Calvary Church Child Development Center

10A NCAC 09 .0604 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 264 Completed Date: 1/7/2026 Age: From 1 To 5 Total Minutes: 340 Time In: 09:00 AM Time Out: 02:40 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 your program for compliance with applicable child care requirements for an annual compliance visit. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. The facility currently operates under G.S. 110-106 as a religious sponsored child care center. The facility’s 18-month compliance history score was 84% before today’s visit. The NC Secretary of State website was reviewed on January 5, 2026, and Calvary Church was listed as current- active. Director, Rena Belge and Staff Coordinator, Tanya Floyd, assisted us with the visit. I conducted a walk-through of the facility with the Director. The indoor and outdoor learning environments were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, circle time, free play of indoor activity areas, transitions and lunch. Lunch consisted of chicken tenders, broccoli, mixed fruit, and milk. The caregivers were interacting and meeting the developmental needs for each of the children. The last annual compliance visit was conducted January 15, 2025. The sanitation inspection was completed October 27, 2025, with a “Superior” classification. The last fire inspection was conducted on August 22, 2025, and your facility was approved for daytime care only. A lockdown drill was conducted November 2025, and the last fire drill was conducted on December 16, 2024. Ten percent of children’s records were monitored. The Staff and Training Worksheets were completed prior to today’s visit. There have been twenty new staff hired since a routine unannounced visit conducted on August 19, 2025. Files for all new staff and ten percent of existing staff files were monitored. The following violations were documented. 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 #214, two outlets on a surge protector were not covered with safety plugs. In space #220, one outlet was not covered with a safety plug. 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 space #106, two aerosol cans were stored on an open shelf. In spaces #132 and #106, glitter was stored in a cabinet. The warning labels on the glitter stated not intended for children under three years of age. .2820(b) 847 Parent's medication authorization did not include required information. In space #131, one authorization to administer diaper cream did not include when and where to apply. One authorization to administer Aveeno cream did not include when to apply. In space #130, one authorization to administer sunscreen did not include when and where to apply. One authorization to administer diaper cream did not include name of diaper cream. 10A NCAC 09 .0803(4)(6-9) 1314 Emergency information did not name child's health care professional. One child's emergency medical care information did not include a responsible party's choice of health care professional. .0802(c)(2) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before January 21, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: The following items were discussed with the Director: reviewing medical authorization forms to ensure all required information has been completed by the parent before placing the medication in the classroom, use of glitter with children under three years of age, and labeling of personal items belonging to staff. A criminal background check employee roster was reviewed. All staff have been entered and connected to the facility except for the Senior Pastor. The Assistant Director stated she hasn’t linked the Pastor yet because she was unsure of how to categorize the position. We advised the Assistant Director to categorize the position as other. A discussion was also held with the Director regarding maintenance of the playgrounds regarding gumballs, fence height, and uneven turf surfacing. DCDEE has added a new training module about Child Development. The training will provide a basic overview about child development and provide information about resources and professional agencies in North Carolina. DCDEE has also added another new training about Child Care Rule Rollout which includes new rules effective July 1, 2025. Both training modules can be found on the DCDEE Moodle Learning Platform at https://www.dcdee.moodle.nc.gov/. In-service training hours are received upon completion of the training sessions. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 264 Completed Date: 1/7/2026 Age: From 1 To 5 Total Minutes: 340 Time In: 09:00 AM Time Out: 02:40 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 your program for compliance with applicable child care requirements for an annual compliance visit. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. The facility currently operates under G.S. 110-106 as a religious sponsored child care center. The facility’s 18-month compliance history score was 84% before today’s visit. The NC Secretary of State website was reviewed on January 5, 2026, and Calvary Church was listed as current- active. Director, Rena Belge and Staff Coordinator, Tanya Floyd, assisted us with the visit. I conducted a walk-through of the facility with the Director. The indoor and outdoor learning environments were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, circle time, free play of indoor activity areas, transitions and lunch. Lunch consisted of chicken tenders, broccoli, mixed fruit, and milk. The caregivers were interacting and meeting the developmental needs for each of the children. The last annual compliance visit was conducted January 15, 2025. The sanitation inspection was completed October 27, 2025, with a “Superior” classification. The last fire inspection was conducted on August 22, 2025, and your facility was approved for daytime care only. A lockdown drill was conducted November 2025, and the last fire drill was conducted on December 16, 2024. Ten percent of children’s records were monitored. The Staff and Training Worksheets were completed prior to today’s visit. There have been twenty new staff hired since a routine unannounced visit conducted on August 19, 2025. Files for all new staff and ten percent of existing staff files were monitored. The following violations were documented. 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 #214, two outlets on a surge protector were not covered with safety plugs. In space #220, one outlet was not covered with a safety plug. 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 space #106, two aerosol cans were stored on an open shelf. In spaces #132 and #106, glitter was stored in a cabinet. The warning labels on the glitter stated not intended for children under three years of age. .2820(b) 847 Parent's medication authorization did not include required information. In space #131, one authorization to administer diaper cream did not include when and where to apply. One authorization to administer Aveeno cream did not include when to apply. In space #130, one authorization to administer sunscreen did not include when and where to apply. One authorization to administer diaper cream did not include name of diaper cream. 10A NCAC 09 .0803(4)(6-9) 1314 Emergency information did not name child's health care professional. One child's emergency medical care information did not include a responsible party's choice of health care professional. .0802(c)(2) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before January 21, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: The following items were discussed with the Director: reviewing medical authorization forms to ensure all required information has been completed by the parent before placing the medication in the classroom, use of glitter with children under three years of age, and labeling of personal items belonging to staff. A criminal background check employee roster was reviewed. All staff have been entered and connected to the facility except for the Senior Pastor. The Assistant Director stated she hasn’t linked the Pastor yet because she was unsure of how to categorize the position. We advised the Assistant Director to categorize the position as other. A discussion was also held with the Director regarding maintenance of the playgrounds regarding gumballs, fence height, and uneven turf surfacing. DCDEE has added a new training module about Child Development. The training will provide a basic overview about child development and provide information about resources and professional agencies in North Carolina. DCDEE has also added another new training about Child Care Rule Rollout which includes new rules effective July 1, 2025. Both training modules can be found on the DCDEE Moodle Learning Platform at https://www.dcdee.moodle.nc.gov/. In-service training hours are received upon completion of the training sessions. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 264 Completed Date: 1/7/2026 Age: From 1 To 5 Total Minutes: 340 Time In: 09:00 AM Time Out: 02:40 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 your program for compliance with applicable child care requirements for an annual compliance visit. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. The facility currently operates under G.S. 110-106 as a religious sponsored child care center. The facility’s 18-month compliance history score was 84% before today’s visit. The NC Secretary of State website was reviewed on January 5, 2026, and Calvary Church was listed as current- active. Director, Rena Belge and Staff Coordinator, Tanya Floyd, assisted us with the visit. I conducted a walk-through of the facility with the Director. The indoor and outdoor learning environments were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, circle time, free play of indoor activity areas, transitions and lunch. Lunch consisted of chicken tenders, broccoli, mixed fruit, and milk. The caregivers were interacting and meeting the developmental needs for each of the children. The last annual compliance visit was conducted January 15, 2025. The sanitation inspection was completed October 27, 2025, with a “Superior” classification. The last fire inspection was conducted on August 22, 2025, and your facility was approved for daytime care only. A lockdown drill was conducted November 2025, and the last fire drill was conducted on December 16, 2024. Ten percent of children’s records were monitored. The Staff and Training Worksheets were completed prior to today’s visit. There have been twenty new staff hired since a routine unannounced visit conducted on August 19, 2025. Files for all new staff and ten percent of existing staff files were monitored. The following violations were documented. 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 #214, two outlets on a surge protector were not covered with safety plugs. In space #220, one outlet was not covered with a safety plug. 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 space #106, two aerosol cans were stored on an open shelf. In spaces #132 and #106, glitter was stored in a cabinet. The warning labels on the glitter stated not intended for children under three years of age. .2820(b) 847 Parent's medication authorization did not include required information. In space #131, one authorization to administer diaper cream did not include when and where to apply. One authorization to administer Aveeno cream did not include when to apply. In space #130, one authorization to administer sunscreen did not include when and where to apply. One authorization to administer diaper cream did not include name of diaper cream. 10A NCAC 09 .0803(4)(6-9) 1314 Emergency information did not name child's health care professional. One child's emergency medical care information did not include a responsible party's choice of health care professional. .0802(c)(2) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before January 21, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: The following items were discussed with the Director: reviewing medical authorization forms to ensure all required information has been completed by the parent before placing the medication in the classroom, use of glitter with children under three years of age, and labeling of personal items belonging to staff. A criminal background check employee roster was reviewed. All staff have been entered and connected to the facility except for the Senior Pastor. The Assistant Director stated she hasn’t linked the Pastor yet because she was unsure of how to categorize the position. We advised the Assistant Director to categorize the position as other. A discussion was also held with the Director regarding maintenance of the playgrounds regarding gumballs, fence height, and uneven turf surfacing. DCDEE has added a new training module about Child Development. The training will provide a basic overview about child development and provide information about resources and professional agencies in North Carolina. DCDEE has also added another new training about Child Care Rule Rollout which includes new rules effective July 1, 2025. Both training modules can be found on the DCDEE Moodle Learning Platform at https://www.dcdee.moodle.nc.gov/. In-service training hours are received upon completion of the training sessions. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 264 Completed Date: 1/7/2026 Age: From 1 To 5 Total Minutes: 340 Time In: 09:00 AM Time Out: 02:40 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 your program for compliance with applicable child care requirements for an annual compliance visit. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. The facility currently operates under G.S. 110-106 as a religious sponsored child care center. The facility’s 18-month compliance history score was 84% before today’s visit. The NC Secretary of State website was reviewed on January 5, 2026, and Calvary Church was listed as current- active. Director, Rena Belge and Staff Coordinator, Tanya Floyd, assisted us with the visit. I conducted a walk-through of the facility with the Director. The indoor and outdoor learning environments were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, circle time, free play of indoor activity areas, transitions and lunch. Lunch consisted of chicken tenders, broccoli, mixed fruit, and milk. The caregivers were interacting and meeting the developmental needs for each of the children. The last annual compliance visit was conducted January 15, 2025. The sanitation inspection was completed October 27, 2025, with a “Superior” classification. The last fire inspection was conducted on August 22, 2025, and your facility was approved for daytime care only. A lockdown drill was conducted November 2025, and the last fire drill was conducted on December 16, 2024. Ten percent of children’s records were monitored. The Staff and Training Worksheets were completed prior to today’s visit. There have been twenty new staff hired since a routine unannounced visit conducted on August 19, 2025. Files for all new staff and ten percent of existing staff files were monitored. The following violations were documented. 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 #214, two outlets on a surge protector were not covered with safety plugs. In space #220, one outlet was not covered with a safety plug. 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 space #106, two aerosol cans were stored on an open shelf. In spaces #132 and #106, glitter was stored in a cabinet. The warning labels on the glitter stated not intended for children under three years of age. .2820(b) 847 Parent's medication authorization did not include required information. In space #131, one authorization to administer diaper cream did not include when and where to apply. One authorization to administer Aveeno cream did not include when to apply. In space #130, one authorization to administer sunscreen did not include when and where to apply. One authorization to administer diaper cream did not include name of diaper cream. 10A NCAC 09 .0803(4)(6-9) 1314 Emergency information did not name child's health care professional. One child's emergency medical care information did not include a responsible party's choice of health care professional. .0802(c)(2) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before January 21, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: The following items were discussed with the Director: reviewing medical authorization forms to ensure all required information has been completed by the parent before placing the medication in the classroom, use of glitter with children under three years of age, and labeling of personal items belonging to staff. A criminal background check employee roster was reviewed. All staff have been entered and connected to the facility except for the Senior Pastor. The Assistant Director stated she hasn’t linked the Pastor yet because she was unsure of how to categorize the position. We advised the Assistant Director to categorize the position as other. A discussion was also held with the Director regarding maintenance of the playgrounds regarding gumballs, fence height, and uneven turf surfacing. DCDEE has added a new training module about Child Development. The training will provide a basic overview about child development and provide information about resources and professional agencies in North Carolina. DCDEE has also added another new training about Child Care Rule Rollout which includes new rules effective July 1, 2025. Both training modules can be found on the DCDEE Moodle Learning Platform at https://www.dcdee.moodle.nc.gov/. In-service training hours are received upon completion of the training sessions. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 189 Completed Date: 8/19/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates a G.S. 110-106 Religious Sponsored Program. The program’s 18-month compliance history before today’s visit was 86%. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. The Director, R. Belge, assisted me with today’s visit. We conducted a walk-through of the facility, children were observed in the indoor learning environment and supervision and staff/child ratios were found to be in compliance. The children were observed participating in transitions, teacher directed activities and free choice of activity areas. The caregivers were interacting and meeting the developmental needs for each of the children. The last fire inspection was conducted on February 5, 2024. The last sanitation inspection was conducted on May 28, 2025, a “Superior” classification. A shelter in place drill was conducted on June 11, 2025, and the last fire drill was conducted on July 22, 2025. Outdoor safety checks were also monitored today and occurring monthly as required. There have been fourteen new staff members hired since the annual compliance visit was conducted on January 15, 2025. Files for the new staff members were monitored today. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training and First Aid and CPR certification. The following violations were observed today. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Verification was not on file that an approved fire inspection has been received annually. The last approved fire inspection is dated February 5, 2024. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #127, there was an unopened bag of potting soil store on the floor in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In room #111, an bottle of Zyrtec was stored in an unlocked cabinet. 15A NCAC 18A .2820(d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member had a medical report on file, however one of the required questions to be completed by a physician was not completed corrected. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff did not have verification on file of a negative TB test. .0701(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before September 2, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: It was discussed with the Director to review in detail all required documents submitted by staff or parents to confirm all information has been completed and is accurate. A discussion was held with the Director regarding an approved fire inspection. An inspection must be completed by the Fire Inspector on the Adult Day Care and Child Care Fire Inspection Report. A copy of the report must be given to the Inspector during the inspection for completion. The approved inspection must be submitted to the Child Care Consultant within one week of receipt. Staff/Child ratios regarding children one to three years of age were discussed with Director. The rule is below for your reference. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties such as cleaning, activity planning and set up, or communication with families, that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; (9) when only one caregiver is required to meet the staff/child ratio, the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; and (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. I encourage you to also utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 189 Completed Date: 8/19/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates a G.S. 110-106 Religious Sponsored Program. The program’s 18-month compliance history before today’s visit was 86%. