10A NCAC 09 .0304 · Violation

Name of Operation: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 7 Completed Date: 12/11/2025 Age: From 2 To 4 Total Minutes: 150 Time In: 11:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator, during the visit. A signed copy of the visit summary was emailed to you today due to portable printer not working. Today, Mr. Alemany, assisted me. The indoor and outdoor areas were monitored today which included two (2) classrooms and the lunchroom, 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. The program’s compliance history was eighty-six (86%) percent after today’s visit. Permit type – GS 110-106 The last annual compliance visit was conducted on January 08, 2025. The last fire drill was practiced on November 18, 2025. You will need to start a new fire drill log for your December fire drill the current one is out of space and it is hard to read the date that the November drill was conducted. The last shelter-in-place drill was practiced on October 30, 2025. Please check the box to indicate what type of drill you completed. The last playground inspection was documented on November 11, 2025. The last fire inspection was approved on August 27, 2025. The last sanitation inspection was conducted on September 30, 2025 with eight (8) demerits for a superior rating The Emergency Medical Care plan was posted and current. Lead water testing was completed on August 29, 2025 without hazards. Lead paint and asbestos testing as enrollment as started. Upon arrival I introduced my presence to the Administrator. I observed the group of -through-two years of age finishing lunch, which is prepared by the parents, and preparing for nap. I observed the group of three-through-four years old during a group story time activity, routine care needs and playing outside. Meals and snacks are provided by the parents. Transportation is not provided at this facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. After review of all three (3) staff members' files it was noted that two (2) members did not have an acknowledgement statement on file that the EMC plan had been reviewed with them for this yeas as required. 10A NCAC 09 .0802(a) 1030 Application for employment and date of birth was not on file for all staff. After review of all three (3) staff members files, it was noted that one (1) staff member's file did not contain an application as required. .0302(d)(1)(A) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. After review of all three (3) staff members' files it was noted that all three (3) members did not have a updated health questionnaire as required. .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. After review of all three (3) staff members' files it was noted that all three (3) members did not have updated emergency information as required. .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. After review of all three (3) staff members' files it was noted that two (2) members did not have a acknowledgement statement on file that the EPR plan had been reviewed with them for this yeas as required. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outside on the playground used by the group of children age three-through-four-years of age the cushioning under and around the anchored climber measured less than six inches in all directions. .0605(k)(1-4) Technical assistance was provided as follows: Item #0862 and Item # 1824 The annual review of emergency information for staff in North Carolina childcare is required to ensure they are prepared to protect children and themselves in an emergency by keeping the plan updated, current, and ensuring all staff are aware of their roles and responsibilities. This review process is mandated by state regulations and is a crucial component of maintaining a physically safe environment. It ensures staff know what to do during both natural and man-made disasters and medical emergencies. It is important the your Emergency Medical Care Plan and your Emergency Preparedness Plan are reviewed with staff as changes occur and/or at least annually. I would suggest setting aside a month each year so that you review this information. For example, every January you review the EMC plan and the EPR and have staff sign an acknowledgment for that this information was reviewed with them. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1034 Health questionnaires are required for childcare staff in North Carolina to ensure the health and safety of children by identifying potential health issues with employees. This helps confirm that staff are physically and emotionally fit to care for children and to prevent the spread of illnesses. This information must be updated as needed and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1035 Emergency Information for staff needs to be updated as changes occur and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item 1030 All staff must have an application on site and available for review. Item 1867 Protective surfacing on playgrounds in child care centers plays an essential role in preventing injuries—particularly head injuries—by absorbing the impact of falls. Adequate surfacing minimizes fall severity, supports all-weather play, and enhances the overall safety and accessibility of the play area. Based on the height of the climber, at least six inches of protective surfacing is required throughout all designated fall zones, and the surfacing must extend a minimum of six feet in all directions. 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 12/25/2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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: *Today we discussed 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. You currently have two (2) staff members listed on your roster that are currently working at the facility and five listed that are no longer employed with you. You will need to add the remaining staff members to your roster and remove the ones that are no longer employed. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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 sarah.upton@dhhs.nc.gov or 828-782-0937, 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 .0802 · Violation

Name of Operation: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 7 Completed Date: 12/11/2025 Age: From 2 To 4 Total Minutes: 150 Time In: 11:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator, during the visit. A signed copy of the visit summary was emailed to you today due to portable printer not working. Today, Mr. Alemany, assisted me. The indoor and outdoor areas were monitored today which included two (2) classrooms and the lunchroom, 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. The program’s compliance history was eighty-six (86%) percent after today’s visit. Permit type – GS 110-106 The last annual compliance visit was conducted on January 08, 2025. The last fire drill was practiced on November 18, 2025. You will need to start a new fire drill log for your December fire drill the current one is out of space and it is hard to read the date that the November drill was conducted. The last shelter-in-place drill was practiced on October 30, 2025. Please check the box to indicate what type of drill you completed. The last playground inspection was documented on November 11, 2025. The last fire inspection was approved on August 27, 2025. The last sanitation inspection was conducted on September 30, 2025 with eight (8) demerits for a superior rating The Emergency Medical Care plan was posted and current. Lead water testing was completed on August 29, 2025 without hazards. Lead paint and asbestos testing as enrollment as started. Upon arrival I introduced my presence to the Administrator. I observed the group of -through-two years of age finishing lunch, which is prepared by the parents, and preparing for nap. I observed the group of three-through-four years old during a group story time activity, routine care needs and playing outside. Meals and snacks are provided by the parents. Transportation is not provided at this facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. After review of all three (3) staff members' files it was noted that two (2) members did not have an acknowledgement statement on file that the EMC plan had been reviewed with them for this yeas as required. 10A NCAC 09 .0802(a) 1030 Application for employment and date of birth was not on file for all staff. After review of all three (3) staff members files, it was noted that one (1) staff member's file did not contain an application as required. .0302(d)(1)(A) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. After review of all three (3) staff members' files it was noted that all three (3) members did not have a updated health questionnaire as required. .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. After review of all three (3) staff members' files it was noted that all three (3) members did not have updated emergency information as required. .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. After review of all three (3) staff members' files it was noted that two (2) members did not have a acknowledgement statement on file that the EPR plan had been reviewed with them for this yeas as required. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outside on the playground used by the group of children age three-through-four-years of age the cushioning under and around the anchored climber measured less than six inches in all directions. .0605(k)(1-4) Technical assistance was provided as follows: Item #0862 and Item # 1824 The annual review of emergency information for staff in North Carolina childcare is required to ensure they are prepared to protect children and themselves in an emergency by keeping the plan updated, current, and ensuring all staff are aware of their roles and responsibilities. This review process is mandated by state regulations and is a crucial component of maintaining a physically safe environment. It ensures staff know what to do during both natural and man-made disasters and medical emergencies. It is important the your Emergency Medical Care Plan and your Emergency Preparedness Plan are reviewed with staff as changes occur and/or at least annually. I would suggest setting aside a month each year so that you review this information. For example, every January you review the EMC plan and the EPR and have staff sign an acknowledgment for that this information was reviewed with them. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1034 Health questionnaires are required for childcare staff in North Carolina to ensure the health and safety of children by identifying potential health issues with employees. This helps confirm that staff are physically and emotionally fit to care for children and to prevent the spread of illnesses. This information must be updated as needed and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1035 Emergency Information for staff needs to be updated as changes occur and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item 1030 All staff must have an application on site and available for review. Item 1867 Protective surfacing on playgrounds in child care centers plays an essential role in preventing injuries—particularly head injuries—by absorbing the impact of falls. Adequate surfacing minimizes fall severity, supports all-weather play, and enhances the overall safety and accessibility of the play area. Based on the height of the climber, at least six inches of protective surfacing is required throughout all designated fall zones, and the surfacing must extend a minimum of six feet in all directions. 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 12/25/2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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: *Today we discussed 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. You currently have two (2) staff members listed on your roster that are currently working at the facility and five listed that are no longer employed with you. You will need to add the remaining staff members to your roster and remove the ones that are no longer employed. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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 sarah.upton@dhhs.nc.gov or 828-782-0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 7 Completed Date: 12/11/2025 Age: From 2 To 4 Total Minutes: 150 Time In: 11:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator, during the visit. A signed copy of the visit summary was emailed to you today due to portable printer not working. Today, Mr. Alemany, assisted me. The indoor and outdoor areas were monitored today which included two (2) classrooms and the lunchroom, 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. The program’s compliance history was eighty-six (86%) percent after today’s visit. Permit type – GS 110-106 The last annual compliance visit was conducted on January 08, 2025. The last fire drill was practiced on November 18, 2025. You will need to start a new fire drill log for your December fire drill the current one is out of space and it is hard to read the date that the November drill was conducted. The last shelter-in-place drill was practiced on October 30, 2025. Please check the box to indicate what type of drill you completed. The last playground inspection was documented on November 11, 2025. The last fire inspection was approved on August 27, 2025. The last sanitation inspection was conducted on September 30, 2025 with eight (8) demerits for a superior rating The Emergency Medical Care plan was posted and current. Lead water testing was completed on August 29, 2025 without hazards. Lead paint and asbestos testing as enrollment as started. Upon arrival I introduced my presence to the Administrator. I observed the group of -through-two years of age finishing lunch, which is prepared by the parents, and preparing for nap. I observed the group of three-through-four years old during a group story time activity, routine care needs and playing outside. Meals and snacks are provided by the parents. Transportation is not provided at this facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. After review of all three (3) staff members' files it was noted that two (2) members did not have an acknowledgement statement on file that the EMC plan had been reviewed with them for this yeas as required. 10A NCAC 09 .0802(a) 1030 Application for employment and date of birth was not on file for all staff. After review of all three (3) staff members files, it was noted that one (1) staff member's file did not contain an application as required. .0302(d)(1)(A) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. After review of all three (3) staff members' files it was noted that all three (3) members did not have a updated health questionnaire as required. .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. After review of all three (3) staff members' files it was noted that all three (3) members did not have updated emergency information as required. .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. After review of all three (3) staff members' files it was noted that two (2) members did not have a acknowledgement statement on file that the EPR plan had been reviewed with them for this yeas as required. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outside on the playground used by the group of children age three-through-four-years of age the cushioning under and around the anchored climber measured less than six inches in all directions. .0605(k)(1-4) Technical assistance was provided as follows: Item #0862 and Item # 1824 The annual review of emergency information for staff in North Carolina childcare is required to ensure they are prepared to protect children and themselves in an emergency by keeping the plan updated, current, and ensuring all staff are aware of their roles and responsibilities. This review process is mandated by state regulations and is a crucial component of maintaining a physically safe environment. It ensures staff know what to do during both natural and man-made disasters and medical emergencies. It is important the your Emergency Medical Care Plan and your Emergency Preparedness Plan are reviewed with staff as changes occur and/or at least annually. I would suggest setting aside a month each year so that you review this information. For example, every January you review the EMC plan and the EPR and have staff sign an acknowledgment for that this information was reviewed with them. