violations was cited which requires a follow up visit. During today's visit, children were observed in group time, playing in centers, singing, dancing and younger ones were observed being rocked to sleep. It was raining and stormy today, so outside time got cut short. I walked through each classroom, with special emphasis on the classrooms where violations were cited. Lunch today consisted of pinto beans, mixed greens, sweet potatoes, corn bread and milk. There were ninety-three (93) children enrolled and seventy-two in attendance today. The following violations were documented during today’s visit: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. This is a repeat violation. The new pastor of the church (J.H.) has not completed the Criminal Background Check process. We discussed that J.H. can not be in the child care area until the background check is on file. He is in the system, but still has not completed the fingerprint portion. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. This is a repeat violation. The new pastor of the church (J.H.) did not have a qualifying letter on file. We discussed that J.H. can not be in the child care area until the background check is on file. He is in the system, but still has not completed the fingerprint portion. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator has now completed the ABCMS training. I walked her through getting the first staff added to the roster so now she will begin adding the remaining staff into the roster. She will continue working on completing the roster. This is a repeat violation. G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. This is a repeat violation. The administrator thought the violation was for the medication label. The violation was for the permission slip. During today’s visit, the administrator emailed the parent the form and it was filled out and is now on site and corrected during today’s visit. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Item #1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permission to administer Dizapem was older than 6 months. The permission needed to be updated by March 2025. *This is a repeat violation. The administrator thought the violation was for the medication label. The violation was for the permission slip. During today’s visit, the administrator emailed the parent the form and it was filled out and is now on site and corrected during today’s visit. Item #1041 Prior to employment a Criminal Background Check was not completed. *This is a repeat violation. The new pastor of the church (J.H.) has not completed the Criminal Background Check process. We discussed that J.H. can not be in the child care area until the background check is on file. He is in the system, but still has not completed the fingerprint portion. Item #1757 A valid qualification letter was not on file and available for review at the facility. ** This is a repeat violation. The new pastor of the church (J.H.) did not have a qualifying letter on file. We discussed that J.H. can not be in the child care area until the background check is on file. He is in the system, but still has not completed the fingerprint portion. Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. * This is a repeat violation. The administrator has now completed the ABCMS training. I walked her through getting the first staff added to the roster so now she will begin adding the remaining staff into the roster. She will continue working on completing the roster. During my visit today, we discussed the issue of mulch. Ms. Taylor has approached the board about the need for more mulch and the repair to the step that is damaged. She stated that the church’s property committee is working on these issues. After discussing this issue further, Ms. Taylor stated that the climbers would be roped off today (during my visit) and children would not be allowed to play on these climbers until the mulch is in place at the proper depth and the step has been repaired. Ms. Taylor gave me a statement about this in writing today. I suggested that you contact the manufacture of the climber that has the damaged step to see what can be done to fix this issue. Ms. Taylor has looked at Lowes Hardware for ways to fix the step with no luck. The company may be able to give suggestions or possibly it is under a warranty and the company may complete the repair. All other violations have been corrected as stated in the correction letter and observed as corrected during today’s visit. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/11/2025 Number Present: 91 Completed Date: 6/11/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 09:00 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, administrator, during the visit. Bonnie Mathis, Licensing Supervisor, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site (and/or electronically emailed upon request) with you. When we arrived, we were greeted by Ms. Taylor. I explained the purpose of today’s visit. Ms. Taylor accompanied us during our walkthrough. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 6/9/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Greenway Baptist Church of Boone, N.C., is active as of 6/9/25. In speaking with Ms. Taylor, the registered agent that is listed is no longer current and should be updated as soon as possible. Permit type – Five Star License, issued on 1/15/19. Special Services/Restrictions – Daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 6/20/24. The last fire drill was practiced on 5/23/25. The last lock down drill was practiced on 3/17/25. The last playground inspection was documented on 5/27/25. The last fire inspection was approved on 10/22/24. The last sanitation inspection was conducted on 11/12/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 8/16/23 without hazards. Lead paint and asbestos testing is in the process. During today’s visit we observed eight (8) classrooms. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In spaces 5 and 6, one child’s bottle did not have a date, three other children had bottles that had the wrong date. 15A NCAC 18A .2804(d) 605 Toilet fixtures were not cleaned and disinfected at least daily and when visibly soiled. In space #3, the toilets were dirty and in poor repair. One toilet seat was loose or broken. 15A NCAC 18A.2817(b) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. Most classrooms were visibly dirty and needs to be deep clean. .2822(a)(1-4) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. Most changing tables were showing signs of advance wear and tear. In space 3, there was mulch in the corners of the changing table. 15A NCAC 18A .2819(c) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 3 and 4b there was splattered food dried on the wall and the outside of the trashcan. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. There was a dusting to an inch of resilient surfacing under and around the stationary equipment. Additionally, there was gravel, dirt and grass combined with the mulch and located within the fall zones. .0605(j) 721 All equipment and furnishings were not in good repair. On the small climber on the large playground, the top step has rubber torn and pulling away from the step. G.S. 110-91(6); .0601(b) 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. In space 4b hand sanitizer was stored below 5 feet. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 3, there was an expired sunscreen. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Under the changing tables in spaces 5, 6 and 4b, plastic was accessible to young children. A stuffed animal that had sequins was accessible to two-year-old children. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. There were two (2) plastic mats in the Dove's classroom, with one-year-old children that had several small tears where foam was exposed. .0604(q) 1041 Prior to employment a Criminal Background Check was not completed. The new pastor of the church (J.H.) has not completed the Criminal Background Check process. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff A.D. First Aid certification expired May, 25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member's CPR certification expired May, 25. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. The new pastor of the church (J.H.) has not completed the Criminal Background Check process. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator has not completed the ABCMS training in order to compile the roster needed for this rule. G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permission to administer Dizapem was older than 6 months. The permission needed to be updated by March, 2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Two (2) new staff member's confidential information was not filed separately. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff did not complete the training. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Three (3) staff have not completed Health/safety training within their first year of employment. .1103(b) Technical assistance was provided as follows: Item #533 Human milk, formula, and other bottled beverages, including sippy cups, sent from child's home were not fully prepared, dated and labeled for the appropriate child. *In spaces 5 and 6, one child’s bottle did not have a date, three other children had bottles that had the wrong date. Item #716 – We discussed there needs to be a minimum of 6 inches of resilient surfacing under and around the equipment to extend 6 feet. The majority of the surfacing is compressed and mulch that has broke down. You stated the church is looking into purchasing rubber mulch. We discussed the current mulch composition needs to be completely removed as only one surfacing type can be available. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. *Under the changing tables in spaces 5, 6 and 4b, plastic was accessible to young children. A stuffed animal that had sequins was also accessible to children. Item #861 – There were two (2) plastic mats located in the Dove’s classroom that had several small tears exposing foam. Recommend removing the mats and purchasing additional softness to add to the classroom. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *In space 3, there was an expired sunscreen. Item #1041 Prior to employment a Criminal Background Check was not completed. *The new pastor of the church (J.H.) has not completed the Criminal Background Check process. We discussed that J.H. can not be in the child care area until the background check is on file. Item #1757 A valid qualification letter was not on file and available for review at the facility. **The new pastor of the church (J.H.) did not have a qualifying letter on file. We discussed that J.H. can not be in the child care area until the background check is on file. Item #616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. *Most classrooms were visibly dirty and need to be deep clean. Mouth buckets for dirty toys were being used, but some were full instead of getting cleaned on a regular basis. Item #620 All walls and ceilings, including doors and windows, were not kept clean, free of visible fungal growth, and in good repair. *In space 3 and 4b there was splattered food dried on the wall and the outside of the trashcan. Item #605 Toilet fixtures where not cleaned and disinfected at least daily and when visibly soiled. *In space #3, the toilets were dirty and in poor repair. One toilet seat was loose or broken. Item #619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. *Most changing tables were showing signs of advance wear and tear. In space 3, there was mulch in the corners of the changing table. Item #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. *In space 4b hand sanitizer was stored below 5 feet. Item # 721 All equipment and furnishings were not in good repair. *On the small climber on the large playground, the top step has rubber torn and pulling away from the step. Item #1048 & 1049 – One (1) staff A.D. did not have a valid CPR and First Aid Certification. You stated a class is scheduled for 6/13/25. This is a repeat violation. Item #1882 – A chronic medication Diazepam did not accompany an updated permission form. The two vials of medication expired on 9/2/24 and on 4/20/25. Both need to be returned to the parent and request a valid prescription along with an updated permission to administer medication for the child. Item #1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening, and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. * Two (2) new staff member's confidential information was not filed separately. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. *One staff M.F. has not completed the training as required. This is a repeat violation. #1899 – Three (3) staff did not complete Health and Safety training as required within the first year of employment. Staff members A.B., E.G., and M. F. need to complete the training immediately. We discussed creating a spreadsheet system that works for you to track the due dates for training needed. Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *The administrator has not completed the ABCMS training in order to compile the roster needed for this rule. We discussed the email that we sent out with specific directions along with contact information for people that can assist if she is having issues with her NCID. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS (Automated Background Check Management System) in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen (16) or more violations. Based on today’s findings, this child care facility received sixteen (16) or more violations. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by June 25, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today we discussed: • Rugs can be tripping hazards if they slide around and move. • Shelving needs to be refinished and cleaned. A new coat of varnish would be great. • Walls are in need of painting. • The bolts attaching the barrier around the mulch need to be hammered down. • When replacing the mulch, be sure to cover exposed footings. • We discussed that the caterpillar tunnel on the infant/toddler playground doesn’t need to be in the mulch box unless they are climbing on it. If they are climbing on it, the mulch needs to extend 6 feet around. Bonnie Mathis, Licensing Supervisor and I, have discussed the need to update the facility’s information to match the articles of corporations. An email was submitted to Pastor Darrell Hobbs on March 26, 2025, providing the specific details and request to update Regulatory paperwork. After reviewing the articles of incorporation in the Secretary of State website it was determined there is a change of the registered agent. The corporation information does not match the Regulatory Database which is a public storage of facility information. The application paperwork continues to be the only paperwork available to capture all the current and relevant facility owner information. A copy of the applicable application paperwork was available. The Regulatory Database should match the Secretary of State articles of corporation, and to reflect the accurate owner information for Greenway Baptist Church, Inc., which is the owner operator of Greenway Baptist Child Development Center. Please update this information and submit with your letter of compliance. Remind staff they should be up and moving about the room when children are engaged in activities, to include naptime. In the Rainbow classroom both staff were sitting in a chair and not engaged with the children to assist with learning, exploration and expansion of play. Additionally, in this classroom there were only books available in the language area. Additional items such as puppets, stuffed animals, flannel board, etc. should be added to enhance language development. Additional softness is also needed to make the area cozy and inviting for the children. The facility needs a thorough cleaning. Please remind staff they should be wiping down and cleaning all floors, shelves, equipment/materials regularly. The following sanitation requirement is as follows: 15A NCAC 18A .2822 TOYS, EQUIPMENT AND FURNITURE (a) Toys, equipment, and furniture provided by a child care center shall be kept clean and in good repair. In rooms designated for children who are not toilet trained, toys and other mouth-contact surfaces that are used by children shall be cleaned and then sanitized after each use and when visibly dirty. Toys and other mouth-contact surfaces shall be cleaned and sanitized as follows: (1) the items shall be scrubbed in warm, soapy water, using a brush to reach into any crevices; (2) the items shall be rinsed in clean water; (3) the items shall be submerged in a sanitizing solution for at least two minutes or in accordance with the instructions on the label of the sanitizing solution; and (4) the items shall be air dried. (b) Toys and other mouth-contact surfaces that are not designed to be submerged in liquid shall be washed and rinsed in place, sprayed with a sanitizing solution, and allowed to air dry. Hard plastic toys may be washed and rinsed in a dishwasher and cloth toys may be laundered and mechanically dried without requiring sanitizing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/11/2025 Number Present: 91 Completed Date: 6/11/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 09:00 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, administrator, during the visit. Bonnie Mathis, Licensing Supervisor, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site (and/or electronically emailed upon request) with you. When we arrived, we were greeted by Ms. Taylor. I explained the purpose of today’s visit. Ms. Taylor accompanied us during our walkthrough. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 6/9/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Greenway Baptist Church of Boone, N.C., is active as of 6/9/25. In speaking with Ms. Taylor, the registered agent that is listed is no longer current and should be updated as soon as possible. Permit type – Five Star License, issued on 1/15/19. Special Services/Restrictions – Daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 6/20/24. The last fire drill was practiced on 5/23/25. The last lock down drill was practiced on 3/17/25. The last playground inspection was documented on 5/27/25. The last fire inspection was approved on 10/22/24. The last sanitation inspection was conducted on 11/12/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 8/16/23 without hazards. Lead paint and asbestos testing is in the process. During today’s visit we observed eight (8) classrooms. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In spaces 5 and 6, one child’s bottle did not have a date, three other children had bottles that had the wrong date. 15A NCAC 18A .2804(d) 605 Toilet fixtures were not cleaned and disinfected at least daily and when visibly soiled. In space #3, the toilets were dirty and in poor repair. One toilet seat was loose or broken. 15A NCAC 18A.2817(b) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. Most classrooms were visibly dirty and needs to be deep clean. .2822(a)(1-4) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. Most changing tables were showing signs of advance wear and tear. In space 3, there was mulch in the corners of the changing table. 15A NCAC 18A .2819(c) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 3 and 4b there was splattered food dried on the wall and the outside of the trashcan. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. There was a dusting to an inch of resilient surfacing under and around the stationary equipment. Additionally, there was gravel, dirt and grass combined with the mulch and located within the fall zones. .0605(j) 721 All equipment and furnishings were not in good repair. On the small climber on the large playground, the top step has rubber torn and pulling away from the step. G.S. 110-91(6); .0601(b) 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. In space 4b hand sanitizer was stored below 5 feet. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 3, there was an expired sunscreen. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Under the changing tables in spaces 5, 6 and 4b, plastic was accessible to young children. A stuffed animal that had sequins was accessible to two-year-old children. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. There were two (2) plastic mats in the Dove's classroom, with one-year-old children that had several small tears where foam was exposed. .0604(q) 1041 Prior to employment a Criminal Background Check was not completed. The new pastor of the church (J.H.) has not completed the Criminal Background Check process. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff A.D. First Aid certification expired May, 25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member's CPR certification expired May, 25. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. The new pastor of the church (J.H.) has not completed the Criminal Background Check process. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator has not completed the ABCMS training in order to compile the roster needed for this rule. G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permission to administer Dizapem was older than 6 months. The permission needed to be updated by March, 2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Two (2) new staff member's confidential information was not filed separately. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff did not complete the training. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Three (3) staff have not completed Health/safety training within their first year of employment. .1103(b) Technical assistance was provided as follows: Item #533 Human milk, formula, and other bottled beverages, including sippy cups, sent from child's home were not fully prepared, dated and labeled for the appropriate child. *In spaces 5 and 6, one child’s bottle did not have a date, three other children had bottles that had the wrong date. Item #716 – We discussed there needs to be a minimum of 6 inches of resilient surfacing under and around the equipment to extend 6 feet. The majority of the surfacing is compressed and mulch that has broke down. You stated the church is looking into purchasing rubber mulch. We discussed the current mulch composition needs to be completely removed as only one surfacing type can be available. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. *Under the changing tables in spaces 5, 6 and 4b, plastic was accessible to young children. A stuffed animal that had sequins was also accessible to children. Item #861 – There were two (2) plastic mats located in the Dove’s classroom that had several small tears exposing foam. Recommend removing the mats and purchasing additional softness to add to the classroom. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *In space 3, there was an expired sunscreen. Item #1041 Prior to employment a Criminal Background Check was not completed. *The new pastor of the church (J.H.) has not completed the Criminal Background Check process. We discussed that J.H. can not be in the child care area until the background check is on file. Item #1757 A valid qualification letter was not on file and available for review at the facility. **The new pastor of the church (J.H.) did not have a qualifying letter on file. We discussed that J.H. can not be in the child care area until the background check is on file. Item #616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. *Most classrooms were visibly dirty and need to be deep clean. Mouth buckets for dirty toys were being used, but some were full instead of getting cleaned on a regular basis. Item #620 All walls and ceilings, including doors and windows, were not kept clean, free of visible fungal growth, and in good repair. *In space 3 and 4b there was splattered food dried on the wall and the outside of the trashcan. Item #605 Toilet fixtures where not cleaned and disinfected at least daily and when visibly soiled. *In space #3, the toilets were dirty and in poor repair. One toilet seat was loose or broken. Item #619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. *Most changing tables were showing signs of advance wear and tear. In space 3, there was mulch in the corners of the changing table. Item #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. *In space 4b hand sanitizer was stored below 5 feet. Item # 721 All equipment and furnishings were not in good repair. *On the small climber on the large playground, the top step has rubber torn and pulling away from the step. Item #1048 & 1049 – One (1) staff A.D. did not have a valid CPR and First Aid Certification. You stated a class is scheduled for 6/13/25. This is a repeat violation. Item #1882 – A chronic medication Diazepam did not accompany an updated permission form. The two vials of medication expired on 9/2/24 and on 4/20/25. Both need to be returned to the parent and request a valid prescription along with an updated permission to administer medication for the child. Item #1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening, and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. * Two (2) new staff member's confidential information was not filed separately. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. *One staff M.F. has not completed the training as required. This is a repeat violation. #1899 – Three (3) staff did not complete Health and Safety training as required within the first year of employment. Staff members A.B., E.G., and M. F. need to complete the training immediately. We discussed creating a spreadsheet system that works for you to track the due dates for training needed. Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *The administrator has not completed the ABCMS training in order to compile the roster needed for this rule. We discussed the email that we sent out with specific directions along with contact information for people that can assist if she is having issues with her NCID. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS (Automated Background Check Management System) in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen (16) or more violations. Based on today’s findings, this child care facility received sixteen (16) or more violations. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by June 25, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today we discussed: • Rugs can be tripping hazards if they slide around and move. • Shelving needs to be refinished and cleaned. A new coat of varnish would be great. • Walls are in need of painting. • The bolts attaching the barrier around the mulch need to be hammered down. • When replacing the mulch, be sure to cover exposed footings. • We discussed that the caterpillar tunnel on the infant/toddler playground doesn’t need to be in the mulch box unless they are climbing on it. If they are climbing on it, the mulch needs to extend 6 feet around. Bonnie Mathis, Licensing Supervisor and I, have discussed the need to update the facility’s information to match the articles of corporations. An email was submitted to Pastor Darrell Hobbs on March 26, 2025, providing the specific details and request to update Regulatory paperwork. After reviewing the articles of incorporation in the Secretary of State website it was determined there is a change of the registered agent. The corporation information does not match the Regulatory Database which is a public storage of facility information. The application paperwork continues to be the only paperwork available to capture all the current and relevant facility owner information. A copy of the applicable application paperwork was available. The Regulatory Database should match the Secretary of State articles of corporation, and to reflect the accurate owner information for Greenway Baptist Church, Inc., which is the owner operator of Greenway Baptist Child Development Center. Please update this information and submit with your letter of compliance. Remind staff they should be up and moving about the room when children are engaged in activities, to include naptime. In the Rainbow classroom both staff were sitting in a chair and not engaged with the children to assist with learning, exploration and expansion of play. Additionally, in this classroom there were only books available in the language area. Additional items such as puppets, stuffed animals, flannel board, etc. should be added to enhance language development. Additional softness is also needed to make the area cozy and inviting for the children. The facility needs a thorough cleaning. Please remind staff they should be wiping down and cleaning all floors, shelves, equipment/materials regularly. The following sanitation requirement is as follows: 15A NCAC 18A .2822 TOYS, EQUIPMENT AND FURNITURE (a) Toys, equipment, and furniture provided by a child care center shall be kept clean and in good repair. In rooms designated for children who are not toilet trained, toys and other mouth-contact surfaces that are used by children shall be cleaned and then sanitized after each use and when visibly dirty. Toys and other mouth-contact surfaces shall be cleaned and sanitized as follows: (1) the items shall be scrubbed in warm, soapy water, using a brush to reach into any crevices; (2) the items shall be rinsed in clean water; (3) the items shall be submerged in a sanitizing solution for at least two minutes or in accordance with the instructions on the label of the sanitizing solution; and (4) the items shall be air dried. (b) Toys and other mouth-contact surfaces that are not designed to be submerged in liquid shall be washed and rinsed in place, sprayed with a sanitizing solution, and allowed to air dry. Hard plastic toys may be washed and rinsed in a dishwasher and cloth toys may be laundered and mechanically dried without requiring sanitizing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/11/2025 Number Present: 91 Completed Date: 6/11/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 09:00 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, administrator, during the visit. Bonnie Mathis, Licensing Supervisor, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site (and/or electronically emailed upon request) with you. When we arrived, we were greeted by Ms. Taylor. I explained the purpose of today’s visit. Ms. Taylor accompanied us during our walkthrough. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 6/9/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Greenway Baptist Church of Boone, N.C., is active as of 6/9/25. In speaking with Ms. Taylor, the registered agent that is listed is no longer current and should be updated as soon as possible. Permit type – Five Star License, issued on 1/15/19. Special Services/Restrictions – Daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 6/20/24. The last fire drill was practiced on 5/23/25. The last lock down drill was practiced on 3/17/25. The last playground inspection was documented on 5/27/25. The last fire inspection was approved on 10/22/24. The last sanitation inspection was conducted on 11/12/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 8/16/23 without hazards. Lead paint and asbestos testing is in the process. During today’s visit we observed eight (8) classrooms. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In spaces 5 and 6, one child’s bottle did not have a date, three other children had bottles that had the wrong date. 15A NCAC 18A .2804(d) 605 Toilet fixtures were not cleaned and disinfected at least daily and when visibly soiled. In space #3, the toilets were dirty and in poor repair. One toilet seat was loose or broken. 15A NCAC 18A.2817(b) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. Most classrooms were visibly dirty and needs to be deep clean. .2822(a)(1-4) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. Most changing tables were showing signs of advance wear and tear. In space 3, there was mulch in the corners of the changing table. 15A NCAC 18A .2819(c) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 3 and 4b there was splattered food dried on the wall and the outside of the trashcan. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. There was a dusting to an inch of resilient surfacing under and around the stationary equipment. Additionally, there was gravel, dirt and grass combined with the mulch and located within the fall zones. .0605(j) 721 All equipment and furnishings were not in good repair. On the small climber on the large playground, the top step has rubber torn and pulling away from the step. G.S. 110-91(6); .0601(b) 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. In space 4b hand sanitizer was stored below 5 feet. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 3, there was an expired sunscreen. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Under the changing tables in spaces 5, 6 and 4b, plastic was accessible to young children. A stuffed animal that had sequins was accessible to two-year-old children. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. There were two (2) plastic mats in the Dove's classroom, with one-year-old children that had several small tears where foam was exposed. .0604(q) 1041 Prior to employment a Criminal Background Check was not completed. The new pastor of the church (J.H.) has not completed the Criminal Background Check process. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff A.D. First Aid certification expired May, 25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member's CPR certification expired May, 25. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. The new pastor of the church (J.H.) has not completed the Criminal Background Check process. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator has not completed the ABCMS training in order to compile the roster needed for this rule. G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permission to administer Dizapem was older than 6 months. The permission needed to be updated by March, 2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Two (2) new staff member's confidential information was not filed separately. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff did not complete the training. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Three (3) staff have not completed Health/safety training within their first year of employment. .1103(b) Technical assistance was provided as follows: Item #533 Human milk, formula, and other bottled beverages, including sippy cups, sent from child's home were not fully prepared, dated and labeled for the appropriate child. *In spaces 5 and 6, one child’s bottle did not have a date, three other children had bottles that had the wrong date. Item #716 – We discussed there needs to be a minimum of 6 inches of resilient surfacing under and around the equipment to extend 6 feet. The majority of the surfacing is compressed and mulch that has broke down. You stated the church is looking into purchasing rubber mulch. We discussed the current mulch composition needs to be completely removed as only one surfacing type can be available. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. *Under the changing tables in spaces 5, 6 and 4b, plastic was accessible to young children. A stuffed animal that had sequins was also accessible to children. Item #861 – There were two (2) plastic mats located in the Dove’s classroom that had several small tears exposing foam. Recommend removing the mats and purchasing additional softness to add to the classroom. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *In space 3, there was an expired sunscreen. Item #1041 Prior to employment a Criminal Background Check was not completed. *The new pastor of the church (J.H.) has not completed the Criminal Background Check process. We discussed that J.H. can not be in the child care area until the background check is on file. Item #1757 A valid qualification letter was not on file and available for review at the facility. **The new pastor of the church (J.H.) did not have a qualifying letter on file. We discussed that J.H. can not be in the child care area until the background check is on file. Item #616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. *Most classrooms were visibly dirty and need to be deep clean. Mouth buckets for dirty toys were being used, but some were full instead of getting cleaned on a regular basis. Item #620 All walls and ceilings, including doors and windows, were not kept clean, free of visible fungal growth, and in good repair. *In space 3 and 4b there was splattered food dried on the wall and the outside of the trashcan. Item #605 Toilet fixtures where not cleaned and disinfected at least daily and when visibly soiled. *In space #3, the toilets were dirty and in poor repair. One toilet seat was loose or broken. Item #619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. *Most changing tables were showing signs of advance wear and tear. In space 3, there was mulch in the corners of the changing table. Item #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. *In space 4b hand sanitizer was stored below 5 feet. Item # 721 All equipment and furnishings were not in good repair. *On the small climber on the large playground, the top step has rubber torn and pulling away from the step. Item #1048 & 1049 – One (1) staff A.D. did not have a valid CPR and First Aid Certification. You stated a class is scheduled for 6/13/25. This is a repeat violation. Item #1882 – A chronic medication Diazepam did not accompany an updated permission form. The two vials of medication expired on 9/2/24 and on 4/20/25. Both need to be returned to the parent and request a valid prescription along with an updated permission to administer medication for the child. Item #1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening, and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. * Two (2) new staff member's confidential information was not filed separately. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. *One staff M.F. has not completed the training as required. This is a repeat violation. #1899 – Three (3) staff did not complete Health and Safety training as required within the first year of employment. Staff members A.B., E.G., and M. F. need to complete the training immediately. We discussed creating a spreadsheet system that works for you to track the due dates for training needed. Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *The administrator has not completed the ABCMS training in order to compile the roster needed for this rule. We discussed the email that we sent out with specific directions along with contact information for people that can assist if she is having issues with her NCID. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS (Automated Background Check Management System) in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen (16) or more violations. Based on today’s findings, this child care facility received sixteen (16) or more violations. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by June 25, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today we discussed: • Rugs can be tripping hazards if they slide around and move. • Shelving needs to be refinished and cleaned. A new coat of varnish would be great. • Walls are in need of painting. • The bolts attaching the barrier around the mulch need to be hammered down. • When replacing the mulch, be sure to cover exposed footings. • We discussed that the caterpillar tunnel on the infant/toddler playground doesn’t need to be in the mulch box unless they are climbing on it. If they are climbing on it, the mulch needs to extend 6 feet around. Bonnie Mathis, Licensing Supervisor and I, have discussed the need to update the facility’s information to match the articles of corporations. An email was submitted to Pastor Darrell Hobbs on March 26, 2025, providing the specific details and request to update Regulatory paperwork. After reviewing the articles of incorporation in the Secretary of State website it was determined there is a change of the registered agent. The corporation information does not match the Regulatory Database which is a public storage of facility information. The application paperwork continues to be the only paperwork available to capture all the current and relevant facility owner information. A copy of the applicable application paperwork was available. The Regulatory Database should match the Secretary of State articles of corporation, and to reflect the accurate owner information for Greenway Baptist Church, Inc., which is the owner operator of Greenway Baptist Child Development Center. Please update this information and submit with your letter of compliance. Remind staff they should be up and moving about the room when children are engaged in activities, to include naptime. In the Rainbow classroom both staff were sitting in a chair and not engaged with the children to assist with learning, exploration and expansion of play. Additionally, in this classroom there were only books available in the language area. Additional items such as puppets, stuffed animals, flannel board, etc. should be added to enhance language development. Additional softness is also needed to make the area cozy and inviting for the children. The facility needs a thorough cleaning. Please remind staff they should be wiping down and cleaning all floors, shelves, equipment/materials regularly. The following sanitation requirement is as follows: 15A NCAC 18A .2822 TOYS, EQUIPMENT AND FURNITURE (a) Toys, equipment, and furniture provided by a child care center shall be kept clean and in good repair. In rooms designated for children who are not toilet trained, toys and other mouth-contact surfaces that are used by children shall be cleaned and then sanitized after each use and when visibly dirty. Toys and other mouth-contact surfaces shall be cleaned and sanitized as follows: (1) the items shall be scrubbed in warm, soapy water, using a brush to reach into any crevices; (2) the items shall be rinsed in clean water; (3) the items shall be submerged in a sanitizing solution for at least two minutes or in accordance with the instructions on the label of the sanitizing solution; and (4) the items shall be air dried. (b) Toys and other mouth-contact surfaces that are not designed to be submerged in liquid shall be washed and rinsed in place, sprayed with a sanitizing solution, and allowed to air dry. Hard plastic toys may be washed and rinsed in a dishwasher and cloth toys may be laundered and mechanically dried without requiring sanitizing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2201 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/11/2025 Number Present: 91 Completed Date: 6/11/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 09:00 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, administrator, during the visit. Bonnie Mathis, Licensing Supervisor, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site (and/or electronically emailed upon request) with you. When we arrived, we were greeted by Ms. Taylor. I explained the purpose of today’s visit. Ms. Taylor accompanied us during our walkthrough. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 6/9/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Greenway Baptist Church of Boone, N.C., is active as of 6/9/25. In speaking with Ms. Taylor, the registered agent that is listed is no longer current and should be updated as soon as possible. Permit type – Five Star License, issued on 1/15/19. Special Services/Restrictions – Daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 6/20/24. The last fire drill was practiced on 5/23/25. The last lock down drill was practiced on 3/17/25. The last playground inspection was documented on 5/27/25. The last fire inspection was approved on 10/22/24. The last sanitation inspection was conducted on 11/12/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 8/16/23 without hazards. Lead paint and asbestos testing is in the process. During today’s visit we observed eight (8) classrooms. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In spaces 5 and 6, one child’s bottle did not have a date, three other children had bottles that had the wrong date. 15A NCAC 18A .2804(d) 605 Toilet fixtures were not cleaned and disinfected at least daily and when visibly soiled. In space #3, the toilets were dirty and in poor repair. One toilet seat was loose or broken. 15A NCAC 18A.2817(b) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. Most classrooms were visibly dirty and needs to be deep clean. .2822(a)(1-4) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. Most changing tables were showing signs of advance wear and tear. In space 3, there was mulch in the corners of the changing table. 15A NCAC 18A .2819(c) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 3 and 4b there was splattered food dried on the wall and the outside of the trashcan. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. There was a dusting to an inch of resilient surfacing under and around the stationary equipment. Additionally, there was gravel, dirt and grass combined with the mulch and located within the fall zones. .0605(j) 721 All equipment and furnishings were not in good repair. On the small climber on the large playground, the top step has rubber torn and pulling away from the step. G.S. 110-91(6); .0601(b) 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. In space 4b hand sanitizer was stored below 5 feet. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 3, there was an expired sunscreen. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Under the changing tables in spaces 5, 6 and 4b, plastic was accessible to young children. A stuffed animal that had sequins was accessible to two-year-old children. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. There were two (2) plastic mats in the Dove's classroom, with one-year-old children that had several small tears where foam was exposed. .0604(q) 1041 Prior to employment a Criminal Background Check was not completed. The new pastor of the church (J.H.) has not completed the Criminal Background Check process. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff A.D. First Aid certification expired May, 25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member's CPR certification expired May, 25. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. The new pastor of the church (J.H.) has not completed the Criminal Background Check process. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator has not completed the ABCMS training in order to compile the roster needed for this rule. G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permission to administer Dizapem was older than 6 months. The permission needed to be updated by March, 2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Two (2) new staff member's confidential information was not filed separately. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff did not complete the training. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Three (3) staff have not completed Health/safety training within their first year of employment. .1103(b) Technical assistance was provided as follows: Item #533 Human milk, formula, and other bottled beverages, including sippy cups, sent from child's home were not fully prepared, dated and labeled for the appropriate child. *In spaces 5 and 6, one child’s bottle did not have a date, three other children had bottles that had the wrong date. Item #716 – We discussed there needs to be a minimum of 6 inches of resilient surfacing under and around the equipment to extend 6 feet. The majority of the surfacing is compressed and mulch that has broke down. You stated the church is looking into purchasing rubber mulch. We discussed the current mulch composition needs to be completely removed as only one surfacing type can be available. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. *Under the changing tables in spaces 5, 6 and 4b, plastic was accessible to young children. A stuffed animal that had sequins was also accessible to children. Item #861 – There were two (2) plastic mats located in the Dove’s classroom that had several small tears exposing foam. Recommend removing the mats and purchasing additional softness to add to the classroom. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *In space 3, there was an expired sunscreen. Item #1041 Prior to employment a Criminal Background Check was not completed. *The new pastor of the church (J.H.) has not completed the Criminal Background Check process. We discussed that J.H. can not be in the child care area until the background check is on file. Item #1757 A valid qualification letter was not on file and available for review at the facility. **The new pastor of the church (J.H.) did not have a qualifying letter on file. We discussed that J.H. can not be in the child care area until the background check is on file. Item #616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. *Most classrooms were visibly dirty and need to be deep clean. Mouth buckets for dirty toys were being used, but some were full instead of getting cleaned on a regular basis. Item #620 All walls and ceilings, including doors and windows, were not kept clean, free of visible fungal growth, and in good repair. *In space 3 and 4b there was splattered food dried on the wall and the outside of the trashcan. Item #605 Toilet fixtures where not cleaned and disinfected at least daily and when visibly soiled. *In space #3, the toilets were dirty and in poor repair. One toilet seat was loose or broken. Item #619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. *Most changing tables were showing signs of advance wear and tear. In space 3, there was mulch in the corners of the changing table. Item #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. *In space 4b hand sanitizer was stored below 5 feet. Item # 721 All equipment and furnishings were not in good repair. *On the small climber on the large playground, the top step has rubber torn and pulling away from the step. Item #1048 & 1049 – One (1) staff A.D. did not have a valid CPR and First Aid Certification. You stated a class is scheduled for 6/13/25. This is a repeat violation. Item #1882 – A chronic medication Diazepam did not accompany an updated permission form. The two vials of medication expired on 9/2/24 and on 4/20/25. Both need to be returned to the parent and request a valid prescription along with an updated permission to administer medication for the child. Item #1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening, and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. * Two (2) new staff member's confidential information was not filed separately. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. *One staff M.F. has not completed the training as required. This is a repeat violation. #1899 – Three (3) staff did not complete Health and Safety training as required within the first year of employment. Staff members A.B., E.G., and M. F. need to complete the training immediately. We discussed creating a spreadsheet system that works for you to track the due dates for training needed. Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *The administrator has not completed the ABCMS training in order to compile the roster needed for this rule. We discussed the email that we sent out with specific directions along with contact information for people that can assist if she is having issues with her NCID. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS (Automated Background Check Management System) in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen (16) or more violations. Based on today’s findings, this child care facility received sixteen (16) or more violations. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by June 25, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today we discussed: • Rugs can be tripping hazards if they slide around and move. • Shelving needs to be refinished and cleaned. A new coat of varnish would be great. • Walls are in need of painting. • The bolts attaching the barrier around the mulch need to be hammered down. • When replacing the mulch, be sure to cover exposed footings. • We discussed that the caterpillar tunnel on the infant/toddler playground doesn’t need to be in the mulch box unless they are climbing on it. If they are climbing on it, the mulch needs to extend 6 feet around. Bonnie Mathis, Licensing Supervisor and I, have discussed the need to update the facility’s information to match the articles of corporations. An email was submitted to Pastor Darrell Hobbs on March 26, 2025, providing the specific details and request to update Regulatory paperwork. After reviewing the articles of incorporation in the Secretary of State website it was determined there is a change of the registered agent. The corporation information does not match the Regulatory Database which is a public storage of facility information. The application paperwork continues to be the only paperwork available to capture all the current and relevant facility owner information. A copy of the applicable application paperwork was available. The Regulatory Database should match the Secretary of State articles of corporation, and to reflect the accurate owner information for Greenway Baptist Church, Inc., which is the owner operator of Greenway Baptist Child Development Center. Please update this information and submit with your letter of compliance. Remind staff they should be up and moving about the room when children are engaged in activities, to include naptime. In the Rainbow classroom both staff were sitting in a chair and not engaged with the children to assist with learning, exploration and expansion of play. Additionally, in this classroom there were only books available in the language area. Additional items such as puppets, stuffed animals, flannel board, etc. should be added to enhance language development. Additional softness is also needed to make the area cozy and inviting for the children. The facility needs a thorough cleaning. Please remind staff they should be wiping down and cleaning all floors, shelves, equipment/materials regularly. The following sanitation requirement is as follows: 15A NCAC 18A .2822 TOYS, EQUIPMENT AND FURNITURE (a) Toys, equipment, and furniture provided by a child care center shall be kept clean and in good repair. In rooms designated for children who are not toilet trained, toys and other mouth-contact surfaces that are used by children shall be cleaned and then sanitized after each use and when visibly dirty. Toys and other mouth-contact surfaces shall be cleaned and sanitized as follows: (1) the items shall be scrubbed in warm, soapy water, using a brush to reach into any crevices; (2) the items shall be rinsed in clean water; (3) the items shall be submerged in a sanitizing solution for at least two minutes or in accordance with the instructions on the label of the sanitizing solution; and (4) the items shall be air dried. (b) Toys and other mouth-contact surfaces that are not designed to be submerged in liquid shall be washed and rinsed in place, sprayed with a sanitizing solution, and allowed to air dry. Hard plastic toys may be washed and rinsed in a dishwasher and cloth toys may be laundered and mechanically dried without requiring sanitizing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/11/2025 Number Present: 91 Completed Date: 6/11/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 09:00 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, administrator, during the visit. Bonnie Mathis, Licensing Supervisor, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site (and/or electronically emailed upon request) with you. When we arrived, we were greeted by Ms. Taylor. I explained the purpose of today’s visit. Ms. Taylor accompanied us during our walkthrough. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 6/9/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Greenway Baptist Church of Boone, N.C., is active as of 6/9/25. In speaking with Ms. Taylor, the registered agent that is listed is no longer current and should be updated as soon as possible. Permit type – Five Star License, issued on 1/15/19. Special Services/Restrictions – Daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 6/20/24. The last fire drill was practiced on 5/23/25. The last lock down drill was practiced on 3/17/25. The last playground inspection was documented on 5/27/25. The last fire inspection was approved on 10/22/24. The last sanitation inspection was conducted on 11/12/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 8/16/23 without hazards. Lead paint and asbestos testing is in the process. During today’s visit we observed eight (8) classrooms. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In spaces 5 and 6, one child’s bottle did not have a date, three other children had bottles that had the wrong date. 15A NCAC 18A .2804(d) 605 Toilet fixtures were not cleaned and disinfected at least daily and when visibly soiled. In space #3, the toilets were dirty and in poor repair. One toilet seat was loose or broken. 15A NCAC 18A.2817(b) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. Most classrooms were visibly dirty and needs to be deep clean. .2822(a)(1-4) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. Most changing tables were showing signs of advance wear and tear. In space 3, there was mulch in the corners of the changing table. 15A NCAC 18A .2819(c) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 3 and 4b there was splattered food dried on the wall and the outside of the trashcan. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. There was a dusting to an inch of resilient surfacing under and around the stationary equipment. Additionally, there was gravel, dirt and grass combined with the mulch and located within the fall zones. .0605(j) 721 All equipment and furnishings were not in good repair. On the small climber on the large playground, the top step has rubber torn and pulling away from the step. G.S. 110-91(6); .0601(b) 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. In space 4b hand sanitizer was stored below 5 feet. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 3, there was an expired sunscreen. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Under the changing tables in spaces 5, 6 and 4b, plastic was accessible to young children. A stuffed animal that had sequins was accessible to two-year-old children. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. There were two (2) plastic mats in the Dove's classroom, with one-year-old children that had several small tears where foam was exposed. .0604(q) 1041 Prior to employment a Criminal Background Check was not completed. The new pastor of the church (J.H.) has not completed the Criminal Background Check process. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff A.D. First Aid certification expired May, 25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member's CPR certification expired May, 25. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. The new pastor of the church (J.H.) has not completed the Criminal Background Check process. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator has not completed the ABCMS training in order to compile the roster needed for this rule. G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permission to administer Dizapem was older than 6 months. The permission needed to be updated by March, 2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Two (2) new staff member's confidential information was not filed separately. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff did not complete the training. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Three (3) staff have not completed Health/safety training within their first year of employment. .1103(b) Technical assistance was provided as follows: Item #533 Human milk, formula, and other bottled beverages, including sippy cups, sent from child's home were not fully prepared, dated and labeled for the appropriate child. *In spaces 5 and 6, one child’s bottle did not have a date, three other children had bottles that had the wrong date. Item #716 – We discussed there needs to be a minimum of 6 inches of resilient surfacing under and around the equipment to extend 6 feet. The majority of the surfacing is compressed and mulch that has broke down. You stated the church is looking into purchasing rubber mulch. We discussed the current mulch composition needs to be completely removed as only one surfacing type can be available. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. *Under the changing tables in spaces 5, 6 and 4b, plastic was accessible to young children. A stuffed animal that had sequins was also accessible to children. Item #861 – There were two (2) plastic mats located in the Dove’s classroom that had several small tears exposing foam. Recommend removing the mats and purchasing additional softness to add to the classroom. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *In space 3, there was an expired sunscreen. Item #1041 Prior to employment a Criminal Background Check was not completed. *The new pastor of the church (J.H.) has not completed the Criminal Background Check process. We discussed that J.H. can not be in the child care area until the background check is on file. Item #1757 A valid qualification letter was not on file and available for review at the facility. **The new pastor of the church (J.H.) did not have a qualifying letter on file. We discussed that J.H. can not be in the child care area until the background check is on file. Item #616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. *Most classrooms were visibly dirty and need to be deep clean. Mouth buckets for dirty toys were being used, but some were full instead of getting cleaned on a regular basis. Item #620 All walls and ceilings, including doors and windows, were not kept clean, free of visible fungal growth, and in good repair. *In space 3 and 4b there was splattered food dried on the wall and the outside of the trashcan. Item #605 Toilet fixtures where not cleaned and disinfected at least daily and when visibly soiled. *In space #3, the toilets were dirty and in poor repair. One toilet seat was loose or broken. Item #619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. *Most changing tables were showing signs of advance wear and tear. In space 3, there was mulch in the corners of the changing table. Item #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. *In space 4b hand sanitizer was stored below 5 feet. Item # 721 All equipment and furnishings were not in good repair. *On the small climber on the large playground, the top step has rubber torn and pulling away from the step. Item #1048 & 1049 – One (1) staff A.D. did not have a valid CPR and First Aid Certification. You stated a class is scheduled for 6/13/25. This is a repeat violation. Item #1882 – A chronic medication Diazepam did not accompany an updated permission form. The two vials of medication expired on 9/2/24 and on 4/20/25. Both need to be returned to the parent and request a valid prescription along with an updated permission to administer medication for the child. Item #1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening, and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. * Two (2) new staff member's confidential information was not filed separately. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. *One staff M.F. has not completed the training as required. This is a repeat violation. #1899 – Three (3) staff did not complete Health and Safety training as required within the first year of employment. Staff members A.B., E.G., and M. F. need to complete the training immediately. We discussed creating a spreadsheet system that works for you to track the due dates for training needed. Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *The administrator has not completed the ABCMS training in order to compile the roster needed for this rule. We discussed the email that we sent out with specific directions along with contact information for people that can assist if she is having issues with her NCID. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS (Automated Background Check Management System) in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen (16) or more violations. Based on today’s findings, this child care facility received sixteen (16) or more violations. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by June 25, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today we discussed: • Rugs can be tripping hazards if they slide around and move. • Shelving needs to be refinished and cleaned. A new coat of varnish would be great. • Walls are in need of painting. • The bolts attaching the barrier around the mulch need to be hammered down. • When replacing the mulch, be sure to cover exposed footings. • We discussed that the caterpillar tunnel on the infant/toddler playground doesn’t need to be in the mulch box unless they are climbing on it. If they are climbing on it, the mulch needs to extend 6 feet around. Bonnie Mathis, Licensing Supervisor and I, have discussed the need to update the facility’s information to match the articles of corporations. An email was submitted to Pastor Darrell Hobbs on March 26, 2025, providing the specific details and request to update Regulatory paperwork. After reviewing the articles of incorporation in the Secretary of State website it was determined there is a change of the registered agent. The corporation information does not match the Regulatory Database which is a public storage of facility information. The application paperwork continues to be the only paperwork available to capture all the current and relevant facility owner information. A copy of the applicable application paperwork was available. The Regulatory Database should match the Secretary of State articles of corporation, and to reflect the accurate owner information for Greenway Baptist Church, Inc., which is the owner operator of Greenway Baptist Child Development Center. Please update this information and submit with your letter of compliance. Remind staff they should be up and moving about the room when children are engaged in activities, to include naptime. In the Rainbow classroom both staff were sitting in a chair and not engaged with the children to assist with learning, exploration and expansion of play. Additionally, in this classroom there were only books available in the language area. Additional items such as puppets, stuffed animals, flannel board, etc. should be added to enhance language development. Additional softness is also needed to make the area cozy and inviting for the children. The facility needs a thorough cleaning. Please remind staff they should be wiping down and cleaning all floors, shelves, equipment/materials regularly. The following sanitation requirement is as follows: 15A NCAC 18A .2822 TOYS, EQUIPMENT AND FURNITURE (a) Toys, equipment, and furniture provided by a child care center shall be kept clean and in good repair. In rooms designated for children who are not toilet trained, toys and other mouth-contact surfaces that are used by children shall be cleaned and then sanitized after each use and when visibly dirty. Toys and other mouth-contact surfaces shall be cleaned and sanitized as follows: (1) the items shall be scrubbed in warm, soapy water, using a brush to reach into any crevices; (2) the items shall be rinsed in clean water; (3) the items shall be submerged in a sanitizing solution for at least two minutes or in accordance with the instructions on the label of the sanitizing solution; and (4) the items shall be air dried. (b) Toys and other mouth-contact surfaces that are not designed to be submerged in liquid shall be washed and rinsed in place, sprayed with a sanitizing solution, and allowed to air dry. Hard plastic toys may be washed and rinsed in a dishwasher and cloth toys may be laundered and mechanically dried without requiring sanitizing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/11/2025 Number Present: 91 Completed Date: 6/11/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 09:00 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, administrator, during the visit. Bonnie Mathis, Licensing Supervisor, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site (and/or electronically emailed upon request) with you. When we arrived, we were greeted by Ms. Taylor. I explained the purpose of today’s visit. Ms. Taylor accompanied us during our walkthrough. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 6/9/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Greenway Baptist Church of Boone, N.C., is active as of 6/9/25. In speaking with Ms. Taylor, the registered agent that is listed is no longer current and should be updated as soon as possible. Permit type – Five Star License, issued on 1/15/19. Special Services/Restrictions – Daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 6/20/24. The last fire drill was practiced on 5/23/25. The last lock down drill was practiced on 3/17/25. The last playground inspection was documented on 5/27/25. The last fire inspection was approved on 10/22/24. The last sanitation inspection was conducted on 11/12/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 8/16/23 without hazards. Lead paint and asbestos testing is in the process. During today’s visit we observed eight (8) classrooms. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In spaces 5 and 6, one child’s bottle did not have a date, three other children had bottles that had the wrong date. 15A NCAC 18A .2804(d) 605 Toilet fixtures were not cleaned and disinfected at least daily and when visibly soiled. In space #3, the toilets were dirty and in poor repair. One toilet seat was loose or broken. 15A NCAC 18A.2817(b) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. Most classrooms were visibly dirty and needs to be deep clean. .2822(a)(1-4) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. Most changing tables were showing signs of advance wear and tear. In space 3, there was mulch in the corners of the changing table. 15A NCAC 18A .2819(c) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 3 and 4b there was splattered food dried on the wall and the outside of the trashcan. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. There was a dusting to an inch of resilient surfacing under and around the stationary equipment. Additionally, there was gravel, dirt and grass combined with the mulch and located within the fall zones. .0605(j) 721 All equipment and furnishings were not in good repair. On the small climber on the large playground, the top step has rubber torn and pulling away from the step. G.S. 110-91(6); .0601(b) 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. In space 4b hand sanitizer was stored below 5 feet. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 3, there was an expired sunscreen. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Under the changing tables in spaces 5, 6 and 4b, plastic was accessible to young children. A stuffed animal that had sequins was accessible to two-year-old children. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. There were two (2) plastic mats in the Dove's classroom, with one-year-old children that had several small tears where foam was exposed. .0604(q) 1041 Prior to employment a Criminal Background Check was not completed. The new pastor of the church (J.H.) has not completed the Criminal Background Check process. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff A.D. First Aid certification expired May, 25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member's CPR certification expired May, 25. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. The new pastor of the church (J.H.) has not completed the Criminal Background Check process. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator has not completed the ABCMS training in order to compile the roster needed for this rule. G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permission to administer Dizapem was older than 6 months. The permission needed to be updated by March, 2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Two (2) new staff member's confidential information was not filed separately. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff did not complete the training. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Three (3) staff have not completed Health/safety training within their first year of employment. .1103(b) Technical assistance was provided as follows: Item #533 Human milk, formula, and other bottled beverages, including sippy cups, sent from child's home were not fully prepared, dated and labeled for the appropriate child. *In spaces 5 and 6, one child’s bottle did not have a date, three other children had bottles that had the wrong date. Item #716 – We discussed there needs to be a minimum of 6 inches of resilient surfacing under and around the equipment to extend 6 feet. The majority of the surfacing is compressed and mulch that has broke down. You stated the church is looking into purchasing rubber mulch. We discussed the current mulch composition needs to be completely removed as only one surfacing type can be available. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. *Under the changing tables in spaces 5, 6 and 4b, plastic was accessible to young children. A stuffed animal that had sequins was also accessible to children. Item #861 – There were two (2) plastic mats located in the Dove’s classroom that had several small tears exposing foam. Recommend removing the mats and purchasing additional softness to add to the classroom. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *In space 3, there was an expired sunscreen. Item #1041 Prior to employment a Criminal Background Check was not completed. *The new pastor of the church (J.H.) has not completed the Criminal Background Check process. We discussed that J.H. can not be in the child care area until the background check is on file. Item #1757 A valid qualification letter was not on file and available for review at the facility. **The new pastor of the church (J.H.) did not have a qualifying letter on file. We discussed that J.H. can not be in the child care area until the background check is on file. Item #616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. *Most classrooms were visibly dirty and need to be deep clean. Mouth buckets for dirty toys were being used, but some were full instead of getting cleaned on a regular basis. Item #620 All walls and ceilings, including doors and windows, were not kept clean, free of visible fungal growth, and in good repair. *In space 3 and 4b there was splattered food dried on the wall and the outside of the trashcan. Item #605 Toilet fixtures where not cleaned and disinfected at least daily and when visibly soiled. *In space #3, the toilets were dirty and in poor repair. One toilet seat was loose or broken. Item #619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. *Most changing tables were showing signs of advance wear and tear. In space 3, there was mulch in the corners of the changing table. Item #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. *In space 4b hand sanitizer was stored below 5 feet. Item # 721 All equipment and furnishings were not in good repair. *On the small climber on the large playground, the top step has rubber torn and pulling away from the step. Item #1048 & 1049 – One (1) staff A.D. did not have a valid CPR and First Aid Certification. You stated a class is scheduled for 6/13/25. This is a repeat violation. Item #1882 – A chronic medication Diazepam did not accompany an updated permission form. The two vials of medication expired on 9/2/24 and on 4/20/25. Both need to be returned to the parent and request a valid prescription along with an updated permission to administer medication for the child. Item #1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening, and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. * Two (2) new staff member's confidential information was not filed separately. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. *One staff M.F. has not completed the training as required. This is a repeat violation. #1899 – Three (3) staff did not complete Health and Safety training as required within the first year of employment. Staff members A.B., E.G., and M. F. need to complete the training immediately. We discussed creating a spreadsheet system that works for you to track the due dates for training needed. Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *The administrator has not completed the ABCMS training in order to compile the roster needed for this rule. We discussed the email that we sent out with specific directions along with contact information for people that can assist if she is having issues with her NCID. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS (Automated Background Check Management System) in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen (16) or more violations. Based on today’s findings, this child care facility received sixteen (16) or more violations. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by June 25, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today we discussed: • Rugs can be tripping hazards if they slide around and move. • Shelving needs to be refinished and cleaned. A new coat of varnish would be great. • Walls are in need of painting. • The bolts attaching the barrier around the mulch need to be hammered down. • When replacing the mulch, be sure to cover exposed footings. • We discussed that the caterpillar tunnel on the infant/toddler playground doesn’t need to be in the mulch box unless they are climbing on it. If they are climbing on it, the mulch needs to extend 6 feet around. Bonnie Mathis, Licensing Supervisor and I, have discussed the need to update the facility’s information to match the articles of corporations. An email was submitted to Pastor Darrell Hobbs on March 26, 2025, providing the specific details and request to update Regulatory paperwork. After reviewing the articles of incorporation in the Secretary of State website it was determined there is a change of the registered agent. The corporation information does not match the Regulatory Database which is a public storage of facility information. The application paperwork continues to be the only paperwork available to capture all the current and relevant facility owner information. A copy of the applicable application paperwork was available. The Regulatory Database should match the Secretary of State articles of corporation, and to reflect the accurate owner information for Greenway Baptist Church, Inc., which is the owner operator of Greenway Baptist Child Development Center. Please update this information and submit with your letter of compliance. Remind staff they should be up and moving about the room when children are engaged in activities, to include naptime. In the Rainbow classroom both staff were sitting in a chair and not engaged with the children to assist with learning, exploration and expansion of play. Additionally, in this classroom there were only books available in the language area. Additional items such as puppets, stuffed animals, flannel board, etc. should be added to enhance language development. Additional softness is also needed to make the area cozy and inviting for the children. The facility needs a thorough cleaning. Please remind staff they should be wiping down and cleaning all floors, shelves, equipment/materials regularly. The following sanitation requirement is as follows: 15A NCAC 18A .2822 TOYS, EQUIPMENT AND FURNITURE (a) Toys, equipment, and furniture provided by a child care center shall be kept clean and in good repair. In rooms designated for children who are not toilet trained, toys and other mouth-contact surfaces that are used by children shall be cleaned and then sanitized after each use and when visibly dirty. Toys and other mouth-contact surfaces shall be cleaned and sanitized as follows: (1) the items shall be scrubbed in warm, soapy water, using a brush to reach into any crevices; (2) the items shall be rinsed in clean water; (3) the items shall be submerged in a sanitizing solution for at least two minutes or in accordance with the instructions on the label of the sanitizing solution; and (4) the items shall be air dried. (b) Toys and other mouth-contact surfaces that are not designed to be submerged in liquid shall be washed and rinsed in place, sprayed with a sanitizing solution, and allowed to air dry. Hard plastic toys may be washed and rinsed in a dishwasher and cloth toys may be laundered and mechanically dried without requiring sanitizing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/11/2025 Number Present: 91 Completed Date: 6/11/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 09:00 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, administrator, during the visit. Bonnie Mathis, Licensing Supervisor, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site (and/or electronically emailed upon request) with you. When we arrived, we were greeted by Ms. Taylor. I explained the purpose of today’s visit. Ms. Taylor accompanied us during our walkthrough. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 6/9/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Greenway Baptist Church of Boone, N.C., is active as of 6/9/25. In speaking with Ms. Taylor, the registered agent that is listed is no longer current and should be updated as soon as possible. Permit type – Five Star License, issued on 1/15/19. Special Services/Restrictions – Daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 6/20/24. The last fire drill was practiced on 5/23/25. The last lock down drill was practiced on 3/17/25. The last playground inspection was documented on 5/27/25. The last fire inspection was approved on 10/22/24. The last sanitation inspection was conducted on 11/12/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 8/16/23 without hazards. Lead paint and asbestos testing is in the process. During today’s visit we observed eight (8) classrooms. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In spaces 5 and 6, one child’s bottle did not have a date, three other children had bottles that had the wrong date. 15A NCAC 18A .2804(d) 605 Toilet fixtures were not cleaned and disinfected at least daily and when visibly soiled. In space #3, the toilets were dirty and in poor repair. One toilet seat was loose or broken. 15A NCAC 18A.2817(b) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. Most classrooms were visibly dirty and needs to be deep clean. .2822(a)(1-4) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. Most changing tables were showing signs of advance wear and tear. In space 3, there was mulch in the corners of the changing table. 15A NCAC 18A .2819(c) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 3 and 4b there was splattered food dried on the wall and the outside of the trashcan. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. There was a dusting to an inch of resilient surfacing under and around the stationary equipment. Additionally, there was gravel, dirt and grass combined with the mulch and located within the fall zones. .0605(j) 721 All equipment and furnishings were not in good repair. On the small climber on the large playground, the top step has rubber torn and pulling away from the step. G.S. 110-91(6); .0601(b) 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. In space 4b hand sanitizer was stored below 5 feet. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 3, there was an expired sunscreen. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Under the changing tables in spaces 5, 6 and 4b, plastic was accessible to young children. A stuffed animal that had sequins was accessible to two-year-old children. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. There were two (2) plastic mats in the Dove's classroom, with one-year-old children that had several small tears where foam was exposed. .0604(q) 1041 Prior to employment a Criminal Background Check was not completed. The new pastor of the church (J.H.) has not completed the Criminal Background Check process. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff A.D. First Aid certification expired May, 25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member's CPR certification expired May, 25. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. The new pastor of the church (J.H.) has not completed the Criminal Background Check process. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator has not completed the ABCMS training in order to compile the roster needed for this rule. G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permission to administer Dizapem was older than 6 months. The permission needed to be updated by March, 2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Two (2) new staff member's confidential information was not filed separately. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff did not complete the training. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Three (3) staff have not completed Health/safety training within their first year of employment. .1103(b) Technical assistance was provided as follows: Item #533 Human milk, formula, and other bottled beverages, including sippy cups, sent from child's home were not fully prepared, dated and labeled for the appropriate child. *In spaces 5 and 6, one child’s bottle did not have a date, three other children had bottles that had the wrong date. Item #716 – We discussed there needs to be a minimum of 6 inches of resilient surfacing under and around the equipment to extend 6 feet. The majority of the surfacing is compressed and mulch that has broke down. You stated the church is looking into purchasing rubber mulch. We discussed the current mulch composition needs to be completely removed as only one surfacing type can be available. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. *Under the changing tables in spaces 5, 6 and 4b, plastic was accessible to young children. A stuffed animal that had sequins was also accessible to children. Item #861 – There were two (2) plastic mats located in the Dove’s classroom that had several small tears exposing foam. Recommend removing the mats and purchasing additional softness to add to the classroom. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *In space 3, there was an expired sunscreen. Item #1041 Prior to employment a Criminal Background Check was not completed. *The new pastor of the church (J.H.) has not completed the Criminal Background Check process. We discussed that J.H. can not be in the child care area until the background check is on file. Item #1757 A valid qualification letter was not on file and available for review at the facility. **The new pastor of the church (J.H.) did not have a qualifying letter on file. We discussed that J.H. can not be in the child care area until the background check is on file. Item #616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. *Most classrooms were visibly dirty and need to be deep clean. Mouth buckets for dirty toys were being used, but some were full instead of getting cleaned on a regular basis. Item #620 All walls and ceilings, including doors and windows, were not kept clean, free of visible fungal growth, and in good repair. *In space 3 and 4b there was splattered food dried on the wall and the outside of the trashcan. Item #605 Toilet fixtures where not cleaned and disinfected at least daily and when visibly soiled. *In space #3, the toilets were dirty and in poor repair. One toilet seat was loose or broken. Item #619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. *Most changing tables were showing signs of advance wear and tear. In space 3, there was mulch in the corners of the changing table. Item #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. *In space 4b hand sanitizer was stored below 5 feet. Item # 721 All equipment and furnishings were not in good repair. *On the small climber on the large playground, the top step has rubber torn and pulling away from the step. Item #1048 & 1049 – One (1) staff A.D. did not have a valid CPR and First Aid Certification. You stated a class is scheduled for 6/13/25. This is a repeat violation. Item #1882 – A chronic medication Diazepam did not accompany an updated permission form. The two vials of medication expired on 9/2/24 and on 4/20/25. Both need to be returned to the parent and request a valid prescription along with an updated permission to administer medication for the child. Item #1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening, and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. * Two (2) new staff member's confidential information was not filed separately. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. *One staff M.F. has not completed the training as required. This is a repeat violation. #1899 – Three (3) staff did not complete Health and Safety training as required within the first year of employment. Staff members A.B., E.G., and M. F. need to complete the training immediately. We discussed creating a spreadsheet system that works for you to track the due dates for training needed. Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *The administrator has not completed the ABCMS training in order to compile the roster needed for this rule. We discussed the email that we sent out with specific directions along with contact information for people that can assist if she is having issues with her NCID. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS (Automated Background Check Management System) in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen (16) or more violations. Based on today’s findings, this child care facility received sixteen (16) or more violations. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by June 25, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today we discussed: • Rugs can be tripping hazards if they slide around and move. • Shelving needs to be refinished and cleaned. A new coat of varnish would be great. • Walls are in need of painting. • The bolts attaching the barrier around the mulch need to be hammered down. • When replacing the mulch, be sure to cover exposed footings. • We discussed that the caterpillar tunnel on the infant/toddler playground doesn’t need to be in the mulch box unless they are climbing on it. If they are climbing on it, the mulch needs to extend 6 feet around. Bonnie Mathis, Licensing Supervisor and I, have discussed the need to update the facility’s information to match the articles of corporations. An email was submitted to Pastor Darrell Hobbs on March 26, 2025, providing the specific details and request to update Regulatory paperwork. After reviewing the articles of incorporation in the Secretary of State website it was determined there is a change of the registered agent. The corporation information does not match the Regulatory Database which is a public storage of facility information. The application paperwork continues to be the only paperwork available to capture all the current and relevant facility owner information. A copy of the applicable application paperwork was available. The Regulatory Database should match the Secretary of State articles of corporation, and to reflect the accurate owner information for Greenway Baptist Church, Inc., which is the owner operator of Greenway Baptist Child Development Center. Please update this information and submit with your letter of compliance. Remind staff they should be up and moving about the room when children are engaged in activities, to include naptime. In the Rainbow classroom both staff were sitting in a chair and not engaged with the children to assist with learning, exploration and expansion of play. Additionally, in this classroom there were only books available in the language area. Additional items such as puppets, stuffed animals, flannel board, etc. should be added to enhance language development. Additional softness is also needed to make the area cozy and inviting for the children. The facility needs a thorough cleaning. Please remind staff they should be wiping down and cleaning all floors, shelves, equipment/materials regularly. The following sanitation requirement is as follows: 15A NCAC 18A .2822 TOYS, EQUIPMENT AND FURNITURE (a) Toys, equipment, and furniture provided by a child care center shall be kept clean and in good repair. In rooms designated for children who are not toilet trained, toys and other mouth-contact surfaces that are used by children shall be cleaned and then sanitized after each use and when visibly dirty. Toys and other mouth-contact surfaces shall be cleaned and sanitized as follows: (1) the items shall be scrubbed in warm, soapy water, using a brush to reach into any crevices; (2) the items shall be rinsed in clean water; (3) the items shall be submerged in a sanitizing solution for at least two minutes or in accordance with the instructions on the label of the sanitizing solution; and (4) the items shall be air dried. (b) Toys and other mouth-contact surfaces that are not designed to be submerged in liquid shall be washed and rinsed in place, sprayed with a sanitizing solution, and allowed to air dry. Hard plastic toys may be washed and rinsed in a dishwasher and cloth toys may be laundered and mechanically dried without requiring sanitizing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/11/2025 Number Present: 91 Completed Date: 6/11/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 09:00 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, administrator, during the visit. Bonnie Mathis, Licensing Supervisor, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site (and/or electronically emailed upon request) with you. When we arrived, we were greeted by Ms. Taylor. I explained the purpose of today’s visit. Ms. Taylor accompanied us during our walkthrough. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81%) percent as of 6/9/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Greenway Baptist Church of Boone, N.C., is active as of 6/9/25. In speaking with Ms. Taylor, the registered agent that is listed is no longer current and should be updated as soon as possible. Permit type – Five Star License, issued on 1/15/19. Special Services/Restrictions – Daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 6/20/24. The last fire drill was practiced on 5/23/25. The last lock down drill was practiced on 3/17/25. The last playground inspection was documented on 5/27/25. The last fire inspection was approved on 10/22/24. The last sanitation inspection was conducted on 11/12/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 8/16/23 without hazards. Lead paint and asbestos testing is in the process. During today’s visit we observed eight (8) classrooms. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In spaces 5 and 6, one child’s bottle did not have a date, three other children had bottles that had the wrong date. 15A NCAC 18A .2804(d) 605 Toilet fixtures were not cleaned and disinfected at least daily and when visibly soiled. In space #3, the toilets were dirty and in poor repair. One toilet seat was loose or broken. 15A NCAC 18A.2817(b) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. Most classrooms were visibly dirty and needs to be deep clean. .2822(a)(1-4) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. Most changing tables were showing signs of advance wear and tear. In space 3, there was mulch in the corners of the changing table. 15A NCAC 18A .2819(c) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 3 and 4b there was splattered food dried on the wall and the outside of the trashcan. 15A NCAC 18A .2825(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. There was a dusting to an inch of resilient surfacing under and around the stationary equipment. Additionally, there was gravel, dirt and grass combined with the mulch and located within the fall zones. .0605(j) 721 All equipment and furnishings were not in good repair. On the small climber on the large playground, the top step has rubber torn and pulling away from the step. G.S. 110-91(6); .0601(b) 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. In space 4b hand sanitizer was stored below 5 feet. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 3, there was an expired sunscreen. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Under the changing tables in spaces 5, 6 and 4b, plastic was accessible to young children. A stuffed animal that had sequins was accessible to two-year-old children. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. There were two (2) plastic mats in the Dove's classroom, with one-year-old children that had several small tears where foam was exposed. .0604(q) 1041 Prior to employment a Criminal Background Check was not completed. The new pastor of the church (J.H.) has not completed the Criminal Background Check process. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff A.D. First Aid certification expired May, 25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member's CPR certification expired May, 25. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. The new pastor of the church (J.H.) has not completed the Criminal Background Check process. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator has not completed the ABCMS training in order to compile the roster needed for this rule. G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permission to administer Dizapem was older than 6 months. The permission needed to be updated by March, 2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Two (2) new staff member's confidential information was not filed separately. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff did not complete the training. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Three (3) staff have not completed Health/safety training within their first year of employment. .1103(b) Technical assistance was provided as follows: Item #533 Human milk, formula, and other bottled beverages, including sippy cups, sent from child's home were not fully prepared, dated and labeled for the appropriate child. *In spaces 5 and 6, one child’s bottle did not have a date, three other children had bottles that had the wrong date. Item #716 – We discussed there needs to be a minimum of 6 inches of resilient surfacing under and around the equipment to extend 6 feet. The majority of the surfacing is compressed and mulch that has broke down. You stated the church is looking into purchasing rubber mulch. We discussed the current mulch composition needs to be completely removed as only one surfacing type can be available. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. *Under the changing tables in spaces 5, 6 and 4b, plastic was accessible to young children. A stuffed animal that had sequins was also accessible to children. Item #861 – There were two (2) plastic mats located in the Dove’s classroom that had several small tears exposing foam. Recommend removing the mats and purchasing additional softness to add to the classroom. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *In space 3, there was an expired sunscreen. Item #1041 Prior to employment a Criminal Background Check was not completed. *The new pastor of the church (J.H.) has not completed the Criminal Background Check process. We discussed that J.H. can not be in the child care area until the background check is on file. Item #1757 A valid qualification letter was not on file and available for review at the facility. **The new pastor of the church (J.H.) did not have a qualifying letter on file. We discussed that J.H. can not be in the child care area until the background check is on file. Item #616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. *Most classrooms were visibly dirty and need to be deep clean. Mouth buckets for dirty toys were being used, but some were full instead of getting cleaned on a regular basis. Item #620 All walls and ceilings, including doors and windows, were not kept clean, free of visible fungal growth, and in good repair. *In space 3 and 4b there was splattered food dried on the wall and the outside of the trashcan. Item #605 Toilet fixtures where not cleaned and disinfected at least daily and when visibly soiled. *In space #3, the toilets were dirty and in poor repair. One toilet seat was loose or broken. Item #619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. *Most changing tables were showing signs of advance wear and tear. In space 3, there was mulch in the corners of the changing table. Item #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. *In space 4b hand sanitizer was stored below 5 feet. Item # 721 All equipment and furnishings were not in good repair. *On the small climber on the large playground, the top step has rubber torn and pulling away from the step. Item #1048 & 1049 – One (1) staff A.D. did not have a valid CPR and First Aid Certification. You stated a class is scheduled for 6/13/25. This is a repeat violation. Item #1882 – A chronic medication Diazepam did not accompany an updated permission form. The two vials of medication expired on 9/2/24 and on 4/20/25. Both need to be returned to the parent and request a valid prescription along with an updated permission to administer medication for the child. Item #1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening, and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. * Two (2) new staff member's confidential information was not filed separately. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. *One staff M.F. has not completed the training as required. This is a repeat violation. #1899 – Three (3) staff did not complete Health and Safety training as required within the first year of employment. Staff members A.B., E.G., and M. F. need to complete the training immediately. We discussed creating a spreadsheet system that works for you to track the due dates for training needed. Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *The administrator has not completed the ABCMS training in order to compile the roster needed for this rule. We discussed the email that we sent out with specific directions along with contact information for people that can assist if she is having issues with her NCID. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS (Automated Background Check Management System) in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: A follow-up visit will be conducted to verify compliance of sixteen (16) or more violations. Based on today’s findings, this child care facility received sixteen (16) or more violations. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by June 25, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today we discussed: • Rugs can be tripping hazards if they slide around and move. • Shelving needs to be refinished and cleaned. A new coat of varnish would be great. • Walls are in need of painting. • The bolts attaching the barrier around the mulch need to be hammered down. • When replacing the mulch, be sure to cover exposed footings. • We discussed that the caterpillar tunnel on the infant/toddler playground doesn’t need to be in the mulch box unless they are climbing on it. If they are climbing on it, the mulch needs to extend 6 feet around. Bonnie Mathis, Licensing Supervisor and I, have discussed the need to update the facility’s information to match the articles of corporations. An email was submitted to Pastor Darrell Hobbs on March 26, 2025, providing the specific details and request to update Regulatory paperwork. After reviewing the articles of incorporation in the Secretary of State website it was determined there is a change of the registered agent. The corporation information does not match the Regulatory Database which is a public storage of facility information. The application paperwork continues to be the only paperwork available to capture all the current and relevant facility owner information. A copy of the applicable application paperwork was available. The Regulatory Database should match the Secretary of State articles of corporation, and to reflect the accurate owner information for Greenway Baptist Church, Inc., which is the owner operator of Greenway Baptist Child Development Center. Please update this information and submit with your letter of compliance. Remind staff they should be up and moving about the room when children are engaged in activities, to include naptime. In the Rainbow classroom both staff were sitting in a chair and not engaged with the children to assist with learning, exploration and expansion of play. Additionally, in this classroom there were only books available in the language area. Additional items such as puppets, stuffed animals, flannel board, etc. should be added to enhance language development. Additional softness is also needed to make the area cozy and inviting for the children. The facility needs a thorough cleaning. Please remind staff they should be wiping down and cleaning all floors, shelves, equipment/materials regularly. The following sanitation requirement is as follows: 15A NCAC 18A .2822 TOYS, EQUIPMENT AND FURNITURE (a) Toys, equipment, and furniture provided by a child care center shall be kept clean and in good repair. In rooms designated for children who are not toilet trained, toys and other mouth-contact surfaces that are used by children shall be cleaned and then sanitized after each use and when visibly dirty. Toys and other mouth-contact surfaces shall be cleaned and sanitized as follows: (1) the items shall be scrubbed in warm, soapy water, using a brush to reach into any crevices; (2) the items shall be rinsed in clean water; (3) the items shall be submerged in a sanitizing solution for at least two minutes or in accordance with the instructions on the label of the sanitizing solution; and (4) the items shall be air dried. (b) Toys and other mouth-contact surfaces that are not designed to be submerged in liquid shall be washed and rinsed in place, sprayed with a sanitizing solution, and allowed to air dry. Hard plastic toys may be washed and rinsed in a dishwasher and cloth toys may be laundered and mechanically dried without requiring sanitizing. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 81 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 10:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Taylor, center administrator, and I explained the reason for my visit. Ms. Taylor accompanied me during my walkthrough of the facility. In space #6, most the children were in the floor playing. One teacher was rocking a child to sleep. The space was warm and inviting with plenty of materials for children to engage with. In space #5, most the children were in the floor playing with a teacher. One teacher was feeding a child a bottle. The space was warm and inviting with plenty of materials for children to engage with. In space #3, the children were sitting at the tables listening to the teacher read them a story. All the children were engaged and interested in the story. In space #4A, the children were playing with classroom materials and getting diapers changed. The classroom had a variety of materials for children to use. They began to clean up the toys to prepare for lunch. Space #4B, the children were cleaning up the classroom and washing hands to sit at the table for lunch. One teacher was assisting children with hand washing, one was preparing plates of food and the other was assisting children in sitting down at the table. Space # 7, the children were finishing lunch. As they finished one teacher was assisting them in cleaning up and washing their hands while the other teacher was cleaning up the food off the floor and guiding children to look at a book or play with puzzles. Children transitioned to putting out mats to get ready for rest time. Space # 9, the children were down the hall at the bathroom. They do not have a sink or bathroom in their classroom, so they use the hall bathroom. The teachers were guiding the them children to rub their bellies and pat their heads and then switch. This was keeping children occupied while they wait for their friends. Space # 8, the children in this class was returning to their classroom from the bathroom, which is down the hall. They children got their blankets and went to their mats to lay down for rest time. The teacher turned on a recorded story for children to listen to on their mats. Lunch today consisted of spaghetti with meat sauce, whole wheat rolls, lima beans, pears and milk. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-six (76%) percentage as of 2/21/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Jack and Jill Children Center, LLC, Inc, is current/active as of 2/21/25. There were eight (8) new teachers at this facility today and all eight (8) files were monitored today. There are ninety-two (92) children enrolled and eighty-one (81) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 6/20/24. During Tropical Storm Helene, this facility was -closed from September 27th to October 1th, 2024. They sustained very little damage; they had very little water come inside the building. Most of their damage was primarily on the playground. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 7/15/19. Permit Restrictions- Daytime care only, meets enhanced space and reduced ratios. The last fire drill was practiced on 2/12/25. An emergency drill was conducted on 12/11/25. The last playground inspection was on 12/30/24. The administrator stated that she had forgotten to complete one in January due to the extreme cold temperatures. The last fire inspection was 10/22/24. The last sanitation inspection was completed on 11/12/24 with fifteen (15) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). One child that had previously enrolled did not have a feeding plan. 10A NCAC 09 .0902(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The January 2025 playground inspection was not completed. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff did not have orientation that is required within 6 weeks. .1101(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. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff did not have orientation for the first two weeks. .1101(a)(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two staff did not have Recognizing and Responding to Child Maltreatment within 90 days of hire. .1102(g) Technical assistance: • Two staff did not have Pediatric First Aid Certification. They had CPR, but the course didn’t cover both. • Two staff did not have Recognizing and Responding to Child Maltreatment within 90 days of hire. • One staff did not have orientation for the first two weeks or the total 16 hours that is required within 6 weeks. The administrator stated that she has completed the first two weeks but could not locate the form. • One child that had previously enrolled did not have a feeding plan. • The January 2025 playground inspection was not completed. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by March 12, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. 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. Consultation: • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Please be reminded that when the ground is frozen, children should not be on the climbers due to the surfacing being compromised. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 81 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 10:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Taylor, center administrator, and I explained the reason for my visit. Ms. Taylor accompanied me during my walkthrough of the facility. In space #6, most the children were in the floor playing. One teacher was rocking a child to sleep. The space was warm and inviting with plenty of materials for children to engage with. In space #5, most the children were in the floor playing with a teacher. One teacher was feeding a child a bottle. The space was warm and inviting with plenty of materials for children to engage with. In space #3, the children were sitting at the tables listening to the teacher read them a story. All the children were engaged and interested in the story. In space #4A, the children were playing with classroom materials and getting diapers changed. The classroom had a variety of materials for children to use. They began to clean up the toys to prepare for lunch. Space #4B, the children were cleaning up the classroom and washing hands to sit at the table for lunch. One teacher was assisting children with hand washing, one was preparing plates of food and the other was assisting children in sitting down at the table. Space # 7, the children were finishing lunch. As they finished one teacher was assisting them in cleaning up and washing their hands while the other teacher was cleaning up the food off the floor and guiding children to look at a book or play with puzzles. Children transitioned to putting out mats to get ready for rest time. Space # 9, the children were down the hall at the bathroom. They do not have a sink or bathroom in their classroom, so they use the hall bathroom. The teachers were guiding the them children to rub their bellies and pat their heads and then switch. This was keeping children occupied while they wait for their friends. Space # 8, the children in this class was returning to their classroom from the bathroom, which is down the hall. They children got their blankets and went to their mats to lay down for rest time. The teacher turned on a recorded story for children to listen to on their mats. Lunch today consisted of spaghetti with meat sauce, whole wheat rolls, lima beans, pears and milk. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-six (76%) percentage as of 2/21/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Jack and Jill Children Center, LLC, Inc, is current/active as of 2/21/25. There were eight (8) new teachers at this facility today and all eight (8) files were monitored today. There are ninety-two (92) children enrolled and eighty-one (81) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 6/20/24. During Tropical Storm Helene, this facility was -closed from September 27th to October 1th, 2024. They sustained very little damage; they had very little water come inside the building. Most of their damage was primarily on the playground. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 7/15/19. Permit Restrictions- Daytime care only, meets enhanced space and reduced ratios. The last fire drill was practiced on 2/12/25. An emergency drill was conducted on 12/11/25. The last playground inspection was on 12/30/24. The administrator stated that she had forgotten to complete one in January due to the extreme cold temperatures. The last fire inspection was 10/22/24. The last sanitation inspection was completed on 11/12/24 with fifteen (15) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). One child that had previously enrolled did not have a feeding plan. 10A NCAC 09 .0902(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The January 2025 playground inspection was not completed. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff did not have orientation that is required within 6 weeks. .1101(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. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff did not have orientation for the first two weeks. .1101(a)(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two staff did not have Recognizing and Responding to Child Maltreatment within 90 days of hire. .1102(g) Technical assistance: • Two staff did not have Pediatric First Aid Certification. They had CPR, but the course didn’t cover both. • Two staff did not have Recognizing and Responding to Child Maltreatment within 90 days of hire. • One staff did not have orientation for the first two weeks or the total 16 hours that is required within 6 weeks. The administrator stated that she has completed the first two weeks but could not locate the form. • One child that had previously enrolled did not have a feeding plan. • The January 2025 playground inspection was not completed. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by March 12, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. 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. Consultation: • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Please be reminded that when the ground is frozen, children should not be on the climbers due to the surfacing being compromised. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 81 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 10:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Taylor, center administrator, and I explained the reason for my visit. Ms. Taylor accompanied me during my walkthrough of the facility. In space #6, most the children were in the floor playing. One teacher was rocking a child to sleep. The space was warm and inviting with plenty of materials for children to engage with. In space #5, most the children were in the floor playing with a teacher. One teacher was feeding a child a bottle. The space was warm and inviting with plenty of materials for children to engage with. In space #3, the children were sitting at the tables listening to the teacher read them a story. All the children were engaged and interested in the story. In space #4A, the children were playing with classroom materials and getting diapers changed. The classroom had a variety of materials for children to use. They began to clean up the toys to prepare for lunch. Space #4B, the children were cleaning up the classroom and washing hands to sit at the table for lunch. One teacher was assisting children with hand washing, one was preparing plates of food and the other was assisting children in sitting down at the table. Space # 7, the children were finishing lunch. As they finished one teacher was assisting them in cleaning up and washing their hands while the other teacher was cleaning up the food off the floor and guiding children to look at a book or play with puzzles. Children transitioned to putting out mats to get ready for rest time. Space # 9, the children were down the hall at the bathroom. They do not have a sink or bathroom in their classroom, so they use the hall bathroom. The teachers were guiding the them children to rub their bellies and pat their heads and then switch. This was keeping children occupied while they wait for their friends. Space # 8, the children in this class was returning to their classroom from the bathroom, which is down the hall. They children got their blankets and went to their mats to lay down for rest time. The teacher turned on a recorded story for children to listen to on their mats. Lunch today consisted of spaghetti with meat sauce, whole wheat rolls, lima beans, pears and milk. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-six (76%) percentage as of 2/21/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Jack and Jill Children Center, LLC, Inc, is current/active as of 2/21/25. There were eight (8) new teachers at this facility today and all eight (8) files were monitored today. There are ninety-two (92) children enrolled and eighty-one (81) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 6/20/24. During Tropical Storm Helene, this facility was -closed from September 27th to October 1th, 2024. They sustained very little damage; they had very little water come inside the building. Most of their damage was primarily on the playground. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 7/15/19. Permit Restrictions- Daytime care only, meets enhanced space and reduced ratios. The last fire drill was practiced on 2/12/25. An emergency drill was conducted on 12/11/25. The last playground inspection was on 12/30/24. The administrator stated that she had forgotten to complete one in January due to the extreme cold temperatures. The last fire inspection was 10/22/24. The last sanitation inspection was completed on 11/12/24 with fifteen (15) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). One child that had previously enrolled did not have a feeding plan. 10A NCAC 09 .0902(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The January 2025 playground inspection was not completed. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff did not have orientation that is required within 6 weeks. .1101(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. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff did not have orientation for the first two weeks. .1101(a)(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two staff did not have Recognizing and Responding to Child Maltreatment within 90 days of hire. .1102(g) Technical assistance: • Two staff did not have Pediatric First Aid Certification. They had CPR, but the course didn’t cover both. • Two staff did not have Recognizing and Responding to Child Maltreatment within 90 days of hire. • One staff did not have orientation for the first two weeks or the total 16 hours that is required within 6 weeks. The administrator stated that she has completed the first two weeks but could not locate the form. • One child that had previously enrolled did not have a feeding plan. • The January 2025 playground inspection was not completed. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by March 12, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. 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. Consultation: • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Please be reminded that when the ground is frozen, children should not be on the climbers due to the surfacing being compromised. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 81 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 10:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Taylor, center administrator, and I explained the reason for my visit. Ms. Taylor accompanied me during my walkthrough of the facility. In space #6, most the children were in the floor playing. One teacher was rocking a child to sleep. The space was warm and inviting with plenty of materials for children to engage with. In space #5, most the children were in the floor playing with a teacher. One teacher was feeding a child a bottle. The space was warm and inviting with plenty of materials for children to engage with. In space #3, the children were sitting at the tables listening to the teacher read them a story. All the children were engaged and interested in the story. In space #4A, the children were playing with classroom materials and getting diapers changed. The classroom had a variety of materials for children to use. They began to clean up the toys to prepare for lunch. Space #4B, the children were cleaning up the classroom and washing hands to sit at the table for lunch. One teacher was assisting children with hand washing, one was preparing plates of food and the other was assisting children in sitting down at the table. Space # 7, the children were finishing lunch. As they finished one teacher was assisting them in cleaning up and washing their hands while the other teacher was cleaning up the food off the floor and guiding children to look at a book or play with puzzles. Children transitioned to putting out mats to get ready for rest time. Space # 9, the children were down the hall at the bathroom. They do not have a sink or bathroom in their classroom, so they use the hall bathroom. The teachers were guiding the them children to rub their bellies and pat their heads and then switch. This was keeping children occupied while they wait for their friends. Space # 8, the children in this class was returning to their classroom from the bathroom, which is down the hall. They children got their blankets and went to their mats to lay down for rest time. The teacher turned on a recorded story for children to listen to on their mats. Lunch today consisted of spaghetti with meat sauce, whole wheat rolls, lima beans, pears and milk. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-six (76%) percentage as of 2/21/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Jack and Jill Children Center, LLC, Inc, is current/active as of 2/21/25. There were eight (8) new teachers at this facility today and all eight (8) files were monitored today. There are ninety-two (92) children enrolled and eighty-one (81) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 6/20/24. During Tropical Storm Helene, this facility was -closed from September 27th to October 1th, 2024. They sustained very little damage; they had very little water come inside the building. Most of their damage was primarily on the playground. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 7/15/19. Permit Restrictions- Daytime care only, meets enhanced space and reduced ratios. The last fire drill was practiced on 2/12/25. An emergency drill was conducted on 12/11/25. The last playground inspection was on 12/30/24. The administrator stated that she had forgotten to complete one in January due to the extreme cold temperatures. The last fire inspection was 10/22/24. The last sanitation inspection was completed on 11/12/24 with fifteen (15) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). One child that had previously enrolled did not have a feeding plan. 10A NCAC 09 .0902(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The January 2025 playground inspection was not completed. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff did not have orientation that is required within 6 weeks. .1101(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. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff did not have orientation for the first two weeks. .1101(a)(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two staff did not have Recognizing and Responding to Child Maltreatment within 90 days of hire. .1102(g) Technical assistance: • Two staff did not have Pediatric First Aid Certification. They had CPR, but the course didn’t cover both. • Two staff did not have Recognizing and Responding to Child Maltreatment within 90 days of hire. • One staff did not have orientation for the first two weeks or the total 16 hours that is required within 6 weeks. The administrator stated that she has completed the first two weeks but could not locate the form. • One child that had previously enrolled did not have a feeding plan. • The January 2025 playground inspection was not completed. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by March 12, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. 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. Consultation: • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Please be reminded that when the ground is frozen, children should not be on the climbers due to the surfacing being compromised. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 81 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 10:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Taylor, center administrator, and I explained the reason for my visit. Ms. Taylor accompanied me during my walkthrough of the facility. In space #6, most the children were in the floor playing. One teacher was rocking a child to sleep. The space was warm and inviting with plenty of materials for children to engage with. In space #5, most the children were in the floor playing with a teacher. One teacher was feeding a child a bottle. The space was warm and inviting with plenty of materials for children to engage with. In space #3, the children were sitting at the tables listening to the teacher read them a story. All the children were engaged and interested in the story. In space #4A, the children were playing with classroom materials and getting diapers changed. The classroom had a variety of materials for children to use. They began to clean up the toys to prepare for lunch. Space #4B, the children were cleaning up the classroom and washing hands to sit at the table for lunch. One teacher was assisting children with hand washing, one was preparing plates of food and the other was assisting children in sitting down at the table. Space # 7, the children were finishing lunch. As they finished one teacher was assisting them in cleaning up and washing their hands while the other teacher was cleaning up the food off the floor and guiding children to look at a book or play with puzzles. Children transitioned to putting out mats to get ready for rest time. Space # 9, the children were down the hall at the bathroom. They do not have a sink or bathroom in their classroom, so they use the hall bathroom. The teachers were guiding the them children to rub their bellies and pat their heads and then switch. This was keeping children occupied while they wait for their friends. Space # 8, the children in this class was returning to their classroom from the bathroom, which is down the hall. They children got their blankets and went to their mats to lay down for rest time. The teacher turned on a recorded story for children to listen to on their mats. Lunch today consisted of spaghetti with meat sauce, whole wheat rolls, lima beans, pears and milk. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-six (76%) percentage as of 2/21/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Jack and Jill Children Center, LLC, Inc, is current/active as of 2/21/25. There were eight (8) new teachers at this facility today and all eight (8) files were monitored today. There are ninety-two (92) children enrolled and eighty-one (81) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 6/20/24. During Tropical Storm Helene, this facility was -closed from September 27th to October 1th, 2024. They sustained very little damage; they had very little water come inside the building. Most of their damage was primarily on the playground. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 7/15/19. Permit Restrictions- Daytime care only, meets enhanced space and reduced ratios. The last fire drill was practiced on 2/12/25. An emergency drill was conducted on 12/11/25. The last playground inspection was on 12/30/24. The administrator stated that she had forgotten to complete one in January due to the extreme cold temperatures. The last fire inspection was 10/22/24. The last sanitation inspection was completed on 11/12/24 with fifteen (15) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). One child that had previously enrolled did not have a feeding plan. 10A NCAC 09 .0902(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The January 2025 playground inspection was not completed. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff did not have orientation that is required within 6 weeks. .1101(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. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff did not have orientation for the first two weeks. .1101(a)(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two staff did not have Recognizing and Responding to Child Maltreatment within 90 days of hire. .1102(g) Technical assistance: • Two staff did not have Pediatric First Aid Certification. They had CPR, but the course didn’t cover both. • Two staff did not have Recognizing and Responding to Child Maltreatment within 90 days of hire. • One staff did not have orientation for the first two weeks or the total 16 hours that is required within 6 weeks. The administrator stated that she has completed the first two weeks but could not locate the form. • One child that had previously enrolled did not have a feeding plan. • The January 2025 playground inspection was not completed. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by March 12, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. 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. Consultation: • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Please be reminded that when the ground is frozen, children should not be on the climbers due to the surfacing being compromised. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/26/2025 Number Present: 81 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 10:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, administrator. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Taylor, center administrator, and I explained the reason for my visit. Ms. Taylor accompanied me during my walkthrough of the facility. In space #6, most the children were in the floor playing. One teacher was rocking a child to sleep. The space was warm and inviting with plenty of materials for children to engage with. In space #5, most the children were in the floor playing with a teacher. One teacher was feeding a child a bottle. The space was warm and inviting with plenty of materials for children to engage with. In space #3, the children were sitting at the tables listening to the teacher read them a story. All the children were engaged and interested in the story. In space #4A, the children were playing with classroom materials and getting diapers changed. The classroom had a variety of materials for children to use. They began to clean up the toys to prepare for lunch. Space #4B, the children were cleaning up the classroom and washing hands to sit at the table for lunch. One teacher was assisting children with hand washing, one was preparing plates of food and the other was assisting children in sitting down at the table. Space # 7, the children were finishing lunch. As they finished one teacher was assisting them in cleaning up and washing their hands while the other teacher was cleaning up the food off the floor and guiding children to look at a book or play with puzzles. Children transitioned to putting out mats to get ready for rest time. Space # 9, the children were down the hall at the bathroom. They do not have a sink or bathroom in their classroom, so they use the hall bathroom. The teachers were guiding the them children to rub their bellies and pat their heads and then switch. This was keeping children occupied while they wait for their friends. Space # 8, the children in this class was returning to their classroom from the bathroom, which is down the hall. They children got their blankets and went to their mats to lay down for rest time. The teacher turned on a recorded story for children to listen to on their mats. Lunch today consisted of spaghetti with meat sauce, whole wheat rolls, lima beans, pears and milk. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-six (76%) percentage as of 2/21/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Jack and Jill Children Center, LLC, Inc, is current/active as of 2/21/25. There were eight (8) new teachers at this facility today and all eight (8) files were monitored today. There are ninety-two (92) children enrolled and eighty-one (81) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 6/20/24. During Tropical Storm Helene, this facility was -closed from September 27th to October 1th, 2024. They sustained very little damage; they had very little water come inside the building. Most of their damage was primarily on the playground. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 7/15/19. Permit Restrictions- Daytime care only, meets enhanced space and reduced ratios. The last fire drill was practiced on 2/12/25. An emergency drill was conducted on 12/11/25. The last playground inspection was on 12/30/24. The administrator stated that she had forgotten to complete one in January due to the extreme cold temperatures. The last fire inspection was 10/22/24. The last sanitation inspection was completed on 11/12/24 with fifteen (15) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). One child that had previously enrolled did not have a feeding plan. 10A NCAC 09 .0902(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The January 2025 playground inspection was not completed. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff did not have orientation that is required within 6 weeks. .1101(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. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff did not have orientation for the first two weeks. .1101(a)(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two staff did not have Recognizing and Responding to Child Maltreatment within 90 days of hire. .1102(g) Technical assistance: • Two staff did not have Pediatric First Aid Certification. They had CPR, but the course didn’t cover both. • Two staff did not have Recognizing and Responding to Child Maltreatment within 90 days of hire. • One staff did not have orientation for the first two weeks or the total 16 hours that is required within 6 weeks. The administrator stated that she has completed the first two weeks but could not locate the form. • One child that had previously enrolled did not have a feeding plan. • The January 2025 playground inspection was not completed. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by March 12, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. 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. Consultation: • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Please be reminded that when the ground is frozen, children should not be on the climbers due to the surfacing being compromised. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: 0125-149L Visit Date: 1/17/2025 Number Present: 72 Completed Date: 1/17/2025 Age: From 0 To 5 Total Minutes: 280 Time In: 12:35 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, administrator, during the visit. A signed copy of the visit summary was left on-site with to you. The administrator, Phyllis Taylor, assisted me during today’s visit The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86%) percentage as of 1/16/25. The facility operates with a five-star license issued on January 15, 2019. The Special Services/Restrictions includes, meeting reduced ratios and enhanced space. The complaint was received by the Division of Child Development and Early Education on 1/14/25 and sent to me on 1/14/25. • There is a concern that children were cared for in an unsafe indoor environment. • There is a concern that children were not attended to in a nurturing and appropriate manor or in keeping with the children’s developmental needs. • There is a concern of inappropriate discipline. In the case of an unsafe environment, the video footage could not be viewed today due to a written request to the church is needed before releasing or viewing. I will email my request for the video footage to the pastor of the church. I am unable to reach a conclusion today on this allegation. Based on the interviews, the allegation regarding children not being attended to in a nurturing and appropriate manor or in keeping with their developmental needs is unsubstantiated. Based on the interviews with five staff, administrator and assistant administrator, the allegation regarding inappropriate discipline is substantiated. The administrator stated that as soon as she was made aware of the situation, she talked to the staff and it hasn’t occurred since then. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Staff documentation stated that during drop off a parent grabbed another child's hand or the toy, jerked him while telling the child he better quit hitting her child and to go sit down. 10A NCAC 09 .0601(a) 871 Center staff did not comply with the safe sleep policy. A child at least 12 months of age was swaddled on a mat at rest time. 10A NCAC 09 .0606(a) 907 Discipline was related to food, rest or toileting. A teacher confirmed that on multiple occasions, she has been putting her leg across children at rest time to keep them on their mat. .1803(a)(4-6) Technical assistance was provided as follows: A safe indoor and outdoor environment was not provided for the children. Staff documentation stated that during drop off a parent grabbed another child's hand or the toy, jerked him while telling the child he better quit hitting her child and to go sit down. I am asking that the administrator review and revise the safe arrival and drop off procedure to assure that children are safe and protected during these times. Restraint is a form of discipline and discipline can not be related to rest time. A teacher confirmed that on multiple occasions, she has been putting her leg across children at rest time to keep them on their mat. I am requesting that the administrator go over the discipline policy with all staff as a review that children should not be restrained nor should discipline relate to food, rest or toileting. I would also ask that you go over the ITS-SIDS policy with all staff to include that children will not be swaddled, and the ITS-SIDS policy goes through (up to 13 months) 12 months. A child at least 12 months of age was swaddled on a mat at rest time. Achieving Compliance: A follow up visit may be required if the video footage that is requested can’t be emailed to me, or if other information is needed. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by January 31, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Review the discipline policy with all staff. • Review the ITS-SIDS policy with all staff. Make sure they are aware that this goes through 13 months. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0606 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: 0125-149L Visit Date: 1/17/2025 Number Present: 72 Completed Date: 1/17/2025 Age: From 0 To 5 Total Minutes: 280 Time In: 12:35 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, administrator, during the visit. A signed copy of the visit summary was left on-site with to you. The administrator, Phyllis Taylor, assisted me during today’s visit The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86%) percentage as of 1/16/25. The facility operates with a five-star license issued on January 15, 2019. The Special Services/Restrictions includes, meeting reduced ratios and enhanced space. The complaint was received by the Division of Child Development and Early Education on 1/14/25 and sent to me on 1/14/25. • There is a concern that children were cared for in an unsafe indoor environment. • There is a concern that children were not attended to in a nurturing and appropriate manor or in keeping with the children’s developmental needs. • There is a concern of inappropriate discipline. In the case of an unsafe environment, the video footage could not be viewed today due to a written request to the church is needed before releasing or viewing. I will email my request for the video footage to the pastor of the church. I am unable to reach a conclusion today on this allegation. Based on the interviews, the allegation regarding children not being attended to in a nurturing and appropriate manor or in keeping with their developmental needs is unsubstantiated. Based on the interviews with five staff, administrator and assistant administrator, the allegation regarding inappropriate discipline is substantiated. The administrator stated that as soon as she was made aware of the situation, she talked to the staff and it hasn’t occurred since then. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Staff documentation stated that during drop off a parent grabbed another child's hand or the toy, jerked him while telling the child he better quit hitting her child and to go sit down. 10A NCAC 09 .0601(a) 871 Center staff did not comply with the safe sleep policy. A child at least 12 months of age was swaddled on a mat at rest time. 10A NCAC 09 .0606(a) 907 Discipline was related to food, rest or toileting. A teacher confirmed that on multiple occasions, she has been putting her leg across children at rest time to keep them on their mat. .1803(a)(4-6) Technical assistance was provided as follows: A safe indoor and outdoor environment was not provided for the children. Staff documentation stated that during drop off a parent grabbed another child's hand or the toy, jerked him while telling the child he better quit hitting her child and to go sit down. I am asking that the administrator review and revise the safe arrival and drop off procedure to assure that children are safe and protected during these times. Restraint is a form of discipline and discipline can not be related to rest time. A teacher confirmed that on multiple occasions, she has been putting her leg across children at rest time to keep them on their mat. I am requesting that the administrator go over the discipline policy with all staff as a review that children should not be restrained nor should discipline relate to food, rest or toileting. I would also ask that you go over the ITS-SIDS policy with all staff to include that children will not be swaddled, and the ITS-SIDS policy goes through (up to 13 months) 12 months. A child at least 12 months of age was swaddled on a mat at rest time. Achieving Compliance: A follow up visit may be required if the video footage that is requested can’t be emailed to me, or if other information is needed. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by January 31, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Review the discipline policy with all staff. • Review the ITS-SIDS policy with all staff. Make sure they are aware that this goes through 13 months. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: 0125-149L Visit Date: 1/17/2025 Number Present: 72 Completed Date: 1/17/2025 Age: From 0 To 5 Total Minutes: 280 Time In: 12:35 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, administrator, during the visit. A signed copy of the visit summary was left on-site with to you. The administrator, Phyllis Taylor, assisted me during today’s visit The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86%) percentage as of 1/16/25. The facility operates with a five-star license issued on January 15, 2019. The Special Services/Restrictions includes, meeting reduced ratios and enhanced space. The complaint was received by the Division of Child Development and Early Education on 1/14/25 and sent to me on 1/14/25. • There is a concern that children were cared for in an unsafe indoor environment. • There is a concern that children were not attended to in a nurturing and appropriate manor or in keeping with the children’s developmental needs. • There is a concern of inappropriate discipline. In the case of an unsafe environment, the video footage could not be viewed today due to a written request to the church is needed before releasing or viewing. I will email my request for the video footage to the pastor of the church. I am unable to reach a conclusion today on this allegation. Based on the interviews, the allegation regarding children not being attended to in a nurturing and appropriate manor or in keeping with their developmental needs is unsubstantiated. Based on the interviews with five staff, administrator and assistant administrator, the allegation regarding inappropriate discipline is substantiated. The administrator stated that as soon as she was made aware of the situation, she talked to the staff and it hasn’t occurred since then. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Staff documentation stated that during drop off a parent grabbed another child's hand or the toy, jerked him while telling the child he better quit hitting her child and to go sit down. 10A NCAC 09 .0601(a) 871 Center staff did not comply with the safe sleep policy. A child at least 12 months of age was swaddled on a mat at rest time. 10A NCAC 09 .0606(a) 907 Discipline was related to food, rest or toileting. A teacher confirmed that on multiple occasions, she has been putting her leg across children at rest time to keep them on their mat. .1803(a)(4-6) Technical assistance was provided as follows: A safe indoor and outdoor environment was not provided for the children. Staff documentation stated that during drop off a parent grabbed another child's hand or the toy, jerked him while telling the child he better quit hitting her child and to go sit down. I am asking that the administrator review and revise the safe arrival and drop off procedure to assure that children are safe and protected during these times. Restraint is a form of discipline and discipline can not be related to rest time. A teacher confirmed that on multiple occasions, she has been putting her leg across children at rest time to keep them on their mat. I am requesting that the administrator go over the discipline policy with all staff as a review that children should not be restrained nor should discipline relate to food, rest or toileting. I would also ask that you go over the ITS-SIDS policy with all staff to include that children will not be swaddled, and the ITS-SIDS policy goes through (up to 13 months) 12 months. A child at least 12 months of age was swaddled on a mat at rest time. Achieving Compliance: A follow up visit may be required if the video footage that is requested can’t be emailed to me, or if other information is needed. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by January 31, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Review the discipline policy with all staff. • Review the ITS-SIDS policy with all staff. Make sure they are aware that this goes through 13 months. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 82 Completed Date: 6/20/2024 Age: From 0 To 5 Total Minutes: 510 Time In: 09:45 AM Time Out: 06:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, during the visit. An electronic signed copy of the visit summary was left on-site and can be electronically emailed to you upon request. Ms. Taylor was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86%) percentage as of 6/17/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation for Greenway Baptist Church of Boone, N.C., is NOT current/active as of 06/18/24. During the routine Unannounced visit on 3/6/24, I discussed with Ms. Taylor that the listed registered agent is no longer correct. Ms. Taylor and I have had email correspondence about updating this as well as updating their application. Neither has been completed. There are ninety-eight (98) children enrolled. Ten (10) children’s files were monitored today. There are twenty-four (24) staff including six (6) new staff. Six (6) new staff files and one (1) existing staff files were monitored today. Permit type – Five-star license, issued 01/15/19. Special Services/Restrictions – Daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 7/20/23. The last fire drill was practiced on 5/29/24. The last shelter-in-place drill was practiced on 3/25/24. A lock down drill is due this month. The last playground inspection was documented on 2/21/24. This is several months past due. The last fire inspection was approved on 10/26/23. The last sanitation inspection was conducted on 3/21/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon my arrival, I greeted the administrator and assistant administrator and explained the reason for today’s visit. Ms. Taylor, administrator, was in the middle of an interview with a prospective employee so Ms. Mast, assistant administered accompanied me during the walkthrough for the first two classrooms, but she had to cook lunch. I began my observations in the younger classrooms. In spaces #1 and #2, the children were observed being fed bottles, playing on the floor with their teachers. In space #4A the class was drawing on plain paper with crayons. In space #3 the children were outside and I also observed them eating lunch. In spaces #5, children were playing with a variety of materials. In space # 6 children were dancing and singing while waiting for lunch. In spaces #5 and #6, children were eating lunch. Lunch today consisted of BBQ little smokies, carrot sticks, tropical fruit, whole grain rolls and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. 10A NCAC 09 .0604(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication in Space #7, was expired and the child has not needed it in years .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have not be maintained for the last four (4) months. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Four (4) children were missing a medical report/physical and it was past the 30 days. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Four (4) children were missing a medical report/physical and it was past the 30 days. GS110-91(1) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. There were jump ropes in the gym that is used by children for gross motor during bad weather days. .0604(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff (K.M.) did not have a statement signing the receipt of the above policy. .0608(d)(1-4) Technical assistance was provided as follows: Item #859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: Playground inspections have not be maintained for the last four (4) months. Item # 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: A medication in Space #7, was expired and the child has not needed it in years. Items #812 and #1828 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: There were jump ropes in the gym that is used by children for gross motor during bad weather days. Items #1320 and #1321 § 110-91. Mandatory standards for a license All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards. Note: Four (4) children were missing a medical report/physical and it was past the 30 days. Items # 1045 and 1047 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Note: Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. Item #1874 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Note: One staff (K.M.) did not have a statement signing the receipt of the above policy. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by July, 4, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We disused that children’s incident reports need to be filed in the child’s file. • Assure that staff update that they have reviewed the operational policies, personnel policies, emergency medical care plan and epr plan annually. • Space #6 needs more books. • Space #3 is having problems with behavior issues. We discussed the behavior hotline and that was sent to the teacher. • Please fluff the mulch and hammer down bolts on the black boarders. • Please remove grass that is growing in the sandboxes. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25- 6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 82 Completed Date: 6/20/2024 Age: From 0 To 5 Total Minutes: 510 Time In: 09:45 AM Time Out: 06:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, during the visit. An electronic signed copy of the visit summary was left on-site and can be electronically emailed to you upon request. Ms. Taylor was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86%) percentage as of 6/17/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation for Greenway Baptist Church of Boone, N.C., is NOT current/active as of 06/18/24. During the routine Unannounced visit on 3/6/24, I discussed with Ms. Taylor that the listed registered agent is no longer correct. Ms. Taylor and I have had email correspondence about updating this as well as updating their application. Neither has been completed. There are ninety-eight (98) children enrolled. Ten (10) children’s files were monitored today. There are twenty-four (24) staff including six (6) new staff. Six (6) new staff files and one (1) existing staff files were monitored today. Permit type – Five-star license, issued 01/15/19. Special Services/Restrictions – Daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 7/20/23. The last fire drill was practiced on 5/29/24. The last shelter-in-place drill was practiced on 3/25/24. A lock down drill is due this month. The last playground inspection was documented on 2/21/24. This is several months past due. The last fire inspection was approved on 10/26/23. The last sanitation inspection was conducted on 3/21/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon my arrival, I greeted the administrator and assistant administrator and explained the reason for today’s visit. Ms. Taylor, administrator, was in the middle of an interview with a prospective employee so Ms. Mast, assistant administered accompanied me during the walkthrough for the first two classrooms, but she had to cook lunch. I began my observations in the younger classrooms. In spaces #1 and #2, the children were observed being fed bottles, playing on the floor with their teachers. In space #4A the class was drawing on plain paper with crayons. In space #3 the children were outside and I also observed them eating lunch. In spaces #5, children were playing with a variety of materials. In space # 6 children were dancing and singing while waiting for lunch. In spaces #5 and #6, children were eating lunch. Lunch today consisted of BBQ little smokies, carrot sticks, tropical fruit, whole grain rolls and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. 10A NCAC 09 .0604(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication in Space #7, was expired and the child has not needed it in years .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have not be maintained for the last four (4) months. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Four (4) children were missing a medical report/physical and it was past the 30 days. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Four (4) children were missing a medical report/physical and it was past the 30 days. GS110-91(1) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. There were jump ropes in the gym that is used by children for gross motor during bad weather days. .0604(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff (K.M.) did not have a statement signing the receipt of the above policy. .0608(d)(1-4) Technical assistance was provided as follows: Item #859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: Playground inspections have not be maintained for the last four (4) months. Item # 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: A medication in Space #7, was expired and the child has not needed it in years. Items #812 and #1828 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: There were jump ropes in the gym that is used by children for gross motor during bad weather days. Items #1320 and #1321 § 110-91. Mandatory standards for a license All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards. Note: Four (4) children were missing a medical report/physical and it was past the 30 days. Items # 1045 and 1047 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Note: Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. Item #1874 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Note: One staff (K.M.) did not have a statement signing the receipt of the above policy. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by July, 4, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We disused that children’s incident reports need to be filed in the child’s file. • Assure that staff update that they have reviewed the operational policies, personnel policies, emergency medical care plan and epr plan annually. • Space #6 needs more books. • Space #3 is having problems with behavior issues. We discussed the behavior hotline and that was sent to the teacher. • Please fluff the mulch and hammer down bolts on the black boarders. • Please remove grass that is growing in the sandboxes. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25- 6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 82 Completed Date: 6/20/2024 Age: From 0 To 5 Total Minutes: 510 Time In: 09:45 AM Time Out: 06:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, during the visit. An electronic signed copy of the visit summary was left on-site and can be electronically emailed to you upon request. Ms. Taylor was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86%) percentage as of 6/17/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation for Greenway Baptist Church of Boone, N.C., is NOT current/active as of 06/18/24. During the routine Unannounced visit on 3/6/24, I discussed with Ms. Taylor that the listed registered agent is no longer correct. Ms. Taylor and I have had email correspondence about updating this as well as updating their application. Neither has been completed. There are ninety-eight (98) children enrolled. Ten (10) children’s files were monitored today. There are twenty-four (24) staff including six (6) new staff. Six (6) new staff files and one (1) existing staff files were monitored today. Permit type – Five-star license, issued 01/15/19. Special Services/Restrictions – Daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 7/20/23. The last fire drill was practiced on 5/29/24. The last shelter-in-place drill was practiced on 3/25/24. A lock down drill is due this month. The last playground inspection was documented on 2/21/24. This is several months past due. The last fire inspection was approved on 10/26/23. The last sanitation inspection was conducted on 3/21/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon my arrival, I greeted the administrator and assistant administrator and explained the reason for today’s visit. Ms. Taylor, administrator, was in the middle of an interview with a prospective employee so Ms. Mast, assistant administered accompanied me during the walkthrough for the first two classrooms, but she had to cook lunch. I began my observations in the younger classrooms. In spaces #1 and #2, the children were observed being fed bottles, playing on the floor with their teachers. In space #4A the class was drawing on plain paper with crayons. In space #3 the children were outside and I also observed them eating lunch. In spaces #5, children were playing with a variety of materials. In space # 6 children were dancing and singing while waiting for lunch. In spaces #5 and #6, children were eating lunch. Lunch today consisted of BBQ little smokies, carrot sticks, tropical fruit, whole grain rolls and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. 10A NCAC 09 .0604(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication in Space #7, was expired and the child has not needed it in years .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have not be maintained for the last four (4) months. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Four (4) children were missing a medical report/physical and it was past the 30 days. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Four (4) children were missing a medical report/physical and it was past the 30 days. GS110-91(1) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. There were jump ropes in the gym that is used by children for gross motor during bad weather days. .0604(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff (K.M.) did not have a statement signing the receipt of the above policy. .0608(d)(1-4) Technical assistance was provided as follows: Item #859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: Playground inspections have not be maintained for the last four (4) months. Item # 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: A medication in Space #7, was expired and the child has not needed it in years. Items #812 and #1828 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: There were jump ropes in the gym that is used by children for gross motor during bad weather days. Items #1320 and #1321 § 110-91. Mandatory standards for a license All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards. Note: Four (4) children were missing a medical report/physical and it was past the 30 days. Items # 1045 and 1047 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Note: Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. Item #1874 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Note: One staff (K.M.) did not have a statement signing the receipt of the above policy. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by July, 4, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We disused that children’s incident reports need to be filed in the child’s file. • Assure that staff update that they have reviewed the operational policies, personnel policies, emergency medical care plan and epr plan annually. • Space #6 needs more books. • Space #3 is having problems with behavior issues. We discussed the behavior hotline and that was sent to the teacher. • Please fluff the mulch and hammer down bolts on the black boarders. • Please remove grass that is growing in the sandboxes. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25- 6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 82 Completed Date: 6/20/2024 Age: From 0 To 5 Total Minutes: 510 Time In: 09:45 AM Time Out: 06:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, during the visit. An electronic signed copy of the visit summary was left on-site and can be electronically emailed to you upon request. Ms. Taylor was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86%) percentage as of 6/17/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation for Greenway Baptist Church of Boone, N.C., is NOT current/active as of 06/18/24. During the routine Unannounced visit on 3/6/24, I discussed with Ms. Taylor that the listed registered agent is no longer correct. Ms. Taylor and I have had email correspondence about updating this as well as updating their application. Neither has been completed. There are ninety-eight (98) children enrolled. Ten (10) children’s files were monitored today. There are twenty-four (24) staff including six (6) new staff. Six (6) new staff files and one (1) existing staff files were monitored today. Permit type – Five-star license, issued 01/15/19. Special Services/Restrictions – Daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 7/20/23. The last fire drill was practiced on 5/29/24. The last shelter-in-place drill was practiced on 3/25/24. A lock down drill is due this month. The last playground inspection was documented on 2/21/24. This is several months past due. The last fire inspection was approved on 10/26/23. The last sanitation inspection was conducted on 3/21/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon my arrival, I greeted the administrator and assistant administrator and explained the reason for today’s visit. Ms. Taylor, administrator, was in the middle of an interview with a prospective employee so Ms. Mast, assistant administered accompanied me during the walkthrough for the first two classrooms, but she had to cook lunch. I began my observations in the younger classrooms. In spaces #1 and #2, the children were observed being fed bottles, playing on the floor with their teachers. In space #4A the class was drawing on plain paper with crayons. In space #3 the children were outside and I also observed them eating lunch. In spaces #5, children were playing with a variety of materials. In space # 6 children were dancing and singing while waiting for lunch. In spaces #5 and #6, children were eating lunch. Lunch today consisted of BBQ little smokies, carrot sticks, tropical fruit, whole grain rolls and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. 10A NCAC 09 .0604(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication in Space #7, was expired and the child has not needed it in years .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have not be maintained for the last four (4) months. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Four (4) children were missing a medical report/physical and it was past the 30 days. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Four (4) children were missing a medical report/physical and it was past the 30 days. GS110-91(1) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. There were jump ropes in the gym that is used by children for gross motor during bad weather days. .0604(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff (K.M.) did not have a statement signing the receipt of the above policy. .0608(d)(1-4) Technical assistance was provided as follows: Item #859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: Playground inspections have not be maintained for the last four (4) months. Item # 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: A medication in Space #7, was expired and the child has not needed it in years. Items #812 and #1828 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: There were jump ropes in the gym that is used by children for gross motor during bad weather days. Items #1320 and #1321 § 110-91. Mandatory standards for a license All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards. Note: Four (4) children were missing a medical report/physical and it was past the 30 days. Items # 1045 and 1047 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Note: Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. Item #1874 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Note: One staff (K.M.) did not have a statement signing the receipt of the above policy. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by July, 4, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We disused that children’s incident reports need to be filed in the child’s file. • Assure that staff update that they have reviewed the operational policies, personnel policies, emergency medical care plan and epr plan annually. • Space #6 needs more books. • Space #3 is having problems with behavior issues. We discussed the behavior hotline and that was sent to the teacher. • Please fluff the mulch and hammer down bolts on the black boarders. • Please remove grass that is growing in the sandboxes. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25- 6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0608 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 82 Completed Date: 6/20/2024 Age: From 0 To 5 Total Minutes: 510 Time In: 09:45 AM Time Out: 06:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, during the visit. An electronic signed copy of the visit summary was left on-site and can be electronically emailed to you upon request. Ms. Taylor was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86%) percentage as of 6/17/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation for Greenway Baptist Church of Boone, N.C., is NOT current/active as of 06/18/24. During the routine Unannounced visit on 3/6/24, I discussed with Ms. Taylor that the listed registered agent is no longer correct. Ms. Taylor and I have had email correspondence about updating this as well as updating their application. Neither has been completed. There are ninety-eight (98) children enrolled. Ten (10) children’s files were monitored today. There are twenty-four (24) staff including six (6) new staff. Six (6) new staff files and one (1) existing staff files were monitored today. Permit type – Five-star license, issued 01/15/19. Special Services/Restrictions – Daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 7/20/23. The last fire drill was practiced on 5/29/24. The last shelter-in-place drill was practiced on 3/25/24. A lock down drill is due this month. The last playground inspection was documented on 2/21/24. This is several months past due. The last fire inspection was approved on 10/26/23. The last sanitation inspection was conducted on 3/21/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon my arrival, I greeted the administrator and assistant administrator and explained the reason for today’s visit. Ms. Taylor, administrator, was in the middle of an interview with a prospective employee so Ms. Mast, assistant administered accompanied me during the walkthrough for the first two classrooms, but she had to cook lunch. I began my observations in the younger classrooms. In spaces #1 and #2, the children were observed being fed bottles, playing on the floor with their teachers. In space #4A the class was drawing on plain paper with crayons. In space #3 the children were outside and I also observed them eating lunch. In spaces #5, children were playing with a variety of materials. In space # 6 children were dancing and singing while waiting for lunch. In spaces #5 and #6, children were eating lunch. Lunch today consisted of BBQ little smokies, carrot sticks, tropical fruit, whole grain rolls and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. 10A NCAC 09 .0604(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication in Space #7, was expired and the child has not needed it in years .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have not be maintained for the last four (4) months. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Four (4) children were missing a medical report/physical and it was past the 30 days. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Four (4) children were missing a medical report/physical and it was past the 30 days. GS110-91(1) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. There were jump ropes in the gym that is used by children for gross motor during bad weather days. .0604(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff (K.M.) did not have a statement signing the receipt of the above policy. .0608(d)(1-4) Technical assistance was provided as follows: Item #859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: Playground inspections have not be maintained for the last four (4) months. Item # 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: A medication in Space #7, was expired and the child has not needed it in years. Items #812 and #1828 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: There were jump ropes in the gym that is used by children for gross motor during bad weather days. Items #1320 and #1321 § 110-91. Mandatory standards for a license All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards. Note: Four (4) children were missing a medical report/physical and it was past the 30 days. Items # 1045 and 1047 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Note: Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. Item #1874 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Note: One staff (K.M.) did not have a statement signing the receipt of the above policy. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by July, 4, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We disused that children’s incident reports need to be filed in the child’s file. • Assure that staff update that they have reviewed the operational policies, personnel policies, emergency medical care plan and epr plan annually. • Space #6 needs more books. • Space #3 is having problems with behavior issues. We discussed the behavior hotline and that was sent to the teacher. • Please fluff the mulch and hammer down bolts on the black boarders. • Please remove grass that is growing in the sandboxes. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25- 6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 82 Completed Date: 6/20/2024 Age: From 0 To 5 Total Minutes: 510 Time In: 09:45 AM Time Out: 06:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, during the visit. An electronic signed copy of the visit summary was left on-site and can be electronically emailed to you upon request. Ms. Taylor was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86%) percentage as of 6/17/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation for Greenway Baptist Church of Boone, N.C., is NOT current/active as of 06/18/24. During the routine Unannounced visit on 3/6/24, I discussed with Ms. Taylor that the listed registered agent is no longer correct. Ms. Taylor and I have had email correspondence about updating this as well as updating their application. Neither has been completed. There are ninety-eight (98) children enrolled. Ten (10) children’s files were monitored today. There are twenty-four (24) staff including six (6) new staff. Six (6) new staff files and one (1) existing staff files were monitored today. Permit type – Five-star license, issued 01/15/19. Special Services/Restrictions – Daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 7/20/23. The last fire drill was practiced on 5/29/24. The last shelter-in-place drill was practiced on 3/25/24. A lock down drill is due this month. The last playground inspection was documented on 2/21/24. This is several months past due. The last fire inspection was approved on 10/26/23. The last sanitation inspection was conducted on 3/21/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon my arrival, I greeted the administrator and assistant administrator and explained the reason for today’s visit. Ms. Taylor, administrator, was in the middle of an interview with a prospective employee so Ms. Mast, assistant administered accompanied me during the walkthrough for the first two classrooms, but she had to cook lunch. I began my observations in the younger classrooms. In spaces #1 and #2, the children were observed being fed bottles, playing on the floor with their teachers. In space #4A the class was drawing on plain paper with crayons. In space #3 the children were outside and I also observed them eating lunch. In spaces #5, children were playing with a variety of materials. In space # 6 children were dancing and singing while waiting for lunch. In spaces #5 and #6, children were eating lunch. Lunch today consisted of BBQ little smokies, carrot sticks, tropical fruit, whole grain rolls and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. 10A NCAC 09 .0604(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication in Space #7, was expired and the child has not needed it in years .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have not be maintained for the last four (4) months. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Four (4) children were missing a medical report/physical and it was past the 30 days. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Four (4) children were missing a medical report/physical and it was past the 30 days. GS110-91(1) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. There were jump ropes in the gym that is used by children for gross motor during bad weather days. .0604(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff (K.M.) did not have a statement signing the receipt of the above policy. .0608(d)(1-4) Technical assistance was provided as follows: Item #859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: Playground inspections have not be maintained for the last four (4) months. Item # 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: A medication in Space #7, was expired and the child has not needed it in years. Items #812 and #1828 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: There were jump ropes in the gym that is used by children for gross motor during bad weather days. Items #1320 and #1321 § 110-91. Mandatory standards for a license All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards. Note: Four (4) children were missing a medical report/physical and it was past the 30 days. Items # 1045 and 1047 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Note: Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. Item #1874 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Note: One staff (K.M.) did not have a statement signing the receipt of the above policy. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by July, 4, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We disused that children’s incident reports need to be filed in the child’s file. • Assure that staff update that they have reviewed the operational policies, personnel policies, emergency medical care plan and epr plan annually. • Space #6 needs more books. • Space #3 is having problems with behavior issues. We discussed the behavior hotline and that was sent to the teacher. • Please fluff the mulch and hammer down bolts on the black boarders. • Please remove grass that is growing in the sandboxes. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25- 6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1101 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 82 Completed Date: 6/20/2024 Age: From 0 To 5 Total Minutes: 510 Time In: 09:45 AM Time Out: 06:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, during the visit. An electronic signed copy of the visit summary was left on-site and can be electronically emailed to you upon request. Ms. Taylor was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86%) percentage as of 6/17/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation for Greenway Baptist Church of Boone, N.C., is NOT current/active as of 06/18/24. During the routine Unannounced visit on 3/6/24, I discussed with Ms. Taylor that the listed registered agent is no longer correct. Ms. Taylor and I have had email correspondence about updating this as well as updating their application. Neither has been completed. There are ninety-eight (98) children enrolled. Ten (10) children’s files were monitored today. There are twenty-four (24) staff including six (6) new staff. Six (6) new staff files and one (1) existing staff files were monitored today. Permit type – Five-star license, issued 01/15/19. Special Services/Restrictions – Daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 7/20/23. The last fire drill was practiced on 5/29/24. The last shelter-in-place drill was practiced on 3/25/24. A lock down drill is due this month. The last playground inspection was documented on 2/21/24. This is several months past due. The last fire inspection was approved on 10/26/23. The last sanitation inspection was conducted on 3/21/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon my arrival, I greeted the administrator and assistant administrator and explained the reason for today’s visit. Ms. Taylor, administrator, was in the middle of an interview with a prospective employee so Ms. Mast, assistant administered accompanied me during the walkthrough for the first two classrooms, but she had to cook lunch. I began my observations in the younger classrooms. In spaces #1 and #2, the children were observed being fed bottles, playing on the floor with their teachers. In space #4A the class was drawing on plain paper with crayons. In space #3 the children were outside and I also observed them eating lunch. In spaces #5, children were playing with a variety of materials. In space # 6 children were dancing and singing while waiting for lunch. In spaces #5 and #6, children were eating lunch. Lunch today consisted of BBQ little smokies, carrot sticks, tropical fruit, whole grain rolls and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. 10A NCAC 09 .0604(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication in Space #7, was expired and the child has not needed it in years .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have not be maintained for the last four (4) months. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Four (4) children were missing a medical report/physical and it was past the 30 days. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Four (4) children were missing a medical report/physical and it was past the 30 days. GS110-91(1) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. There were jump ropes in the gym that is used by children for gross motor during bad weather days. .0604(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff (K.M.) did not have a statement signing the receipt of the above policy. .0608(d)(1-4) Technical assistance was provided as follows: Item #859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: Playground inspections have not be maintained for the last four (4) months. Item # 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: A medication in Space #7, was expired and the child has not needed it in years. Items #812 and #1828 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: There were jump ropes in the gym that is used by children for gross motor during bad weather days. Items #1320 and #1321 § 110-91. Mandatory standards for a license All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards. Note: Four (4) children were missing a medical report/physical and it was past the 30 days. Items # 1045 and 1047 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Note: Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. Item #1874 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Note: One staff (K.M.) did not have a statement signing the receipt of the above policy. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by July, 4, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We disused that children’s incident reports need to be filed in the child’s file. • Assure that staff update that they have reviewed the operational policies, personnel policies, emergency medical care plan and epr plan annually. • Space #6 needs more books. • Space #3 is having problems with behavior issues. We discussed the behavior hotline and that was sent to the teacher. • Please fluff the mulch and hammer down bolts on the black boarders. • Please remove grass that is growing in the sandboxes. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25- 6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 82 Completed Date: 6/20/2024 Age: From 0 To 5 Total Minutes: 510 Time In: 09:45 AM Time Out: 06:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, during the visit. An electronic signed copy of the visit summary was left on-site and can be electronically emailed to you upon request. Ms. Taylor was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86%) percentage as of 6/17/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation for Greenway Baptist Church of Boone, N.C., is NOT current/active as of 06/18/24. During the routine Unannounced visit on 3/6/24, I discussed with Ms. Taylor that the listed registered agent is no longer correct. Ms. Taylor and I have had email correspondence about updating this as well as updating their application. Neither has been completed. There are ninety-eight (98) children enrolled. Ten (10) children’s files were monitored today. There are twenty-four (24) staff including six (6) new staff. Six (6) new staff files and one (1) existing staff files were monitored today. Permit type – Five-star license, issued 01/15/19. Special Services/Restrictions – Daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 7/20/23. The last fire drill was practiced on 5/29/24. The last shelter-in-place drill was practiced on 3/25/24. A lock down drill is due this month. The last playground inspection was documented on 2/21/24. This is several months past due. The last fire inspection was approved on 10/26/23. The last sanitation inspection was conducted on 3/21/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon my arrival, I greeted the administrator and assistant administrator and explained the reason for today’s visit. Ms. Taylor, administrator, was in the middle of an interview with a prospective employee so Ms. Mast, assistant administered accompanied me during the walkthrough for the first two classrooms, but she had to cook lunch. I began my observations in the younger classrooms. In spaces #1 and #2, the children were observed being fed bottles, playing on the floor with their teachers. In space #4A the class was drawing on plain paper with crayons. In space #3 the children were outside and I also observed them eating lunch. In spaces #5, children were playing with a variety of materials. In space # 6 children were dancing and singing while waiting for lunch. In spaces #5 and #6, children were eating lunch. Lunch today consisted of BBQ little smokies, carrot sticks, tropical fruit, whole grain rolls and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. 10A NCAC 09 .0604(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication in Space #7, was expired and the child has not needed it in years .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have not be maintained for the last four (4) months. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Four (4) children were missing a medical report/physical and it was past the 30 days. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Four (4) children were missing a medical report/physical and it was past the 30 days. GS110-91(1) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. There were jump ropes in the gym that is used by children for gross motor during bad weather days. .0604(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff (K.M.) did not have a statement signing the receipt of the above policy. .0608(d)(1-4) Technical assistance was provided as follows: Item #859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: Playground inspections have not be maintained for the last four (4) months. Item # 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: A medication in Space #7, was expired and the child has not needed it in years. Items #812 and #1828 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: There were jump ropes in the gym that is used by children for gross motor during bad weather days. Items #1320 and #1321 § 110-91. Mandatory standards for a license All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards. Note: Four (4) children were missing a medical report/physical and it was past the 30 days. Items # 1045 and 1047 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Note: Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. Item #1874 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Note: One staff (K.M.) did not have a statement signing the receipt of the above policy. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by July, 4, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We disused that children’s incident reports need to be filed in the child’s file. • Assure that staff update that they have reviewed the operational policies, personnel policies, emergency medical care plan and epr plan annually. • Space #6 needs more books. • Space #3 is having problems with behavior issues. We discussed the behavior hotline and that was sent to the teacher. • Please fluff the mulch and hammer down bolts on the black boarders. • Please remove grass that is growing in the sandboxes. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25- 6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 82 Completed Date: 6/20/2024 Age: From 0 To 5 Total Minutes: 510 Time In: 09:45 AM Time Out: 06:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, during the visit. An electronic signed copy of the visit summary was left on-site and can be electronically emailed to you upon request. Ms. Taylor was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86%) percentage as of 6/17/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation for Greenway Baptist Church of Boone, N.C., is NOT current/active as of 06/18/24. During the routine Unannounced visit on 3/6/24, I discussed with Ms. Taylor that the listed registered agent is no longer correct. Ms. Taylor and I have had email correspondence about updating this as well as updating their application. Neither has been completed. There are ninety-eight (98) children enrolled. Ten (10) children’s files were monitored today. There are twenty-four (24) staff including six (6) new staff. Six (6) new staff files and one (1) existing staff files were monitored today. Permit type – Five-star license, issued 01/15/19. Special Services/Restrictions – Daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 7/20/23. The last fire drill was practiced on 5/29/24. The last shelter-in-place drill was practiced on 3/25/24. A lock down drill is due this month. The last playground inspection was documented on 2/21/24. This is several months past due. The last fire inspection was approved on 10/26/23. The last sanitation inspection was conducted on 3/21/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon my arrival, I greeted the administrator and assistant administrator and explained the reason for today’s visit. Ms. Taylor, administrator, was in the middle of an interview with a prospective employee so Ms. Mast, assistant administered accompanied me during the walkthrough for the first two classrooms, but she had to cook lunch. I began my observations in the younger classrooms. In spaces #1 and #2, the children were observed being fed bottles, playing on the floor with their teachers. In space #4A the class was drawing on plain paper with crayons. In space #3 the children were outside and I also observed them eating lunch. In spaces #5, children were playing with a variety of materials. In space # 6 children were dancing and singing while waiting for lunch. In spaces #5 and #6, children were eating lunch. Lunch today consisted of BBQ little smokies, carrot sticks, tropical fruit, whole grain rolls and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. 10A NCAC 09 .0604(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication in Space #7, was expired and the child has not needed it in years .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have not be maintained for the last four (4) months. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Four (4) children were missing a medical report/physical and it was past the 30 days. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Four (4) children were missing a medical report/physical and it was past the 30 days. GS110-91(1) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. There were jump ropes in the gym that is used by children for gross motor during bad weather days. .0604(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff (K.M.) did not have a statement signing the receipt of the above policy. .0608(d)(1-4) Technical assistance was provided as follows: Item #859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: Playground inspections have not be maintained for the last four (4) months. Item # 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: A medication in Space #7, was expired and the child has not needed it in years. Items #812 and #1828 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: There were jump ropes in the gym that is used by children for gross motor during bad weather days. Items #1320 and #1321 § 110-91. Mandatory standards for a license All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards. Note: Four (4) children were missing a medical report/physical and it was past the 30 days. Items # 1045 and 1047 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Note: Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. Item #1874 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Note: One staff (K.M.) did not have a statement signing the receipt of the above policy. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by July, 4, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We disused that children’s incident reports need to be filed in the child’s file. • Assure that staff update that they have reviewed the operational policies, personnel policies, emergency medical care plan and epr plan annually. • Space #6 needs more books. • Space #3 is having problems with behavior issues. We discussed the behavior hotline and that was sent to the teacher. • Please fluff the mulch and hammer down bolts on the black boarders. • Please remove grass that is growing in the sandboxes. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25- 6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 82 Completed Date: 6/20/2024 Age: From 0 To 5 Total Minutes: 510 Time In: 09:45 AM Time Out: 06:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, during the visit. An electronic signed copy of the visit summary was left on-site and can be electronically emailed to you upon request. Ms. Taylor was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86%) percentage as of 6/17/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation for Greenway Baptist Church of Boone, N.C., is NOT current/active as of 06/18/24. During the routine Unannounced visit on 3/6/24, I discussed with Ms. Taylor that the listed registered agent is no longer correct. Ms. Taylor and I have had email correspondence about updating this as well as updating their application. Neither has been completed. There are ninety-eight (98) children enrolled. Ten (10) children’s files were monitored today. There are twenty-four (24) staff including six (6) new staff. Six (6) new staff files and one (1) existing staff files were monitored today. Permit type – Five-star license, issued 01/15/19. Special Services/Restrictions – Daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 7/20/23. The last fire drill was practiced on 5/29/24. The last shelter-in-place drill was practiced on 3/25/24. A lock down drill is due this month. The last playground inspection was documented on 2/21/24. This is several months past due. The last fire inspection was approved on 10/26/23. The last sanitation inspection was conducted on 3/21/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon my arrival, I greeted the administrator and assistant administrator and explained the reason for today’s visit. Ms. Taylor, administrator, was in the middle of an interview with a prospective employee so Ms. Mast, assistant administered accompanied me during the walkthrough for the first two classrooms, but she had to cook lunch. I began my observations in the younger classrooms. In spaces #1 and #2, the children were observed being fed bottles, playing on the floor with their teachers. In space #4A the class was drawing on plain paper with crayons. In space #3 the children were outside and I also observed them eating lunch. In spaces #5, children were playing with a variety of materials. In space # 6 children were dancing and singing while waiting for lunch. In spaces #5 and #6, children were eating lunch. Lunch today consisted of BBQ little smokies, carrot sticks, tropical fruit, whole grain rolls and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. 10A NCAC 09 .0604(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication in Space #7, was expired and the child has not needed it in years .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have not be maintained for the last four (4) months. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Four (4) children were missing a medical report/physical and it was past the 30 days. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Four (4) children were missing a medical report/physical and it was past the 30 days. GS110-91(1) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. There were jump ropes in the gym that is used by children for gross motor during bad weather days. .0604(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff (K.M.) did not have a statement signing the receipt of the above policy. .0608(d)(1-4) Technical assistance was provided as follows: Item #859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: Playground inspections have not be maintained for the last four (4) months. Item # 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: A medication in Space #7, was expired and the child has not needed it in years. Items #812 and #1828 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: There were jump ropes in the gym that is used by children for gross motor during bad weather days. Items #1320 and #1321 § 110-91. Mandatory standards for a license All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards. Note: Four (4) children were missing a medical report/physical and it was past the 30 days. Items # 1045 and 1047 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Note: Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. Item #1874 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Note: One staff (K.M.) did not have a statement signing the receipt of the above policy. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by July, 4, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We disused that children’s incident reports need to be filed in the child’s file. • Assure that staff update that they have reviewed the operational policies, personnel policies, emergency medical care plan and epr plan annually. • Space #6 needs more books. • Space #3 is having problems with behavior issues. We discussed the behavior hotline and that was sent to the teacher. • Please fluff the mulch and hammer down bolts on the black boarders. • Please remove grass that is growing in the sandboxes. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25- 6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 82 Completed Date: 6/20/2024 Age: From 0 To 5 Total Minutes: 510 Time In: 09:45 AM Time Out: 06:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, during the visit. An electronic signed copy of the visit summary was left on-site and can be electronically emailed to you upon request. Ms. Taylor was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86%) percentage as of 6/17/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation for Greenway Baptist Church of Boone, N.C., is NOT current/active as of 06/18/24. During the routine Unannounced visit on 3/6/24, I discussed with Ms. Taylor that the listed registered agent is no longer correct. Ms. Taylor and I have had email correspondence about updating this as well as updating their application. Neither has been completed. There are ninety-eight (98) children enrolled. Ten (10) children’s files were monitored today. There are twenty-four (24) staff including six (6) new staff. Six (6) new staff files and one (1) existing staff files were monitored today. Permit type – Five-star license, issued 01/15/19. Special Services/Restrictions – Daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 7/20/23. The last fire drill was practiced on 5/29/24. The last shelter-in-place drill was practiced on 3/25/24. A lock down drill is due this month. The last playground inspection was documented on 2/21/24. This is several months past due. The last fire inspection was approved on 10/26/23. The last sanitation inspection was conducted on 3/21/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon my arrival, I greeted the administrator and assistant administrator and explained the reason for today’s visit. Ms. Taylor, administrator, was in the middle of an interview with a prospective employee so Ms. Mast, assistant administered accompanied me during the walkthrough for the first two classrooms, but she had to cook lunch. I began my observations in the younger classrooms. In spaces #1 and #2, the children were observed being fed bottles, playing on the floor with their teachers. In space #4A the class was drawing on plain paper with crayons. In space #3 the children were outside and I also observed them eating lunch. In spaces #5, children were playing with a variety of materials. In space # 6 children were dancing and singing while waiting for lunch. In spaces #5 and #6, children were eating lunch. Lunch today consisted of BBQ little smokies, carrot sticks, tropical fruit, whole grain rolls and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. 10A NCAC 09 .0604(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication in Space #7, was expired and the child has not needed it in years .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have not be maintained for the last four (4) months. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Four (4) children were missing a medical report/physical and it was past the 30 days. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Four (4) children were missing a medical report/physical and it was past the 30 days. GS110-91(1) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. There were jump ropes in the gym that is used by children for gross motor during bad weather days. .0604(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff (K.M.) did not have a statement signing the receipt of the above policy. .0608(d)(1-4) Technical assistance was provided as follows: Item #859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: Playground inspections have not be maintained for the last four (4) months. Item # 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: A medication in Space #7, was expired and the child has not needed it in years. Items #812 and #1828 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: There were jump ropes in the gym that is used by children for gross motor during bad weather days. Items #1320 and #1321 § 110-91. Mandatory standards for a license All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards. Note: Four (4) children were missing a medical report/physical and it was past the 30 days. Items # 1045 and 1047 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Note: Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. Item #1874 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Note: One staff (K.M.) did not have a statement signing the receipt of the above policy. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by July, 4, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We disused that children’s incident reports need to be filed in the child’s file. • Assure that staff update that they have reviewed the operational policies, personnel policies, emergency medical care plan and epr plan annually. • Space #6 needs more books. • Space #3 is having problems with behavior issues. We discussed the behavior hotline and that was sent to the teacher. • Please fluff the mulch and hammer down bolts on the black boarders. • Please remove grass that is growing in the sandboxes. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25- 6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 82 Completed Date: 6/20/2024 Age: From 0 To 5 Total Minutes: 510 Time In: 09:45 AM Time Out: 06:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, during the visit. An electronic signed copy of the visit summary was left on-site and can be electronically emailed to you upon request. Ms. Taylor was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86%) percentage as of 6/17/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation for Greenway Baptist Church of Boone, N.C., is NOT current/active as of 06/18/24. During the routine Unannounced visit on 3/6/24, I discussed with Ms. Taylor that the listed registered agent is no longer correct. Ms. Taylor and I have had email correspondence about updating this as well as updating their application. Neither has been completed. There are ninety-eight (98) children enrolled. Ten (10) children’s files were monitored today. There are twenty-four (24) staff including six (6) new staff. Six (6) new staff files and one (1) existing staff files were monitored today. Permit type – Five-star license, issued 01/15/19. Special Services/Restrictions – Daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 7/20/23. The last fire drill was practiced on 5/29/24. The last shelter-in-place drill was practiced on 3/25/24. A lock down drill is due this month. The last playground inspection was documented on 2/21/24. This is several months past due. The last fire inspection was approved on 10/26/23. The last sanitation inspection was conducted on 3/21/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon my arrival, I greeted the administrator and assistant administrator and explained the reason for today’s visit. Ms. Taylor, administrator, was in the middle of an interview with a prospective employee so Ms. Mast, assistant administered accompanied me during the walkthrough for the first two classrooms, but she had to cook lunch. I began my observations in the younger classrooms. In spaces #1 and #2, the children were observed being fed bottles, playing on the floor with their teachers. In space #4A the class was drawing on plain paper with crayons. In space #3 the children were outside and I also observed them eating lunch. In spaces #5, children were playing with a variety of materials. In space # 6 children were dancing and singing while waiting for lunch. In spaces #5 and #6, children were eating lunch. Lunch today consisted of BBQ little smokies, carrot sticks, tropical fruit, whole grain rolls and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. 10A NCAC 09 .0604(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication in Space #7, was expired and the child has not needed it in years .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have not be maintained for the last four (4) months. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Four (4) children were missing a medical report/physical and it was past the 30 days. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Four (4) children were missing a medical report/physical and it was past the 30 days. GS110-91(1) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. There were jump ropes in the gym that is used by children for gross motor during bad weather days. .0604(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff (K.M.) did not have a statement signing the receipt of the above policy. .0608(d)(1-4) Technical assistance was provided as follows: Item #859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: Playground inspections have not be maintained for the last four (4) months. Item # 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: A medication in Space #7, was expired and the child has not needed it in years. Items #812 and #1828 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: There were jump ropes in the gym that is used by children for gross motor during bad weather days. Items #1320 and #1321 § 110-91. Mandatory standards for a license All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards. Note: Four (4) children were missing a medical report/physical and it was past the 30 days. Items # 1045 and 1047 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Note: Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. Item #1874 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Note: One staff (K.M.) did not have a statement signing the receipt of the above policy. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by July, 4, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We disused that children’s incident reports need to be filed in the child’s file. • Assure that staff update that they have reviewed the operational policies, personnel policies, emergency medical care plan and epr plan annually. • Space #6 needs more books. • Space #3 is having problems with behavior issues. We discussed the behavior hotline and that was sent to the teacher. • Please fluff the mulch and hammer down bolts on the black boarders. • Please remove grass that is growing in the sandboxes. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25- 6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 82 Completed Date: 6/20/2024 Age: From 0 To 5 Total Minutes: 510 Time In: 09:45 AM Time Out: 06:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Phyllis Taylor, during the visit. An electronic signed copy of the visit summary was left on-site and can be electronically emailed to you upon request. Ms. Taylor was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86%) percentage as of 6/17/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation for Greenway Baptist Church of Boone, N.C., is NOT current/active as of 06/18/24. During the routine Unannounced visit on 3/6/24, I discussed with Ms. Taylor that the listed registered agent is no longer correct. Ms. Taylor and I have had email correspondence about updating this as well as updating their application. Neither has been completed. There are ninety-eight (98) children enrolled. Ten (10) children’s files were monitored today. There are twenty-four (24) staff including six (6) new staff. Six (6) new staff files and one (1) existing staff files were monitored today. Permit type – Five-star license, issued 01/15/19. Special Services/Restrictions – Daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 7/20/23. The last fire drill was practiced on 5/29/24. The last shelter-in-place drill was practiced on 3/25/24. A lock down drill is due this month. The last playground inspection was documented on 2/21/24. This is several months past due. The last fire inspection was approved on 10/26/23. The last sanitation inspection was conducted on 3/21/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon my arrival, I greeted the administrator and assistant administrator and explained the reason for today’s visit. Ms. Taylor, administrator, was in the middle of an interview with a prospective employee so Ms. Mast, assistant administered accompanied me during the walkthrough for the first two classrooms, but she had to cook lunch. I began my observations in the younger classrooms. In spaces #1 and #2, the children were observed being fed bottles, playing on the floor with their teachers. In space #4A the class was drawing on plain paper with crayons. In space #3 the children were outside and I also observed them eating lunch. In spaces #5, children were playing with a variety of materials. In space # 6 children were dancing and singing while waiting for lunch. In spaces #5 and #6, children were eating lunch. Lunch today consisted of BBQ little smokies, carrot sticks, tropical fruit, whole grain rolls and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. 10A NCAC 09 .0604(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication in Space #7, was expired and the child has not needed it in years .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have not be maintained for the last four (4) months. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Four (4) children were missing a medical report/physical and it was past the 30 days. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Four (4) children were missing a medical report/physical and it was past the 30 days. GS110-91(1) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. There were jump ropes in the gym that is used by children for gross motor during bad weather days. .0604(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff (K.M.) did not have a statement signing the receipt of the above policy. .0608(d)(1-4) Technical assistance was provided as follows: Item #859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: Playground inspections have not be maintained for the last four (4) months. Item # 849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: A medication in Space #7, was expired and the child has not needed it in years. Items #812 and #1828 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: There were outlets uncovered in the gym that is used by children for gross motor during bad weather days. (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: There were jump ropes in the gym that is used by children for gross motor during bad weather days. Items #1320 and #1321 § 110-91. Mandatory standards for a license All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (1) Medical Care and Sanitation. – The Commission for Public Health shall adopt rules which establish minimum sanitation standards for child care centers and their personnel. The sanitation rules adopted by the Commission for Public Health shall cover such matters as the cleanliness of floors, walls, ceilings, storage spaces, utensils, and other facilities; adequacy of ventilation; sanitation of water supply, lavatory facilities, toilet facilities, sewage disposal, food protection facilities, bactericidal treatment of eating and drinking utensils, and solid-waste storage and disposal; methods of food preparation and serving; infectious disease control; sleeping facilities; and other items and facilities as are necessary in the interest of the public health. The Commission for Public Health shall allow child care centers to use domestic kitchen equipment, provided appropriate temperature levels for heating, cooling, and storing are maintained. Child care centers that fry foods shall use commercial hoods. These rules shall be developed in consultation with the Department. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Organizations that provide prepared meals to child care centers only are considered child care centers for purposes of compliance with appropriate sanitation standards. Note: Four (4) children were missing a medical report/physical and it was past the 30 days. Items # 1045 and 1047 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Note: Staff K.M., J.M. and M.F; did not have their first two (2) weeks orientation or the full sixteen hours of orientation hours. Item #1874 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Note: One staff (K.M.) did not have a statement signing the receipt of the above policy. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by July, 4, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We disused that children’s incident reports need to be filed in the child’s file. • Assure that staff update that they have reviewed the operational policies, personnel policies, emergency medical care plan and epr plan annually. • Space #6 needs more books. • Space #3 is having problems with behavior issues. We discussed the behavior hotline and that was sent to the teacher. • Please fluff the mulch and hammer down bolts on the black boarders. • Please remove grass that is growing in the sandboxes. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25- 6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/6/2024 Number Present: 83 Completed Date: 3/6/2024 Age: From 0 To 5 Total Minutes: 345 Time In: 10:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Greenway Baptist Child Development Center, operates with a Five (5) Star Rated License issued on 1/15/2019. Phyllis Taylor , Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 7/20/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions In space #5 and #6, the two groups of infant’s children were in the floor engaged in free choice play with one (1) caregiver in space #6 and two (2) caregivers on the floor. In space # 3, the group of three year- old children were engaged in story time. The children were sitting at the tables and the teacher in the middle reading a book. In space #4A and #4B, the two groups of one year- old children were being served lunch. In space #7, the group of two and three year- old children were washing hands with the help of the teachers. In space #8 and #9, there were two groups of children ages three to five years- old children down the hall washing hands to prepare for lunch. These are the only two (2) classrooms that does not have a sink in the classroom. After center time, all the children cleaned up and prepared to eat lunch. Since it was raining heavily today, children two to five years of age, go across the breezeway to the gym for gross motor play. There is a schedule of times that each group can access that space. Younger children ages birth to two years old, use indoor mats for tumbling and indoor gross motor. All caregiving interactions were positive and nurturing. The lunch today was chicken nuggets, whole wheat rolls carrot sticks (younger children had mixed vegetables), raspberries and milk. There has been six (6) new staff hired since the last annual compliance visit. Fire drill was monitored during today’s visit on 2/27/24. The last emergency drill, shelter in place drill, was practiced on 12/28/23. The last fire inspection was approved 10/26/23. The program’s most recent sanitation inspection was completed on 3/5/24, with twenty-seven (27) demerits, which put them on a provisional status. The Emergency Preparedness and Response plan is current as of 7/17/23. The Emergency Medical Care Plan is posted and current. The incident log was current. The last playground safety check was 2/21/24. The following violations of child care requirements were observed today: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #4A, there was unlocked Tylenol stored with an emergency medication. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the spaces #4A, 4B and #7 the, there were plastic gloves and plastic bags in areas below five (5) feet. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #6, one child had napped and it was not documented on the sleep chart. .0606(g) 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. New staff PA did not complete firstaid within 90 days of hire. .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. New staff PA did not complete CPR within 90 days of hire. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The surfacing at the end of the slides on the large playground was not six (6) inches deep. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. New staff PA did not complete Responding to Suspicions of Child Maltreatment within 90 days of hire. .1102(g) Technical Assistance for Correction Plan: Item #0858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: In the spaces #4A, 4B and #7 the, there were plastic gloves and plastic bags in areas below five (5) feet. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: In space #4A, there was unlocked Tylenol stored with an emergency medication. Item #887 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Note: In space #6, one child had napped and it was not documented on the sleep chart. Item #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Note: The surfacing at the end of the slides on the large playground was not six (6) inches deep. Items #1048 and #1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's member's file in the center. The Division shall post a list of approved training organizations on its website (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: New staff PA did not complete first aid and CPR within 90 days of hire. Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Annually following the initial medical statement. New Staff MU did not complete an emergency information form or health questionnaire prior to beginning work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) ©. 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. Consultation: Today, we discussed the following: • Today we discussed the Secretary of State Webiste and paperwork needing to be updated. Ms. Taylor stated that she would like to get a legal designee form filled out for the assistant administrator, Sherry Mast, so she can sign in her absence. • We discussed a loose rug in space #7. That needs to be removed or secured. • Assure that when the menu is changed, it is changed on the hall menu and not just the one in the kitchen. This way parents can see it. • Assure that activity plans only last for the duration that the children are interested. Assure that all plans are linked to the foundation’s goals. • Assure that closet doors lock so that teachers have a place to put personal belongings and items that should be locked. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant, and also signed by Phyllis Taylor, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/6/2024 Number Present: 83 Completed Date: 3/6/2024 Age: From 0 To 5 Total Minutes: 345 Time In: 10:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Greenway Baptist Child Development Center, operates with a Five (5) Star Rated License issued on 1/15/2019. Phyllis Taylor , Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 7/20/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions In space #5 and #6, the two groups of infant’s children were in the floor engaged in free choice play with one (1) caregiver in space #6 and two (2) caregivers on the floor. In space # 3, the group of three year- old children were engaged in story time. The children were sitting at the tables and the teacher in the middle reading a book. In space #4A and #4B, the two groups of one year- old children were being served lunch. In space #7, the group of two and three year- old children were washing hands with the help of the teachers. In space #8 and #9, there were two groups of children ages three to five years- old children down the hall washing hands to prepare for lunch. These are the only two (2) classrooms that does not have a sink in the classroom. After center time, all the children cleaned up and prepared to eat lunch. Since it was raining heavily today, children two to five years of age, go across the breezeway to the gym for gross motor play. There is a schedule of times that each group can access that space. Younger children ages birth to two years old, use indoor mats for tumbling and indoor gross motor. All caregiving interactions were positive and nurturing. The lunch today was chicken nuggets, whole wheat rolls carrot sticks (younger children had mixed vegetables), raspberries and milk. There has been six (6) new staff hired since the last annual compliance visit. Fire drill was monitored during today’s visit on 2/27/24. The last emergency drill, shelter in place drill, was practiced on 12/28/23. The last fire inspection was approved 10/26/23. The program’s most recent sanitation inspection was completed on 3/5/24, with twenty-seven (27) demerits, which put them on a provisional status. The Emergency Preparedness and Response plan is current as of 7/17/23. The Emergency Medical Care Plan is posted and current. The incident log was current. The last playground safety check was 2/21/24. The following violations of child care requirements were observed today: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #4A, there was unlocked Tylenol stored with an emergency medication. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the spaces #4A, 4B and #7 the, there were plastic gloves and plastic bags in areas below five (5) feet. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #6, one child had napped and it was not documented on the sleep chart. .0606(g) 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. New staff PA did not complete firstaid within 90 days of hire. .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. New staff PA did not complete CPR within 90 days of hire. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The surfacing at the end of the slides on the large playground was not six (6) inches deep. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. New staff PA did not complete Responding to Suspicions of Child Maltreatment within 90 days of hire. .1102(g) Technical Assistance for Correction Plan: Item #0858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: In the spaces #4A, 4B and #7 the, there were plastic gloves and plastic bags in areas below five (5) feet. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: In space #4A, there was unlocked Tylenol stored with an emergency medication. Item #887 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Note: In space #6, one child had napped and it was not documented on the sleep chart. Item #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Note: The surfacing at the end of the slides on the large playground was not six (6) inches deep. Items #1048 and #1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's member's file in the center. The Division shall post a list of approved training organizations on its website (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: New staff PA did not complete first aid and CPR within 90 days of hire. Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Annually following the initial medical statement. New Staff MU did not complete an emergency information form or health questionnaire prior to beginning work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) ©. 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. Consultation: Today, we discussed the following: • Today we discussed the Secretary of State Webiste and paperwork needing to be updated. Ms. Taylor stated that she would like to get a legal designee form filled out for the assistant administrator, Sherry Mast, so she can sign in her absence. • We discussed a loose rug in space #7. That needs to be removed or secured. • Assure that when the menu is changed, it is changed on the hall menu and not just the one in the kitchen. This way parents can see it. • Assure that activity plans only last for the duration that the children are interested. Assure that all plans are linked to the foundation’s goals. • Assure that closet doors lock so that teachers have a place to put personal belongings and items that should be locked. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant, and also signed by Phyllis Taylor, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/6/2024 Number Present: 83 Completed Date: 3/6/2024 Age: From 0 To 5 Total Minutes: 345 Time In: 10:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Greenway Baptist Child Development Center, operates with a Five (5) Star Rated License issued on 1/15/2019. Phyllis Taylor , Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 7/20/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions In space #5 and #6, the two groups of infant’s children were in the floor engaged in free choice play with one (1) caregiver in space #6 and two (2) caregivers on the floor. In space # 3, the group of three year- old children were engaged in story time. The children were sitting at the tables and the teacher in the middle reading a book. In space #4A and #4B, the two groups of one year- old children were being served lunch. In space #7, the group of two and three year- old children were washing hands with the help of the teachers. In space #8 and #9, there were two groups of children ages three to five years- old children down the hall washing hands to prepare for lunch. These are the only two (2) classrooms that does not have a sink in the classroom. After center time, all the children cleaned up and prepared to eat lunch. Since it was raining heavily today, children two to five years of age, go across the breezeway to the gym for gross motor play. There is a schedule of times that each group can access that space. Younger children ages birth to two years old, use indoor mats for tumbling and indoor gross motor. All caregiving interactions were positive and nurturing. The lunch today was chicken nuggets, whole wheat rolls carrot sticks (younger children had mixed vegetables), raspberries and milk. There has been six (6) new staff hired since the last annual compliance visit. Fire drill was monitored during today’s visit on 2/27/24. The last emergency drill, shelter in place drill, was practiced on 12/28/23. The last fire inspection was approved 10/26/23. The program’s most recent sanitation inspection was completed on 3/5/24, with twenty-seven (27) demerits, which put them on a provisional status. The Emergency Preparedness and Response plan is current as of 7/17/23. The Emergency Medical Care Plan is posted and current. The incident log was current. The last playground safety check was 2/21/24. The following violations of child care requirements were observed today: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #4A, there was unlocked Tylenol stored with an emergency medication. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the spaces #4A, 4B and #7 the, there were plastic gloves and plastic bags in areas below five (5) feet. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #6, one child had napped and it was not documented on the sleep chart. .0606(g) 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. New staff PA did not complete firstaid within 90 days of hire. .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. New staff PA did not complete CPR within 90 days of hire. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The surfacing at the end of the slides on the large playground was not six (6) inches deep. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. New staff PA did not complete Responding to Suspicions of Child Maltreatment within 90 days of hire. .1102(g) Technical Assistance for Correction Plan: Item #0858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: In the spaces #4A, 4B and #7 the, there were plastic gloves and plastic bags in areas below five (5) feet. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: In space #4A, there was unlocked Tylenol stored with an emergency medication. Item #887 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Note: In space #6, one child had napped and it was not documented on the sleep chart. Item #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Note: The surfacing at the end of the slides on the large playground was not six (6) inches deep. Items #1048 and #1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's member's file in the center. The Division shall post a list of approved training organizations on its website (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: New staff PA did not complete first aid and CPR within 90 days of hire. Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Annually following the initial medical statement. New Staff MU did not complete an emergency information form or health questionnaire prior to beginning work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) ©. 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. Consultation: Today, we discussed the following: • Today we discussed the Secretary of State Webiste and paperwork needing to be updated. Ms. Taylor stated that she would like to get a legal designee form filled out for the assistant administrator, Sherry Mast, so she can sign in her absence. • We discussed a loose rug in space #7. That needs to be removed or secured. • Assure that when the menu is changed, it is changed on the hall menu and not just the one in the kitchen. This way parents can see it. • Assure that activity plans only last for the duration that the children are interested. Assure that all plans are linked to the foundation’s goals. • Assure that closet doors lock so that teachers have a place to put personal belongings and items that should be locked. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant, and also signed by Phyllis Taylor, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/6/2024 Number Present: 83 Completed Date: 3/6/2024 Age: From 0 To 5 Total Minutes: 345 Time In: 10:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Greenway Baptist Child Development Center, operates with a Five (5) Star Rated License issued on 1/15/2019. Phyllis Taylor , Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 7/20/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions In space #5 and #6, the two groups of infant’s children were in the floor engaged in free choice play with one (1) caregiver in space #6 and two (2) caregivers on the floor. In space # 3, the group of three year- old children were engaged in story time. The children were sitting at the tables and the teacher in the middle reading a book. In space #4A and #4B, the two groups of one year- old children were being served lunch. In space #7, the group of two and three year- old children were washing hands with the help of the teachers. In space #8 and #9, there were two groups of children ages three to five years- old children down the hall washing hands to prepare for lunch. These are the only two (2) classrooms that does not have a sink in the classroom. After center time, all the children cleaned up and prepared to eat lunch. Since it was raining heavily today, children two to five years of age, go across the breezeway to the gym for gross motor play. There is a schedule of times that each group can access that space. Younger children ages birth to two years old, use indoor mats for tumbling and indoor gross motor. All caregiving interactions were positive and nurturing. The lunch today was chicken nuggets, whole wheat rolls carrot sticks (younger children had mixed vegetables), raspberries and milk. There has been six (6) new staff hired since the last annual compliance visit. Fire drill was monitored during today’s visit on 2/27/24. The last emergency drill, shelter in place drill, was practiced on 12/28/23. The last fire inspection was approved 10/26/23. The program’s most recent sanitation inspection was completed on 3/5/24, with twenty-seven (27) demerits, which put them on a provisional status. The Emergency Preparedness and Response plan is current as of 7/17/23. The Emergency Medical Care Plan is posted and current. The incident log was current. The last playground safety check was 2/21/24. The following violations of child care requirements were observed today: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #4A, there was unlocked Tylenol stored with an emergency medication. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the spaces #4A, 4B and #7 the, there were plastic gloves and plastic bags in areas below five (5) feet. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #6, one child had napped and it was not documented on the sleep chart. .0606(g) 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. New staff PA did not complete firstaid within 90 days of hire. .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. New staff PA did not complete CPR within 90 days of hire. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The surfacing at the end of the slides on the large playground was not six (6) inches deep. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. New staff PA did not complete Responding to Suspicions of Child Maltreatment within 90 days of hire. .1102(g) Technical Assistance for Correction Plan: Item #0858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: In the spaces #4A, 4B and #7 the, there were plastic gloves and plastic bags in areas below five (5) feet. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: In space #4A, there was unlocked Tylenol stored with an emergency medication. Item #887 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Note: In space #6, one child had napped and it was not documented on the sleep chart. Item #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Note: The surfacing at the end of the slides on the large playground was not six (6) inches deep. Items #1048 and #1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's member's file in the center. The Division shall post a list of approved training organizations on its website (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: New staff PA did not complete first aid and CPR within 90 days of hire. Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Annually following the initial medical statement. New Staff MU did not complete an emergency information form or health questionnaire prior to beginning work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) ©. 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. Consultation: Today, we discussed the following: • Today we discussed the Secretary of State Webiste and paperwork needing to be updated. Ms. Taylor stated that she would like to get a legal designee form filled out for the assistant administrator, Sherry Mast, so she can sign in her absence. • We discussed a loose rug in space #7. That needs to be removed or secured. • Assure that when the menu is changed, it is changed on the hall menu and not just the one in the kitchen. This way parents can see it. • Assure that activity plans only last for the duration that the children are interested. Assure that all plans are linked to the foundation’s goals. • Assure that closet doors lock so that teachers have a place to put personal belongings and items that should be locked. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant, and also signed by Phyllis Taylor, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/6/2024 Number Present: 83 Completed Date: 3/6/2024 Age: From 0 To 5 Total Minutes: 345 Time In: 10:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Greenway Baptist Child Development Center, operates with a Five (5) Star Rated License issued on 1/15/2019. Phyllis Taylor , Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 7/20/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions In space #5 and #6, the two groups of infant’s children were in the floor engaged in free choice play with one (1) caregiver in space #6 and two (2) caregivers on the floor. In space # 3, the group of three year- old children were engaged in story time. The children were sitting at the tables and the teacher in the middle reading a book. In space #4A and #4B, the two groups of one year- old children were being served lunch. In space #7, the group of two and three year- old children were washing hands with the help of the teachers. In space #8 and #9, there were two groups of children ages three to five years- old children down the hall washing hands to prepare for lunch. These are the only two (2) classrooms that does not have a sink in the classroom. After center time, all the children cleaned up and prepared to eat lunch. Since it was raining heavily today, children two to five years of age, go across the breezeway to the gym for gross motor play. There is a schedule of times that each group can access that space. Younger children ages birth to two years old, use indoor mats for tumbling and indoor gross motor. All caregiving interactions were positive and nurturing. The lunch today was chicken nuggets, whole wheat rolls carrot sticks (younger children had mixed vegetables), raspberries and milk. There has been six (6) new staff hired since the last annual compliance visit. Fire drill was monitored during today’s visit on 2/27/24. The last emergency drill, shelter in place drill, was practiced on 12/28/23. The last fire inspection was approved 10/26/23. The program’s most recent sanitation inspection was completed on 3/5/24, with twenty-seven (27) demerits, which put them on a provisional status. The Emergency Preparedness and Response plan is current as of 7/17/23. The Emergency Medical Care Plan is posted and current. The incident log was current. The last playground safety check was 2/21/24. The following violations of child care requirements were observed today: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #4A, there was unlocked Tylenol stored with an emergency medication. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the spaces #4A, 4B and #7 the, there were plastic gloves and plastic bags in areas below five (5) feet. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #6, one child had napped and it was not documented on the sleep chart. .0606(g) 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. New staff PA did not complete firstaid within 90 days of hire. .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. New staff PA did not complete CPR within 90 days of hire. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The surfacing at the end of the slides on the large playground was not six (6) inches deep. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. New staff PA did not complete Responding to Suspicions of Child Maltreatment within 90 days of hire. .1102(g) Technical Assistance for Correction Plan: Item #0858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: In the spaces #4A, 4B and #7 the, there were plastic gloves and plastic bags in areas below five (5) feet. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: In space #4A, there was unlocked Tylenol stored with an emergency medication. Item #887 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Note: In space #6, one child had napped and it was not documented on the sleep chart. Item #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Note: The surfacing at the end of the slides on the large playground was not six (6) inches deep. Items #1048 and #1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's member's file in the center. The Division shall post a list of approved training organizations on its website (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: New staff PA did not complete first aid and CPR within 90 days of hire. Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Annually following the initial medical statement. New Staff MU did not complete an emergency information form or health questionnaire prior to beginning work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) ©. 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. Consultation: Today, we discussed the following: • Today we discussed the Secretary of State Webiste and paperwork needing to be updated. Ms. Taylor stated that she would like to get a legal designee form filled out for the assistant administrator, Sherry Mast, so she can sign in her absence. • We discussed a loose rug in space #7. That needs to be removed or secured. • Assure that when the menu is changed, it is changed on the hall menu and not just the one in the kitchen. This way parents can see it. • Assure that activity plans only last for the duration that the children are interested. Assure that all plans are linked to the foundation’s goals. • Assure that closet doors lock so that teachers have a place to put personal belongings and items that should be locked. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant, and also signed by Phyllis Taylor, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/6/2024 Number Present: 83 Completed Date: 3/6/2024 Age: From 0 To 5 Total Minutes: 345 Time In: 10:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Greenway Baptist Child Development Center, operates with a Five (5) Star Rated License issued on 1/15/2019. Phyllis Taylor , Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 7/20/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions In space #5 and #6, the two groups of infant’s children were in the floor engaged in free choice play with one (1) caregiver in space #6 and two (2) caregivers on the floor. In space # 3, the group of three year- old children were engaged in story time. The children were sitting at the tables and the teacher in the middle reading a book. In space #4A and #4B, the two groups of one year- old children were being served lunch. In space #7, the group of two and three year- old children were washing hands with the help of the teachers. In space #8 and #9, there were two groups of children ages three to five years- old children down the hall washing hands to prepare for lunch. These are the only two (2) classrooms that does not have a sink in the classroom. After center time, all the children cleaned up and prepared to eat lunch. Since it was raining heavily today, children two to five years of age, go across the breezeway to the gym for gross motor play. There is a schedule of times that each group can access that space. Younger children ages birth to two years old, use indoor mats for tumbling and indoor gross motor. All caregiving interactions were positive and nurturing. The lunch today was chicken nuggets, whole wheat rolls carrot sticks (younger children had mixed vegetables), raspberries and milk. There has been six (6) new staff hired since the last annual compliance visit. Fire drill was monitored during today’s visit on 2/27/24. The last emergency drill, shelter in place drill, was practiced on 12/28/23. The last fire inspection was approved 10/26/23. The program’s most recent sanitation inspection was completed on 3/5/24, with twenty-seven (27) demerits, which put them on a provisional status. The Emergency Preparedness and Response plan is current as of 7/17/23. The Emergency Medical Care Plan is posted and current. The incident log was current. The last playground safety check was 2/21/24. The following violations of child care requirements were observed today: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #4A, there was unlocked Tylenol stored with an emergency medication. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the spaces #4A, 4B and #7 the, there were plastic gloves and plastic bags in areas below five (5) feet. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #6, one child had napped and it was not documented on the sleep chart. .0606(g) 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. New staff PA did not complete firstaid within 90 days of hire. .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. New staff PA did not complete CPR within 90 days of hire. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The surfacing at the end of the slides on the large playground was not six (6) inches deep. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. New staff PA did not complete Responding to Suspicions of Child Maltreatment within 90 days of hire. .1102(g) Technical Assistance for Correction Plan: Item #0858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: In the spaces #4A, 4B and #7 the, there were plastic gloves and plastic bags in areas below five (5) feet. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: In space #4A, there was unlocked Tylenol stored with an emergency medication. Item #887 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Note: In space #6, one child had napped and it was not documented on the sleep chart. Item #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Note: The surfacing at the end of the slides on the large playground was not six (6) inches deep. Items #1048 and #1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's member's file in the center. The Division shall post a list of approved training organizations on its website (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: New staff PA did not complete first aid and CPR within 90 days of hire. Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Annually following the initial medical statement. New Staff MU did not complete an emergency information form or health questionnaire prior to beginning work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) ©. 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. Consultation: Today, we discussed the following: • Today we discussed the Secretary of State Webiste and paperwork needing to be updated. Ms. Taylor stated that she would like to get a legal designee form filled out for the assistant administrator, Sherry Mast, so she can sign in her absence. • We discussed a loose rug in space #7. That needs to be removed or secured. • Assure that when the menu is changed, it is changed on the hall menu and not just the one in the kitchen. This way parents can see it. • Assure that activity plans only last for the duration that the children are interested. Assure that all plans are linked to the foundation’s goals. • Assure that closet doors lock so that teachers have a place to put personal belongings and items that should be locked. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant, and also signed by Phyllis Taylor, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/6/2024 Number Present: 83 Completed Date: 3/6/2024 Age: From 0 To 5 Total Minutes: 345 Time In: 10:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Greenway Baptist Child Development Center, operates with a Five (5) Star Rated License issued on 1/15/2019. Phyllis Taylor , Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 7/20/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions In space #5 and #6, the two groups of infant’s children were in the floor engaged in free choice play with one (1) caregiver in space #6 and two (2) caregivers on the floor. In space # 3, the group of three year- old children were engaged in story time. The children were sitting at the tables and the teacher in the middle reading a book. In space #4A and #4B, the two groups of one year- old children were being served lunch. In space #7, the group of two and three year- old children were washing hands with the help of the teachers. In space #8 and #9, there were two groups of children ages three to five years- old children down the hall washing hands to prepare for lunch. These are the only two (2) classrooms that does not have a sink in the classroom. After center time, all the children cleaned up and prepared to eat lunch. Since it was raining heavily today, children two to five years of age, go across the breezeway to the gym for gross motor play. There is a schedule of times that each group can access that space. Younger children ages birth to two years old, use indoor mats for tumbling and indoor gross motor. All caregiving interactions were positive and nurturing. The lunch today was chicken nuggets, whole wheat rolls carrot sticks (younger children had mixed vegetables), raspberries and milk. There has been six (6) new staff hired since the last annual compliance visit. Fire drill was monitored during today’s visit on 2/27/24. The last emergency drill, shelter in place drill, was practiced on 12/28/23. The last fire inspection was approved 10/26/23. The program’s most recent sanitation inspection was completed on 3/5/24, with twenty-seven (27) demerits, which put them on a provisional status. The Emergency Preparedness and Response plan is current as of 7/17/23. The Emergency Medical Care Plan is posted and current. The incident log was current. The last playground safety check was 2/21/24. The following violations of child care requirements were observed today: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #4A, there was unlocked Tylenol stored with an emergency medication. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the spaces #4A, 4B and #7 the, there were plastic gloves and plastic bags in areas below five (5) feet. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #6, one child had napped and it was not documented on the sleep chart. .0606(g) 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. New staff PA did not complete firstaid within 90 days of hire. .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. New staff PA did not complete CPR within 90 days of hire. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The surfacing at the end of the slides on the large playground was not six (6) inches deep. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. New staff PA did not complete Responding to Suspicions of Child Maltreatment within 90 days of hire. .1102(g) Technical Assistance for Correction Plan: Item #0858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: In the spaces #4A, 4B and #7 the, there were plastic gloves and plastic bags in areas below five (5) feet. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: In space #4A, there was unlocked Tylenol stored with an emergency medication. Item #887 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Note: In space #6, one child had napped and it was not documented on the sleep chart. Item #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Note: The surfacing at the end of the slides on the large playground was not six (6) inches deep. Items #1048 and #1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's member's file in the center. The Division shall post a list of approved training organizations on its website (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: New staff PA did not complete first aid and CPR within 90 days of hire. Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Annually following the initial medical statement. New Staff MU did not complete an emergency information form or health questionnaire prior to beginning work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) ©. 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. Consultation: Today, we discussed the following: • Today we discussed the Secretary of State Webiste and paperwork needing to be updated. Ms. Taylor stated that she would like to get a legal designee form filled out for the assistant administrator, Sherry Mast, so she can sign in her absence. • We discussed a loose rug in space #7. That needs to be removed or secured. • Assure that when the menu is changed, it is changed on the hall menu and not just the one in the kitchen. This way parents can see it. • Assure that activity plans only last for the duration that the children are interested. Assure that all plans are linked to the foundation’s goals. • Assure that closet doors lock so that teachers have a place to put personal belongings and items that should be locked. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant, and also signed by Phyllis Taylor, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/6/2024 Number Present: 83 Completed Date: 3/6/2024 Age: From 0 To 5 Total Minutes: 345 Time In: 10:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Greenway Baptist Child Development Center, operates with a Five (5) Star Rated License issued on 1/15/2019. Phyllis Taylor , Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 7/20/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions In space #5 and #6, the two groups of infant’s children were in the floor engaged in free choice play with one (1) caregiver in space #6 and two (2) caregivers on the floor. In space # 3, the group of three year- old children were engaged in story time. The children were sitting at the tables and the teacher in the middle reading a book. In space #4A and #4B, the two groups of one year- old children were being served lunch. In space #7, the group of two and three year- old children were washing hands with the help of the teachers. In space #8 and #9, there were two groups of children ages three to five years- old children down the hall washing hands to prepare for lunch. These are the only two (2) classrooms that does not have a sink in the classroom. After center time, all the children cleaned up and prepared to eat lunch. Since it was raining heavily today, children two to five years of age, go across the breezeway to the gym for gross motor play. There is a schedule of times that each group can access that space. Younger children ages birth to two years old, use indoor mats for tumbling and indoor gross motor. All caregiving interactions were positive and nurturing. The lunch today was chicken nuggets, whole wheat rolls carrot sticks (younger children had mixed vegetables), raspberries and milk. There has been six (6) new staff hired since the last annual compliance visit. Fire drill was monitored during today’s visit on 2/27/24. The last emergency drill, shelter in place drill, was practiced on 12/28/23. The last fire inspection was approved 10/26/23. The program’s most recent sanitation inspection was completed on 3/5/24, with twenty-seven (27) demerits, which put them on a provisional status. The Emergency Preparedness and Response plan is current as of 7/17/23. The Emergency Medical Care Plan is posted and current. The incident log was current. The last playground safety check was 2/21/24. The following violations of child care requirements were observed today: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #4A, there was unlocked Tylenol stored with an emergency medication. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the spaces #4A, 4B and #7 the, there were plastic gloves and plastic bags in areas below five (5) feet. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #6, one child had napped and it was not documented on the sleep chart. .0606(g) 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. New staff PA did not complete firstaid within 90 days of hire. .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. New staff PA did not complete CPR within 90 days of hire. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The surfacing at the end of the slides on the large playground was not six (6) inches deep. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. New staff PA did not complete Responding to Suspicions of Child Maltreatment within 90 days of hire. .1102(g) Technical Assistance for Correction Plan: Item #0858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: In the spaces #4A, 4B and #7 the, there were plastic gloves and plastic bags in areas below five (5) feet. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: In space #4A, there was unlocked Tylenol stored with an emergency medication. Item #887 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Note: In space #6, one child had napped and it was not documented on the sleep chart. Item #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Note: The surfacing at the end of the slides on the large playground was not six (6) inches deep. Items #1048 and #1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's member's file in the center. The Division shall post a list of approved training organizations on its website (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: New staff PA did not complete first aid and CPR within 90 days of hire. Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Annually following the initial medical statement. New Staff MU did not complete an emergency information form or health questionnaire prior to beginning work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) ©. 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. Consultation: Today, we discussed the following: • Today we discussed the Secretary of State Webiste and paperwork needing to be updated. Ms. Taylor stated that she would like to get a legal designee form filled out for the assistant administrator, Sherry Mast, so she can sign in her absence. • We discussed a loose rug in space #7. That needs to be removed or secured. • Assure that when the menu is changed, it is changed on the hall menu and not just the one in the kitchen. This way parents can see it. • Assure that activity plans only last for the duration that the children are interested. Assure that all plans are linked to the foundation’s goals. • Assure that closet doors lock so that teachers have a place to put personal belongings and items that should be locked. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant, and also signed by Phyllis Taylor, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/6/2024 Number Present: 83 Completed Date: 3/6/2024 Age: From 0 To 5 Total Minutes: 345 Time In: 10:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Greenway Baptist Child Development Center, operates with a Five (5) Star Rated License issued on 1/15/2019. Phyllis Taylor , Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 7/20/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions In space #5 and #6, the two groups of infant’s children were in the floor engaged in free choice play with one (1) caregiver in space #6 and two (2) caregivers on the floor. In space # 3, the group of three year- old children were engaged in story time. The children were sitting at the tables and the teacher in the middle reading a book. In space #4A and #4B, the two groups of one year- old children were being served lunch. In space #7, the group of two and three year- old children were washing hands with the help of the teachers. In space #8 and #9, there were two groups of children ages three to five years- old children down the hall washing hands to prepare for lunch. These are the only two (2) classrooms that does not have a sink in the classroom. After center time, all the children cleaned up and prepared to eat lunch. Since it was raining heavily today, children two to five years of age, go across the breezeway to the gym for gross motor play. There is a schedule of times that each group can access that space. Younger children ages birth to two years old, use indoor mats for tumbling and indoor gross motor. All caregiving interactions were positive and nurturing. The lunch today was chicken nuggets, whole wheat rolls carrot sticks (younger children had mixed vegetables), raspberries and milk. There has been six (6) new staff hired since the last annual compliance visit. Fire drill was monitored during today’s visit on 2/27/24. The last emergency drill, shelter in place drill, was practiced on 12/28/23. The last fire inspection was approved 10/26/23. The program’s most recent sanitation inspection was completed on 3/5/24, with twenty-seven (27) demerits, which put them on a provisional status. The Emergency Preparedness and Response plan is current as of 7/17/23. The Emergency Medical Care Plan is posted and current. The incident log was current. The last playground safety check was 2/21/24. The following violations of child care requirements were observed today: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #4A, there was unlocked Tylenol stored with an emergency medication. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the spaces #4A, 4B and #7 the, there were plastic gloves and plastic bags in areas below five (5) feet. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #6, one child had napped and it was not documented on the sleep chart. .0606(g) 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. New staff PA did not complete firstaid within 90 days of hire. .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. New staff PA did not complete CPR within 90 days of hire. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The surfacing at the end of the slides on the large playground was not six (6) inches deep. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. New staff PA did not complete Responding to Suspicions of Child Maltreatment within 90 days of hire. .1102(g) Technical Assistance for Correction Plan: Item #0858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: In the spaces #4A, 4B and #7 the, there were plastic gloves and plastic bags in areas below five (5) feet. Item #841 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Note: In space #4A, there was unlocked Tylenol stored with an emergency medication. Item #887 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Note: In space #6, one child had napped and it was not documented on the sleep chart. Item #1867 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Note: The surfacing at the end of the slides on the large playground was not six (6) inches deep. Items #1048 and #1049 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's member's file in the center. The Division shall post a list of approved training organizations on its website (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Note: New staff PA did not complete first aid and CPR within 90 days of hire. Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Annually following the initial medical statement. New Staff MU did not complete an emergency information form or health questionnaire prior to beginning work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) ©. 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. Consultation: Today, we discussed the following: • Today we discussed the Secretary of State Webiste and paperwork needing to be updated. Ms. Taylor stated that she would like to get a legal designee form filled out for the assistant administrator, Sherry Mast, so she can sign in her absence. • We discussed a loose rug in space #7. That needs to be removed or secured. • Assure that when the menu is changed, it is changed on the hall menu and not just the one in the kitchen. This way parents can see it. • Assure that activity plans only last for the duration that the children are interested. Assure that all plans are linked to the foundation’s goals. • Assure that closet doors lock so that teachers have a place to put personal belongings and items that should be locked. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant, and also signed by Phyllis Taylor, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 71 Completed Date: 7/20/2023 Age: From 0 To 5 Total Minutes: 270 Time In: 11:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Phyllis Taylor, Administrator, during the visit. Sidney McCrory, Child Care Consultant, accompanied me today. An electronic signed copy of the visit summary was emailed to you. Ms. Taylor was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent (86%) as of 7/18/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Greenway Baptist Church of Boone, N.C. is current/active as of 7/18/23. Permit type – Five (5) Star License issued 7/15/19 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The facility serves children with special needs. The last annual compliance visit was conducted on 8/4/22. The last fire drill was practiced on 6/28/23. The last shelter-in-place drill was practiced on 6/26/23. The last playground inspection was documented on 7/6/23. The last fire inspection was approved on 10/4/22. The last sanitation inspection was conducted on 4/26/23 with thirty-one (31) demerits for a Provisional classification. The provider is working with Environmental Health to finalize corrections. A re-inspection will be scheduled once construction on the sink installation needed for correction is complete. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. In space #6, I observed teachers sitting in comfortable seating as they bottle fed infants. Additional staff assisted teachers with caring for and comforting infants. I observed two infants in bouncy sits engaging with teachers. In space #4b, the classroom with one-year-old children were observed eating a healthy lunch of spaghetti, green beans, oranges, and milk. Children ages three to four-year old were observed preparing for nap settling down with a book on tape. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The benches on two (2) plastic picnic tables on the playground were cracked. The seats on two (2) tricycles on the playground were cracked. G.S. 110-91(6); .0601(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff (hire date 8/11/97) did not have a current Health Questionnaire on file. The most recent Health Questionnaire on file was dated 5/6/22. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff (hire date 1/26/23) did not include a choice of health professional on the Emergency Information form. .0701(a) Technical assistance was provided as follows: Item #721 The two (2) picnic tables and the two (2) tricycles were moved to be inaccessible to children during the visit today. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #1034 The one (1) staff completed a Health Questionnaire during the visit today. The Health Questionnaire was placed in the staff member’s file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #1035 The one (1) staff member provided the choice of health professional on the Emergency Information form during the visit today. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Consultation is provided as follows: The Provisional qualifying letter for staff member EG will expire on 8/5/23. A qualifying letter will automatically be issued after the forty-five (45) day period. The staff member does not need to apply for another Background Check. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 71 Completed Date: 7/20/2023 Age: From 0 To 5 Total Minutes: 270 Time In: 11:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Phyllis Taylor, Administrator, during the visit. Sidney McCrory, Child Care Consultant, accompanied me today. An electronic signed copy of the visit summary was emailed to you. Ms. Taylor was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent (86%) as of 7/18/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Greenway Baptist Church of Boone, N.C. is current/active as of 7/18/23. Permit type – Five (5) Star License issued 7/15/19 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The facility serves children with special needs. The last annual compliance visit was conducted on 8/4/22. The last fire drill was practiced on 6/28/23. The last shelter-in-place drill was practiced on 6/26/23. The last playground inspection was documented on 7/6/23. The last fire inspection was approved on 10/4/22. The last sanitation inspection was conducted on 4/26/23 with thirty-one (31) demerits for a Provisional classification. The provider is working with Environmental Health to finalize corrections. A re-inspection will be scheduled once construction on the sink installation needed for correction is complete. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. In space #6, I observed teachers sitting in comfortable seating as they bottle fed infants. Additional staff assisted teachers with caring for and comforting infants. I observed two infants in bouncy sits engaging with teachers. In space #4b, the classroom with one-year-old children were observed eating a healthy lunch of spaghetti, green beans, oranges, and milk. Children ages three to four-year old were observed preparing for nap settling down with a book on tape. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The benches on two (2) plastic picnic tables on the playground were cracked. The seats on two (2) tricycles on the playground were cracked. G.S. 110-91(6); .0601(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff (hire date 8/11/97) did not have a current Health Questionnaire on file. The most recent Health Questionnaire on file was dated 5/6/22. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff (hire date 1/26/23) did not include a choice of health professional on the Emergency Information form. .0701(a) Technical assistance was provided as follows: Item #721 The two (2) picnic tables and the two (2) tricycles were moved to be inaccessible to children during the visit today. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #1034 The one (1) staff completed a Health Questionnaire during the visit today. The Health Questionnaire was placed in the staff member’s file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #1035 The one (1) staff member provided the choice of health professional on the Emergency Information form during the visit today. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Consultation is provided as follows: The Provisional qualifying letter for staff member EG will expire on 8/5/23. A qualifying letter will automatically be issued after the forty-five (45) day period. The staff member does not need to apply for another Background Check. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 71 Completed Date: 7/20/2023 Age: From 0 To 5 Total Minutes: 270 Time In: 11:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Phyllis Taylor, Administrator, during the visit. Sidney McCrory, Child Care Consultant, accompanied me today. An electronic signed copy of the visit summary was emailed to you. Ms. Taylor was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent (86%) as of 7/18/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Greenway Baptist Church of Boone, N.C. is current/active as of 7/18/23. Permit type – Five (5) Star License issued 7/15/19 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The facility serves children with special needs. The last annual compliance visit was conducted on 8/4/22. The last fire drill was practiced on 6/28/23. The last shelter-in-place drill was practiced on 6/26/23. The last playground inspection was documented on 7/6/23. The last fire inspection was approved on 10/4/22. The last sanitation inspection was conducted on 4/26/23 with thirty-one (31) demerits for a Provisional classification. The provider is working with Environmental Health to finalize corrections. A re-inspection will be scheduled once construction on the sink installation needed for correction is complete. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. In space #6, I observed teachers sitting in comfortable seating as they bottle fed infants. Additional staff assisted teachers with caring for and comforting infants. I observed two infants in bouncy sits engaging with teachers. In space #4b, the classroom with one-year-old children were observed eating a healthy lunch of spaghetti, green beans, oranges, and milk. Children ages three to four-year old were observed preparing for nap settling down with a book on tape. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The benches on two (2) plastic picnic tables on the playground were cracked. The seats on two (2) tricycles on the playground were cracked. G.S. 110-91(6); .0601(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff (hire date 8/11/97) did not have a current Health Questionnaire on file. The most recent Health Questionnaire on file was dated 5/6/22. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff (hire date 1/26/23) did not include a choice of health professional on the Emergency Information form. .0701(a) Technical assistance was provided as follows: Item #721 The two (2) picnic tables and the two (2) tricycles were moved to be inaccessible to children during the visit today. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #1034 The one (1) staff completed a Health Questionnaire during the visit today. The Health Questionnaire was placed in the staff member’s file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #1035 The one (1) staff member provided the choice of health professional on the Emergency Information form during the visit today. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Consultation is provided as follows: The Provisional qualifying letter for staff member EG will expire on 8/5/23. A qualifying letter will automatically be issued after the forty-five (45) day period. The staff member does not need to apply for another Background Check. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 71 Completed Date: 7/20/2023 Age: From 0 To 5 Total Minutes: 270 Time In: 11:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Phyllis Taylor, Administrator, during the visit. Sidney McCrory, Child Care Consultant, accompanied me today. An electronic signed copy of the visit summary was emailed to you. Ms. Taylor was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent (86%) as of 7/18/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Greenway Baptist Church of Boone, N.C. is current/active as of 7/18/23. Permit type – Five (5) Star License issued 7/15/19 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The facility serves children with special needs. The last annual compliance visit was conducted on 8/4/22. The last fire drill was practiced on 6/28/23. The last shelter-in-place drill was practiced on 6/26/23. The last playground inspection was documented on 7/6/23. The last fire inspection was approved on 10/4/22. The last sanitation inspection was conducted on 4/26/23 with thirty-one (31) demerits for a Provisional classification. The provider is working with Environmental Health to finalize corrections. A re-inspection will be scheduled once construction on the sink installation needed for correction is complete. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. In space #6, I observed teachers sitting in comfortable seating as they bottle fed infants. Additional staff assisted teachers with caring for and comforting infants. I observed two infants in bouncy sits engaging with teachers. In space #4b, the classroom with one-year-old children were observed eating a healthy lunch of spaghetti, green beans, oranges, and milk. Children ages three to four-year old were observed preparing for nap settling down with a book on tape. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The benches on two (2) plastic picnic tables on the playground were cracked. The seats on two (2) tricycles on the playground were cracked. G.S. 110-91(6); .0601(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff (hire date 8/11/97) did not have a current Health Questionnaire on file. The most recent Health Questionnaire on file was dated 5/6/22. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff (hire date 1/26/23) did not include a choice of health professional on the Emergency Information form. .0701(a) Technical assistance was provided as follows: Item #721 The two (2) picnic tables and the two (2) tricycles were moved to be inaccessible to children during the visit today. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #1034 The one (1) staff completed a Health Questionnaire during the visit today. The Health Questionnaire was placed in the staff member’s file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #1035 The one (1) staff member provided the choice of health professional on the Emergency Information form during the visit today. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Consultation is provided as follows: The Provisional qualifying letter for staff member EG will expire on 8/5/23. A qualifying letter will automatically be issued after the forty-five (45) day period. The staff member does not need to apply for another Background Check. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 71 Completed Date: 7/20/2023 Age: From 0 To 5 Total Minutes: 270 Time In: 11:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Phyllis Taylor, Administrator, during the visit. Sidney McCrory, Child Care Consultant, accompanied me today. An electronic signed copy of the visit summary was emailed to you. Ms. Taylor was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent (86%) as of 7/18/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Greenway Baptist Church of Boone, N.C. is current/active as of 7/18/23. Permit type – Five (5) Star License issued 7/15/19 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The facility serves children with special needs. The last annual compliance visit was conducted on 8/4/22. The last fire drill was practiced on 6/28/23. The last shelter-in-place drill was practiced on 6/26/23. The last playground inspection was documented on 7/6/23. The last fire inspection was approved on 10/4/22. The last sanitation inspection was conducted on 4/26/23 with thirty-one (31) demerits for a Provisional classification. The provider is working with Environmental Health to finalize corrections. A re-inspection will be scheduled once construction on the sink installation needed for correction is complete. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. In space #6, I observed teachers sitting in comfortable seating as they bottle fed infants. Additional staff assisted teachers with caring for and comforting infants. I observed two infants in bouncy sits engaging with teachers. In space #4b, the classroom with one-year-old children were observed eating a healthy lunch of spaghetti, green beans, oranges, and milk. Children ages three to four-year old were observed preparing for nap settling down with a book on tape. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The benches on two (2) plastic picnic tables on the playground were cracked. The seats on two (2) tricycles on the playground were cracked. G.S. 110-91(6); .0601(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff (hire date 8/11/97) did not have a current Health Questionnaire on file. The most recent Health Questionnaire on file was dated 5/6/22. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff (hire date 1/26/23) did not include a choice of health professional on the Emergency Information form. .0701(a) Technical assistance was provided as follows: Item #721 The two (2) picnic tables and the two (2) tricycles were moved to be inaccessible to children during the visit today. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #1034 The one (1) staff completed a Health Questionnaire during the visit today. The Health Questionnaire was placed in the staff member’s file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #1035 The one (1) staff member provided the choice of health professional on the Emergency Information form during the visit today. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Consultation is provided as follows: The Provisional qualifying letter for staff member EG will expire on 8/5/23. A qualifying letter will automatically be issued after the forty-five (45) day period. The staff member does not need to apply for another Background Check. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 71 Completed Date: 7/20/2023 Age: From 0 To 5 Total Minutes: 270 Time In: 11:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Phyllis Taylor, Administrator, during the visit. Sidney McCrory, Child Care Consultant, accompanied me today. An electronic signed copy of the visit summary was emailed to you. Ms. Taylor was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent (86%) as of 7/18/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Greenway Baptist Church of Boone, N.C. is current/active as of 7/18/23. Permit type – Five (5) Star License issued 7/15/19 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The facility serves children with special needs. The last annual compliance visit was conducted on 8/4/22. The last fire drill was practiced on 6/28/23. The last shelter-in-place drill was practiced on 6/26/23. The last playground inspection was documented on 7/6/23. The last fire inspection was approved on 10/4/22. The last sanitation inspection was conducted on 4/26/23 with thirty-one (31) demerits for a Provisional classification. The provider is working with Environmental Health to finalize corrections. A re-inspection will be scheduled once construction on the sink installation needed for correction is complete. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. In space #6, I observed teachers sitting in comfortable seating as they bottle fed infants. Additional staff assisted teachers with caring for and comforting infants. I observed two infants in bouncy sits engaging with teachers. In space #4b, the classroom with one-year-old children were observed eating a healthy lunch of spaghetti, green beans, oranges, and milk. Children ages three to four-year old were observed preparing for nap settling down with a book on tape. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The benches on two (2) plastic picnic tables on the playground were cracked. The seats on two (2) tricycles on the playground were cracked. G.S. 110-91(6); .0601(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff (hire date 8/11/97) did not have a current Health Questionnaire on file. The most recent Health Questionnaire on file was dated 5/6/22. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff (hire date 1/26/23) did not include a choice of health professional on the Emergency Information form. .0701(a) Technical assistance was provided as follows: Item #721 The two (2) picnic tables and the two (2) tricycles were moved to be inaccessible to children during the visit today. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #1034 The one (1) staff completed a Health Questionnaire during the visit today. The Health Questionnaire was placed in the staff member’s file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #1035 The one (1) staff member provided the choice of health professional on the Emergency Information form during the visit today. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Consultation is provided as follows: The Provisional qualifying letter for staff member EG will expire on 8/5/23. A qualifying letter will automatically be issued after the forty-five (45) day period. The staff member does not need to apply for another Background Check. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: GREENWAY BAPTIST CHILD DEVELOPMENT CENTER Facility ID: 9555035 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 71 Completed Date: 7/20/2023 Age: From 0 To 5 Total Minutes: 270 Time In: 11:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Phyllis Taylor, Administrator, during the visit. Sidney McCrory, Child Care Consultant, accompanied me today. An electronic signed copy of the visit summary was emailed to you. Ms. Taylor was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent (86%) as of 7/18/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Greenway Baptist Church of Boone, N.C. is current/active as of 7/18/23. Permit type – Five (5) Star License issued 7/15/19 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The facility serves children with special needs. The last annual compliance visit was conducted on 8/4/22. The last fire drill was practiced on 6/28/23. The last shelter-in-place drill was practiced on 6/26/23. The last playground inspection was documented on 7/6/23. The last fire inspection was approved on 10/4/22. The last sanitation inspection was conducted on 4/26/23 with thirty-one (31) demerits for a Provisional classification. The provider is working with Environmental Health to finalize corrections. A re-inspection will be scheduled once construction on the sink installation needed for correction is complete. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. In space #6, I observed teachers sitting in comfortable seating as they bottle fed infants. Additional staff assisted teachers with caring for and comforting infants. I observed two infants in bouncy sits engaging with teachers. In space #4b, the classroom with one-year-old children were observed eating a healthy lunch of spaghetti, green beans, oranges, and milk. Children ages three to four-year old were observed preparing for nap settling down with a book on tape. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The benches on two (2) plastic picnic tables on the playground were cracked. The seats on two (2) tricycles on the playground were cracked. G.S. 110-91(6); .0601(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff (hire date 8/11/97) did not have a current Health Questionnaire on file. The most recent Health Questionnaire on file was dated 5/6/22. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff (hire date 1/26/23) did not include a choice of health professional on the Emergency Information form. .0701(a) Technical assistance was provided as follows: Item #721 The two (2) picnic tables and the two (2) tricycles were moved to be inaccessible to children during the visit today. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #1034 The one (1) staff completed a Health Questionnaire during the visit today. The Health Questionnaire was placed in the staff member’s file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #1035 The one (1) staff member provided the choice of health professional on the Emergency Information form during the visit today. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Consultation is provided as follows: The Provisional qualifying letter for staff member EG will expire on 8/5/23. A qualifying letter will automatically be issued after the forty-five (45) day period. The staff member does not need to apply for another Background Check. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times