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. The Director, R. Belge, assisted me with today’s visit. We conducted a walk-through of the facility, children were observed in the indoor learning environment and supervision and staff/child ratios were found to be in compliance. The children were observed participating in transitions, teacher directed activities and free choice of activity areas. The caregivers were interacting and meeting the developmental needs for each of the children. The last fire inspection was conducted on February 5, 2024. The last sanitation inspection was conducted on May 28, 2025, a “Superior” classification. A shelter in place drill was conducted on June 11, 2025, and the last fire drill was conducted on July 22, 2025. Outdoor safety checks were also monitored today and occurring monthly as required. There have been fourteen new staff members hired since the annual compliance visit was conducted on January 15, 2025. Files for the new staff members were monitored today. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training and First Aid and CPR certification. The following violations were observed today. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Verification was not on file that an approved fire inspection has been received annually. The last approved fire inspection is dated February 5, 2024. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #127, there was an unopened bag of potting soil store on the floor in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In room #111, an bottle of Zyrtec was stored in an unlocked cabinet. 15A NCAC 18A .2820(d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member had a medical report on file, however one of the required questions to be completed by a physician was not completed corrected. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff did not have verification on file of a negative TB test. .0701(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before September 2, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: It was discussed with the Director to review in detail all required documents submitted by staff or parents to confirm all information has been completed and is accurate. A discussion was held with the Director regarding an approved fire inspection. An inspection must be completed by the Fire Inspector on the Adult Day Care and Child Care Fire Inspection Report. A copy of the report must be given to the Inspector during the inspection for completion. The approved inspection must be submitted to the Child Care Consultant within one week of receipt. Staff/Child ratios regarding children one to three years of age were discussed with Director. The rule is below for your reference. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties such as cleaning, activity planning and set up, or communication with families, that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; (9) when only one caregiver is required to meet the staff/child ratio, the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; and (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. I encourage you to also utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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 .0713 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 189 Completed Date: 8/19/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates a G.S. 110-106 Religious Sponsored Program. The program’s 18-month compliance history before today’s visit was 86%. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. The Director, R. Belge, assisted me with today’s visit. We conducted a walk-through of the facility, children were observed in the indoor learning environment and supervision and staff/child ratios were found to be in compliance. The children were observed participating in transitions, teacher directed activities and free choice of activity areas. The caregivers were interacting and meeting the developmental needs for each of the children. The last fire inspection was conducted on February 5, 2024. The last sanitation inspection was conducted on May 28, 2025, a “Superior” classification. A shelter in place drill was conducted on June 11, 2025, and the last fire drill was conducted on July 22, 2025. Outdoor safety checks were also monitored today and occurring monthly as required. There have been fourteen new staff members hired since the annual compliance visit was conducted on January 15, 2025. Files for the new staff members were monitored today. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training and First Aid and CPR certification. The following violations were observed today. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Verification was not on file that an approved fire inspection has been received annually. The last approved fire inspection is dated February 5, 2024. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #127, there was an unopened bag of potting soil store on the floor in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In room #111, an bottle of Zyrtec was stored in an unlocked cabinet. 15A NCAC 18A .2820(d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member had a medical report on file, however one of the required questions to be completed by a physician was not completed corrected. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff did not have verification on file of a negative TB test. .0701(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before September 2, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: It was discussed with the Director to review in detail all required documents submitted by staff or parents to confirm all information has been completed and is accurate. A discussion was held with the Director regarding an approved fire inspection. An inspection must be completed by the Fire Inspector on the Adult Day Care and Child Care Fire Inspection Report. A copy of the report must be given to the Inspector during the inspection for completion. The approved inspection must be submitted to the Child Care Consultant within one week of receipt. Staff/Child ratios regarding children one to three years of age were discussed with Director. The rule is below for your reference. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties such as cleaning, activity planning and set up, or communication with families, that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; (9) when only one caregiver is required to meet the staff/child ratio, the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; and (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. I encourage you to also utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 189 Completed Date: 8/19/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates a G.S. 110-106 Religious Sponsored Program. The program’s 18-month compliance history before today’s visit was 86%. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. The Director, R. Belge, assisted me with today’s visit. We conducted a walk-through of the facility, children were observed in the indoor learning environment and supervision and staff/child ratios were found to be in compliance. The children were observed participating in transitions, teacher directed activities and free choice of activity areas. The caregivers were interacting and meeting the developmental needs for each of the children. The last fire inspection was conducted on February 5, 2024. The last sanitation inspection was conducted on May 28, 2025, a “Superior” classification. A shelter in place drill was conducted on June 11, 2025, and the last fire drill was conducted on July 22, 2025. Outdoor safety checks were also monitored today and occurring monthly as required. There have been fourteen new staff members hired since the annual compliance visit was conducted on January 15, 2025. Files for the new staff members were monitored today. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training and First Aid and CPR certification. The following violations were observed today. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Verification was not on file that an approved fire inspection has been received annually. The last approved fire inspection is dated February 5, 2024. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #127, there was an unopened bag of potting soil store on the floor in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In room #111, an bottle of Zyrtec was stored in an unlocked cabinet. 15A NCAC 18A .2820(d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member had a medical report on file, however one of the required questions to be completed by a physician was not completed corrected. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff did not have verification on file of a negative TB test. .0701(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before September 2, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: It was discussed with the Director to review in detail all required documents submitted by staff or parents to confirm all information has been completed and is accurate. A discussion was held with the Director regarding an approved fire inspection. An inspection must be completed by the Fire Inspector on the Adult Day Care and Child Care Fire Inspection Report. A copy of the report must be given to the Inspector during the inspection for completion. The approved inspection must be submitted to the Child Care Consultant within one week of receipt. Staff/Child ratios regarding children one to three years of age were discussed with Director. The rule is below for your reference. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties such as cleaning, activity planning and set up, or communication with families, that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; (9) when only one caregiver is required to meet the staff/child ratio, the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; and (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. I encourage you to also utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 189 Completed Date: 8/19/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates a G.S. 110-106 Religious Sponsored Program. The program’s 18-month compliance history before today’s visit was 86%. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. The Director, R. Belge, assisted me with today’s visit. We conducted a walk-through of the facility, children were observed in the indoor learning environment and supervision and staff/child ratios were found to be in compliance. The children were observed participating in transitions, teacher directed activities and free choice of activity areas. The caregivers were interacting and meeting the developmental needs for each of the children. The last fire inspection was conducted on February 5, 2024. The last sanitation inspection was conducted on May 28, 2025, a “Superior” classification. A shelter in place drill was conducted on June 11, 2025, and the last fire drill was conducted on July 22, 2025. Outdoor safety checks were also monitored today and occurring monthly as required. There have been fourteen new staff members hired since the annual compliance visit was conducted on January 15, 2025. Files for the new staff members were monitored today. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training and First Aid and CPR certification. The following violations were observed today. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Verification was not on file that an approved fire inspection has been received annually. The last approved fire inspection is dated February 5, 2024. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #127, there was an unopened bag of potting soil store on the floor in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In room #111, an bottle of Zyrtec was stored in an unlocked cabinet. 15A NCAC 18A .2820(d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member had a medical report on file, however one of the required questions to be completed by a physician was not completed corrected. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff did not have verification on file of a negative TB test. .0701(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before September 2, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: It was discussed with the Director to review in detail all required documents submitted by staff or parents to confirm all information has been completed and is accurate. A discussion was held with the Director regarding an approved fire inspection. An inspection must be completed by the Fire Inspector on the Adult Day Care and Child Care Fire Inspection Report. A copy of the report must be given to the Inspector during the inspection for completion. The approved inspection must be submitted to the Child Care Consultant within one week of receipt. Staff/Child ratios regarding children one to three years of age were discussed with Director. The rule is below for your reference. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties such as cleaning, activity planning and set up, or communication with families, that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; (9) when only one caregiver is required to meet the staff/child ratio, the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; and (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. I encourage you to also utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 189 Completed Date: 8/19/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates a G.S. 110-106 Religious Sponsored Program. The program’s 18-month compliance history before today’s visit was 86%. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. The Director, R. Belge, assisted me with today’s visit. We conducted a walk-through of the facility, children were observed in the indoor learning environment and supervision and staff/child ratios were found to be in compliance. The children were observed participating in transitions, teacher directed activities and free choice of activity areas. The caregivers were interacting and meeting the developmental needs for each of the children. The last fire inspection was conducted on February 5, 2024. The last sanitation inspection was conducted on May 28, 2025, a “Superior” classification. A shelter in place drill was conducted on June 11, 2025, and the last fire drill was conducted on July 22, 2025. Outdoor safety checks were also monitored today and occurring monthly as required. There have been fourteen new staff members hired since the annual compliance visit was conducted on January 15, 2025. Files for the new staff members were monitored today. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training and First Aid and CPR certification. The following violations were observed today. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Verification was not on file that an approved fire inspection has been received annually. The last approved fire inspection is dated February 5, 2024. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #127, there was an unopened bag of potting soil store on the floor in an unlocked cabinet. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In room #111, an bottle of Zyrtec was stored in an unlocked cabinet. 15A NCAC 18A .2820(d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member had a medical report on file, however one of the required questions to be completed by a physician was not completed corrected. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff did not have verification on file of a negative TB test. .0701(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before September 2, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: It was discussed with the Director to review in detail all required documents submitted by staff or parents to confirm all information has been completed and is accurate. A discussion was held with the Director regarding an approved fire inspection. An inspection must be completed by the Fire Inspector on the Adult Day Care and Child Care Fire Inspection Report. A copy of the report must be given to the Inspector during the inspection for completion. The approved inspection must be submitted to the Child Care Consultant within one week of receipt. Staff/Child ratios regarding children one to three years of age were discussed with Director. The rule is below for your reference. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (1) when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; (7) when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties such as cleaning, activity planning and set up, or communication with families, that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; (8) except as provided in Subparagraph (7) of this Paragraph, staff members and child care administrators who are counted in meeting the staff/child ratios as stated in this Rule shall not concurrently perform food preparation or other duties that are not direct child care responsibilities; (9) when only one caregiver is required to meet the staff/child ratio, the center shall post the name, address, and telephone number of an adult who has agreed in writing to be available to provide emergency relief; and (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. I encourage you to also utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: 0325-234L Visit Date: 4/1/2025 Number Present: 253 Completed Date: 4/1/2025 Age: From 0 To 6 Total Minutes: 425 Time In: 09:25 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 today’s visit was to investigate allegations of violations of child care requirements. Upon arrival, I was greeted by Staff Coordinator, T. Floyd. I stated the reason for the visit. Ms. Floyd stated that the Director, R. Belge, was out of town for the week. Additional information received indicated there were concerns regarding indoor temperatures, safe environment, and nurture, care and treatment. Allegations were discussed with the Staff Coordinator, Director of Operations and Security, Facilities Manager and ten Teachers. Indoor Temperatures- The facility has had on-going issues with heating and cooling since the church experienced a fire which occurred October 15, 2024. After the fire, the facility did not have heat or air conditioning, however, the facility was approved to reopen by fire, sanitation and the Division of Child Development and Early Education (DCDEE). Conversations regarding requirements for indoor temperatures were discussed with the Co-Directors at the time. Per Sanitation rule the indoor temperatures must remain between 65 degrees and 85 degrees. In classrooms occupied by children twelve months and younger, the temperature must remain 68 degrees to 75 degrees. It was reported during a previous visit on March 11, 2025, that the timeframe the facility was without air conditioning was approximately the end of February until March 2, 2025, however, information received indicated the issue began earlier. Today, the Director of Operations & Security clarified that issues have been on-going since October however, due to outside temperature in January the air conditioning was not needed. Outside temperatures were warmer in February and it was reported that an infrared thermometer was used to check classroom temperatures. An infrared Thermometer can read the temperature of a room by pointing it at an object in the room. The Director of Security & Operations stated that different objects were pointed at for temperature readings. It was also reported that heating and cooling is not 100% operational but temperatures are monitored as needed. The boilers are due to be replaced in June 2025 and a pump for the chillers has been ordered and will be replaced. I spoke individually with four Teachers that work on the second floor and seven Teachers that work on the first floor. First floor Teachers reported no issues with it being too warm however it was cool at times but not cold. They reported staff checking the temperatures for the classrooms. A Teacher in the infant room reported that she checked the thermometer in the classroom to make sure it was between 68 degrees and 75 degrees. The second-floor staff reported that at times it was very warm, but temperatures did not exceed 85 degrees. One Teacher reported that she brought her own thermometer to check the temperature in her classroom, but it has never exceeded 80 degrees. All staff report temperatures never been below or above required temperatures. During the visit today, the temperature on the first and second floor was anywhere from 70 degrees to 73 degrees. Safe Environment- Further concerns were regarding tripping hazards from cords when fans were in use. Fans were previously used on the second floor in an effort to help cool classrooms. Today, the Facilities Manager showed me where his staff had placed the fans. Fans were located at both entrances of a hallway and in the doorway of a classroom not used by children. Two of the fans were located near the children’s cubbies just outside of the hallway. It was reported by Teachers that the children access their cubbies a couple of times a day however, the cords were not an issue as they were placed against the wall. The fans were not in use or accessible to the children today or during the last visit on March 11, 2025. Additional information received indicated