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1034 Health questionnaires are required for childcare staff in North Carolina to ensure the health and safety of children by identifying potential health issues with employees. This helps confirm that staff are physically and emotionally fit to care for children and to prevent the spread of illnesses. This information must be updated as needed and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1035 Emergency Information for staff needs to be updated as changes occur and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item 1030 All staff must have an application on site and available for review. Item 1867 Protective surfacing on playgrounds in child care centers plays an essential role in preventing injuries—particularly head injuries—by absorbing the impact of falls. Adequate surfacing minimizes fall severity, supports all-weather play, and enhances the overall safety and accessibility of the play area. Based on the height of the climber, at least six inches of protective surfacing is required throughout all designated fall zones, and the surfacing must extend a minimum of six feet in all directions. 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 12/25/2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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: *Today we discussed 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. You currently have two (2) staff members listed on your roster that are currently working at the facility and five listed that are no longer employed with you. You will need to add the remaining staff members to your roster and remove the ones that are no longer employed. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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 sarah.upton@dhhs.nc.gov or 828-782-0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 7 Completed Date: 12/11/2025 Age: From 2 To 4 Total Minutes: 150 Time In: 11:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator, during the visit. A signed copy of the visit summary was emailed to you today due to portable printer not working. Today, Mr. Alemany, assisted me. The indoor and outdoor areas were monitored today which included two (2) classrooms and the lunchroom, 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. The program’s compliance history was eighty-six (86%) percent after today’s visit. Permit type – GS 110-106 The last annual compliance visit was conducted on January 08, 2025. The last fire drill was practiced on November 18, 2025. You will need to start a new fire drill log for your December fire drill the current one is out of space and it is hard to read the date that the November drill was conducted. The last shelter-in-place drill was practiced on October 30, 2025. Please check the box to indicate what type of drill you completed. The last playground inspection was documented on November 11, 2025. The last fire inspection was approved on August 27, 2025. The last sanitation inspection was conducted on September 30, 2025 with eight (8) demerits for a superior rating The Emergency Medical Care plan was posted and current. Lead water testing was completed on August 29, 2025 without hazards. Lead paint and asbestos testing as enrollment as started. Upon arrival I introduced my presence to the Administrator. I observed the group of -through-two years of age finishing lunch, which is prepared by the parents, and preparing for nap. I observed the group of three-through-four years old during a group story time activity, routine care needs and playing outside. Meals and snacks are provided by the parents. Transportation is not provided at this facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. After review of all three (3) staff members' files it was noted that two (2) members did not have an acknowledgement statement on file that the EMC plan had been reviewed with them for this yeas as required. 10A NCAC 09 .0802(a) 1030 Application for employment and date of birth was not on file for all staff. After review of all three (3) staff members files, it was noted that one (1) staff member's file did not contain an application as required. .0302(d)(1)(A) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. After review of all three (3) staff members' files it was noted that all three (3) members did not have a updated health questionnaire as required. .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. After review of all three (3) staff members' files it was noted that all three (3) members did not have updated emergency information as required. .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. After review of all three (3) staff members' files it was noted that two (2) members did not have a acknowledgement statement on file that the EPR plan had been reviewed with them for this yeas as required. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outside on the playground used by the group of children age three-through-four-years of age the cushioning under and around the anchored climber measured less than six inches in all directions. .0605(k)(1-4) Technical assistance was provided as follows: Item #0862 and Item # 1824 The annual review of emergency information for staff in North Carolina childcare is required to ensure they are prepared to protect children and themselves in an emergency by keeping the plan updated, current, and ensuring all staff are aware of their roles and responsibilities. This review process is mandated by state regulations and is a crucial component of maintaining a physically safe environment. It ensures staff know what to do during both natural and man-made disasters and medical emergencies. It is important the your Emergency Medical Care Plan and your Emergency Preparedness Plan are reviewed with staff as changes occur and/or at least annually. I would suggest setting aside a month each year so that you review this information. For example, every January you review the EMC plan and the EPR and have staff sign an acknowledgment for that this information was reviewed with them. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1034 Health questionnaires are required for childcare staff in North Carolina to ensure the health and safety of children by identifying potential health issues with employees. This helps confirm that staff are physically and emotionally fit to care for children and to prevent the spread of illnesses. This information must be updated as needed and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1035 Emergency Information for staff needs to be updated as changes occur and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item 1030 All staff must have an application on site and available for review. Item 1867 Protective surfacing on playgrounds in child care centers plays an essential role in preventing injuries—particularly head injuries—by absorbing the impact of falls. Adequate surfacing minimizes fall severity, supports all-weather play, and enhances the overall safety and accessibility of the play area. Based on the height of the climber, at least six inches of protective surfacing is required throughout all designated fall zones, and the surfacing must extend a minimum of six feet in all directions. 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 12/25/2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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: *Today we discussed 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. You currently have two (2) staff members listed on your roster that are currently working at the facility and five listed that are no longer employed with you. You will need to add the remaining staff members to your roster and remove the ones that are no longer employed. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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 sarah.upton@dhhs.nc.gov or 828-782-0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 7 Completed Date: 12/11/2025 Age: From 2 To 4 Total Minutes: 150 Time In: 11:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator, during the visit. A signed copy of the visit summary was emailed to you today due to portable printer not working. Today, Mr. Alemany, assisted me. The indoor and outdoor areas were monitored today which included two (2) classrooms and the lunchroom, 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. The program’s compliance history was eighty-six (86%) percent after today’s visit. Permit type – GS 110-106 The last annual compliance visit was conducted on January 08, 2025. The last fire drill was practiced on November 18, 2025. You will need to start a new fire drill log for your December fire drill the current one is out of space and it is hard to read the date that the November drill was conducted. The last shelter-in-place drill was practiced on October 30, 2025. Please check the box to indicate what type of drill you completed. The last playground inspection was documented on November 11, 2025. The last fire inspection was approved on August 27, 2025. The last sanitation inspection was conducted on September 30, 2025 with eight (8) demerits for a superior rating The Emergency Medical Care plan was posted and current. Lead water testing was completed on August 29, 2025 without hazards. Lead paint and asbestos testing as enrollment as started. Upon arrival I introduced my presence to the Administrator. I observed the group of -through-two years of age finishing lunch, which is prepared by the parents, and preparing for nap. I observed the group of three-through-four years old during a group story time activity, routine care needs and playing outside. Meals and snacks are provided by the parents. Transportation is not provided at this facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. After review of all three (3) staff members' files it was noted that two (2) members did not have an acknowledgement statement on file that the EMC plan had been reviewed with them for this yeas as required. 10A NCAC 09 .0802(a) 1030 Application for employment and date of birth was not on file for all staff. After review of all three (3) staff members files, it was noted that one (1) staff member's file did not contain an application as required. .0302(d)(1)(A) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. After review of all three (3) staff members' files it was noted that all three (3) members did not have a updated health questionnaire as required. .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. After review of all three (3) staff members' files it was noted that all three (3) members did not have updated emergency information as required. .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. After review of all three (3) staff members' files it was noted that two (2) members did not have a acknowledgement statement on file that the EPR plan had been reviewed with them for this yeas as required. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outside on the playground used by the group of children age three-through-four-years of age the cushioning under and around the anchored climber measured less than six inches in all directions. .0605(k)(1-4) Technical assistance was provided as follows: Item #0862 and Item # 1824 The annual review of emergency information for staff in North Carolina childcare is required to ensure they are prepared to protect children and themselves in an emergency by keeping the plan updated, current, and ensuring all staff are aware of their roles and responsibilities. This review process is mandated by state regulations and is a crucial component of maintaining a physically safe environment. It ensures staff know what to do during both natural and man-made disasters and medical emergencies. It is important the your Emergency Medical Care Plan and your Emergency Preparedness Plan are reviewed with staff as changes occur and/or at least annually. I would suggest setting aside a month each year so that you review this information. For example, every January you review the EMC plan and the EPR and have staff sign an acknowledgment for that this information was reviewed with them. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1034 Health questionnaires are required for childcare staff in North Carolina to ensure the health and safety of children by identifying potential health issues with employees. This helps confirm that staff are physically and emotionally fit to care for children and to prevent the spread of illnesses. This information must be updated as needed and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1035 Emergency Information for staff needs to be updated as changes occur and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item 1030 All staff must have an application on site and available for review. Item 1867 Protective surfacing on playgrounds in child care centers plays an essential role in preventing injuries—particularly head injuries—by absorbing the impact of falls. Adequate surfacing minimizes fall severity, supports all-weather play, and enhances the overall safety and accessibility of the play area. Based on the height of the climber, at least six inches of protective surfacing is required throughout all designated fall zones, and the surfacing must extend a minimum of six feet in all directions. 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 12/25/2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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: *Today we discussed 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. You currently have two (2) staff members listed on your roster that are currently working at the facility and five listed that are no longer employed with you. You will need to add the remaining staff members to your roster and remove the ones that are no longer employed. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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 sarah.upton@dhhs.nc.gov or 828-782-0937, 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 110-106 · Violation

Name of Operation: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 7 Completed Date: 12/11/2025 Age: From 2 To 4 Total Minutes: 150 Time In: 11:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator, during the visit. A signed copy of the visit summary was emailed to you today due to portable printer not working. Today, Mr. Alemany, assisted me. The indoor and outdoor areas were monitored today which included two (2) classrooms and the lunchroom, 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. The program’s compliance history was eighty-six (86%) percent after today’s visit. Permit type – GS 110-106 The last annual compliance visit was conducted on January 08, 2025. The last fire drill was practiced on November 18, 2025. You will need to start a new fire drill log for your December fire drill the current one is out of space and it is hard to read the date that the November drill was conducted. The last shelter-in-place drill was practiced on October 30, 2025. Please check the box to indicate what type of drill you completed. The last playground inspection was documented on November 11, 2025. The last fire inspection was approved on August 27, 2025. The last sanitation inspection was conducted on September 30, 2025 with eight (8) demerits for a superior rating The Emergency Medical Care plan was posted and current. Lead water testing was completed on August 29, 2025 without hazards. Lead paint and asbestos testing as enrollment as started. Upon arrival I introduced my presence to the Administrator. I observed the group of -through-two years of age finishing lunch, which is prepared by the parents, and preparing for nap. I observed the group of three-through-four years old during a group story time activity, routine care needs and playing outside. Meals and snacks are provided by the parents. Transportation is not provided at this facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. After review of all three (3) staff members' files it was noted that two (2) members did not have an acknowledgement statement on file that the EMC plan had been reviewed with them for this yeas as required. 10A NCAC 09 .0802(a) 1030 Application for employment and date of birth was not on file for all staff. After review of all three (3) staff members files, it was noted that one (1) staff member's file did not contain an application as required. .0302(d)(1)(A) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. After review of all three (3) staff members' files it was noted that all three (3) members did not have a updated health questionnaire as required. .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. After review of all three (3) staff members' files it was noted that all three (3) members did not have updated emergency information as required. .