Child Development Center First Presbyterian Church

G.S. 110-91 · Violation

Name of Operation: CHILD DEVELOPMENT CENTER FIRST PRESBYTERIAN CHURCH Facility ID: 0153874 Consultant: MONA NDIAYE Operation Type: Center Case Number: 0526-301L Visit Date: 6/2/2026 Number Present: 5 Completed Date: 6/2/2026 Age: From 1 To 1 Total Minutes: 75 Time In: 11:30 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced Upon my arrival I was greeted by the Administrator, I informed her of the reason for my visit. Children were observed playing freely outside. A report was received regarding the unsafe handling of a child on 5/15/2026. I reviewed video footage from the Toddler II classroom from that date. Rest time ends at 2:30 p.m. Near the end of rest time, around 2:20 p.m., a child was observed getting off his cot several times between 2:20 p.m. and 2:31 p.m. A teacher was seen picking the child up and returning him to the cot multiple times. Although the teacher lifted the child under his arms, the video showed her placing him back onto the cot with increasing force. During the final incident, the teacher dropped the child's blanket onto his head. The teacher was immediately removed from the classroom once the administrator became aware of the situation. The administrator spoke with the teacher about appropriate handling of children and reiterated that children’s heads must never be covered while resting. The administrator reassigned the teacher to another classroom with a more experienced staff member. The teacher completed safe handling training on 5/26/2026 and subsequently resigned on 5/28/2026. Findings The allegation regarding rough handling substantiated. The allegation regarding developmentally appropriate care is substantiated. A partial assessment of child care requirements was completed during the visit. Two violations of child care requirements were cited during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A toddler was made to stay on a cot after waking up from nap and was not given a quiet activity to do. G.S. 110-91(10) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. A toddler was forcefully put back on his cot several times towards the end of rest time. .1803(a)(1) The above violation must be corrected immediately, and a letter must be sent to me no later than June 16, 2026 stating how each item was corrected and a plan to maintain compliance with the requirement. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by June 16, 2026 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance Appropriate Handling of Children Staff should never physically force a child onto a cot or handle a child in a rough manner. Children must be redirected using developmentally appropriate practices. Technical assistance was provided regarding: • Using calm redirection and transition strategies for toddlers • Appropriate rest time expectations for one-year-olds • Recognizing developmental limitations of toddlers during nap/rest periods • Avoiding physical force when managing challenging behaviors • Monitoring staff interactions at all times, especially newly hired staff Thank you for your cooperation today. If you have questions, please contact me at 336-580-5417 or by e-mail at mona.ndiaye@dhhs.nc.gov. You can also contact my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 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: CHILD DEVELOPMENT CENTER FIRST PRESBYTERIAN CHURCH Facility ID: 0153874 Consultant: MONA NDIAYE Operation Type: Center Case Number: 0426-286L Visit Date: 4/28/2026 Number Present: 109 Completed Date: 4/28/2026 Age: From 0 To 5 Total Minutes: 70 Time In: 11:05 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate a report alleging violations of childcare requirements. The facility currently holds a Five-Star License. The most recent Annual Compliance Visit was completed on February 13, 2026. The allegations involved concerns regarding outdoor safety, supervision and health and sanitation. Upon arrival at the facility, I was greeted by the Interim Director, Omira Thompson. She remained present and cooperative throughout the visit. The purpose of the visit was explained. The children were observed eating lunch. A complaint was received alleging a three-year-old child ingested feces while in care, was left on the playground, and was found playing in what appeared to be dog feces. It was further alleged the child was changed into clothing not belonging to her and parent sought medical evaluation following the incident. Information obtained from the parent, facility self-report, and field staff indicated that on April 17, 2026, the two-year-old classroom transitioned to the playground at approximately 9:44 a.m. While outside, two children located an unknown substance later identified by the facility as animal feces. Facility documentation indicated the material was believed to be from a small wild animal. The facility reported staff recognized the substance and immediately removed children from the area, bringing the class indoors. One child’s clothing was changed due to contamination. Handwashing and hygiene care were completed after reentry indoors. The Director reported she was not notified of the incident at the time it occurred and became aware later during parent pick-up. One parent was informed at pick-up and another parent later by telephone. The parent later clarified she did not believe the child had been left unsupervised and stated the child denied ingesting the