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. After review of all three (3) staff members' files it was noted that two (2) members did not have a acknowledgement statement on file that the EPR plan had been reviewed with them for this yeas as required. .0607(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outside on the playground used by the group of children age three-through-four-years of age the cushioning under and around the anchored climber measured less than six inches in all directions. .0605(k)(1-4) Technical assistance was provided as follows: Item #0862 and Item # 1824 The annual review of emergency information for staff in North Carolina childcare is required to ensure they are prepared to protect children and themselves in an emergency by keeping the plan updated, current, and ensuring all staff are aware of their roles and responsibilities. This review process is mandated by state regulations and is a crucial component of maintaining a physically safe environment. It ensures staff know what to do during both natural and man-made disasters and medical emergencies. It is important the your Emergency Medical Care Plan and your Emergency Preparedness Plan are reviewed with staff as changes occur and/or at least annually. I would suggest setting aside a month each year so that you review this information. For example, every January you review the EMC plan and the EPR and have staff sign an acknowledgment for that this information was reviewed with them. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1034 Health questionnaires are required for childcare staff in North Carolina to ensure the health and safety of children by identifying potential health issues with employees. This helps confirm that staff are physically and emotionally fit to care for children and to prevent the spread of illnesses. This information must be updated as needed and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1035 Emergency Information for staff needs to be updated as changes occur and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item 1030 All staff must have an application on site and available for review. Item 1867 Protective surfacing on playgrounds in child care centers plays an essential role in preventing injuries—particularly head injuries—by absorbing the impact of falls. Adequate surfacing minimizes fall severity, supports all-weather play, and enhances the overall safety and accessibility of the play area. Based on the height of the climber, at least six inches of protective surfacing is required throughout all designated fall zones, and the surfacing must extend a minimum of six feet in all directions. 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 12/25/2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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: *Today we discussed 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. You currently have two (2) staff members listed on your roster that are currently working at the facility and five listed that are no longer employed with you. You will need to add the remaining staff members to your roster and remove the ones that are no longer employed. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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 sarah.upton@dhhs.nc.gov or 828-782-0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/22/2025 Number Present: 16 Completed Date: 5/22/2025 Age: From 0 To 4 Total Minutes: 210 Time In: 11:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This facility operates under a Notice of Compliance and is owned and operated by Grace Christian Academy. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator during the visit. An electronic signed copy of the visit summary was printed off and left with you. Mr. Alemany, Administrator, was available to assist with questions and paperwork needed. The program’s annual compliance visit was conducted on visit on 01/09/2025. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percentage as of 05/22/2025 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 Permit Restrictions The last fire drill was practiced in May 2025. The last shelter-in-place drill/lockdown drill was practiced in March 2025. Children were observed during indoor book time, free play, outdoor free play, and lunch, which is brought in by the parents, and preparing for nap. One (1) new teacher has been hired since your last visit Annual Compliance visit. The new teacher’s file was reviewed. The new teachers (SH) hire date was documented as 03/28/2025 qualification letter was dated 03/28/2025 and will expire on 03/28/2030, medical exam dated 01/30/2025, TB results dated 04/02/25, emergency information was dated 03/25/25, the new hire completed first aid and CPR training on 04/19/25 through American Red Cross, online and is eligible for Skills Session within 90 days, which would need to be completed by 07/19/25. (Please keep in mind that the online training does not count for First Aid/CPR training until the face to face/hands on skills test is completed). I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. During my visit today a two-year-old child was being cared for in the same classroom with an 11-month-old child. According to staff report the two-year-old child is typically cared for in the classroom for children age two-through-three years old. 10A NCAC 09 .0713(a)(5) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerators in the infant classroom and the classroom for children ages 11-month-through one-year-of-age did not have a thermometer to ensure the temperature is 45 degrees or below. 15A NCAC 18A .2806(j)(2) 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 the classroom for children ages two-through-four years of age there were cleaning sprays such as Windex and Clorox wipes being stored in an unlocked cabinet near the classroom sink. In the bathroom between the infant classroom and toddler classroom there was a bottle of bleach and a aerosol can of disinfecting spray being stored in an unlocked cabinet. .2820(b) 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. According to the staff member caring for the two (2) children under 12 months of age she does visual checks on children as they are sleeping but she does not document the checks. .0606(g) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the new staff members file it was noted that she was hired on March 28, 2025. According to the date provided on her TB test it was read on April 02, 2025. .0701(a) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. According to the only staff member observed working in the infant room caring for the two (2) children under 12-months-of-age she has not completed the required ITS/SIDS training since assuming this position om March 28, 2025. .01102 (f) 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. After review of the new staff member's file it was noted that she had not signed an acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with her prior to caring for children. .0608(d)(1-4) Technical Assistance provided as follows: Item #316 the only time children under one year of age and children two years of age and older can be cared for together in a group is the first operating hour and the last operating hour of the day as long as staff to child ratio is maintained for the youngest child present. Item #601 to ensure that children’s lunches are being stored properly and being kept at a safe temperature, a thermometer must always be in the refrigerator. I would recommend having serval on-site to quickly replace those that go missing or get misplaced. Item #840 all hazardous items must be stored appropriately. I recommended talking to staff members about the requirement of how to store hazardous items by reading the requirements below. All cleaners, disinfectants and anything in an aerosol can MUST be stored in a locked cabinet with the key being stored away form the lock. Also encourage them to do daily checks and the beginning and end of each day to ensure that all items are stored appropriately. Item#887 visual sleep checks are to be conducted at least every 15 minutes and must be documented as they occur. Item #1033 negative TB test result or the TB questionnaire must be on file on or before the first day of employment. Item #1831 when children under 12 months of age are present there must be at least one caregiver that has completed the ITS-SIDS in the classroom. This may require that you move a staff member with current ITS/SIDS training into this classroom until the current staff member can complete the training. Item #1874 All teachers must sign acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy has been reviewed with them prior to caring for children. Achieving Compliance: 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 June 05, 2025 I will be making another visit to ensure that Item#316 has been corrected. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@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 provided Today was water day for the older school aged children enrolled in the school portion of the program, which included wading pools and a water slide. As we discussed today for the pre-school aged children enrolled in the program to be able to participate in the water day activities provided you must meet the child care requirements in the following section: 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS Reminder that screentime is prohibited for children under three years of age. You need to include the day of the fire drill and emergency drill on the Emergency Drill Log. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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.” 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. 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 sarah.upton@dhhs.nc.gov or 828-782-0937, 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 .0713 · Violation

Name of Operation: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/22/2025 Number Present: 16 Completed Date: 5/22/2025 Age: From 0 To 4 Total Minutes: 210 Time In: 11:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This facility operates under a Notice of Compliance and is owned and operated by Grace Christian Academy. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator during the visit. An electronic signed copy of the visit summary was printed off and left with you. Mr. Alemany, Administrator, was available to assist with questions and paperwork needed. The program’s annual compliance visit was conducted on visit on 01/09/2025. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percentage as of 05/22/2025 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 Permit Restrictions The last fire drill was practiced in May 2025. The last shelter-in-place drill/lockdown drill was practiced in March 2025. Children were observed during indoor book time, free play, outdoor free play, and lunch, which is brought in by the parents, and preparing for nap. One (1) new teacher has been hired since your last visit Annual Compliance visit. The new teacher’s file was reviewed. The new teachers (SH) hire date was documented as 03/28/2025 qualification letter was dated 03/28/2025 and will expire on 03/28/2030, medical exam dated 01/30/2025, TB results dated 04/02/25, emergency information was dated 03/25/25, the new hire completed first aid and CPR training on 04/19/25 through American Red Cross, online and is eligible for Skills Session within 90 days, which would need to be completed by 07/19/25. (Please keep in mind that the online training does not count for First Aid/CPR training until the face to face/hands on skills test is completed). I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. During my visit today a two-year-old child was being cared for in the same classroom with an 11-month-old child. According to staff report the two-year-old child is typically cared for in the classroom for children age two-through-three years old. 10A NCAC 09 .0713(a)(5) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerators in the infant classroom and the classroom for children ages 11-month-through one-year-of-age did not have a thermometer to ensure the temperature is 45 degrees or below. 15A NCAC 18A .2806(j)(2) 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 the classroom for children ages two-through-four years of age there were cleaning sprays such as Windex and Clorox wipes being stored in an unlocked cabinet near the classroom sink. In the bathroom between the infant classroom and toddler classroom there was a bottle of bleach and a aerosol can of disinfecting spray being stored in an unlocked cabinet. .2820(b) 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. According to the staff member caring for the two (2) children under 12 months of age she does visual checks on children as they are sleeping but she does not document the checks. .0606(g) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the new staff members file it was noted that she was hired on March 28, 2025. According to the date provided on her TB test it was read on April 02, 2025. .0701(a) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. According to the only staff member observed working in the infant room caring for the two (2) children under 12-months-of-age she has not completed the required ITS/SIDS training since assuming this position om March 28, 2025. .01102 (f) 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. After review of the new staff member's file it was noted that she had not signed an acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with her prior to caring for children. .0608(d)(1-4) Technical Assistance provided as follows: Item #316 the only time children under one year of age and children two years of age and older can be cared for together in a group is the first operating hour and the last operating hour of the day as long as staff to child ratio is maintained for the youngest child present. Item #601 to ensure that children’s lunches are being stored properly and being kept at a safe temperature, a thermometer must always be in the refrigerator. I would recommend having serval on-site to quickly replace those that go missing or get misplaced. Item #840 all hazardous items must be stored appropriately. I recommended talking to staff members about the requirement of how to store hazardous items by reading the requirements below. All cleaners, disinfectants and anything in an aerosol can MUST be stored in a locked cabinet with the key being stored away form the lock. Also encourage them to do daily checks and the beginning and end of each day to ensure that all items are stored appropriately. Item#887 visual sleep checks are to be conducted at least every 15 minutes and must be documented as they occur. Item #1033 negative TB test result or the TB questionnaire must be on file on or before the first day of employment. Item #1831 when children under 12 months of age are present there must be at least one caregiver that has completed the ITS-SIDS in the classroom. This may require that you move a staff member with current ITS/SIDS training into this classroom until the current staff member can complete the training. Item #1874 All teachers must sign acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy has been reviewed with them prior to caring for children. Achieving Compliance: 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 June 05, 2025 I will be making another visit to ensure that Item#316 has been corrected. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@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 provided Today was water day for the older school aged children enrolled in the school portion of the program, which included wading pools and a water slide. As we discussed today for the pre-school aged children enrolled in the program to be able to participate in the water day activities provided you must meet the child care requirements in the following section: 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS Reminder that screentime is prohibited for children under three years of age. You need to include the day of the fire drill and emergency drill on the Emergency Drill Log. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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.” 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. 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 sarah.upton@dhhs.nc.gov or 828-782-0937, 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 .1403 · Violation

Name of Operation: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/22/2025 Number Present: 16 Completed Date: 5/22/2025 Age: From 0 To 4 Total Minutes: 210 Time In: 11:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This facility operates under a Notice of Compliance and is owned and operated by Grace Christian Academy. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator during the visit. An electronic signed copy of the visit summary was printed off and left with you. Mr. Alemany, Administrator, was available to assist with questions and paperwork needed. The program’s annual compliance visit was conducted on visit on 01/09/2025. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percentage as of 05/22/2025 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 Permit Restrictions The last fire drill was practiced in May 2025. The last shelter-in-place drill/lockdown drill was practiced in March 2025. Children were observed during indoor book time, free play, outdoor free play, and lunch, which is brought in by the parents, and preparing for nap. One (1) new teacher has been hired since your last visit Annual Compliance visit. The new teacher’s file was reviewed. The new teachers (SH) hire date was documented as 03/28/2025 qualification letter was dated 03/28/2025 and will expire on 03/28/2030, medical exam dated 01/30/2025, TB results dated 04/02/25, emergency information was dated 03/25/25, the new hire completed first aid and CPR training on 04/19/25 through American Red Cross, online and is eligible for Skills Session within 90 days, which would need to be completed by 07/19/25. (Please keep in mind that the online training does not count for First Aid/CPR training until the face to face/hands on skills test is completed). I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. During my visit today a two-year-old child was being cared for in the same classroom with an 11-month-old child. According to staff report the two-year-old child is typically cared for in the classroom for children age two-through-three years old. 10A NCAC 09 .0713(a)(5) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerators in the infant classroom and the classroom for children ages 11-month-through one-year-of-age did not have a thermometer to ensure the temperature is 45 degrees or below. 15A NCAC 18A .2806(j)(2) 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 the classroom for children ages two-through-four years of age there were cleaning sprays such as Windex and Clorox wipes being stored in an unlocked cabinet near the classroom sink. In the bathroom between the infant classroom and toddler classroom there was a bottle of bleach and a aerosol can of disinfecting spray being stored in an unlocked cabinet. .2820(b) 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. According to the staff member caring for the two (2) children under 12 months of age she does visual checks on children as they are sleeping but she does not document the checks. .0606(g) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the new staff members file it was noted that she was hired on March 28, 2025. According to the date provided on her TB test it was read on April 02, 2025. .0701(a) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. According to the only staff member observed working in the infant room caring for the two (2) children under 12-months-of-age she has not completed the required ITS/SIDS training since assuming this position om March 28, 2025. .01102 (f) 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. After review of the new staff member's file it was noted that she had not signed an acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with her prior to caring for children. .0608(d)(1-4) Technical Assistance provided as follows: Item #316 the only time children under one year of age and children two years of age and older can be cared for together in a group is the first operating hour and the last operating hour of the day as long as staff to child ratio is maintained for the youngest child present. Item #601 to ensure that children’s lunches are being stored properly and being kept at a safe temperature, a thermometer must always be in the refrigerator. I would recommend having serval on-site to quickly replace those that go missing or get misplaced. Item #840 all hazardous items must be stored appropriately. I recommended talking to staff members about the requirement of how to store hazardous items by reading the requirements below. All cleaners, disinfectants and anything in an aerosol can MUST be stored in a locked cabinet with the key being stored away form the lock. Also encourage them to do daily checks and the beginning and end of each day to ensure that all items are stored appropriately. Item#887 visual sleep checks are to be conducted at least every 15 minutes and must be documented as they occur. Item #1033 negative TB test result or the TB questionnaire must be on file on or before the first day of employment. Item #1831 when children under 12 months of age are present there must be at least one caregiver that has completed the ITS-SIDS in the classroom. This may require that you move a staff member with current ITS/SIDS training into this classroom until the current staff member can complete the training. Item #1874 All teachers must sign acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy has been reviewed with them prior to caring for children. Achieving Compliance: 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 June 05, 2025 I will be making another visit to ensure that Item#316 has been corrected. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@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 provided Today was water day for the older school aged children enrolled in the school portion of the program, which included wading pools and a water slide. As we discussed today for the pre-school aged children enrolled in the program to be able to participate in the water day activities provided you must meet the child care requirements in the following section: 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS Reminder that screentime is prohibited for children under three years of age. You need to include the day of the fire drill and emergency drill on the Emergency Drill Log. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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.” 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. 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 sarah.upton@dhhs.nc.gov or 828-782-0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/22/2025 Number Present: 16 Completed Date: 5/22/2025 Age: From 0 To 4 Total Minutes: 210 Time In: 11:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This facility operates under a Notice of Compliance and is owned and operated by Grace Christian Academy. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator during the visit. An electronic signed copy of the visit summary was printed off and left with you. Mr. Alemany, Administrator, was available to assist with questions and paperwork needed. The program’s annual compliance visit was conducted on visit on 01/09/2025. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percentage as of 05/22/2025 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 Permit Restrictions The last fire drill was practiced in May 2025. The last shelter-in-place drill/lockdown drill was practiced in March 2025. Children were observed during indoor book time, free play, outdoor free play, and lunch, which is brought in by the parents, and preparing for nap. One (1) new teacher has been hired since your last visit Annual Compliance visit. The new teacher’s file was reviewed. The new teachers (SH) hire date was documented as 03/28/2025 qualification letter was dated 03/28/2025 and will expire on 03/28/2030, medical exam dated 01/30/2025, TB results dated 04/02/25, emergency information was dated 03/25/25, the new hire completed first aid and CPR training on 04/19/25 through American Red Cross, online and is eligible for Skills Session within 90 days, which would need to be completed by 07/19/25. (Please keep in mind that the online training does not count for First Aid/CPR training until the face to face/hands on skills test is completed). I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. During my visit today a two-year-old child was being cared for in the same classroom with an 11-month-old child. According to staff report the two-year-old child is typically cared for in the classroom for children age two-through-three years old. 10A NCAC 09 .0713(a)(5) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerators in the infant classroom and the classroom for children ages 11-month-through one-year-of-age did not have a thermometer to ensure the temperature is 45 degrees or below. 15A NCAC 18A .2806(j)(2) 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 the classroom for children ages two-through-four years of age there were cleaning sprays such as Windex and Clorox wipes being stored in an unlocked cabinet near the classroom sink. In the bathroom between the infant classroom and toddler classroom there was a bottle of bleach and a aerosol can of disinfecting spray being stored in an unlocked cabinet. .2820(b) 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. According to the staff member caring for the two (2) children under 12 months of age she does visual checks on children as they are sleeping but she does not document the checks. .0606(g) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the new staff members file it was noted that she was hired on March 28, 2025. According to the date provided on her TB test it was read on April 02, 2025. .0701(a) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. According to the only staff member observed working in the infant room caring for the two (2) children under 12-months-of-age she has not completed the required ITS/SIDS training since assuming this position om March 28, 2025. .01102 (f) 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. After review of the new staff member's file it was noted that she had not signed an acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with her prior to caring for children. .0608(d)(1-4) Technical Assistance provided as follows: Item #316 the only time children under one year of age and children two years of age and older can be cared for together in a group is the first operating hour and the last operating hour of the day as long as staff to child ratio is maintained for the youngest child present. Item #601 to ensure that children’s lunches are being stored properly and being kept at a safe temperature, a thermometer must always be in the refrigerator. I would recommend having serval on-site to quickly replace those that go missing or get misplaced. Item #840 all hazardous items must be stored appropriately. I recommended talking to staff members about the requirement of how to store hazardous items by reading the requirements below. All cleaners, disinfectants and anything in an aerosol can MUST be stored in a locked cabinet with the key being stored away form the lock. Also encourage them to do daily checks and the beginning and end of each day to ensure that all items are stored appropriately. Item#887 visual sleep checks are to be conducted at least every 15 minutes and must be documented as they occur. Item #1033 negative TB test result or the TB questionnaire must be on file on or before the first day of employment. Item #1831 when children under 12 months of age are present there must be at least one caregiver that has completed the ITS-SIDS in the classroom. This may require that you move a staff member with current ITS/SIDS training into this classroom until the current staff member can complete the training. Item #1874 All teachers must sign acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy has been reviewed with them prior to caring for children. Achieving Compliance: 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 June 05, 2025 I will be making another visit to ensure that Item#316 has been corrected. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@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 provided Today was water day for the older school aged children enrolled in the school portion of the program, which included wading pools and a water slide. As we discussed today for the pre-school aged children enrolled in the program to be able to participate in the water day activities provided you must meet the child care requirements in the following section: 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS Reminder that screentime is prohibited for children under three years of age. You need to include the day of the fire drill and emergency drill on the Emergency Drill Log. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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.” 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. 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 sarah.upton@dhhs.nc.gov or 828-782-0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/9/2025 Number Present: 15 Completed Date: 1/9/2025 Age: From 0 To 4 Total Minutes: 210 Time In: 10:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 03:00 PM 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 Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator, during the visit. A signed copy of the visit summary was left on-site. Today, Mr. Alemany, assisted me. The indoor areas were monitored today which included three (3) classrooms and the lunchroom, 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. The program’s compliance history was eighty-eight (88) percent prior to today’s visit. Permit type – GS 110-106 The last annual compliance visit was conducted on January 12, 2024. The last fire drill was practiced on December 15, 2024. The last shelter-in-place drill was practiced on December 01, 2024. The last playground inspection was documented on December 12, 2024. The last fire inspection was approved on October 02, 2024 The last sanitation inspection was conducted on December 17, 2024 with zero (0) demerits for a superior rating The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group of infants-through-one year of age involved in music and movement activity and free-play. I observed the group of three-through-four years old during an art activity and routine care needs. I observed the group of two-through-three-year-olds during a group time activity. Meals and snacks are provided by the parents. Transportation is not provided at this facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. In the classroom for children ages two-through-three years of age they were observed watching a video on a tablet/laptop. .0510(f) 1043 All staff records, except financial records, were not made available for review. One (1) staff member's (NC) records could not be located and was not availabe for review. G.S. 110-91( 9) 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. After review of four (4) staff members’ files it was noted that three (3) staff members had not completed First Aid training. Two (2) staff members had completed the online part of the class but had not completed the hands-on skills test as required. .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. After review of four (4) staff members’ files it was noted that three (3) staff members had not completed CPR training. Two (2) staff members had completed the online part of the class but had not completed the hands-on skills test as required. .1102(d) 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. After review of four (4) of five (5) staff members files it was noted that three (3) staff members had not signed acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them. .0608(d)(1-4) 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. After review of four (4) staff members’ files it was noted that three (3) staff members did not have the required medical report on file. .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. After review of four (4) of five (5) staff members files it was noted that three (3) staff members had not completed the required Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) Technical Assistance: Item 844 and Item 1043 Staff Records: All staff members must have a file on-site and available for review. I encourage you to use the Staff Records Checklist that can be located under provider documents on the Division of Child Development and Early Education website https://ncchildcare.ncdhhs.gov/ as guide to what is required and the day it due by. Item 1048 and 1049 First Aid and CPR: Online course do not count for First Aid CPR training. Staff members must complete the hands-on skills test in person for the training to be considered approved. Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance 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 January 23, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@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: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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 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 sarah.upton@dhhs.nc.gov or 828-782-0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/9/2025 Number Present: 15 Completed Date: 1/9/2025 Age: From 0 To 4 Total Minutes: 210 Time In: 10:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 03:00 PM 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 Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator, during the visit. A signed copy of the visit summary was left on-site. Today, Mr. Alemany, assisted me. The indoor areas were monitored today which included three (3) classrooms and the lunchroom, 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. The program’s compliance history was eighty-eight (88) percent prior to today’s visit. Permit type – GS 110-106 The last annual compliance visit was conducted on January 12, 2024. The last fire drill was practiced on December 15, 2024. The last shelter-in-place drill was practiced on December 01, 2024. The last playground inspection was documented on December 12, 2024. The last fire inspection was approved on October 02, 2024 The last sanitation inspection was conducted on December 17, 2024 with zero (0) demerits for a superior rating The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group of infants-through-one year of age involved in music and movement activity and free-play. I observed the group of three-through-four years old during an art activity and routine care needs. I observed the group of two-through-three-year-olds during a group time activity. Meals and snacks are provided by the parents. Transportation is not provided at this facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. In the classroom for children ages two-through-three years of age they were observed watching a video on a tablet/laptop. .0510(f) 1043 All staff records, except financial records, were not made available for review. One (1) staff member's (NC) records could not be located and was not availabe for review. G.S. 110-91( 9) 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. After review of four (4) staff members’ files it was noted that three (3) staff members had not completed First Aid training. Two (2) staff members had completed the online part of the class but had not completed the hands-on skills test as required. .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. After review of four (4) staff members’ files it was noted that three (3) staff members had not completed CPR training. Two (2) staff members had completed the online part of the class but had not completed the hands-on skills test as required. .1102(d) 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. After review of four (4) of five (5) staff members files it was noted that three (3) staff members had not signed acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them. .0608(d)(1-4) 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. After review of four (4) staff members’ files it was noted that three (3) staff members did not have the required medical report on file. .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. After review of four (4) of five (5) staff members files it was noted that three (3) staff members had not completed the required Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) Technical Assistance: Item 844 and Item 1043 Staff Records: All staff members must have a file on-site and available for review. I encourage you to use the Staff Records Checklist that can be located under provider documents on the Division of Child Development and Early Education website https://ncchildcare.ncdhhs.gov/ as guide to what is required and the day it due by. Item 1048 and 1049 First Aid and CPR: Online course do not count for First Aid CPR training. Staff members must complete the hands-on skills test in person for the training to be considered approved. Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance 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 January 23, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@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: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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 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 sarah.upton@dhhs.nc.gov or 828-782-0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/9/2025 Number Present: 15 Completed Date: 1/9/2025 Age: From 0 To 4 Total Minutes: 210 Time In: 10:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 03:00 PM 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 Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator, during the visit. A signed copy of the visit summary was left on-site. Today, Mr. Alemany, assisted me. The indoor areas were monitored today which included three (3) classrooms and the lunchroom, 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. The program’s compliance history was eighty-eight (88) percent prior to today’s visit. Permit type – GS 110-106 The last annual compliance visit was conducted on January 12, 2024. The last fire drill was practiced on December 15, 2024. The last shelter-in-place drill was practiced on December 01, 2024. The last playground inspection was documented on December 12, 2024. The last fire inspection was approved on October 02, 2024 The last sanitation inspection was conducted on December 17, 2024 with zero (0) demerits for a superior rating The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group of infants-through-one year of age involved in music and movement activity and free-play. I observed the group of three-through-four years old during an art activity and routine care needs. I observed the group of two-through-three-year-olds during a group time activity. Meals and snacks are provided by the parents. Transportation is not provided at this facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. In the classroom for children ages two-through-three years of age they were observed watching a video on a tablet/laptop. .0510(f) 1043 All staff records, except financial records, were not made available for review. One (1) staff member's (NC) records could not be located and was not availabe for review. G.S. 110-91( 9) 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. After review of four (4) staff members’ files it was noted that three (3) staff members had not completed First Aid training. Two (2) staff members had completed the online part of the class but had not completed the hands-on skills test as required. .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. After review of four (4) staff members’ files it was noted that three (3) staff members had not completed CPR training. Two (2) staff members had completed the online part of the class but had not completed the hands-on skills test as required. .1102(d) 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. After review of four (4) of five (5) staff members files it was noted that three (3) staff members had not signed acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them. .0608(d)(1-4) 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. After review of four (4) staff members’ files it was noted that three (3) staff members did not have the required medical report on file. .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. After review of four (4) of five (5) staff members files it was noted that three (3) staff members had not completed the required Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) Technical Assistance: Item 844 and Item 1043 Staff Records: All staff members must have a file on-site and available for review. I encourage you to use the Staff Records Checklist that can be located under provider documents on the Division of Child Development and Early Education website https://ncchildcare.ncdhhs.gov/ as guide to what is required and the day it due by. Item 1048 and 1049 First Aid and CPR: Online course do not count for First Aid CPR training. Staff members must complete the hands-on skills test in person for the training to be considered approved. Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance 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 January 23, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@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: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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 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 sarah.upton@dhhs.nc.gov or 828-782-0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/9/2025 Number Present: 15 Completed Date: 1/9/2025 Age: From 0 To 4 Total Minutes: 210 Time In: 10:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 03:00 PM 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 Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator, during the visit. A signed copy of the visit summary was left on-site. Today, Mr. Alemany, assisted me. The indoor areas were monitored today which included three (3) classrooms and the lunchroom, 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. The program’s compliance history was eighty-eight (88) percent prior to today’s visit. Permit type – GS 110-106 The last annual compliance visit was conducted on January 12, 2024. The last fire drill was practiced on December 15, 2024. The last shelter-in-place drill was practiced on December 01, 2024. The last playground inspection was documented on December 12, 2024. The last fire inspection was approved on October 02, 2024 The last sanitation inspection was conducted on December 17, 2024 with zero (0) demerits for a superior rating The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group of infants-through-one year of age involved in music and movement activity and free-play. I observed the group of three-through-four years old during an art activity and routine care needs. I observed the group of two-through-three-year-olds during a group time activity. Meals and snacks are provided by the parents. Transportation is not provided at this facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. In the classroom for children ages two-through-three years of age they were observed watching a video on a tablet/laptop. .0510(f) 1043 All staff records, except financial records, were not made available for review. One (1) staff member's (NC) records could not be located and was not availabe for review. G.S. 110-91( 9) 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. After review of four (4) staff members’ files it was noted that three (3) staff members had not completed First Aid training. Two (2) staff members had completed the online part of the class but had not completed the hands-on skills test as required. .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. After review of four (4) staff members’ files it was noted that three (3) staff members had not completed CPR training. Two (2) staff members had completed the online part of the class but had not completed the hands-on skills test as required. .1102(d) 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. After review of four (4) of five (5) staff members files it was noted that three (3) staff members had not signed acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them. .0608(d)(1-4) 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. After review of four (4) staff members’ files it was noted that three (3) staff members did not have the required medical report on file. .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. After review of four (4) of five (5) staff members files it was noted that three (3) staff members had not completed the required Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) Technical Assistance: Item 844 and Item 1043 Staff Records: All staff members must have a file on-site and available for review. I encourage you to use the Staff Records Checklist that can be located under provider documents on the Division of Child Development and Early Education website https://ncchildcare.ncdhhs.gov/ as guide to what is required and the day it due by. Item 1048 and 1049 First Aid and CPR: Online course do not count for First Aid CPR training. Staff members must complete the hands-on skills test in person for the training to be considered approved. Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance 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 January 23, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@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: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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 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 sarah.upton@dhhs.nc.gov or 828-782-0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/9/2025 Number Present: 15 Completed Date: 1/9/2025 Age: From 0 To 4 Total Minutes: 210 Time In: 10:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 03:00 PM 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 Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator, during the visit. A signed copy of the visit summary was left on-site. Today, Mr. Alemany, assisted me. The indoor areas were monitored today which included three (3) classrooms and the lunchroom, 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. The program’s compliance history was eighty-eight (88) percent prior to today’s visit. Permit type – GS 110-106 The last annual compliance visit was conducted on January 12, 2024. The last fire drill was practiced on December 15, 2024. The last shelter-in-place drill was practiced on December 01, 2024. The last playground inspection was documented on December 12, 2024. The last fire inspection was approved on October 02, 2024 The last sanitation inspection was conducted on December 17, 2024 with zero (0) demerits for a superior rating The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group of infants-through-one year of age involved in music and movement activity and free-play. I observed the group of three-through-four years old during an art activity and routine care needs. I observed the group of two-through-three-year-olds during a group time activity. Meals and snacks are provided by the parents. Transportation is not provided at this facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. In the classroom for children ages two-through-three years of age they were observed watching a video on a tablet/laptop. .0510(f) 1043 All staff records, except financial records, were not made available for review. One (1) staff member's (NC) records could not be located and was not availabe for review. G.S. 110-91( 9) 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. After review of four (4) staff members’ files it was noted that three (3) staff members had not completed First Aid training. Two (2) staff members had completed the online part of the class but had not completed the hands-on skills test as required. .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. After review of four (4) staff members’ files it was noted that three (3) staff members had not completed CPR training. Two (2) staff members had completed the online part of the class but had not completed the hands-on skills test as required. .1102(d) 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. After review of four (4) of five (5) staff members files it was noted that three (3) staff members had not signed acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them. .0608(d)(1-4) 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. After review of four (4) staff members’ files it was noted that three (3) staff members did not have the required medical report on file. .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. After review of four (4) of five (5) staff members files it was noted that three (3) staff members had not completed the required Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) Technical Assistance: Item 844 and Item 1043 Staff Records: All staff members must have a file on-site and available for review. I encourage you to use the Staff Records Checklist that can be located under provider documents on the Division of Child Development and Early Education website https://ncchildcare.ncdhhs.gov/ as guide to what is required and the day it due by. Item 1048 and 1049 First Aid and CPR: Online course do not count for First Aid CPR training. Staff members must complete the hands-on skills test in person for the training to be considered approved. Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance 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 January 23, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@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: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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 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 sarah.upton@dhhs.nc.gov or 828-782-0937, 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 110-106 · Violation