material, though parent remained concerned possible licking/contact may have occurred. An additional anonymous complaint was later received alleging improper diaper changing procedures in the toddler classroom, specifically that a staff member changed children on her lap while seated on a stool rather than utilizing the designated diaper changing surface. Findings Animal feces was present on the playground and accessible to children during outdoor play. This indicates the outdoor play area was not adequately inspected for hazards prior to use. The allegation regarding safe outdoor environment is substantiated. Available information did not support that the child was left alone or without staff supervision. Staff were reported present and responded once the hazard was recognized. The allegation regarding supervision is unsubstantiated. The Teacher in the OG toddler classroom was interviewed, and she stated she does change the children standing up and was not aware that she had to use the diaper changing table. I explained to her children in diapers must be changed on a changing table or mat on the floor. The allegation regarding health and sanitation regarding diaper changing is substantiated. A partial assessment of child care requirements was completed during the visit. Two violations of child care requirements were cited during today’s visit. Violation Number Comment Rule 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. A teacher was changing diapers of toddlers while they were standing up. 15A NCAC 18A .2819(a) & (b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Two children picked up feces of a small animal on the playground. 10A NCAC 09 .0604(p) The above violation must be corrected immediately, and a letter must be sent to me no later than May 12, 2026 stating how each item was corrected and a plan to maintain compliance with the requirement. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by May 12, 2026 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance • Conduct and document playground inspections prior to each outdoor use. The Director stated the teachers inspect the playground before letting children play. • Require immediate staff reporting of health/safety incidents to administration. • Monitor diaper changing practices for compliance with required procedures. Thank you for your cooperation today. If you have questions, please contact me at 336-580-5417 or by e-mail at mona.ndiaye@dhhs.nc.gov. You can also contact my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 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. 110-102 · Violation

Name of Operation: CHILD DEVELOPMENT CENTER FIRST PRESBYTERIAN CHURCH Facility ID: 0153874 Consultant: TIFFANY MOORE Operation Type: Center Case Number: 0326-128A Visit Date: 3/12/2026 Number Present: 97 Completed Date: 3/12/2026 Age: From 0 To 5 Total Minutes: 355 Time In: 10:35 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Davina Boldin-Woods, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Boldin-Woods and four additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. A staff member failed to post the summary of the NC Child Care Law within the facility. G.S. 110-102 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. A staff member handled a two-year-old child roughly by hitting the child’s right leg with an open hand. .1803(a)(1) Violations must be corrected immediately. Within one week, 3/19/2026, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at tiffany.d.moore@dhhs.nc.gov. You may contact me at Tiffany Moore, Investigations Consultant, 336-337-5967, tiffany.d.moore@dhhs.nc.gov or Elizabeth Nichols, North Central Investigations Team Supervisor, Elizabeth.nichols@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: CHILD DEVELOPMENT CENTER FIRST PRESBYTERIAN CHURCH Facility ID: 0153874 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 2/13/2026 Number Present: 96 Completed Date: 2/13/2026 Age: From 0 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor childcare requirements during an unannounced annual compliance visit. Upon my arrival, I was greeted by the Director, Davina Woods. She assisted me throughout the visit. I conducted a walkthrough of all classroom space documented enrollment, attendance records, and completed observations. The children were observed participating in free play and circle time. The teachers were observed interacting with the children. The last annual compliance visit was conducted on March 6, 2025. The center is currently operating with a 5-star license issued on April 9, 2021. The most recent sanitation inspection was conducted on July 9, 2025, with the center receiving a Superior rating. The last fire inspection was documented, December 17, 2025. Fire drills and playground inspections were monitored. Twelve staff files including seven new staff, were monitored along with ten children’s files. Your compliance history is currently 93% this percentage may change based on the results of today’s visit. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. I observed the following violation during today’s visit. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. In one of the classrooms for toddlers, there was no schedule posted. GS 110-91(12);.0508(a) The above violations must be corrected immediately, and a letter must be sent to me no later than February 27, 2026 stating how each item was corrected and a plan to maintain compliance with the requirement. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation and your plan to keep each item in compliance. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by February 27, 2026 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the violations have not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. QRIS The Director and I reviewed the QRIS requirements for pathway 1, I will email you the forms for Pathway 1. The center has scheduled a mock assessment for March 2026. We discussed requesting the Environment Rating Scales in summer 2026. Send me a list of all staff, the date of birth and position and age group they work with. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or 336-580-2527 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: CHILD DEVELOPMENT CENTER FIRST PRESBYTERIAN CHURCH Facility ID: 0153874 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 8/19/2024 Number Present: 68 Completed Date: 8/19/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 02:15 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to to conduct the Routine monitoring for childcare requirements. The last Annual Compliance visit was conducted on March 12, 2024. The facility operates with a Five (5) Star License issued on April 9, 2021. Kaye Adkins, Licensing Supervisor accompanied me on today’s visit. Prior to this visit we conducted an “other” visit to measure space. Upon arrival we were greeted by the Assistant Director, Cindy Lamm. The Director, Davina Woods meet with us after finishing her task. I stated the purpose of the visit and was assisted on a walkthrough of the facility. Attendance was taken and observations made. Children were observed participating in routines, nap, snack, and transitions. The last Fire Inspection was conducted on August 7, 2023, and was approved for daytime care only. The last Sanitation Inspection was conducted on April 11, 2024. The facility achieved a Superior rating. A partial assessment of applicable childcare requirements was conducted on this date. The facility license was posted, permit restrictions, supervision, staff/child ratio, and general safety. On this visit the following violations were cited: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was dated 8/7/23. 10A NCAC 09 .0304(a) The above violations must be corrected immediately, and a compliance letter sent to my office stating how you addressed/corrected the items of non-compliance. You may email the letter to anita.c.graham@dhhs.nc.gov. The electronically signed letter should be drafted on your facility letterhead, with the facility ID number and the name of your program. Please submit the letter no later than September 2, 2024. If the letter is not received by email or at her office on or before the due date, a return visit may be necessary to ensure compliance with childcare requirements. Thank you for your assistance during today’s visit. Please contact Anita Graham, Child Care Consultant at anita.c.graham@dhhs.nc.gov or Kaye Adkins, Licensing Supervisor, at kaye.adkins@dhhs.nc.gov if you have questions or need additional assistance. 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: CHILD DEVELOPMENT CENTER FIRST PRESBYTERIAN CHURCH Facility ID: 0153874 Consultant: TIFFANY MOORE Operation Type: Center Case Number: 0724-268A Visit Date: 7/26/2024 Number Present: 62 Completed Date: 7/26/2024 Age: From 0 To 5 Total Minutes: 227 Time In: 10:48 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Cynthia Lamm, staff member, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Davina Boldwin-Woods, administrator, and three additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member failed to attend to a four-year-old child in an appropriate manner or keeping with the child's developmental needs when the staff member touched the child’s mouth in response to managing a behavior. G.S. 110-91(10) Violations must be corrected immediately. Within one week, 8/2/2024, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at tiffany.d.moore@dhhs.nc.gov. You may contact me at Tiffany Moore, Investigations Consultant, 336-337-5967, tiffany.d.moore@dhhs.nc.gov or Elizabeth Nichols, North Central Investigations Team Supervisor, Elizabeth.nichols@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: CHILD DEVELOPMENT CENTER FIRST PRESBYTERIAN CHURCH Facility ID: 0153874 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 75 Completed Date: 3/12/2024 Age: From 0 To 5 Total Minutes: 262 Time In: 10:30 AM Time Out: 02:52 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct the annual compliance with rated license monitoring. The facility operates with a five-star license, which was issued on April 9, 2021. The last annual compliance visit was conducted on March 15, 2023. Upon arrival to the facility, I was greeted by the assistant administrator, Ms. Lamm. I stated the purpose of my visit. Ms. Davina Woods was on site and accompanied me on a walkthrough of the facility. Attendance was recorded and observation made. I observed the children participating in outdoor free play, indoor free play, teacher directed activities, having lunch, and resting. The last Fire Inspection was conducted on August 7, 2023 and was approved for day time and night time care. The last Sanitation Inspection was conducted on April 6, 2023. The facility achieved a Superior rating. A full assessment of child care requirements was monitored this date. The facility permit was posted, supervision, staff/child ratios, adequate/approved space were in compliance. I monitored all staff files and training. I monitored a sampling of children’s records and monitored program records. The following violations were observed, cited and technical assistance was offered. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. I observed protruding attachments which raised about an inch on Equipment used for a sandbox on the toddler playground. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In a classroom with children who are two, an aerosol can of disinfectant spray was observed in an unlocked closet. This was corrected during the visit. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A prescription medication was observed in a classroom with infants without parent signed permission to administer. .0803(12) 871 Center staff did not comply with the safe sleep policy. In a classroom with infants the staff did not record all the required information for safe sleep checks. 10A NCAC 09 .0606(a) The above violations must be corrected immediately, and a compliance letter drafted stating how you corrected the items and when the violation was corrected. The letter should be submitted on your business letterhead. Please reference the type of visit, the visit date, and the item numbers cited for the violations. Please sign and submit the letter. You may submit to my email at anita.c.graham@dhhs.nc.gov. The letter should be sent to my office no later than March 29, 2024. If the letter is not received by the stated date, a return visit may be conducted to ensure each of the violations have been corrected or addressed. Additional violations may be cited if corrections are not observed. You were provided an opportunity to ask question regarding child care requirements and we discussed each of the violations cited this date. TECHNICAL ASSISTANCE: HAZARDOUS MATERIALS- Early care and education programs should store any potentially toxic substances behind doors/cabinets with child-resistant locks/latches. A locked cabinet or room that children cannot open or enter is best, but it must be locked all the time. Storing potentially toxic substances in child-resistant containers is another level of protection. (see link). http://nrckids.org/CFOC/Database/5.2.9.1 MEDICATION/PERMISSION TO ADMINISTER - Before assuming responsibility for administration of prescription medicine, facilities must have written confirmation of orders from the prescribing health professional that includes clear, accurate instructions and medical confirmation of the child’s need for medication while in the facility. Caregivers/teachers should not administer medication based solely on a parent’s/guardian’s request. Proper labeling of medications is crucial for safety (1). Both the child’s name and the name and dose of the medication should be clear. Medications should never be removed from their original container. All containers should have child resistant packaging. Potential side-effects are usually included on prescription and OTC medications if the packaging is left. A separate consent signed by the parent/guardian for each medication the caregiver/teacher has permission to administer to the child; each consent should include the child’s name, medication, time, dose, how to give the medication, and start and end dates when it should be given; Authorization from the prescribing health professional for each prescription and non-prescription medication; this authorization should also include potential side effects and other warnings about the medication… (exception: non-prescription sunscreen and insect repellent always require parental/guardian consent but do not require instructions from each child’s individual medical provider). Information about prescription medication brought to the facility by the parents/guardians in the original, labeled container with a label that includes the child’s name, date filled, prescribing clinician’s name, pharmacy name and phone number, dosage/instructions, and relevant warnings. Potential side effects and other warnings about the medication should be listed on the authorization form. (See link) https://nrckids.org/CFOC/Database/9.4.2.6. RESOURCES: -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ -The Health and Safety Trainings are a continued offering on the DCDEE website https://ncchildcare.ncdhhs.gov/. These are free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. AGENCY NEWS: Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in child care. Therefore, it is important that you remain knowledgeable of all licensing requirements. It is always your responsibility to maintain compliance with all applicable laws and rules. The best way for you to ensure that you are meeting said requirements, is to periodically review the child care laws and rules. You can locate/access on the home page under the ‘Services’ tab. The DCDEE website is: https://ncchildcare.ncdhhs.gov. Please be advised that new child care rules went into effect in January 2024. We discussed the changes taking place at your facility. You have stated that the facility is adding four classrooms for preschool-aged children. You have stated that you have the building and fire inspections complete and are waiting for the sanitation inspection. Once those are complete, you will set up the classrooms and send the DCDEE request for approval of the spaces. You have stated that the work would be completed in phases. The spaces are out of operation and children are not allowed in the spaces at this time. The