Name of Operation: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/9/2025 Number Present: 15 Completed Date: 1/9/2025 Age: From 0 To 4 Total Minutes: 210 Time In: 10:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 03:00 PM 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 Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator, during the visit. A signed copy of the visit summary was left on-site. Today, Mr. Alemany, assisted me. The indoor areas were monitored today which included three (3) classrooms and the lunchroom, 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. The program’s compliance history was eighty-eight (88) percent prior to today’s visit. Permit type – GS 110-106 The last annual compliance visit was conducted on January 12, 2024. The last fire drill was practiced on December 15, 2024. The last shelter-in-place drill was practiced on December 01, 2024. The last playground inspection was documented on December 12, 2024. The last fire inspection was approved on October 02, 2024 The last sanitation inspection was conducted on December 17, 2024 with zero (0) demerits for a superior rating The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group of infants-through-one year of age involved in music and movement activity and free-play. I observed the group of three-through-four years old during an art activity and routine care needs. I observed the group of two-through-three-year-olds during a group time activity. Meals and snacks are provided by the parents. Transportation is not provided at this facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. In the classroom for children ages two-through-three years of age they were observed watching a video on a tablet/laptop. .0510(f) 1043 All staff records, except financial records, were not made available for review. One (1) staff member's (NC) records could not be located and was not availabe for review. G.S. 110-91( 9) 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. After review of four (4) staff members’ files it was noted that three (3) staff members had not completed First Aid training. Two (2) staff members had completed the online part of the class but had not completed the hands-on skills test as required. .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. After review of four (4) staff members’ files it was noted that three (3) staff members had not completed CPR training. Two (2) staff members had completed the online part of the class but had not completed the hands-on skills test as required. .1102(d) 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. After review of four (4) of five (5) staff members files it was noted that three (3) staff members had not signed acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them. .0608(d)(1-4) 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. After review of four (4) staff members’ files it was noted that three (3) staff members did not have the required medical report on file. .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. After review of four (4) of five (5) staff members files it was noted that three (3) staff members had not completed the required Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) Technical Assistance: Item 844 and Item 1043 Staff Records: All staff members must have a file on-site and available for review. I encourage you to use the Staff Records Checklist that can be located under provider documents on the Division of Child Development and Early Education website https://ncchildcare.ncdhhs.gov/ as guide to what is required and the day it due by. Item 1048 and 1049 First Aid and CPR: Online course do not count for First Aid CPR training. Staff members must complete the hands-on skills test in person for the training to be considered approved. Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance 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 January 23, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@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: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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 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 sarah.upton@dhhs.nc.gov or 828-782-0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/30/2024 Number Present: 15 Completed Date: 4/30/2024 Age: From 0 To 4 Total Minutes: 90 Time In: 10:00 AM Time Out: 11:30 AM 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. This facility operates under a Notice of Compliance and is owned and operated by Grace Christian Academy. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator during the visit. An electronic signed copy of the visit summary was printed off and left with you. Mr. Alemany, Administrator was available to assist with questions and paperwork needed. The program’s annual compliance visit was conducted on visit on 01/12/2024. 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 Permit Restrictions Children were observed during indoor free play, snack and small group time. One (1) new teacher has been hired since your last visit Annual Compliance visit. The new teacher’s file was reviewed. The new teachers (AR) hire date was documented as 04/29/2024. Her qualification letter was dated 04/26/24 and will expire on 04/26/29. Medical statement and TB test were dated 04/22/2024. Emergency information was dated 04/25/24. The last fire drill was practiced on 03/23/24. The last shelter-in-place drill/lockdown drill was practiced on 03/23/24. The following violations were documented during today’s visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 4 there were three (3) electrical outlets that were uncovered with safety outlets . Two of the uncovered outlets were located to the right side of the door as you enter the classroom. One (1) outlet was located near the teacher’s desk. 10A NCAC 09 .0604(c) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. There was no one present in the room caring for the 11 month old child present that had completed ITS-SIDS training. .01102 (f) 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. The new teacher hired 04/29/2024 did not have a signed acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy had been reviewed with them prior to caring for children. .0608(d)(1-4) Technical Assistance: Item 812 all electrical outlets need to be covered when not in use or placed behind furniture or equipment that cannot be moved by a child. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE (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 Item 1831 when children under 12 months of age are present there must be at least one caregiver that has completed the ITS-SIDS in the classroom. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. According to 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 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 May 13, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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 is provided as follows: 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. 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 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 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/30/2024 Number Present: 15 Completed Date: 4/30/2024 Age: From 0 To 4 Total Minutes: 90 Time In: 10:00 AM Time Out: 11:30 AM 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. This facility operates under a Notice of Compliance and is owned and operated by Grace Christian Academy. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator during the visit. An electronic signed copy of the visit summary was printed off and left with you. Mr. Alemany, Administrator was available to assist with questions and paperwork needed. The program’s annual compliance visit was conducted on visit on 01/12/2024. 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 Permit Restrictions Children were observed during indoor free play, snack and small group time. One (1) new teacher has been hired since your last visit Annual Compliance visit. The new teacher’s file was reviewed. The new teachers (AR) hire date was documented as 04/29/2024. Her qualification letter was dated 04/26/24 and will expire on 04/26/29. Medical statement and TB test were dated 04/22/2024. Emergency information was dated 04/25/24. The last fire drill was practiced on 03/23/24. The last shelter-in-place drill/lockdown drill was practiced on 03/23/24. The following violations were documented during today’s visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 4 there were three (3) electrical outlets that were uncovered with safety outlets . Two of the uncovered outlets were located to the right side of the door as you enter the classroom. One (1) outlet was located near the teacher’s desk. 10A NCAC 09 .0604(c) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. There was no one present in the room caring for the 11 month old child present that had completed ITS-SIDS training. .01102 (f) 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. The new teacher hired 04/29/2024 did not have a signed acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy had been reviewed with them prior to caring for children. .0608(d)(1-4) Technical Assistance: Item 812 all electrical outlets need to be covered when not in use or placed behind furniture or equipment that cannot be moved by a child. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE (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 Item 1831 when children under 12 months of age are present there must be at least one caregiver that has completed the ITS-SIDS in the classroom. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. According to 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 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 May 13, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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 is provided as follows: 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. 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 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 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/30/2024 Number Present: 15 Completed Date: 4/30/2024 Age: From 0 To 4 Total Minutes: 90 Time In: 10:00 AM Time Out: 11:30 AM 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. This facility operates under a Notice of Compliance and is owned and operated by Grace Christian Academy. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator during the visit. An electronic signed copy of the visit summary was printed off and left with you. Mr. Alemany, Administrator was available to assist with questions and paperwork needed. The program’s annual compliance visit was conducted on visit on 01/12/2024. 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 Permit Restrictions Children were observed during indoor free play, snack and small group time. One (1) new teacher has been hired since your last visit Annual Compliance visit. The new teacher’s file was reviewed. The new teachers (AR) hire date was documented as 04/29/2024. Her qualification letter was dated 04/26/24 and will expire on 04/26/29. Medical statement and TB test were dated 04/22/2024. Emergency information was dated 04/25/24. The last fire drill was practiced on 03/23/24. The last shelter-in-place drill/lockdown drill was practiced on 03/23/24. The following violations were documented during today’s visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 4 there were three (3) electrical outlets that were uncovered with safety outlets . Two of the uncovered outlets were located to the right side of the door as you enter the classroom. One (1) outlet was located near the teacher’s desk. 10A NCAC 09 .0604(c) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. There was no one present in the room caring for the 11 month old child present that had completed ITS-SIDS training. .01102 (f) 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. The new teacher hired 04/29/2024 did not have a signed acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy had been reviewed with them prior to caring for children. .0608(d)(1-4) Technical Assistance: Item 812 all electrical outlets need to be covered when not in use or placed behind furniture or equipment that cannot be moved by a child. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE (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 Item 1831 when children under 12 months of age are present there must be at least one caregiver that has completed the ITS-SIDS in the classroom. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. According to 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 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 May 13, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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 is provided as follows: 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. 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 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 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/30/2024 Number Present: 15 Completed Date: 4/30/2024 Age: From 0 To 4 Total Minutes: 90 Time In: 10:00 AM Time Out: 11:30 AM 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. This facility operates under a Notice of Compliance and is owned and operated by Grace Christian Academy. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator during the visit. An electronic signed copy of the visit summary was printed off and left with you. Mr. Alemany, Administrator was available to assist with questions and paperwork needed. The program’s annual compliance visit was conducted on visit on 01/12/2024. 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 Permit Restrictions Children were observed during indoor free play, snack and small group time. One (1) new teacher has been hired since your last visit Annual Compliance visit. The new teacher’s file was reviewed. The new teachers (AR) hire date was documented as 04/29/2024. Her qualification letter was dated 04/26/24 and will expire on 04/26/29. Medical statement and TB test were dated 04/22/2024. Emergency information was dated 04/25/24. The last fire drill was practiced on 03/23/24. The last shelter-in-place drill/lockdown drill was practiced on 03/23/24. The following violations were documented during today’s visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 4 there were three (3) electrical outlets that were uncovered with safety outlets . Two of the uncovered outlets were located to the right side of the door as you enter the classroom. One (1) outlet was located near the teacher’s desk. 10A NCAC 09 .0604(c) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. There was no one present in the room caring for the 11 month old child present that had completed ITS-SIDS training. .01102 (f) 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. The new teacher hired 04/29/2024 did not have a signed acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy had been reviewed with them prior to caring for children. .0608(d)(1-4) Technical Assistance: Item 812 all electrical outlets need to be covered when not in use or placed behind furniture or equipment that cannot be moved by a child. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE (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 Item 1831 when children under 12 months of age are present there must be at least one caregiver that has completed the ITS-SIDS in the classroom. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. According to 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 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 May 13, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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 is provided as follows: 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. 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 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 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/30/2024 Number Present: 15 Completed Date: 4/30/2024 Age: From 0 To 4 Total Minutes: 90 Time In: 10:00 AM Time Out: 11:30 AM 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. This facility operates under a Notice of Compliance and is owned and operated by Grace Christian Academy. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator during the visit. An electronic signed copy of the visit summary was printed off and left with you. Mr. Alemany, Administrator was available to assist with questions and paperwork needed. The program’s annual compliance visit was conducted on visit on 01/12/2024. 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 Permit Restrictions Children were observed during indoor free play, snack and small group time. One (1) new teacher has been hired since your last visit Annual Compliance visit. The new teacher’s file was reviewed. The new teachers (AR) hire date was documented as 04/29/2024. Her qualification letter was dated 04/26/24 and will expire on 04/26/29. Medical statement and TB test were dated 04/22/2024. Emergency information was dated 04/25/24. The last fire drill was practiced on 03/23/24. The last shelter-in-place drill/lockdown drill was practiced on 03/23/24. The following violations were documented during today’s visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 4 there were three (3) electrical outlets that were uncovered with safety outlets . Two of the uncovered outlets were located to the right side of the door as you enter the classroom. One (1) outlet was located near the teacher’s desk. 10A NCAC 09 .0604(c) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. There was no one present in the room caring for the 11 month old child present that had completed ITS-SIDS training. .01102 (f) 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. The new teacher hired 04/29/2024 did not have a signed acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy had been reviewed with them prior to caring for children. .0608(d)(1-4) Technical Assistance: Item 812 all electrical outlets need to be covered when not in use or placed behind furniture or equipment that cannot be moved by a child. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE (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 Item 1831 when children under 12 months of age are present there must be at least one caregiver that has completed the ITS-SIDS in the classroom. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. According to 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 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 May 13, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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 is provided as follows: 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. 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 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 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, 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. 110-86 · Violation

Name of Operation: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/30/2024 Number Present: 15 Completed Date: 4/30/2024 Age: From 0 To 4 Total Minutes: 90 Time In: 10:00 AM Time Out: 11:30 AM 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. This facility operates under a Notice of Compliance and is owned and operated by Grace Christian Academy. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator during the visit. An electronic signed copy of the visit summary was printed off and left with you. Mr. Alemany, Administrator was available to assist with questions and paperwork needed. The program’s annual compliance visit was conducted on visit on 01/12/2024. 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 Permit Restrictions Children were observed during indoor free play, snack and small group time. One (1) new teacher has been hired since your last visit Annual Compliance visit. The new teacher’s file was reviewed. The new teachers (AR) hire date was documented as 04/29/2024. Her qualification letter was dated 04/26/24 and will expire on 04/26/29. Medical statement and TB test were dated 04/22/2024. Emergency information was dated 04/25/24. The last fire drill was practiced on 03/23/24. The last shelter-in-place drill/lockdown drill was practiced on 03/23/24. The following violations were documented during today’s visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 4 there were three (3) electrical outlets that were uncovered with safety outlets . Two of the uncovered outlets were located to the right side of the door as you enter the classroom. One (1) outlet was located near the teacher’s desk. 10A NCAC 09 .0604(c) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. There was no one present in the room caring for the 11 month old child present that had completed ITS-SIDS training. .01102 (f) 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. The new teacher hired 04/29/2024 did not have a signed acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy had been reviewed with them prior to caring for children. .0608(d)(1-4) Technical Assistance: Item 812 all electrical outlets need to be covered when not in use or placed behind furniture or equipment that cannot be moved by a child. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE (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 Item 1831 when children under 12 months of age are present there must be at least one caregiver that has completed the ITS-SIDS in the classroom. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. According to 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 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 May 13, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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 is provided as follows: 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. 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 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 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/30/2024 Number Present: 15 Completed Date: 4/30/2024 Age: From 0 To 4 Total Minutes: 90 Time In: 10:00 AM Time Out: 11:30 AM 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. This facility operates under a Notice of Compliance and is owned and operated by Grace Christian Academy. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator during the visit. An electronic signed copy of the visit summary was printed off and left with you. Mr. Alemany, Administrator was available to assist with questions and paperwork needed. The program’s annual compliance visit was conducted on visit on 01/12/2024. 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 Permit Restrictions Children were observed during indoor free play, snack and small group time. One (1) new teacher has been hired since your last visit Annual Compliance visit. The new teacher’s file was reviewed. The new teachers (AR) hire date was documented as 04/29/2024. Her qualification letter was dated 04/26/24 and will expire on 04/26/29. Medical statement and TB test were dated 04/22/2024. Emergency information was dated 04/25/24. The last fire drill was practiced on 03/23/24. The last shelter-in-place drill/lockdown drill was practiced on 03/23/24. The following violations were documented during today’s visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 4 there were three (3) electrical outlets that were uncovered with safety outlets . Two of the uncovered outlets were located to the right side of the door as you enter the classroom. One (1) outlet was located near the teacher’s desk. 10A NCAC 09 .0604(c) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. There was no one present in the room caring for the 11 month old child present that had completed ITS-SIDS training. .01102 (f) 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. The new teacher hired 04/29/2024 did not have a signed acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy had been reviewed with them prior to caring for children. .0608(d)(1-4) Technical Assistance: Item 812 all electrical outlets need to be covered when not in use or placed behind furniture or equipment that cannot be moved by a child. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE (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 Item 1831 when children under 12 months of age are present there must be at least one caregiver that has completed the ITS-SIDS in the classroom. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. According to 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 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 May 13, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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 is provided as follows: 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. 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 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 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/12/2024 Number Present: 8 Completed Date: 1/12/2024 Age: From 1 To 4 Total Minutes: 135 Time In: 11:30 AM Time Out: 01:45 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 Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Mr. Alemany, assisted me. The indoor areas were monitored today which included two classrooms and the lunchroom, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The outdoor playground areas was not monitored due to inclement weather. 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) percent as of 01/11/2024. Permit type – GS 110-106 The last annual compliance visit was conducted on January 20, 2023 The last fire drill was practiced on December 20, 2023 The last shelter-in-place drill was practiced on December 20, 2023 The last playground inspection was documented on December 12, 2023 The last fire inspection was approved on October 31, 2023 The last sanitation inspection was conducted on November 07, 2023 with two (2) demerits for a superior rating The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group with three- to five-year-old children transitioning to and from lunch. The one and two-year- old children were involved in an art activity and lunch. Meals and snacks are provided by the parents. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In the classroom for children ages one through two years of age there were two (2) electiral outlets on the back wall that were not covered. In the classroom for children ages three through four years of age there werre two (2) electriacl outlets on the back wall that were not covered and one (1) at the front of the calssroom behind the teachers desk not covered. 10A NCAC 09 .0604(c) 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 the classroom for children ages one through two years of age there were several aerosol cans of disinfectant spray stored in unlocked cabinet above the sink. .2820(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. As you reported today the faciity's EPR plan has not been reviewed with your new hire that was hired on October 19, 2023. .0607(f) Techincal Assistance: Item 812 all electrical outlets need to be covered when not in use or placed behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE (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 Item 840 all hazardous items must be stored appropriately. I recommended talking to staff members about the requirement of how to store hazardous items by reading the requirements below. All cleaners, disinfectants and anything in an aerosol can MUST be stored in a locked cabinet with the key being stored away form the lock. According to 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 January 26, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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 is provided as follows: 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. 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 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/12/2024 Number Present: 8 Completed Date: 1/12/2024 Age: From 1 To 4 Total Minutes: 135 Time In: 11:30 AM Time Out: 01:45 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 Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Mr. Alemany, assisted me. The indoor areas were monitored today which included two classrooms and the lunchroom, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The outdoor playground areas was not monitored due to inclement weather. 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) percent as of 01/11/2024. Permit type – GS 110-106 The last annual compliance visit was conducted on January 20, 2023 The last fire drill was practiced on December 20, 2023 The last shelter-in-place drill was practiced on December 20, 2023 The last playground inspection was documented on December 12, 2023 The last fire inspection was approved on October 31, 2023 The last sanitation inspection was conducted on November 07, 2023 with two (2) demerits for a superior rating The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group with three- to five-year-old children transitioning to and from lunch. The one and two-year- old children were involved in an art activity and lunch. Meals and snacks are provided by the parents. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In the classroom for children ages one through two years of age there were two (2) electiral outlets on the back wall that were not covered. In the classroom for children ages three through four years of age there werre two (2) electriacl outlets on the back wall that were not covered and one (1) at the front of the calssroom behind the teachers desk not covered. 10A NCAC 09 .0604(c) 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 the classroom for children ages one through two years of age there were several aerosol cans of disinfectant spray stored in unlocked cabinet above the sink. .2820(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. As you reported today the faciity's EPR plan has not been reviewed with your new hire that was hired on October 19, 2023. .0607(f) Techincal Assistance: Item 812 all electrical outlets need to be covered when not in use or placed behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE (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 Item 840 all hazardous items must be stored appropriately. I recommended talking to staff members about the requirement of how to store hazardous items by reading the requirements below. All cleaners, disinfectants and anything in an aerosol can MUST be stored in a locked cabinet with the key being stored away form the lock. According to 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 January 26, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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 is provided as follows: 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. 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 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/12/2024 Number Present: 8 Completed Date: 1/12/2024 Age: From 1 To 4 Total Minutes: 135 Time In: 11:30 AM Time Out: 01:45 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 Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Mr. Alemany, assisted me. The indoor areas were monitored today which included two classrooms and the lunchroom, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The outdoor playground areas was not monitored due to inclement weather. 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) percent as of 01/11/2024. Permit type – GS 110-106 The last annual compliance visit was conducted on January 20, 2023 The last fire drill was practiced on December 20, 2023 The last shelter-in-place drill was practiced on December 20, 2023 The last playground inspection was documented on December 12, 2023 The last fire inspection was approved on October 31, 2023 The last sanitation inspection was conducted on November 07, 2023 with two (2) demerits for a superior rating The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group with three- to five-year-old children transitioning to and from lunch. The one and two-year- old children were involved in an art activity and lunch. Meals and snacks are provided by the parents. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In the classroom for children ages one through two years of age there were two (2) electiral outlets on the back wall that were not covered. In the classroom for children ages three through four years of age there werre two (2) electriacl outlets on the back wall that were not covered and one (1) at the front of the calssroom behind the teachers desk not covered. 10A NCAC 09 .0604(c) 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 the classroom for children ages one through two years of age there were several aerosol cans of disinfectant spray stored in unlocked cabinet above the sink. .2820(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. As you reported today the faciity's EPR plan has not been reviewed with your new hire that was hired on October 19, 2023. .0607(f) Techincal Assistance: Item 812 all electrical outlets need to be covered when not in use or placed behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE (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 Item 840 all hazardous items must be stored appropriately. I recommended talking to staff members about the requirement of how to store hazardous items by reading the requirements below. All cleaners, disinfectants and anything in an aerosol can MUST be stored in a locked cabinet with the key being stored away form the lock. According to 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 January 26, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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 is provided as follows: 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. 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 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, 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 .0607 · Violation