goal for the new spaces is to accommodate, at minimum, thirty-six (36) learning spaces. You have stated that you do not expect these spaces will be completed and ready for use before your rated license assessment year in 2025. RATED LICENSE ASSESSMENT STATUS We discussed the rated license process and that this facility is categorized as Cohort 1, meaning the program is approaching the end of the planning year and the assessment year begins July 1, 2024 through June 30, 2025. We discussed that after your upcoming annual compliance rated license visit, you will be given the application for assessment. Please submit the application to me and I will request the assessment. The facility operates with a five-star license, which was issued on April 9, 2021. We discussed the rated license process and that this facility is categorized as Cohort 1, meaning the program is approaching the end of the planning year and the assessment year begins July 1, 2024 through June 30, 2025. The last Environmental Rating Scale Assessment was completed on October 3, 2018 and November 19, 2018. The overall score for this facility was 5.0. The program earned six(6) points in education, six(6) points in program standards and the quality point for program option met. Please ensure that each staff member, including administration has all education transcripts uploaded to WORKS https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Also, please visit our website @ https://ncchildcare.ncdhhs.gov/ some forms have been updated, revised or added. Also ncrlap.org has videos and other helpful information on the website. Please visit, https://ncrlap.org/Resources/Uploaded_Files/Uploaded_Resources/Substantial%20portion%20of%20the%20day%20public%20resource%20%28%207-3-19%203-09-10%20PM%29.pdf Link above for information about Substantial portion of the day if needed. Thank you for your assistance during today’s visit. If you have any questions or concerns, please contact me at 336-894-0609 or e-mail me at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins at kaye.adkins@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: CHILD DEVELOPMENT CENTER FIRST PRESBYTERIAN CHURCH Facility ID: 0153874 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 75 Completed Date: 3/12/2024 Age: From 0 To 5 Total Minutes: 262 Time In: 10:30 AM Time Out: 02:52 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct the annual compliance with rated license monitoring. The facility operates with a five-star license, which was issued on April 9, 2021. The last annual compliance visit was conducted on March 15, 2023. Upon arrival to the facility, I was greeted by the assistant administrator, Ms. Lamm. I stated the purpose of my visit. Ms. Davina Woods was on site and accompanied me on a walkthrough of the facility. Attendance was recorded and observation made. I observed the children participating in outdoor free play, indoor free play, teacher directed activities, having lunch, and resting. The last Fire Inspection was conducted on August 7, 2023 and was approved for day time and night time care. The last Sanitation Inspection was conducted on April 6, 2023. The facility achieved a Superior rating. A full assessment of child care requirements was monitored this date. The facility permit was posted, supervision, staff/child ratios, adequate/approved space were in compliance. I monitored all staff files and training. I monitored a sampling of children’s records and monitored program records. The following violations were observed, cited and technical assistance was offered. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. I observed protruding attachments which raised about an inch on Equipment used for a sandbox on the toddler playground. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In a classroom with children who are two, an aerosol can of disinfectant spray was observed in an unlocked closet. This was corrected during the visit. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A prescription medication was observed in a classroom with infants without parent signed permission to administer. .0803(12) 871 Center staff did not comply with the safe sleep policy. In a classroom with infants the staff did not record all the required information for safe sleep checks. 10A NCAC 09 .0606(a) The above violations must be corrected immediately, and a compliance letter drafted stating how you corrected the items and when the violation was corrected. The letter should be submitted on your business letterhead. Please reference the type of visit, the visit date, and the item numbers cited for the violations. Please sign and submit the letter. You may submit to my email at anita.c.graham@dhhs.nc.gov. The letter should be sent to my office no later than March 29, 2024. If the letter is not received by the stated date, a return visit may be conducted to ensure each of the violations have been corrected or addressed. Additional violations may be cited if corrections are not observed. You were provided an opportunity to ask question regarding child care requirements and we discussed each of the violations cited this date. TECHNICAL ASSISTANCE: HAZARDOUS MATERIALS- Early care and education programs should store any potentially toxic substances behind doors/cabinets with child-resistant locks/latches. A locked cabinet or room that children cannot open or enter is best, but it must be locked all the time. Storing potentially toxic substances in child-resistant