Name of Operation: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/12/2024 Number Present: 8 Completed Date: 1/12/2024 Age: From 1 To 4 Total Minutes: 135 Time In: 11:30 AM Time Out: 01:45 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 Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Mr. Alemany, assisted me. The indoor areas were monitored today which included two classrooms and the lunchroom, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The outdoor playground areas was not monitored due to inclement weather. 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) percent as of 01/11/2024. Permit type – GS 110-106 The last annual compliance visit was conducted on January 20, 2023 The last fire drill was practiced on December 20, 2023 The last shelter-in-place drill was practiced on December 20, 2023 The last playground inspection was documented on December 12, 2023 The last fire inspection was approved on October 31, 2023 The last sanitation inspection was conducted on November 07, 2023 with two (2) demerits for a superior rating The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group with three- to five-year-old children transitioning to and from lunch. The one and two-year- old children were involved in an art activity and lunch. Meals and snacks are provided by the parents. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In the classroom for children ages one through two years of age there were two (2) electiral outlets on the back wall that were not covered. In the classroom for children ages three through four years of age there werre two (2) electriacl outlets on the back wall that were not covered and one (1) at the front of the calssroom behind the teachers desk not covered. 10A NCAC 09 .0604(c) 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 the classroom for children ages one through two years of age there were several aerosol cans of disinfectant spray stored in unlocked cabinet above the sink. .2820(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. As you reported today the faciity's EPR plan has not been reviewed with your new hire that was hired on October 19, 2023. .0607(f) Techincal Assistance: Item 812 all electrical outlets need to be covered when not in use or placed behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE (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 Item 840 all hazardous items must be stored appropriately. I recommended talking to staff members about the requirement of how to store hazardous items by reading the requirements below. All cleaners, disinfectants and anything in an aerosol can MUST be stored in a locked cabinet with the key being stored away form the lock. According to 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 January 26, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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 is provided as follows: 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. 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 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/12/2024 Number Present: 8 Completed Date: 1/12/2024 Age: From 1 To 4 Total Minutes: 135 Time In: 11:30 AM Time Out: 01:45 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 Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Mr. Alemany, assisted me. The indoor areas were monitored today which included two classrooms and the lunchroom, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The outdoor playground areas was not monitored due to inclement weather. 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) percent as of 01/11/2024. Permit type – GS 110-106 The last annual compliance visit was conducted on January 20, 2023 The last fire drill was practiced on December 20, 2023 The last shelter-in-place drill was practiced on December 20, 2023 The last playground inspection was documented on December 12, 2023 The last fire inspection was approved on October 31, 2023 The last sanitation inspection was conducted on November 07, 2023 with two (2) demerits for a superior rating The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group with three- to five-year-old children transitioning to and from lunch. The one and two-year- old children were involved in an art activity and lunch. Meals and snacks are provided by the parents. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In the classroom for children ages one through two years of age there were two (2) electiral outlets on the back wall that were not covered. In the classroom for children ages three through four years of age there werre two (2) electriacl outlets on the back wall that were not covered and one (1) at the front of the calssroom behind the teachers desk not covered. 10A NCAC 09 .0604(c) 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 the classroom for children ages one through two years of age there were several aerosol cans of disinfectant spray stored in unlocked cabinet above the sink. .2820(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. As you reported today the faciity's EPR plan has not been reviewed with your new hire that was hired on October 19, 2023. .0607(f) Techincal Assistance: Item 812 all electrical outlets need to be covered when not in use or placed behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE (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 Item 840 all hazardous items must be stored appropriately. I recommended talking to staff members about the requirement of how to store hazardous items by reading the requirements below. All cleaners, disinfectants and anything in an aerosol can MUST be stored in a locked cabinet with the key being stored away form the lock. According to 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 January 26, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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 is provided as follows: 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. 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 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/12/2024 Number Present: 8 Completed Date: 1/12/2024 Age: From 1 To 4 Total Minutes: 135 Time In: 11:30 AM Time Out: 01:45 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 Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Mr. Alemany, assisted me. The indoor areas were monitored today which included two classrooms and the lunchroom, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The outdoor playground areas was not monitored due to inclement weather. 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) percent as of 01/11/2024. Permit type – GS 110-106 The last annual compliance visit was conducted on January 20, 2023 The last fire drill was practiced on December 20, 2023 The last shelter-in-place drill was practiced on December 20, 2023 The last playground inspection was documented on December 12, 2023 The last fire inspection was approved on October 31, 2023 The last sanitation inspection was conducted on November 07, 2023 with two (2) demerits for a superior rating The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group with three- to five-year-old children transitioning to and from lunch. The one and two-year- old children were involved in an art activity and lunch. Meals and snacks are provided by the parents. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In the classroom for children ages one through two years of age there were two (2) electiral outlets on the back wall that were not covered. In the classroom for children ages three through four years of age there werre two (2) electriacl outlets on the back wall that were not covered and one (1) at the front of the calssroom behind the teachers desk not covered. 10A NCAC 09 .0604(c) 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 the classroom for children ages one through two years of age there were several aerosol cans of disinfectant spray stored in unlocked cabinet above the sink. .2820(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. As you reported today the faciity's EPR plan has not been reviewed with your new hire that was hired on October 19, 2023. .0607(f) Techincal Assistance: Item 812 all electrical outlets need to be covered when not in use or placed behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE (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 Item 840 all hazardous items must be stored appropriately. I recommended talking to staff members about the requirement of how to store hazardous items by reading the requirements below. All cleaners, disinfectants and anything in an aerosol can MUST be stored in a locked cabinet with the key being stored away form the lock. According to 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 January 26, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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 is provided as follows: 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. 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 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, 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: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/12/2024 Number Present: 8 Completed Date: 1/12/2024 Age: From 1 To 4 Total Minutes: 135 Time In: 11:30 AM Time Out: 01:45 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 Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Mr. Alemany, assisted me. The indoor areas were monitored today which included two classrooms and the lunchroom, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The outdoor playground areas was not monitored due to inclement weather. 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) percent as of 01/11/2024. Permit type – GS 110-106 The last annual compliance visit was conducted on January 20, 2023 The last fire drill was practiced on December 20, 2023 The last shelter-in-place drill was practiced on December 20, 2023 The last playground inspection was documented on December 12, 2023 The last fire inspection was approved on October 31, 2023 The last sanitation inspection was conducted on November 07, 2023 with two (2) demerits for a superior rating The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group with three- to five-year-old children transitioning to and from lunch. The one and two-year- old children were involved in an art activity and lunch. Meals and snacks are provided by the parents. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In the classroom for children ages one through two years of age there were two (2) electiral outlets on the back wall that were not covered. In the classroom for children ages three through four years of age there werre two (2) electriacl outlets on the back wall that were not covered and one (1) at the front of the calssroom behind the teachers desk not covered. 10A NCAC 09 .0604(c) 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 the classroom for children ages one through two years of age there were several aerosol cans of disinfectant spray stored in unlocked cabinet above the sink. .2820(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. As you reported today the faciity's EPR plan has not been reviewed with your new hire that was hired on October 19, 2023. .0607(f) Techincal Assistance: Item 812 all electrical outlets need to be covered when not in use or placed behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE (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 Item 840 all hazardous items must be stored appropriately. I recommended talking to staff members about the requirement of how to store hazardous items by reading the requirements below. All cleaners, disinfectants and anything in an aerosol can MUST be stored in a locked cabinet with the key being stored away form the lock. According to 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 January 26, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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 is provided as follows: 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. 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 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, 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 110-106 · Violation

Name of Operation: GRACE CHRISTIAN ACADEMY Facility ID: 87000041 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/12/2024 Number Present: 8 Completed Date: 1/12/2024 Age: From 1 To 4 Total Minutes: 135 Time In: 11:30 AM Time Out: 01:45 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 Sarah Upton, Child Care Consultant and also signed by Al Alemany, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Mr. Alemany, assisted me. The indoor areas were monitored today which included two classrooms and the lunchroom, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The outdoor playground areas was not monitored due to inclement weather. 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) percent as of 01/11/2024. Permit type – GS 110-106 The last annual compliance visit was conducted on January 20, 2023 The last fire drill was practiced on December 20, 2023 The last shelter-in-place drill was practiced on December 20, 2023 The last playground inspection was documented on December 12, 2023 The last fire inspection was approved on October 31, 2023 The last sanitation inspection was conducted on November 07, 2023 with two (2) demerits for a superior rating The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. I observed the group with three- to five-year-old children transitioning to and from lunch. The one and two-year- old children were involved in an art activity and lunch. Meals and snacks are provided by the parents. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In the classroom for children ages one through two years of age there were two (2) electiral outlets on the back wall that were not covered. In the classroom for children ages three through four years of age there werre two (2) electriacl outlets on the back wall that were not covered and one (1) at the front of the calssroom behind the teachers desk not covered. 10A NCAC 09 .0604(c) 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 the classroom for children ages one through two years of age there were several aerosol cans of disinfectant spray stored in unlocked cabinet above the sink. .2820(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. As you reported today the faciity's EPR plan has not been reviewed with your new hire that was hired on October 19, 2023. .0607(f) Techincal Assistance: Item 812 all electrical outlets need to be covered when not in use or placed behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE (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 Item 840 all hazardous items must be stored appropriately. I recommended talking to staff members about the requirement of how to store hazardous items by reading the requirements below. All cleaners, disinfectants and anything in an aerosol can MUST be stored in a locked cabinet with the key being stored away form the lock. According to 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 January 26, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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 is provided as follows: 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. 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 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, 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