containers is another level of protection. (see link). http://nrckids.org/CFOC/Database/5.2.9.1 MEDICATION/PERMISSION TO ADMINISTER - Before assuming responsibility for administration of prescription medicine, facilities must have written confirmation of orders from the prescribing health professional that includes clear, accurate instructions and medical confirmation of the child’s need for medication while in the facility. Caregivers/teachers should not administer medication based solely on a parent’s/guardian’s request. Proper labeling of medications is crucial for safety (1). Both the child’s name and the name and dose of the medication should be clear. Medications should never be removed from their original container. All containers should have child resistant packaging. Potential side-effects are usually included on prescription and OTC medications if the packaging is left. A separate consent signed by the parent/guardian for each medication the caregiver/teacher has permission to administer to the child; each consent should include the child’s name, medication, time, dose, how to give the medication, and start and end dates when it should be given; Authorization from the prescribing health professional for each prescription and non-prescription medication; this authorization should also include potential side effects and other warnings about the medication… (exception: non-prescription sunscreen and insect repellent always require parental/guardian consent but do not require instructions from each child’s individual medical provider). Information about prescription medication brought to the facility by the parents/guardians in the original, labeled container with a label that includes the child’s name, date filled, prescribing clinician’s name, pharmacy name and phone number, dosage/instructions, and relevant warnings. Potential side effects and other warnings about the medication should be listed on the authorization form. (See link) https://nrckids.org/CFOC/Database/9.4.2.6. RESOURCES: -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ -The Health and Safety Trainings are a continued offering on the DCDEE website https://ncchildcare.ncdhhs.gov/. These are free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. AGENCY NEWS: Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in child care. Therefore, it is important that you remain knowledgeable of all licensing requirements. It is always your responsibility to maintain compliance with all applicable laws and rules. The best way for you to ensure that you are meeting said requirements, is to periodically review the child care laws and rules. You can locate/access on the home page under the ‘Services’ tab. The DCDEE website is: https://ncchildcare.ncdhhs.gov. Please be advised that new child care rules went into effect in January 2024. We discussed the changes taking place at your facility. You have stated that the facility is adding four classrooms for preschool-aged children. You have stated that you have the building and fire inspections complete and are waiting for the sanitation inspection. Once those are complete, you will set up the classrooms and send the DCDEE request for approval of the spaces. You have stated that the work would be completed in phases. The spaces are out of operation and children are not allowed in the spaces at this time. The goal for the new spaces is to accommodate, at minimum, thirty-six (36) learning spaces. You have stated that you do not expect these spaces will be completed and ready for use before your rated license assessment year in 2025. RATED LICENSE ASSESSMENT STATUS We discussed the rated license process and that this facility is categorized as Cohort 1, meaning the program is approaching the end of the planning year and the assessment year begins July 1, 2024 through June 30, 2025. We discussed that after your upcoming annual compliance rated license visit, you will be given the application for assessment. Please submit the application to me and I will request the assessment. The facility operates with a five-star license, which was issued on April 9, 2021. We discussed the rated license process and that this facility is categorized as Cohort 1, meaning the program is approaching the end of the planning year and the assessment year begins July 1, 2024 through June 30, 2025. The last Environmental Rating Scale Assessment was completed on October 3, 2018 and November 19, 2018. The overall score for this facility was 5.0. The program earned six(6) points in education, six(6) points in program standards and the quality point for program option met. Please ensure that each staff member, including administration has all education transcripts uploaded to WORKS https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Also, please visit our website @ https://ncchildcare.ncdhhs.gov/ some forms have been updated, revised or added. Also ncrlap.org has videos and other helpful information on the website. Please visit, https://ncrlap.org/Resources/Uploaded_Files/Uploaded_Resources/Substantial%20portion%20of%20the%20day%20public%20resource%20%28%207-3-19%203-09-10%20PM%29.pdf Link above for information about Substantial portion of the day if needed. Thank you for your assistance during today’s visit. If you have any questions or concerns, please contact me at 336-894-0609 or e-mail me at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins at kaye.adkins@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