construction areas were accessible to the children. The church had been under construction for approximately the last two years. The facility has communicated with DCDEE throughout phase one and two with plans to ensure children did not have access to the areas as well as tools and potential hazardous materials. Teachers reported that children did not have access to construction areas as areas were partitioned off by a temporary wall, portable folding partitions, plastic barriers and a fenced outside area near the main entrance of the church. The Facilities Manager reported that the construction fenced area was at least seven feet tall and housed equipment and materials used for the renovations. Construction has been completed except for painting and flooring in an area adjacent to classrooms damaged by the fire. It was reported that the work should be completed this week. Today, I observed a thick plastic barrier that was across a hallway so the area cannot be accessed. I also observed a portable folding partition in front of the entrance to the hallway that can only be accessed with a key fob. The staff can access the area but only for the resource room. Additional information received regarding unlocked doors allowing church members and construction workers to enter the building and bathrooms used by children. The Facilities Manager reported that the construction company did background checks on workers and that no worker was allowed in areas where children were unless they were escorted by a staff member. It was also reported that the construction workers did not access classrooms but only an electrical room on the hallway. As previously stated, the main construction is completed except for carpeting and flooring in a small area. All classrooms are located in areas that must be accessed by a key fob. Parents and staff members have a key fob. Everyone enters the main entrance which is unlocked except for parents of children enrolled in the facility and staff. It was reported that this entrance remains locked. I observed the child care entrance locked, and a Mecklenburg County Deputy Sheriff stationed at this entrance. The church also has a security team with one person at the main entrance. All classrooms have a restroom inside the room except for classrooms located on the second floor. There are three restrooms that can be used by the children that are not located in a classroom. One on the first floor and two on the second floor. The restrooms can only be accessed with a key fob. During today’s visit, I observed signs on the doors of the restrooms located on the second floor that are used by children. The signs stated, “for Calvary Child Development Center use only”. The Staff Coordinator stated that at one time another restroom on the second floor was being used. However, it had a key fob entrance as well, but it is no longer being used. The Staff Coordinator and Teachers reported not observing church members accessing the restrooms and there are other restrooms in the building for others to use. Nurture, Care and Treatment- Concerns were received regarding one child not being served a special snack for a Valentine’s party. On February 13, 2024, a child was served a conversation heart piece of candy after using the candy pieces for a bingo game. The piece of candy given to the children was a new piece from the bag and not pieces that were used during the game. One child in the group has a peanut allergy and it was discovered by the parent of the child who was also a staff member at the time that the candy was manufactured in a facility that processes peanuts therefore the child should not have been given the candy, nor should the candy have been used for the bingo game. Previous information regarding the incident was documented in another visit summary conducted on March 11, 2025. Today, it was reported by the Teacher that on February 14, 2025, the class was served pizza, apples, strawberries and a bag of pirates booty for lunch which was also the classroom Valentine’s Day party that was organized by the room parent. This is a half day program, however, falls under the facility’s license. The parents have opted out and provide snacks/meals for their children. It was also reported that as the children left with their parents that day, they were told if they wanted to, they could take a piece of the conversation heart candy but that they were not served the candy all at one time. It was an option as they were leaving. Based on discussions with the Staff Coordinator, Director of Operations & Security, Facilities Manager, ten Teachers and my observations, there was not enough information to confirm the allegations regarding temperatures and safe environment. Based on information provided by the Teacher, the allegation regarding nurture care and treatment was confirmed. The following violation was cited and considered corrected. 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. On February 14, 2025, a group of children were offered a piece of candy for Valentine's Day. One child with a peanut allergy could not have the candy and was not offered an alternative. G.S. 110-91(10) The following technical assistance was provided: Safe Environment- There is not a child care rule that requires entrances to be locked. However, it is best practice to keep entrance doors locked to ensure the safety of the staff and children. Although, it was not observed, I reminded the Staff Coordinator that restrooms used by the children must not be used by a church member, church visitor, etc. during operating hours when children are present. Although, I did not observe fans in use, the Staff Coordinator was reminded that electrical Cords cannot be accessible to infants and toddlers. Also, when in use with older children precautions should be taken to ensure cords are not tripping hazards. Any extension cord used must be approved by the fire inspector. A conversation was held with the Staff Coordinator and Teacher regarding the use of food for activities such as art, games, etc. It is best practice to avoid use of food for activities to prevent exposure to specific foods to which the children in your care may be allergic to. Since the facility has a large number of employees, two staff meetings were held to include everyone. Staff meetings were held March 13th and 14th. I received a copy of the agenda on March 17, 2025, which included the facility’s food allergy policy, medical action plans, nutrition opt-out forms, and the emergency medical care plan. The facility’s half day program will no longer use food for activities or decorations. Food will only be served for special occasions such as holidays and birthdays. I also received a copy of an email sent to parents from the Director on March 18, 2025, as a reminder that the facility is a nut-free center and the guidelines for bringing food in for classroom celebrations. A discussion was also held regarding alternative treats or snacks for children that cannot have specific food items. A suggestion was made to provide allergy-free alternatives to ensure everyone can participate safely or consider a non-food treat for holidays and special occasions. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: 0325-012L Visit Date: 3/11/2025 Number Present: 254 Completed Date: 3/11/2025 Age: From 0 To 6 Total Minutes: 375 Time In: 10:00 AM Time Out: 04:15 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 allegations regarding child care requirements. Allegations: There is a concern regarding: Classroom temperatures Use of fans Open doors to the outside Storage of hazardous products Child given food with known allergy Adherence to the emergency medical care plan Director, R. Belge and Staff Coordinator, T. Floyd assisted me with today’s visit. Allegations were discussed with the Director, Staff Coordinator and five additional staff members. Allegation #1 regarding classroom temperatures. The Director reported the facility was without air conditioning for approximately three weeks while repair work was completed on the chillers. The time frame was approximately the end of February until March 2nd. The Director also reported that she notified A. Welch, Environmental Health Specialist, of the repair work and that the facility would be without air conditioning if needed during that time. During today’s visit, I confirmed with the Environmental Health Specialist that she had been notified. The Environmental Health Specialist reported that she reminded the Director of the required temperatures and that temperatures might be uncomfortable, but they would be compliant with operating if temperature did not exceed 85 degrees. Temperatures in classrooms where children are 12 months and younger cannot exceed 75 degrees. The Director also reported that M. Thompson, Director of Operations & Security, monitored temperatures in the building and classrooms to ensure temperatures did not exceed 85 degrees. I also spoke with the Director of Operations & Security during the visit in which he reported that temperatures were monitored with an Infrared thermometer when the outside temperatures exceeded 70 degrees. It was also reported that on those days the temperatures were monitored at least three times a day, in the morning, approximately 12:00PM and 2:30PM to 3:00PM when children were up from nap and when Teachers requested that he check. There was no written documentation of times checked or temperatures, however, it was reported by the Director that the highest temperature was 82 degrees in a couple of classrooms upstairs in the afternoon for approximately two to three days. The Director also stated the children were taken outside on the playground during this time and could have used downstairs licensed half day classrooms if needed after 1:00PM. The Director of Operations and Security stated temperatures downstairs were never an issue. The air conditioning has been fixed since March 2nd however, temperatures were monitored today throughout the downstairs and upstairs and were anywhere from 70 degrees to 72 degrees. Allegation #2 regarding the use of fans. It was reported by the Director that approximately six fans were used in hallways upstairs leading to classrooms and the fans were placed on the floor. A conservation was held with the Director and Director of Operations & Security regarding the use of fans. If fans are used, they must be mounted out of reach of children or fitted with a mesh guard to prevent access by children. During the visit, I observed a fan that was used when the repair was in process. The fan had a plastic guard over it but was not protected with a mesh guard causing accessibility to the fan. Allegation #3 regarding open doors to the outside. It was reported by the Director and Director of Operations & Security that doors to the outside were never left open, only doors leading to classroom hallways upstairs and stairwells. The Director of Operations and Security stated that he completed a walk through several times daily as well as notifying the security team to keep a closer eye on the cameras. A Mecklenburg County Deputy Sheriff is also always stationed at the main entrance of the child care facility. A security officer is located at the main entrance of the church where all visitors must sign in. Allegation #4 regarding storage of hazardous products. Additional information indicated hazards were equipment and materials related to ongoing construction. During the visit today, the main entrance and entrance to the CDC were observed as well as other areas throughout the building. No hazards were observed. Allegation #5 regarding child given food with known allergy. Prior to today’s visit, I received documentation that a teacher provided to the Director. A child was given a valentine treat by accident, and then later after reviewing the packaging on the bag by the parent, it was realized the candy was manufactured in a facility that processes peanuts and therefore the child should not have been allowed to have the candy. The Teacher reported that she checked the child’s medical action plan. However, the child did not show any signs of symptoms, but she continued to monitor until departure. It was reported by the facility’s Director and Nurse that they will be meeting with staff to remind staff of procedures for medical action plans and steps taken in the event an incident occurs. Allegation #6 adherence to the emergency medical care plan. As stated in allegation #5, a child with a peanut allergy was given a Valentine’s treat before reading the packaging. It was reported by the Teacher, Nurse, and Director that the Teacher did not notify the Nurse of the incident. The facility’s nurse is listed on the Emergency Medical Care plan as the person responsible for determining the degree of care needed. Based on discussions with the Director, additional staff, and temperatures today, the allegation regarding classroom temperatures is deemed unsubstantiated. Based on discussions with the Director, staff, and observations today the allegation regarding the use of fans is deemed substantiated. Based on discussion with the Director, staff, and observations, the allegation regarding open doors to the outside is deemed unsubstantiated. Based on observations, the allegation regarding hazardous products was deemed unsubstantiated. Based on discussion with the Director, staff, and observation of Teacher documentation the allegation regarding child given food with known allergy is deemed substantiated. Based on discussion with the Director and staff the allegation regarding adherence to the Emergency Medical Care plan was substantiated. An administrative action may be issued for any substantiation of one or more violations as a result of a complaint. The following violations were cited. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Although allergies are posted, a child was given a piece of candy that the child was allergic to. .0901(g) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. Electric fans that were not mounted out of reach or was protected from a mesh guard was used in the hallways leading to several classrooms. 10A NCAC 09 .0604(d) 873 Center staff did not follow the EMC plan. The person listed as responsible for determining level of care needed was not notified a child with a peanut allergy had eaten a piece of candy that the packaging indicated it was manufactured where peanuts are processed. 10A NCAC 09.0802(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before March 25, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: Safe Environment- As stated above the use of fans may only be used if they are mounted out of the reach of children or fitted with a mesh guard to prevent access by children. Although the fans were not being used today, discussions were held regarding requirements if used in the future. LIGHTING AND THERMAL ENVIRONMENT -All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. It was reported by the Director that parents were not notified about the air conditioning being out until a few parents asked. A conversation was held about notifying parents in the future when issues arise with heating or air conditioning so that parents are aware, can dress their child appropriately and make the decision, if possible, for other child care arrangements if they decide it’s necessary. Food Allergies/Emergency Medical Care Plan- A discussion was held with the Teacher and Director regarding medical action plans as well as following the Emergency Medical Care Plan. The Director reported that she will let me know as soon as a meeting is scheduled to review procedures for medical action plans and the Emergency Medical Care Plan. During the visit, the Director was notified that repair work in the classrooms and gross motor room damaged by the sprinkler system in October 2024 fire has been completed. We were able to walk through the area. Inspections are scheduled for tomorrow, March 12th. The Director will send me copies of approved inspections once completed. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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 09.0802 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: 0325-012L Visit Date: 3/11/2025 Number Present: 254 Completed Date: 3/11/2025 Age: From 0 To 6 Total Minutes: 375 Time In: 10:00 AM Time Out: 04:15 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 allegations regarding child care requirements. Allegations: There is a concern regarding: Classroom temperatures Use of fans Open doors to the outside Storage of hazardous products Child given food with known allergy Adherence to the emergency medical care plan Director, R. Belge and Staff Coordinator, T. Floyd assisted me with today’s visit. Allegations were discussed with the Director, Staff Coordinator and five additional staff members. Allegation #1 regarding classroom temperatures. The Director reported the facility was without air conditioning for approximately three weeks while repair work was completed on the chillers. The time frame was approximately the end of February until March 2nd. The Director also reported that she notified A. Welch, Environmental Health Specialist, of the repair work and that the facility would be without air conditioning if needed during that time. During today’s visit, I confirmed with the Environmental Health Specialist that she had been notified. The Environmental Health Specialist reported that she reminded the Director of the required temperatures and that temperatures might be uncomfortable, but they would be compliant with operating if temperature did not exceed 85 degrees. Temperatures in classrooms where children are 12 months and younger cannot exceed 75 degrees. The Director also reported that M. Thompson, Director of Operations & Security, monitored temperatures in the building and classrooms to ensure temperatures did not exceed 85 degrees. I also spoke with the Director of Operations & Security during the visit in which he reported that temperatures were monitored with an Infrared thermometer when the outside temperatures exceeded 70 degrees. It was also reported that on those days the temperatures were monitored at least three times a day, in the morning, approximately 12:00PM and 2:30PM to 3:00PM when children were up from nap and when Teachers requested that he check. There was no written documentation of times checked or temperatures, however, it was reported by the Director that the highest temperature was 82 degrees in a couple of classrooms upstairs in the afternoon for approximately two to three days. The Director also stated the children were taken outside on the playground during this time and could have used downstairs licensed half day classrooms if needed after 1:00PM. The Director of Operations and Security stated temperatures downstairs were never an issue. The air conditioning has been fixed since March 2nd however, temperatures were monitored today throughout the downstairs and upstairs and were anywhere from 70 degrees to 72 degrees. Allegation #2 regarding the use of fans. It was reported by the Director that approximately six fans were used in hallways upstairs leading to classrooms and the fans were placed on the floor. A conservation was held with the Director and Director of Operations & Security regarding the use of fans. If fans are used, they must be mounted out of reach of children or fitted with a mesh guard to prevent access by children. During the visit, I observed a fan that was used when the repair was in process. The fan had a plastic guard over it but was not protected with a mesh guard causing accessibility to the fan. Allegation #3 regarding open doors to the outside. It was reported by the Director and Director of Operations & Security that doors to the outside were never left open, only doors leading to classroom hallways upstairs and stairwells. The Director of Operations and Security stated that he completed a walk through several times daily as well as notifying the security team to keep a closer eye on the cameras. A Mecklenburg County Deputy Sheriff is also always stationed at the main entrance of the child care facility. A security officer is located at the main entrance of the church where all visitors must sign in. Allegation #4 regarding storage of hazardous products. Additional information indicated hazards were equipment and materials related to ongoing construction. During the visit today, the main entrance and entrance to the CDC were observed as well as other areas throughout the building. No hazards were observed. Allegation #5 regarding child given food with known allergy. Prior to today’s visit, I received documentation that a teacher provided to the Director. A child was given a valentine treat by accident, and then later after reviewing the packaging on the bag by the parent, it was realized the candy was manufactured in a facility that processes peanuts and therefore the child should not have been allowed to have the candy. The Teacher reported that she checked the child’s medical action plan. However, the child did not show any signs of symptoms, but she continued to monitor until departure. It was reported by the facility’s Director and Nurse that they will be meeting with staff to remind staff of procedures for medical action plans and steps taken in the event an incident occurs. Allegation #6 adherence to the emergency medical care plan. As stated in allegation #5, a child with a peanut allergy was given a Valentine’s treat before reading the packaging. It was reported by the Teacher, Nurse, and Director that the Teacher did not notify the Nurse of the incident. The facility’s nurse is listed on the Emergency Medical Care plan as the person responsible for determining the degree of care needed. Based on discussions with the Director, additional staff, and temperatures today, the allegation regarding classroom temperatures is deemed unsubstantiated. Based on discussions with the Director, staff, and observations today the allegation regarding the use of fans is deemed substantiated. Based on discussion with the Director, staff, and observations, the allegation regarding open doors to the outside is deemed unsubstantiated. Based on observations, the allegation regarding hazardous products was deemed unsubstantiated. Based on discussion with the Director, staff, and observation of Teacher documentation the allegation regarding child given food with known allergy is deemed substantiated. Based on discussion with the Director and staff the allegation regarding adherence to the Emergency Medical Care plan was substantiated. An administrative action may be issued for any substantiation of one or more violations as a result of a complaint. The following violations were cited. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Although allergies are posted, a child was given a piece of candy that the child was allergic to. .0901(g) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. Electric fans that were not mounted out of reach or was protected from a mesh guard was used in the hallways leading to several classrooms. 10A NCAC 09 .0604(d) 873 Center staff did not follow the EMC plan. The person listed as responsible for determining level of care needed was not notified a child with a peanut allergy had eaten a piece of candy that the packaging indicated it was manufactured where peanuts are processed. 10A NCAC 09.0802(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before March 25, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: Safe Environment- As stated above the use of fans may only be used if they are mounted out of the reach of children or fitted with a mesh guard to prevent access by children. Although the fans were not being used today, discussions were held regarding requirements if used in the future. LIGHTING AND THERMAL ENVIRONMENT -All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. It was reported by the Director that parents were not notified about the air conditioning being out until a few parents asked. A conversation was held about notifying parents in the future when issues arise with heating or air conditioning so that parents are aware, can dress their child appropriately and make the decision, if possible, for other child care arrangements if they decide it’s necessary. Food Allergies/Emergency Medical Care Plan- A discussion was held with the Teacher and Director regarding medical action plans as well as following the Emergency Medical Care Plan. The Director reported that she will let me know as soon as a meeting is scheduled to review procedures for medical action plans and the Emergency Medical Care Plan. During the visit, the Director was notified that repair work in the classrooms and gross motor room damaged by the sprinkler system in October 2024 fire has been completed. We were able to walk through the area. Inspections are scheduled for tomorrow, March 12th. The Director will send me copies of approved inspections once completed. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: 0325-012L Visit Date: 3/11/2025 Number Present: 254 Completed Date: 3/11/2025 Age: From 0 To 6 Total Minutes: 375 Time In: 10:00 AM Time Out: 04:15 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 allegations regarding child care requirements. Allegations: There is a concern regarding: Classroom temperatures Use of fans Open doors to the outside Storage of hazardous products Child given food with known allergy Adherence to the emergency medical care plan Director, R. Belge and Staff Coordinator, T. Floyd assisted me with today’s visit. Allegations were discussed with the Director, Staff Coordinator and five additional staff members. Allegation #1 regarding classroom temperatures. The Director reported the facility was without air conditioning for approximately three weeks while repair work was completed on the chillers. The time frame was approximately the end of February until March 2nd. The Director also reported that she notified A. Welch, Environmental Health Specialist, of the repair work and that the facility would be without air conditioning if needed during that time. During today’s visit, I confirmed with the Environmental Health Specialist that she had been notified. The Environmental Health Specialist reported that she reminded the Director of the required temperatures and that temperatures might be uncomfortable, but they would be compliant with operating if temperature did not exceed 85 degrees. Temperatures in classrooms where children are 12 months and younger cannot exceed 75 degrees. The Director also reported that M. Thompson, Director of Operations & Security, monitored temperatures in the building and classrooms to ensure temperatures did not exceed 85 degrees. I also spoke with the Director of Operations & Security during the visit in which he reported that temperatures were monitored with an Infrared thermometer when the outside temperatures exceeded 70 degrees. It was also reported that on those days the temperatures were monitored at least three times a day, in the morning, approximately 12:00PM and 2:30PM to 3:00PM when children were up from nap and when Teachers requested that he check. There was no written documentation of times checked or temperatures, however, it was reported by the Director that the highest temperature was 82 degrees in a couple of classrooms upstairs in the afternoon for approximately two to three days. The Director also stated the children were taken outside on the playground during this time and could have used downstairs licensed half day classrooms if needed after 1:00PM. The Director of Operations and Security stated temperatures downstairs were never an issue. The air conditioning has been fixed since March 2nd however, temperatures were monitored today throughout the downstairs and upstairs and were anywhere from 70 degrees to 72 degrees. Allegation #2 regarding the use of fans. It was reported by the Director that approximately six fans were used in hallways upstairs leading to classrooms and the fans were placed on the floor. A conservation was held with the Director and Director of Operations & Security regarding the use of fans. If fans are used, they must be mounted out of reach of children or fitted with a mesh guard to prevent access by children. During the visit, I observed a fan that was used when the repair was in process. The fan had a plastic guard over it but was not protected with a mesh guard causing accessibility to the fan. Allegation #3 regarding open doors to the outside. It was reported by the Director and Director of Operations & Security that doors to the outside were never left open, only doors leading to classroom hallways upstairs and stairwells. The Director of Operations and Security stated that he completed a walk through several times daily as well as notifying the security team to keep a closer eye on the cameras. A Mecklenburg County Deputy Sheriff is also always stationed at the main entrance of the child care facility. A security officer is located at the main entrance of the church where all visitors must sign in. Allegation #4 regarding storage of hazardous products. Additional information indicated hazards were equipment and materials related to ongoing construction. During the visit today, the main entrance and entrance to the CDC were observed as well as other areas throughout the building. No hazards were observed. Allegation #5 regarding child given food with known allergy. Prior to today’s visit, I received documentation that a teacher provided to the Director. A child was given a valentine treat by accident, and then later after reviewing the packaging on the bag by the parent, it was realized the candy was manufactured in a facility that processes peanuts and therefore the child should not have been allowed to have the candy. The Teacher reported that she checked the child’s medical action plan. However, the child did not show any signs of symptoms, but she continued to monitor until departure. It was reported by the facility’s Director and Nurse that they will be meeting with staff to remind staff of procedures for medical action plans and steps taken in the event an incident occurs. Allegation #6 adherence to the emergency medical care plan. As stated in allegation #5, a child with a peanut allergy was given a Valentine’s treat before reading the packaging. It was reported by the Teacher, Nurse, and Director that the Teacher did not notify the Nurse of the incident. The facility’s nurse is listed on the Emergency Medical Care plan as the person responsible for determining the degree of care needed. Based on discussions with the Director, additional staff, and temperatures today, the allegation regarding classroom temperatures is deemed unsubstantiated. Based on discussions with the Director, staff, and observations today the allegation regarding the use of fans is deemed substantiated. Based on discussion with the Director, staff, and observations, the allegation regarding open doors to the outside is deemed unsubstantiated. Based on observations, the allegation regarding hazardous products was deemed unsubstantiated. Based on discussion with the Director, staff, and observation of Teacher documentation the allegation regarding child given food with known allergy is deemed substantiated. Based on discussion with the Director and staff the allegation regarding adherence to the Emergency Medical Care plan was substantiated. An administrative action may be issued for any substantiation of one or more violations as a result of a complaint. The following violations were cited. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Although allergies are posted, a child was given a piece of candy that the child was allergic to. .0901(g) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. Electric fans that were not mounted out of reach or was protected from a mesh guard was used in the hallways leading to several classrooms. 10A NCAC 09 .0604(d) 873 Center staff did not follow the EMC plan. The person listed as responsible for determining level of care needed was not notified a child with a peanut allergy had eaten a piece of candy that the packaging indicated it was manufactured where peanuts are processed. 10A NCAC 09.0802(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before March 25, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: Safe Environment- As stated above the use of fans may only be used if they are mounted out of the reach of children or fitted with a mesh guard to prevent access by children. Although the fans were not being used today, discussions were held regarding requirements if used in the future. LIGHTING AND THERMAL ENVIRONMENT -All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. It was reported by the Director that parents were not notified about the air conditioning being out until a few parents asked. A conversation was held about notifying parents in the future when issues arise with heating or air conditioning so that parents are aware, can dress their child appropriately and make the decision, if possible, for other child care arrangements if they decide it’s necessary. Food Allergies/Emergency Medical Care Plan- A discussion was held with the Teacher and Director regarding medical action plans as well as following the Emergency Medical Care Plan. The Director reported that she will let me know as soon as a meeting is scheduled to review procedures for medical action plans and the Emergency Medical Care Plan. During the visit, the Director was notified that repair work in the classrooms and gross motor room damaged by the sprinkler system in October 2024 fire has been completed. We were able to walk through the area. Inspections are scheduled for tomorrow, March 12th. The Director will send me copies of approved inspections once completed. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 199 Completed Date: 1/15/2025 Age: From 0 To 6 Total Minutes: 325 Time In: 09:00 AM Time Out: 02:25 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 your program for compliance with applicable child care requirements for an annual compliance visit. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. The facility currently operates under G.S. 110-106 as a religious sponsored child care center. The facility’s 18-month compliance history score was 78% before today’s visit. The NC Secretary of State website was reviewed on January 13, 2025, and Calvary Church was listed as current- active. Director, Rena Belge and Staff Coordinator, Tanya Floyd assisted us with the visit. A walk-through of the facility was conducted with the Director. The indoor and outdoor learning environments were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, circle time, free play of indoor activity areas, transitions and lunch. Lunch consisted of macaroni and cheese, broccoli, peaches, bread and milk. The caregivers were interacting and meeting the developmental needs for each of the children. The last annual compliance visit was conducted January 23, 2024. The sanitation inspection was completed November 11, 2024 with a “Superior” classification. The last fire inspection was conducted on February 5, 2024, and your facility was approved for daytime care only. A shelter-in-place drill was conducted on December 3, 2024. The last fire drill was conducted on December 4, 2024. Ten percent of children’s records were monitored. The Staff and Training Worksheets were completed prior to today’s visit. There have been six new staff hired since the last routine unannounced visit conducted on October 7, 2024. Files for all new staff and ten percent of existing staff files were monitored. The following violations were documented. 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 #220, one outlet in a surge protector was not protected by a safety cover. 10A NCAC 09 .0604(c) 832 There was no written emergency medical care (EMC) plan. There was an EMC plan however, the plan was not revised to reflect changes in staff responsible during emergencies. 10A NCAC 09 .0802(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No playground inspections were completed in December of 2024. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. There was not documentation that staff had reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. On staff members medical report results were older than 12 months from the date of hire. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. On staff members TB results were older than 12 months from the date of hire. .0701(a) 1820 The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. .0607(d)(7) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before January 29, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: TB Test/Medical Report- TB test and medical reports must be completed prior to the staff member’s hire date. When a former staff member is re-hired, a negative TB test or screening and a medical report must be completed if the previous documents were more than a year old, the staff member was gone from the facility for longer than six months or if they were employed somewhere else. Playground Inspections-Verification of monthly playground inspections must be on file. The Director stated that the staff member that completes the monthly inspections was not on site today us to verify if an inspection was completed in the month of December. Emergency Medical Care Plan- The Emergency Medical Care Plan must be current and reviewed with staff at least annually or when the plan is revised. Documentation must be on file verifying the plan was reviewed with all staff. Emergency Preparedness Plan (EPR)- The EPR plan must include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/ Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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 .0802 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 199 Completed Date: 1/15/2025 Age: From 0 To 6 Total Minutes: 325 Time In: 09:00 AM Time Out: 02:25 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 your program for compliance with applicable child care requirements for an annual compliance visit. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. The facility currently operates under G.S. 110-106 as a religious sponsored child care center. The facility’s 18-month compliance history score was 78% before today’s visit. The NC Secretary of State website was reviewed on January 13, 2025, and Calvary Church was listed as current- active. Director, Rena Belge and Staff Coordinator, Tanya Floyd assisted us with the visit. A walk-through of the facility was conducted with the Director. The indoor and outdoor learning environments were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, circle time, free play of indoor activity areas, transitions and lunch. Lunch consisted of macaroni and cheese, broccoli, peaches, bread and milk. The caregivers were interacting and meeting the developmental needs for each of the children. The last annual compliance visit was conducted January 23, 2024. The sanitation inspection was completed November 11, 2024 with a “Superior” classification. The last fire inspection was conducted on February 5, 2024, and your facility was approved for daytime care only. A shelter-in-place drill was conducted on December 3, 2024. The last fire drill was conducted on December 4, 2024. Ten percent of children’s records were monitored. The Staff and Training Worksheets were completed prior to today’s visit. There have been six new staff hired since the last routine unannounced visit conducted on October 7, 2024. Files for all new staff and ten percent of existing staff files were monitored. The following violations were documented. 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 #220, one outlet in a surge protector was not protected by a safety cover. 10A NCAC 09 .0604(c) 832 There was no written emergency medical care (EMC) plan. There was an EMC plan however, the plan was not revised to reflect changes in staff responsible during emergencies. 10A NCAC 09 .0802(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No playground inspections were completed in December of 2024. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. There was not documentation that staff had reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. On staff members medical report results were older than 12 months from the date of hire. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. On staff members TB results were older than 12 months from the date of hire. .0701(a) 1820 The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. .0607(d)(7) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before January 29, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: TB Test/Medical Report- TB test and medical reports must be completed prior to the staff member’s hire date. When a former staff member is re-hired, a negative TB test or screening and a medical report must be completed if the previous documents were more than a year old, the staff member was gone from the facility for longer than six months or if they were employed somewhere else. Playground Inspections-Verification of monthly playground inspections must be on file. The Director stated that the staff member that completes the monthly inspections was not on site today us to verify if an inspection was completed in the month of December. Emergency Medical Care Plan- The Emergency Medical Care Plan must be current and reviewed with staff at least annually or when the plan is revised. Documentation must be on file verifying the plan was reviewed with all staff. Emergency Preparedness Plan (EPR)- The EPR plan must include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/ Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 199 Completed Date: 1/15/2025 Age: From 0 To 6 Total Minutes: 325 Time In: 09:00 AM Time Out: 02:25 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 your program for compliance with applicable child care requirements for an annual compliance visit. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. The facility currently operates under G.S. 110-106 as a religious sponsored child care center. The facility’s 18-month compliance history score was 78% before today’s visit. The NC Secretary of State website was reviewed on January 13, 2025, and Calvary Church was listed as current- active. Director, Rena Belge and Staff Coordinator, Tanya Floyd assisted us with the visit. A walk-through of the facility was conducted with the Director. The indoor and outdoor learning environments were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, circle time, free play of indoor activity areas, transitions and lunch. Lunch consisted of macaroni and cheese, broccoli, peaches, bread and milk. The caregivers were interacting and meeting the developmental needs for each of the children. The last annual compliance visit was conducted January 23, 2024. The sanitation inspection was completed November 11, 2024 with a “Superior” classification. The last fire inspection was conducted on February 5, 2024, and your facility was approved for daytime care only. A shelter-in-place drill was conducted on December 3, 2024. The last fire drill was conducted on December 4, 2024. Ten percent of children’s records were monitored. The Staff and Training Worksheets were completed prior to today’s visit. There have been six new staff hired since the last routine unannounced visit conducted on October 7, 2024. Files for all new staff and ten percent of existing staff files were monitored. The following violations were documented. 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 #220, one outlet in a surge protector was not protected by a safety cover. 10A NCAC 09 .0604(c) 832 There was no written emergency medical care (EMC) plan. There was an EMC plan however, the plan was not revised to reflect changes in staff responsible during emergencies. 10A NCAC 09 .0802(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No playground inspections were completed in December of 2024. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. There was not documentation that staff had reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. On staff members medical report results were older than 12 months from the date of hire. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. On staff members TB results were older than 12 months from the date of hire. .0701(a) 1820 The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. .0607(d)(7) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before January 29, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: TB Test/Medical Report- TB test and medical reports must be completed prior to the staff member’s hire date. When a former staff member is re-hired, a negative TB test or screening and a medical report must be completed if the previous documents were more than a year old, the staff member was gone from the facility for longer than six months or if they were employed somewhere else. Playground Inspections-Verification of monthly playground inspections must be on file. The Director stated that the staff member that completes the monthly inspections was not on site today us to verify if an inspection was completed in the month of December. Emergency Medical Care Plan- The Emergency Medical Care Plan must be current and reviewed with staff at least annually or when the plan is revised. Documentation must be on file verifying the plan was reviewed with all staff. Emergency Preparedness Plan (EPR)- The EPR plan must include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/ Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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 .0802 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 199 Completed Date: 1/15/2025 Age: From 0 To 6 Total Minutes: 325 Time In: 09:00 AM Time Out: 02:25 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 your program for compliance with applicable child care requirements for an annual compliance visit. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. The facility currently operates under G.S. 110-106 as a religious sponsored child care center. The facility’s 18-month compliance history score was 78% before today’s visit. The NC Secretary of State website was reviewed on January 13, 2025, and Calvary Church was listed as current- active. Director, Rena Belge and Staff Coordinator, Tanya Floyd assisted us with the visit. A walk-through of the facility was conducted with the Director. The indoor and outdoor learning environments were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, circle time, free play of indoor activity areas, transitions and lunch. Lunch consisted of macaroni and cheese, broccoli, peaches, bread and milk. The caregivers were interacting and meeting the developmental needs for each of the children. The last annual compliance visit was conducted January 23, 2024. The sanitation inspection was completed November 11, 2024 with a “Superior” classification. The last fire inspection was conducted on February 5, 2024, and your facility was approved for daytime care only. A shelter-in-place drill was conducted on December 3, 2024. The last fire drill was conducted on December 4, 2024. Ten percent of children’s records were monitored. The Staff and Training Worksheets were completed prior to today’s visit. There have been six new staff hired since the last routine unannounced visit conducted on October 7, 2024. Files for all new staff and ten percent of existing staff files were monitored. The following violations were documented. 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 #220, one outlet in a surge protector was not protected by a safety cover. 10A NCAC 09 .0604(c) 832 There was no written emergency medical care (EMC) plan. There was an EMC plan however, the plan was not revised to reflect changes in staff responsible during emergencies. 10A NCAC 09 .0802(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No playground inspections were completed in December of 2024. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. There was not documentation that staff had reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. On staff members medical report results were older than 12 months from the date of hire. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. On staff members TB results were older than 12 months from the date of hire. .0701(a) 1820 The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. .0607(d)(7) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before January 29, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: TB Test/Medical Report- TB test and medical reports must be completed prior to the staff member’s hire date. When a former staff member is re-hired, a negative TB test or screening and a medical report must be completed if the previous documents were more than a year old, the staff member was gone from the facility for longer than six months or if they were employed somewhere else. Playground Inspections-Verification of monthly playground inspections must be on file. The Director stated that the staff member that completes the monthly inspections was not on site today us to verify if an inspection was completed in the month of December. Emergency Medical Care Plan- The Emergency Medical Care Plan must be current and reviewed with staff at least annually or when the plan is revised. Documentation must be on file verifying the plan was reviewed with all staff. Emergency Preparedness Plan (EPR)- The EPR plan must include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/ Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 199 Completed Date: 1/15/2025 Age: From 0 To 6 Total Minutes: 325 Time In: 09:00 AM Time Out: 02:25 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 your program for compliance with applicable child care requirements for an annual compliance visit. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. The facility currently operates under G.S. 110-106 as a religious sponsored child care center. The facility’s 18-month compliance history score was 78% before today’s visit. The NC Secretary of State website was reviewed on January 13, 2025, and Calvary Church was listed as current- active. Director, Rena Belge and Staff Coordinator, Tanya Floyd assisted us with the visit. A walk-through of the facility was conducted with the Director. The indoor and outdoor learning environments were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, circle time, free play of indoor activity areas, transitions and lunch. Lunch consisted of macaroni and cheese, broccoli, peaches, bread and milk. The caregivers were interacting and meeting the developmental needs for each of the children. The last annual compliance visit was conducted January 23, 2024. The sanitation inspection was completed November 11, 2024 with a “Superior” classification. The last fire inspection was conducted on February 5, 2024, and your facility was approved for daytime care only. A shelter-in-place drill was conducted on December 3, 2024. The last fire drill was conducted on December 4, 2024. Ten percent of children’s records were monitored. The Staff and Training Worksheets were completed prior to today’s visit. There have been six new staff hired since the last routine unannounced visit conducted on October 7, 2024. Files for all new staff and ten percent of existing staff files were monitored. The following violations were documented. 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 #220, one outlet in a surge protector was not protected by a safety cover. 10A NCAC 09 .0604(c) 832 There was no written emergency medical care (EMC) plan. There was an EMC plan however, the plan was not revised to reflect changes in staff responsible during emergencies. 10A NCAC 09 .0802(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No playground inspections were completed in December of 2024. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. There was not documentation that staff had reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. On staff members medical report results were older than 12 months from the date of hire. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. On staff members TB results were older than 12 months from the date of hire. .0701(a) 1820 The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. .0607(d)(7) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before January 29, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: TB Test/Medical Report- TB test and medical reports must be completed prior to the staff member’s hire date. When a former staff member is re-hired, a negative TB test or screening and a medical report must be completed if the previous documents were more than a year old, the staff member was gone from the facility for longer than six months or if they were employed somewhere else. Playground Inspections-Verification of monthly playground inspections must be on file. The Director stated that the staff member that completes the monthly inspections was not on site today us to verify if an inspection was completed in the month of December. Emergency Medical Care Plan- The Emergency Medical Care Plan must be current and reviewed with staff at least annually or when the plan is revised. Documentation must be on file verifying the plan was reviewed with all staff. Emergency Preparedness Plan (EPR)- The EPR plan must include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/ Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 199 Completed Date: 1/15/2025 Age: From 0 To 6 Total Minutes: 325 Time In: 09:00 AM Time Out: 02:25 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 your program for compliance with applicable child care requirements for an annual compliance visit. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. The facility currently operates under G.S. 110-106 as a religious sponsored child care center. The facility’s 18-month compliance history score was 78% before today’s visit. The NC Secretary of State website was reviewed on January 13, 2025, and Calvary Church was listed as current- active. Director, Rena Belge and Staff Coordinator, Tanya Floyd assisted us with the visit. A walk-through of the facility was conducted with the Director. The indoor and outdoor learning environments were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, circle time, free play of indoor activity areas, transitions and lunch. Lunch consisted of macaroni and cheese, broccoli, peaches, bread and milk. The caregivers were interacting and meeting the developmental needs for each of the children. The last annual compliance visit was conducted January 23, 2024. The sanitation inspection was completed November 11, 2024 with a “Superior” classification. The last fire inspection was conducted on February 5, 2024, and your facility was approved for daytime care only. A shelter-in-place drill was conducted on December 3, 2024. The last fire drill was conducted on December 4, 2024. Ten percent of children’s records were monitored. The Staff and Training Worksheets were completed prior to today’s visit. There have been six new staff hired since the last routine unannounced visit conducted on October 7, 2024. Files for all new staff and ten percent of existing staff files were monitored. The following violations were documented. 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 #220, one outlet in a surge protector was not protected by a safety cover. 10A NCAC 09 .0604(c) 832 There was no written emergency medical care (EMC) plan. There was an EMC plan however, the plan was not revised to reflect changes in staff responsible during emergencies. 10A NCAC 09 .0802(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No playground inspections were completed in December of 2024. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. There was not documentation that staff had reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. On staff members medical report results were older than 12 months from the date of hire. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. On staff members TB results were older than 12 months from the date of hire. .0701(a) 1820 The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. .0607(d)(7) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before January 29, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: TB Test/Medical Report- TB test and medical reports must be completed prior to the staff member’s hire date. When a former staff member is re-hired, a negative TB test or screening and a medical report must be completed if the previous documents were more than a year old, the staff member was gone from the facility for longer than six months or if they were employed somewhere else. Playground Inspections-Verification of monthly playground inspections must be on file. The Director stated that the staff member that completes the monthly inspections was not on site today us to verify if an inspection was completed in the month of December. Emergency Medical Care Plan- The Emergency Medical Care Plan must be current and reviewed with staff at least annually or when the plan is revised. Documentation must be on file verifying the plan was reviewed with all staff. Emergency Preparedness Plan (EPR)- The EPR plan must include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/ Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 10/7/2024 Number Present: 241 Completed Date: 10/7/2024 Age: From 0 To 5 Total Minutes: 250 Time In: 09:00 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility currently operates under G.S. 110-1-6 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 76%. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. C. Milam, Registrar and H. Hull, Co-Director assisted us with the visit. A walk-through of the facility was conducted with Ms. Miliam. During the walk-through, I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, transitions, teacher directed activities, free choice of indoor play activities, teacher directed activities and rest time. Caregivers were observed interacting with children in a nurturing and caring manner. There have been nine new staff members hired since the annual compliance visit was conducted on January 23, 2024. Files for new staff were monitored. Existing staff files were reviewed to verify existing staff were current with criminal background checks, First Aid and CPR certification, and ITS-SIDS. The last fire inspection was conducted on February 5, 2024. The last sanitation inspection was conducted on May 1, 2024, with a “Superior” classification. The Emergency Drill log was reviewed, and drills are occurring as required. Outdoor safety checks were also monitored today and occurring monthly as required. The following violations were cited today. Violation Number Comment Rule 603 All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean and in good repair. In the bathroom of room 104 there is a broken piece of tile behind the toilet, and in room 109's bathroom was observed a cracked tile. 15A NCAC 18A .2824(a)&(b) 807 A safe indoor and outdoor environment was not provided for the children. There is a drain that is eroding on the preschool playground that has become a hazard to children if they step in it and fall. 10A NCAC 09 .0601(a) 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 room 122 one outlet is missing, in room 214 two outlets were not covered in surge protector. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of benadryl was stored not locked. 15A NCAC 18A .2820(d) 870 Medications including prescription and non-prescription items were stored above food. In room 216 and 201 Benadryl and sunscreen was stored above food. 15 A NCAC 18 A.2820(d) 1041 Prior to employment a Criminal Background Check was not completed. Six staff members started employment prior to having a CBC on file. G.S. 110-90.2(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A staff member was drinking a ice coffee out of a Dunkin cup from Dunkin Donuts .0901(i) 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. Two staff members cared for children prior to signing an acknowledgement of the required information. .0608(d)(1-4) 9999 A violation was found for which there is no item number. A purse was stored under a teachers desk and not locked as required in 15A NCAC 18A .2820(g) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violation documented must be corrected immediately. On or before October 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -A conversation was held with Ms. Milan regarding sound machines and lighting in the classrooms during rest time specifically in the infant/toddler classrooms. Lighting should be so that when visual checks are conducted you can see the rise and fall of the chest, skin color and possible overheating. Noise levels should be kept at a level so that you can hear if an infant is in distress. Based on the American Pediatric Academy sound machines should be used at a low tone and according to manufacturer’s guidelines. Multiply sound machines should not be used at the same time and cords cannot be accessible. -Criminal background qualification letters must on file prior to the staff member’s employment. The staff member cannot be on the premises without a valid qualification letter. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Prescription medications and non-prescription items must not be stored above food. A suggestion was made to keep food and medications stored in a separate cabinet. 15A NCAC 18A .2820 STORAGE -(d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. 15A NCAC 18A .2820 STORAGE Purses must be kept in locked storage or at least five feet above the floor. (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Shaken Baby Head Trauma Policy must be reviewed with staff prior to the staff member providing care for the children. 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. -A discussion was held with Ms. Hull regarding the hazard of the eroding drain on the preschool playground. It was requested that something be placed around the drain until it can be corrected to ensure children don’t fall or trip. A suggestion was made to place cones and caution tape around the drain. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Electrical outlets including those in surge protectors must be covered with safety covers. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. (d) Electric fans shall be mounted out of the reach of children or shall be fitted with a mesh guard to prevent access by children. 15A NCAC 18A .2824 FLOORS (a) In child care centers, floors and floor coverings in food preparation, food storage, utensil washing, toilet rooms, and laundry areas shall be constructed of nonabsorbent material and shall be kept clean and in good repair. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 10/7/2024 Number Present: 241 Completed Date: 10/7/2024 Age: From 0 To 5 Total Minutes: 250 Time In: 09:00 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility currently operates under G.S. 110-1-6 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 76%. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. C. Milam, Registrar and H. Hull, Co-Director assisted us with the visit. A walk-through of the facility was conducted with Ms. Miliam. During the walk-through, I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, transitions, teacher directed activities, free choice of indoor play activities, teacher directed activities and rest time. Caregivers were observed interacting with children in a nurturing and caring manner. There have been nine new staff members hired since the annual compliance visit was conducted on January 23, 2024. Files for new staff were monitored. Existing staff files were reviewed to verify existing staff were current with criminal background checks, First Aid and CPR certification, and ITS-SIDS. The last fire inspection was conducted on February 5, 2024. The last sanitation inspection was conducted on May 1, 2024, with a “Superior” classification. The Emergency Drill log was reviewed, and drills are occurring as required. Outdoor safety checks were also monitored today and occurring monthly as required. The following violations were cited today. Violation Number Comment Rule 603 All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean and in good repair. In the bathroom of room 104 there is a broken piece of tile behind the toilet, and in room 109's bathroom was observed a cracked tile. 15A NCAC 18A .2824(a)&(b) 807 A safe indoor and outdoor environment was not provided for the children. There is a drain that is eroding on the preschool playground that has become a hazard to children if they step in it and fall. 10A NCAC 09 .0601(a) 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 room 122 one outlet is missing, in room 214 two outlets were not covered in surge protector. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of benadryl was stored not locked. 15A NCAC 18A .2820(d) 870 Medications including prescription and non-prescription items were stored above food. In room 216 and 201 Benadryl and sunscreen was stored above food. 15 A NCAC 18 A.2820(d) 1041 Prior to employment a Criminal Background Check was not completed. Six staff members started employment prior to having a CBC on file. G.S. 110-90.2(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A staff member was drinking a ice coffee out of a Dunkin cup from Dunkin Donuts .0901(i) 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. Two staff members cared for children prior to signing an acknowledgement of the required information. .0608(d)(1-4) 9999 A violation was found for which there is no item number. A purse was stored under a teachers desk and not locked as required in 15A NCAC 18A .2820(g) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violation documented must be corrected immediately. On or before October 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -A conversation was held with Ms. Milan regarding sound machines and lighting in the classrooms during rest time specifically in the infant/toddler classrooms. Lighting should be so that when visual checks are conducted you can see the rise and fall of the chest, skin color and possible overheating. Noise levels should be kept at a level so that you can hear if an infant is in distress. Based on the American Pediatric Academy sound machines should be used at a low tone and according to manufacturer’s guidelines. Multiply sound machines should not be used at the same time and cords cannot be accessible. -Criminal background qualification letters must on file prior to the staff member’s employment. The staff member cannot be on the premises without a valid qualification letter. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Prescription medications and non-prescription items must not be stored above food. A suggestion was made to keep food and medications stored in a separate cabinet. 15A NCAC 18A .2820 STORAGE -(d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. 15A NCAC 18A .2820 STORAGE Purses must be kept in locked storage or at least five feet above the floor. (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Shaken Baby Head Trauma Policy must be reviewed with staff prior to the staff member providing care for the children. 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. -A discussion was held with Ms. Hull regarding the hazard of the eroding drain on the preschool playground. It was requested that something be placed around the drain until it can be corrected to ensure children don’t fall or trip. A suggestion was made to place cones and caution tape around the drain. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Electrical outlets including those in surge protectors must be covered with safety covers. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. (d) Electric fans shall be mounted out of the reach of children or shall be fitted with a mesh guard to prevent access by children. 15A NCAC 18A .2824 FLOORS (a) In child care centers, floors and floor coverings in food preparation, food storage, utensil washing, toilet rooms, and laundry areas shall be constructed of nonabsorbent material and shall be kept clean and in good repair. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 10/7/2024 Number Present: 241 Completed Date: 10/7/2024 Age: From 0 To 5 Total Minutes: 250 Time In: 09:00 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility currently operates under G.S. 110-1-6 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 76%. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. C. Milam, Registrar and H. Hull, Co-Director assisted us with the visit. A walk-through of the facility was conducted with Ms. Miliam. During the walk-through, I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, transitions, teacher directed activities, free choice of indoor play activities, teacher directed activities and rest time. Caregivers were observed interacting with children in a nurturing and caring manner. There have been nine new staff members hired since the annual compliance visit was conducted on January 23, 2024. Files for new staff were monitored. Existing staff files were reviewed to verify existing staff were current with criminal background checks, First Aid and CPR certification, and ITS-SIDS. The last fire inspection was conducted on February 5, 2024. The last sanitation inspection was conducted on May 1, 2024, with a “Superior” classification. The Emergency Drill log was reviewed, and drills are occurring as required. Outdoor safety checks were also monitored today and occurring monthly as required. The following violations were cited today. Violation Number Comment Rule 603 All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean and in good repair. In the bathroom of room 104 there is a broken piece of tile behind the toilet, and in room 109's bathroom was observed a cracked tile. 15A NCAC 18A .2824(a)&(b) 807 A safe indoor and outdoor environment was not provided for the children. There is a drain that is eroding on the preschool playground that has become a hazard to children if they step in it and fall. 10A NCAC 09 .0601(a) 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 room 122 one outlet is missing, in room 214 two outlets were not covered in surge protector. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of benadryl was stored not locked. 15A NCAC 18A .2820(d) 870 Medications including prescription and non-prescription items were stored above food. In room 216 and 201 Benadryl and sunscreen was stored above food. 15 A NCAC 18 A.2820(d) 1041 Prior to employment a Criminal Background Check was not completed. Six staff members started employment prior to having a CBC on file. G.S. 110-90.2(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A staff member was drinking a ice coffee out of a Dunkin cup from Dunkin Donuts .0901(i) 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. Two staff members cared for children prior to signing an acknowledgement of the required information. .0608(d)(1-4) 9999 A violation was found for which there is no item number. A purse was stored under a teachers desk and not locked as required in 15A NCAC 18A .2820(g) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violation documented must be corrected immediately. On or before October 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -A conversation was held with Ms. Milan regarding sound machines and lighting in the classrooms during rest time specifically in the infant/toddler classrooms. Lighting should be so that when visual checks are conducted you can see the rise and fall of the chest, skin color and possible overheating. Noise levels should be kept at a level so that you can hear if an infant is in distress. Based on the American Pediatric Academy sound machines should be used at a low tone and according to manufacturer’s guidelines. Multiply sound machines should not be used at the same time and cords cannot be accessible. -Criminal background qualification letters must on file prior to the staff member’s employment. The staff member cannot be on the premises without a valid qualification letter. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Prescription medications and non-prescription items must not be stored above food. A suggestion was made to keep food and medications stored in a separate cabinet. 15A NCAC 18A .2820 STORAGE -(d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. 15A NCAC 18A .2820 STORAGE Purses must be kept in locked storage or at least five feet above the floor. (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Shaken Baby Head Trauma Policy must be reviewed with staff prior to the staff member providing care for the children. 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. -A discussion was held with Ms. Hull regarding the hazard of the eroding drain on the preschool playground. It was requested that something be placed around the drain until it can be corrected to ensure children don’t fall or trip. A suggestion was made to place cones and caution tape around the drain. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Electrical outlets including those in surge protectors must be covered with safety covers. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. (d) Electric fans shall be mounted out of the reach of children or shall be fitted with a mesh guard to prevent access by children. 15A NCAC 18A .2824 FLOORS (a) In child care centers, floors and floor coverings in food preparation, food storage, utensil washing, toilet rooms, and laundry areas shall be constructed of nonabsorbent material and shall be kept clean and in good repair. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 10/7/2024 Number Present: 241 Completed Date: 10/7/2024 Age: From 0 To 5 Total Minutes: 250 Time In: 09:00 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility currently operates under G.S. 110-1-6 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 76%. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. C. Milam, Registrar and H. Hull, Co-Director assisted us with the visit. A walk-through of the facility was conducted with Ms. Miliam. During the walk-through, I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, transitions, teacher directed activities, free choice of indoor play activities, teacher directed activities and rest time. Caregivers were observed interacting with children in a nurturing and caring manner. There have been nine new staff members hired since the annual compliance visit was conducted on January 23, 2024. Files for new staff were monitored. Existing staff files were reviewed to verify existing staff were current with criminal background checks, First Aid and CPR certification, and ITS-SIDS. The last fire inspection was conducted on February 5, 2024. The last sanitation inspection was conducted on May 1, 2024, with a “Superior” classification. The Emergency Drill log was reviewed, and drills are occurring as required. Outdoor safety checks were also monitored today and occurring monthly as required. The following violations were cited today. Violation Number Comment Rule 603 All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean and in good repair. In the bathroom of room 104 there is a broken piece of tile behind the toilet, and in room 109's bathroom was observed a cracked tile. 15A NCAC 18A .2824(a)&(b) 807 A safe indoor and outdoor environment was not provided for the children. There is a drain that is eroding on the preschool playground that has become a hazard to children if they step in it and fall. 10A NCAC 09 .0601(a) 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 room 122 one outlet is missing, in room 214 two outlets were not covered in surge protector. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of benadryl was stored not locked. 15A NCAC 18A .2820(d) 870 Medications including prescription and non-prescription items were stored above food. In room 216 and 201 Benadryl and sunscreen was stored above food. 15 A NCAC 18 A.2820(d) 1041 Prior to employment a Criminal Background Check was not completed. Six staff members started employment prior to having a CBC on file. G.S. 110-90.2(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A staff member was drinking a ice coffee out of a Dunkin cup from Dunkin Donuts .0901(i) 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. Two staff members cared for children prior to signing an acknowledgement of the required information. .0608(d)(1-4) 9999 A violation was found for which there is no item number. A purse was stored under a teachers desk and not locked as required in 15A NCAC 18A .2820(g) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violation documented must be corrected immediately. On or before October 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -A conversation was held with Ms. Milan regarding sound machines and lighting in the classrooms during rest time specifically in the infant/toddler classrooms. Lighting should be so that when visual checks are conducted you can see the rise and fall of the chest, skin color and possible overheating. Noise levels should be kept at a level so that you can hear if an infant is in distress. Based on the American Pediatric Academy sound machines should be used at a low tone and according to manufacturer’s guidelines. Multiply sound machines should not be used at the same time and cords cannot be accessible. -Criminal background qualification letters must on file prior to the staff member’s employment. The staff member cannot be on the premises without a valid qualification letter. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Prescription medications and non-prescription items must not be stored above food. A suggestion was made to keep food and medications stored in a separate cabinet. 15A NCAC 18A .2820 STORAGE -(d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. 15A NCAC 18A .2820 STORAGE Purses must be kept in locked storage or at least five feet above the floor. (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Shaken Baby Head Trauma Policy must be reviewed with staff prior to the staff member providing care for the children. 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. -A discussion was held with Ms. Hull regarding the hazard of the eroding drain on the preschool playground. It was requested that something be placed around the drain until it can be corrected to ensure children don’t fall or trip. A suggestion was made to place cones and caution tape around the drain. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Electrical outlets including those in surge protectors must be covered with safety covers. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. (d) Electric fans shall be mounted out of the reach of children or shall be fitted with a mesh guard to prevent access by children. 15A NCAC 18A .2824 FLOORS (a) In child care centers, floors and floor coverings in food preparation, food storage, utensil washing, toilet rooms, and laundry areas shall be constructed of nonabsorbent material and shall be kept clean and in good repair. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 10/7/2024 Number Present: 241 Completed Date: 10/7/2024 Age: From 0 To 5 Total Minutes: 250 Time In: 09:00 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility currently operates under G.S. 110-1-6 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 76%. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. C. Milam, Registrar and H. Hull, Co-Director assisted us with the visit. A walk-through of the facility was conducted with Ms. Miliam. During the walk-through, I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, transitions, teacher directed activities, free choice of indoor play activities, teacher directed activities and rest time. Caregivers were observed interacting with children in a nurturing and caring manner. There have been nine new staff members hired since the annual compliance visit was conducted on January 23, 2024. Files for new staff were monitored. Existing staff files were reviewed to verify existing staff were current with criminal background checks, First Aid and CPR certification, and ITS-SIDS. The last fire inspection was conducted on February 5, 2024. The last sanitation inspection was conducted on May 1, 2024, with a “Superior” classification. The Emergency Drill log was reviewed, and drills are occurring as required. Outdoor safety checks were also monitored today and occurring monthly as required. The following violations were cited today. Violation Number Comment Rule 603 All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean and in good repair. In the bathroom of room 104 there is a broken piece of tile behind the toilet, and in room 109's bathroom was observed a cracked tile. 15A NCAC 18A .2824(a)&(b) 807 A safe indoor and outdoor environment was not provided for the children. There is a drain that is eroding on the preschool playground that has become a hazard to children if they step in it and fall. 10A NCAC 09 .0601(a) 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 room 122 one outlet is missing, in room 214 two outlets were not covered in surge protector. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of benadryl was stored not locked. 15A NCAC 18A .2820(d) 870 Medications including prescription and non-prescription items were stored above food. In room 216 and 201 Benadryl and sunscreen was stored above food. 15 A NCAC 18 A.2820(d) 1041 Prior to employment a Criminal Background Check was not completed. Six staff members started employment prior to having a CBC on file. G.S. 110-90.2(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A staff member was drinking a ice coffee out of a Dunkin cup from Dunkin Donuts .0901(i) 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. Two staff members cared for children prior to signing an acknowledgement of the required information. .0608(d)(1-4) 9999 A violation was found for which there is no item number. A purse was stored under a teachers desk and not locked as required in 15A NCAC 18A .2820(g) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violation documented must be corrected immediately. On or before October 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -A conversation was held with Ms. Milan regarding sound machines and lighting in the classrooms during rest time specifically in the infant/toddler classrooms. Lighting should be so that when visual checks are conducted you can see the rise and fall of the chest, skin color and possible overheating. Noise levels should be kept at a level so that you can hear if an infant is in distress. Based on the American Pediatric Academy sound machines should be used at a low tone and according to manufacturer’s guidelines. Multiply sound machines should not be used at the same time and cords cannot be accessible. -Criminal background qualification letters must on file prior to the staff member’s employment. The staff member cannot be on the premises without a valid qualification letter. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Prescription medications and non-prescription items must not be stored above food. A suggestion was made to keep food and medications stored in a separate cabinet. 15A NCAC 18A .2820 STORAGE -(d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. 15A NCAC 18A .2820 STORAGE Purses must be kept in locked storage or at least five feet above the floor. (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Shaken Baby Head Trauma Policy must be reviewed with staff prior to the staff member providing care for the children. 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. -A discussion was held with Ms. Hull regarding the hazard of the eroding drain on the preschool playground. It was requested that something be placed around the drain until it can be corrected to ensure children don’t fall or trip. A suggestion was made to place cones and caution tape around the drain. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Electrical outlets including those in surge protectors must be covered with safety covers. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. (d) Electric fans shall be mounted out of the reach of children or shall be fitted with a mesh guard to prevent access by children. 15A NCAC 18A .2824 FLOORS (a) In child care centers, floors and floor coverings in food preparation, food storage, utensil washing, toilet rooms, and laundry areas shall be constructed of nonabsorbent material and shall be kept clean and in good repair. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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 .2703 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 10/7/2024 Number Present: 241 Completed Date: 10/7/2024 Age: From 0 To 5 Total Minutes: 250 Time In: 09:00 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility currently operates under G.S. 110-1-6 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 76%. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. C. Milam, Registrar and H. Hull, Co-Director assisted us with the visit. A walk-through of the facility was conducted with Ms. Miliam. During the walk-through, I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, transitions, teacher directed activities, free choice of indoor play activities, teacher directed activities and rest time. Caregivers were observed interacting with children in a nurturing and caring manner. There have been nine new staff members hired since the annual compliance visit was conducted on January 23, 2024. Files for new staff were monitored. Existing staff files were reviewed to verify existing staff were current with criminal background checks, First Aid and CPR certification, and ITS-SIDS. The last fire inspection was conducted on February 5, 2024. The last sanitation inspection was conducted on May 1, 2024, with a “Superior” classification. The Emergency Drill log was reviewed, and drills are occurring as required. Outdoor safety checks were also monitored today and occurring monthly as required. The following violations were cited today. Violation Number Comment Rule 603 All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean and in good repair. In the bathroom of room 104 there is a broken piece of tile behind the toilet, and in room 109's bathroom was observed a cracked tile. 15A NCAC 18A .2824(a)&(b) 807 A safe indoor and outdoor environment was not provided for the children. There is a drain that is eroding on the preschool playground that has become a hazard to children if they step in it and fall. 10A NCAC 09 .0601(a) 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 room 122 one outlet is missing, in room 214 two outlets were not covered in surge protector. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of benadryl was stored not locked. 15A NCAC 18A .2820(d) 870 Medications including prescription and non-prescription items were stored above food. In room 216 and 201 Benadryl and sunscreen was stored above food. 15 A NCAC 18 A.2820(d) 1041 Prior to employment a Criminal Background Check was not completed. Six staff members started employment prior to having a CBC on file. G.S. 110-90.2(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A staff member was drinking a ice coffee out of a Dunkin cup from Dunkin Donuts .0901(i) 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. Two staff members cared for children prior to signing an acknowledgement of the required information. .0608(d)(1-4) 9999 A violation was found for which there is no item number. A purse was stored under a teachers desk and not locked as required in 15A NCAC 18A .2820(g) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violation documented must be corrected immediately. On or before October 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -A conversation was held with Ms. Milan regarding sound machines and lighting in the classrooms during rest time specifically in the infant/toddler classrooms. Lighting should be so that when visual checks are conducted you can see the rise and fall of the chest, skin color and possible overheating. Noise levels should be kept at a level so that you can hear if an infant is in distress. Based on the American Pediatric Academy sound machines should be used at a low tone and according to manufacturer’s guidelines. Multiply sound machines should not be used at the same time and cords cannot be accessible. -Criminal background qualification letters must on file prior to the staff member’s employment. The staff member cannot be on the premises without a valid qualification letter. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Prescription medications and non-prescription items must not be stored above food. A suggestion was made to keep food and medications stored in a separate cabinet. 15A NCAC 18A .2820 STORAGE -(d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. 15A NCAC 18A .2820 STORAGE Purses must be kept in locked storage or at least five feet above the floor. (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Shaken Baby Head Trauma Policy must be reviewed with staff prior to the staff member providing care for the children. 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. -A discussion was held with Ms. Hull regarding the hazard of the eroding drain on the preschool playground. It was requested that something be placed around the drain until it can be corrected to ensure children don’t fall or trip. A suggestion was made to place cones and caution tape around the drain. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Electrical outlets including those in surge protectors must be covered with safety covers. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. (d) Electric fans shall be mounted out of the reach of children or shall be fitted with a mesh guard to prevent access by children. 15A NCAC 18A .2824 FLOORS (a) In child care centers, floors and floor coverings in food preparation, food storage, utensil washing, toilet rooms, and laundry areas shall be constructed of nonabsorbent material and shall be kept clean and in good repair. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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. 110-1 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 10/7/2024 Number Present: 241 Completed Date: 10/7/2024 Age: From 0 To 5 Total Minutes: 250 Time In: 09:00 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility currently operates under G.S. 110-1-6 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 76%. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. C. Milam, Registrar and H. Hull, Co-Director assisted us with the visit. A walk-through of the facility was conducted with Ms. Miliam. During the walk-through, I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, transitions, teacher directed activities, free choice of indoor play activities, teacher directed activities and rest time. Caregivers were observed interacting with children in a nurturing and caring manner. There have been nine new staff members hired since the annual compliance visit was conducted on January 23, 2024. Files for new staff were monitored. Existing staff files were reviewed to verify existing staff were current with criminal background checks, First Aid and CPR certification, and ITS-SIDS. The last fire inspection was conducted on February 5, 2024. The last sanitation inspection was conducted on May 1, 2024, with a “Superior” classification. The Emergency Drill log was reviewed, and drills are occurring as required. Outdoor safety checks were also monitored today and occurring monthly as required. The following violations were cited today. Violation Number Comment Rule 603 All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean and in good repair. In the bathroom of room 104 there is a broken piece of tile behind the toilet, and in room 109's bathroom was observed a cracked tile. 15A NCAC 18A .2824(a)&(b) 807 A safe indoor and outdoor environment was not provided for the children. There is a drain that is eroding on the preschool playground that has become a hazard to children if they step in it and fall. 10A NCAC 09 .0601(a) 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 room 122 one outlet is missing, in room 214 two outlets were not covered in surge protector. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of benadryl was stored not locked. 15A NCAC 18A .2820(d) 870 Medications including prescription and non-prescription items were stored above food. In room 216 and 201 Benadryl and sunscreen was stored above food. 15 A NCAC 18 A.2820(d) 1041 Prior to employment a Criminal Background Check was not completed. Six staff members started employment prior to having a CBC on file. G.S. 110-90.2(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A staff member was drinking a ice coffee out of a Dunkin cup from Dunkin Donuts .0901(i) 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. Two staff members cared for children prior to signing an acknowledgement of the required information. .0608(d)(1-4) 9999 A violation was found for which there is no item number. A purse was stored under a teachers desk and not locked as required in 15A NCAC 18A .2820(g) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violation documented must be corrected immediately. On or before October 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -A conversation was held with Ms. Milan regarding sound machines and lighting in the classrooms during rest time specifically in the infant/toddler classrooms. Lighting should be so that when visual checks are conducted you can see the rise and fall of the chest, skin color and possible overheating. Noise levels should be kept at a level so that you can hear if an infant is in distress. Based on the American Pediatric Academy sound machines should be used at a low tone and according to manufacturer’s guidelines. Multiply sound machines should not be used at the same time and cords cannot be accessible. -Criminal background qualification letters must on file prior to the staff member’s employment. The staff member cannot be on the premises without a valid qualification letter. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Prescription medications and non-prescription items must not be stored above food. A suggestion was made to keep food and medications stored in a separate cabinet. 15A NCAC 18A .2820 STORAGE -(d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. 15A NCAC 18A .2820 STORAGE Purses must be kept in locked storage or at least five feet above the floor. (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Shaken Baby Head Trauma Policy must be reviewed with staff prior to the staff member providing care for the children. 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. -A discussion was held with Ms. Hull regarding the hazard of the eroding drain on the preschool playground. It was requested that something be placed around the drain until it can be corrected to ensure children don’t fall or trip. A suggestion was made to place cones and caution tape around the drain. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Electrical outlets including those in surge protectors must be covered with safety covers. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. (d) Electric fans shall be mounted out of the reach of children or shall be fitted with a mesh guard to prevent access by children. 15A NCAC 18A .2824 FLOORS (a) In child care centers, floors and floor coverings in food preparation, food storage, utensil washing, toilet rooms, and laundry areas shall be constructed of nonabsorbent material and shall be kept clean and in good repair. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 10/7/2024 Number Present: 241 Completed Date: 10/7/2024 Age: From 0 To 5 Total Minutes: 250 Time In: 09:00 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility currently operates under G.S. 110-1-6 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 76%. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. C. Milam, Registrar and H. Hull, Co-Director assisted us with the visit. A walk-through of the facility was conducted with Ms. Miliam. During the walk-through, I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, transitions, teacher directed activities, free choice of indoor play activities, teacher directed activities and rest time. Caregivers were observed interacting with children in a nurturing and caring manner. There have been nine new staff members hired since the annual compliance visit was conducted on January 23, 2024. Files for new staff were monitored. Existing staff files were reviewed to verify existing staff were current with criminal background checks, First Aid and CPR certification, and ITS-SIDS. The last fire inspection was conducted on February 5, 2024. The last sanitation inspection was conducted on May 1, 2024, with a “Superior” classification. The Emergency Drill log was reviewed, and drills are occurring as required. Outdoor safety checks were also monitored today and occurring monthly as required. The following violations were cited today. Violation Number Comment Rule 603 All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean and in good repair. In the bathroom of room 104 there is a broken piece of tile behind the toilet, and in room 109's bathroom was observed a cracked tile. 15A NCAC 18A .2824(a)&(b) 807 A safe indoor and outdoor environment was not provided for the children. There is a drain that is eroding on the preschool playground that has become a hazard to children if they step in it and fall. 10A NCAC 09 .0601(a) 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 room 122 one outlet is missing, in room 214 two outlets were not covered in surge protector. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of benadryl was stored not locked. 15A NCAC 18A .2820(d) 870 Medications including prescription and non-prescription items were stored above food. In room 216 and 201 Benadryl and sunscreen was stored above food. 15 A NCAC 18 A.2820(d) 1041 Prior to employment a Criminal Background Check was not completed. Six staff members started employment prior to having a CBC on file. G.S. 110-90.2(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A staff member was drinking a ice coffee out of a Dunkin cup from Dunkin Donuts .0901(i) 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. Two staff members cared for children prior to signing an acknowledgement of the required information. .0608(d)(1-4) 9999 A violation was found for which there is no item number. A purse was stored under a teachers desk and not locked as required in 15A NCAC 18A .2820(g) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violation documented must be corrected immediately. On or before October 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -A conversation was held with Ms. Milan regarding sound machines and lighting in the classrooms during rest time specifically in the infant/toddler classrooms. Lighting should be so that when visual checks are conducted you can see the rise and fall of the chest, skin color and possible overheating. Noise levels should be kept at a level so that you can hear if an infant is in distress. Based on the American Pediatric Academy sound machines should be used at a low tone and according to manufacturer’s guidelines. Multiply sound machines should not be used at the same time and cords cannot be accessible. -Criminal background qualification letters must on file prior to the staff member’s employment. The staff member cannot be on the premises without a valid qualification letter. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Prescription medications and non-prescription items must not be stored above food. A suggestion was made to keep food and medications stored in a separate cabinet. 15A NCAC 18A .2820 STORAGE -(d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. 15A NCAC 18A .2820 STORAGE Purses must be kept in locked storage or at least five feet above the floor. (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Shaken Baby Head Trauma Policy must be reviewed with staff prior to the staff member providing care for the children. 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. -A discussion was held with Ms. Hull regarding the hazard of the eroding drain on the preschool playground. It was requested that something be placed around the drain until it can be corrected to ensure children don’t fall or trip. A suggestion was made to place cones and caution tape around the drain. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Electrical outlets including those in surge protectors must be covered with safety covers. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. (d) Electric fans shall be mounted out of the reach of children or shall be fitted with a mesh guard to prevent access by children. 15A NCAC 18A .2824 FLOORS (a) In child care centers, floors and floor coverings in food preparation, food storage, utensil washing, toilet rooms, and laundry areas shall be constructed of nonabsorbent material and shall be kept clean and in good repair. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 10/7/2024 Number Present: 241 Completed Date: 10/7/2024 Age: From 0 To 5 Total Minutes: 250 Time In: 09:00 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility currently operates under G.S. 110-1-6 as a religious sponsored child care center. The program’s 18-month compliance history before today’s visit was 76%. Amy Italiano, Lead Child Care Consultant accompanied me on today’s visit. C. Milam, Registrar and H. Hull, Co-Director assisted us with the visit. A walk-through of the facility was conducted with Ms. Miliam. During the walk-through, I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, transitions, teacher directed activities, free choice of indoor play activities, teacher directed activities and rest time. Caregivers were observed interacting with children in a nurturing and caring manner. There have been nine new staff members hired since the annual compliance visit was conducted on January 23, 2024. Files for new staff were monitored. Existing staff files were reviewed to verify existing staff were current with criminal background checks, First Aid and CPR certification, and ITS-SIDS. The last fire inspection was conducted on February 5, 2024. The last sanitation inspection was conducted on May 1, 2024, with a “Superior” classification. The Emergency Drill log was reviewed, and drills are occurring as required. Outdoor safety checks were also monitored today and occurring monthly as required. The following violations were cited today. Violation Number Comment Rule 603 All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean and in good repair. In the bathroom of room 104 there is a broken piece of tile behind the toilet, and in room 109's bathroom was observed a cracked tile. 15A NCAC 18A .2824(a)&(b) 807 A safe indoor and outdoor environment was not provided for the children. There is a drain that is eroding on the preschool playground that has become a hazard to children if they step in it and fall. 10A NCAC 09 .0601(a) 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 room 122 one outlet is missing, in room 214 two outlets were not covered in surge protector. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of benadryl was stored not locked. 15A NCAC 18A .2820(d) 870 Medications including prescription and non-prescription items were stored above food. In room 216 and 201 Benadryl and sunscreen was stored above food. 15 A NCAC 18 A.2820(d) 1041 Prior to employment a Criminal Background Check was not completed. Six staff members started employment prior to having a CBC on file. G.S. 110-90.2(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A staff member was drinking a ice coffee out of a Dunkin cup from Dunkin Donuts .0901(i) 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. Two staff members cared for children prior to signing an acknowledgement of the required information. .0608(d)(1-4) 9999 A violation was found for which there is no item number. A purse was stored under a teachers desk and not locked as required in 15A NCAC 18A .2820(g) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violation documented must be corrected immediately. On or before October 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -A conversation was held with Ms. Milan regarding sound machines and lighting in the classrooms during rest time specifically in the infant/toddler classrooms. Lighting should be so that when visual checks are conducted you can see the rise and fall of the chest, skin color and possible overheating. Noise levels should be kept at a level so that you can hear if an infant is in distress. Based on the American Pediatric Academy sound machines should be used at a low tone and according to manufacturer’s guidelines. Multiply sound machines should not be used at the same time and cords cannot be accessible. -Criminal background qualification letters must on file prior to the staff member’s employment. The staff member cannot be on the premises without a valid qualification letter. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Prescription medications and non-prescription items must not be stored above food. A suggestion was made to keep food and medications stored in a separate cabinet. 15A NCAC 18A .2820 STORAGE -(d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. 15A NCAC 18A .2820 STORAGE Purses must be kept in locked storage or at least five feet above the floor. (g) Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Shaken Baby Head Trauma Policy must be reviewed with staff prior to the staff member providing care for the children. 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. -A discussion was held with Ms. Hull regarding the hazard of the eroding drain on the preschool playground. It was requested that something be placed around the drain until it can be corrected to ensure children don’t fall or trip. A suggestion was made to place cones and caution tape around the drain. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Electrical outlets including those in surge protectors must be covered with safety covers. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. (d) Electric fans shall be mounted out of the reach of children or shall be fitted with a mesh guard to prevent access by children. 15A NCAC 18A .2824 FLOORS (a) In child care centers, floors and floor coverings in food preparation, food storage, utensil washing, toilet rooms, and laundry areas shall be constructed of nonabsorbent material and shall be kept clean and in good repair. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 1/23/2024 Number Present: 231 Completed Date: 1/23/2024 Age: From 1 To 5 Total Minutes: 450 Time In: 09:00 AM Time Out: 04:30 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 your program for compliance with applicable child care requirements for an annual compliance visit. Michele Sullivan, Licensing Supervisor accompanied me on today’s visit. Cindy Milam, Registrar and Director, Lori Koppelmann assisted me with the visit. Your facility currently operates under G.S. 110-106 as a religious sponsored child care center. The last annual compliance visit was conducted January 31, 2023. The sanitation inspection was completed October 12, 2023 with a “Superior” classification. The last fire inspection was conducted December 29, 2022 and your facility was approved for daytime care only. The last fire drill was conducted on January 10, 2024 and a shelter-in-place drill on December 15, 2023. The NC Secretary of State website was reviewed on January 22, 2024 and Calvary Church was listed as current- active. A walk-through of the facility was completed today, all indoor areas were monitored. Due to inclement weather, the outdoor areas were not monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor activity areas, transitions and lunch. The caregivers were interacting and meeting the developmental needs for each of the children. Ten-percent of childrens files were monitored today. The Staff and Training Worksheets were received today. There have been no new staff hired since the last visit conducted on September 13, 2023. Ten-percent of staff files were monitored today. The following violations were documented. 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 approved fire inspection was completed December 29, 2022. 10A NCAC 09 .0304(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There were three new refrigerators that did not have a thermometer inside to ensure the required temperature. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. In space #121, a portion of the vinyl covering of a child sized chair was torn. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #123 there was an aerosol can of disinfectant being stored in an unlocked cabinet. In space #133, there was also an aerosol can of disinfectant stored in an unlocked cabinet. In space #127, there was roach killing bait in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space # 217, a medication listed on the medical action plan was different than the medication that was present. Permission from the parent to administer the medication that was present was not on file. There was no evidence the medication had been given to the child. 10A NCAC 09 .0803(1)(a & b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Verification was not on file that a monthly playground inspection was conducted for the month of November 2023. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was conducted December 15, 2023 however, the previous drill was conducted August 11, 2023 therefore, a drill was not conducted every three months. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space # 108, a medical action plan was present however, the container for the required medication was empty. In space #219, a medical action plan was present however, the required medication was not present. .0801(b) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before February 6, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -The facility recently purchased three refrigerators to store lunches for the children enrolled in the half day program. The refrigerators did not have a thermometer located inside to monitor the temperature. There was a gauge on the outside of the refrigerator that showed it was cooling at the recommended temperature however, there nothing that indicated the actual temperature. Each refrigerator must have a thermometer showing that the required temperature of 45 degrees Fahrenheit or below. -All equipment and furnishings must be in good repair. Daily classroom monitoring by staff is recommended to ensure required items are in locked storage and equipment/furnishings remain in good repair. -An approved fire inspection must be completed on or before the date of the previous annual inspection. The facility had an inspection conducted on December 18, 2023, however, was not given the completed inspection by the Inspector. The Director stated that they had contacted the Inspector several times to inquire about the inspection. During the visit today, Licensing Supervisor contacted the Fire Inspector regarding the inspection. The Inspector requested additional items be completed before an approved inspection can be issued. The requested items were forwarded to the Director. -Shelter-in-place or a lockdown drill must be practiced every three months. I recommend placing a reminder on the calendar. A recommendation was made to review medical action plans and required emergency medication monthly to confirm medication is present in each classroom. -A suggestion was made to the Director to print the staff file checklist from DCDEE’s website and place in each staff members file to be able to accurately document date of employment for staff. The center's compliance history was reviewed with the operator. The program’s compliance history after today's visit is was seventy-eight percent. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 1/23/2024 Number Present: 231 Completed Date: 1/23/2024 Age: From 1 To 5 Total Minutes: 450 Time In: 09:00 AM Time Out: 04:30 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 your program for compliance with applicable child care requirements for an annual compliance visit. Michele Sullivan, Licensing Supervisor accompanied me on today’s visit. Cindy Milam, Registrar and Director, Lori Koppelmann assisted me with the visit. Your facility currently operates under G.S. 110-106 as a religious sponsored child care center. The last annual compliance visit was conducted January 31, 2023. The sanitation inspection was completed October 12, 2023 with a “Superior” classification. The last fire inspection was conducted December 29, 2022 and your facility was approved for daytime care only. The last fire drill was conducted on January 10, 2024 and a shelter-in-place drill on December 15, 2023. The NC Secretary of State website was reviewed on January 22, 2024 and Calvary Church was listed as current- active. A walk-through of the facility was completed today, all indoor areas were monitored. Due to inclement weather, the outdoor areas were not monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor activity areas, transitions and lunch. The caregivers were interacting and meeting the developmental needs for each of the children. Ten-percent of childrens files were monitored today. The Staff and Training Worksheets were received today. There have been no new staff hired since the last visit conducted on September 13, 2023. Ten-percent of staff files were monitored today. The following violations were documented. 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 approved fire inspection was completed December 29, 2022. 10A NCAC 09 .0304(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There were three new refrigerators that did not have a thermometer inside to ensure the required temperature. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. In space #121, a portion of the vinyl covering of a child sized chair was torn. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #123 there was an aerosol can of disinfectant being stored in an unlocked cabinet. In space #133, there was also an aerosol can of disinfectant stored in an unlocked cabinet. In space #127, there was roach killing bait in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space # 217, a medication listed on the medical action plan was different than the medication that was present. Permission from the parent to administer the medication that was present was not on file. There was no evidence the medication had been given to the child. 10A NCAC 09 .0803(1)(a & b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Verification was not on file that a monthly playground inspection was conducted for the month of November 2023. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was conducted December 15, 2023 however, the previous drill was conducted August 11, 2023 therefore, a drill was not conducted every three months. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space # 108, a medical action plan was present however, the container for the required medication was empty. In space #219, a medical action plan was present however, the required medication was not present. .0801(b) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before February 6, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -The facility recently purchased three refrigerators to store lunches for the children enrolled in the half day program. The refrigerators did not have a thermometer located inside to monitor the temperature. There was a gauge on the outside of the refrigerator that showed it was cooling at the recommended temperature however, there nothing that indicated the actual temperature. Each refrigerator must have a thermometer showing that the required temperature of 45 degrees Fahrenheit or below. -All equipment and furnishings must be in good repair. Daily classroom monitoring by staff is recommended to ensure required items are in locked storage and equipment/furnishings remain in good repair. -An approved fire inspection must be completed on or before the date of the previous annual inspection. The facility had an inspection conducted on December 18, 2023, however, was not given the completed inspection by the Inspector. The Director stated that they had contacted the Inspector several times to inquire about the inspection. During the visit today, Licensing Supervisor contacted the Fire Inspector regarding the inspection. The Inspector requested additional items be completed before an approved inspection can be issued. The requested items were forwarded to the Director. -Shelter-in-place or a lockdown drill must be practiced every three months. I recommend placing a reminder on the calendar. A recommendation was made to review medical action plans and required emergency medication monthly to confirm medication is present in each classroom. -A suggestion was made to the Director to print the staff file checklist from DCDEE’s website and place in each staff members file to be able to accurately document date of employment for staff. The center's compliance history was reviewed with the operator. The program’s compliance history after today's visit is was seventy-eight percent. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 1/23/2024 Number Present: 231 Completed Date: 1/23/2024 Age: From 1 To 5 Total Minutes: 450 Time In: 09:00 AM Time Out: 04:30 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 your program for compliance with applicable child care requirements for an annual compliance visit. Michele Sullivan, Licensing Supervisor accompanied me on today’s visit. Cindy Milam, Registrar and Director, Lori Koppelmann assisted me with the visit. Your facility currently operates under G.S. 110-106 as a religious sponsored child care center. The last annual compliance visit was conducted January 31, 2023. The sanitation inspection was completed October 12, 2023 with a “Superior” classification. The last fire inspection was conducted December 29, 2022 and your facility was approved for daytime care only. The last fire drill was conducted on January 10, 2024 and a shelter-in-place drill on December 15, 2023. The NC Secretary of State website was reviewed on January 22, 2024 and Calvary Church was listed as current- active. A walk-through of the facility was completed today, all indoor areas were monitored. Due to inclement weather, the outdoor areas were not monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor activity areas, transitions and lunch. The caregivers were interacting and meeting the developmental needs for each of the children. Ten-percent of childrens files were monitored today. The Staff and Training Worksheets were received today. There have been no new staff hired since the last visit conducted on September 13, 2023. Ten-percent of staff files were monitored today. The following violations were documented. 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 approved fire inspection was completed December 29, 2022. 10A NCAC 09 .0304(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There were three new refrigerators that did not have a thermometer inside to ensure the required temperature. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. In space #121, a portion of the vinyl covering of a child sized chair was torn. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #123 there was an aerosol can of disinfectant being stored in an unlocked cabinet. In space #133, there was also an aerosol can of disinfectant stored in an unlocked cabinet. In space #127, there was roach killing bait in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space # 217, a medication listed on the medical action plan was different than the medication that was present. Permission from the parent to administer the medication that was present was not on file. There was no evidence the medication had been given to the child. 10A NCAC 09 .0803(1)(a & b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Verification was not on file that a monthly playground inspection was conducted for the month of November 2023. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was conducted December 15, 2023 however, the previous drill was conducted August 11, 2023 therefore, a drill was not conducted every three months. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space # 108, a medical action plan was present however, the container for the required medication was empty. In space #219, a medical action plan was present however, the required medication was not present. .0801(b) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before February 6, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -The facility recently purchased three refrigerators to store lunches for the children enrolled in the half day program. The refrigerators did not have a thermometer located inside to monitor the temperature. There was a gauge on the outside of the refrigerator that showed it was cooling at the recommended temperature however, there nothing that indicated the actual temperature. Each refrigerator must have a thermometer showing that the required temperature of 45 degrees Fahrenheit or below. -All equipment and furnishings must be in good repair. Daily classroom monitoring by staff is recommended to ensure required items are in locked storage and equipment/furnishings remain in good repair. -An approved fire inspection must be completed on or before the date of the previous annual inspection. The facility had an inspection conducted on December 18, 2023, however, was not given the completed inspection by the Inspector. The Director stated that they had contacted the Inspector several times to inquire about the inspection. During the visit today, Licensing Supervisor contacted the Fire Inspector regarding the inspection. The Inspector requested additional items be completed before an approved inspection can be issued. The requested items were forwarded to the Director. -Shelter-in-place or a lockdown drill must be practiced every three months. I recommend placing a reminder on the calendar. A recommendation was made to review medical action plans and required emergency medication monthly to confirm medication is present in each classroom. -A suggestion was made to the Director to print the staff file checklist from DCDEE’s website and place in each staff members file to be able to accurately document date of employment for staff. The center's compliance history was reviewed with the operator. The program’s compliance history after today's visit is was seventy-eight percent. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 1/23/2024 Number Present: 231 Completed Date: 1/23/2024 Age: From 1 To 5 Total Minutes: 450 Time In: 09:00 AM Time Out: 04:30 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 your program for compliance with applicable child care requirements for an annual compliance visit. Michele Sullivan, Licensing Supervisor accompanied me on today’s visit. Cindy Milam, Registrar and Director, Lori Koppelmann assisted me with the visit. Your facility currently operates under G.S. 110-106 as a religious sponsored child care center. The last annual compliance visit was conducted January 31, 2023. The sanitation inspection was completed October 12, 2023 with a “Superior” classification. The last fire inspection was conducted December 29, 2022 and your facility was approved for daytime care only. The last fire drill was conducted on January 10, 2024 and a shelter-in-place drill on December 15, 2023. The NC Secretary of State website was reviewed on January 22, 2024 and Calvary Church was listed as current- active. A walk-through of the facility was completed today, all indoor areas were monitored. Due to inclement weather, the outdoor areas were not monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor activity areas, transitions and lunch. The caregivers were interacting and meeting the developmental needs for each of the children. Ten-percent of childrens files were monitored today. The Staff and Training Worksheets were received today. There have been no new staff hired since the last visit conducted on September 13, 2023. Ten-percent of staff files were monitored today. The following violations were documented. 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 approved fire inspection was completed December 29, 2022. 10A NCAC 09 .0304(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There were three new refrigerators that did not have a thermometer inside to ensure the required temperature. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. In space #121, a portion of the vinyl covering of a child sized chair was torn. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #123 there was an aerosol can of disinfectant being stored in an unlocked cabinet. In space #133, there was also an aerosol can of disinfectant stored in an unlocked cabinet. In space #127, there was roach killing bait in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space # 217, a medication listed on the medical action plan was different than the medication that was present. Permission from the parent to administer the medication that was present was not on file. There was no evidence the medication had been given to the child. 10A NCAC 09 .0803(1)(a & b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Verification was not on file that a monthly playground inspection was conducted for the month of November 2023. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was conducted December 15, 2023 however, the previous drill was conducted August 11, 2023 therefore, a drill was not conducted every three months. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space # 108, a medical action plan was present however, the container for the required medication was empty. In space #219, a medical action plan was present however, the required medication was not present. .0801(b) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before February 6, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -The facility recently purchased three refrigerators to store lunches for the children enrolled in the half day program. The refrigerators did not have a thermometer located inside to monitor the temperature. There was a gauge on the outside of the refrigerator that showed it was cooling at the recommended temperature however, there nothing that indicated the actual temperature. Each refrigerator must have a thermometer showing that the required temperature of 45 degrees Fahrenheit or below. -All equipment and furnishings must be in good repair. Daily classroom monitoring by staff is recommended to ensure required items are in locked storage and equipment/furnishings remain in good repair. -An approved fire inspection must be completed on or before the date of the previous annual inspection. The facility had an inspection conducted on December 18, 2023, however, was not given the completed inspection by the Inspector. The Director stated that they had contacted the Inspector several times to inquire about the inspection. During the visit today, Licensing Supervisor contacted the Fire Inspector regarding the inspection. The Inspector requested additional items be completed before an approved inspection can be issued. The requested items were forwarded to the Director. -Shelter-in-place or a lockdown drill must be practiced every three months. I recommend placing a reminder on the calendar. A recommendation was made to review medical action plans and required emergency medication monthly to confirm medication is present in each classroom. -A suggestion was made to the Director to print the staff file checklist from DCDEE’s website and place in each staff members file to be able to accurately document date of employment for staff. The center's compliance history was reviewed with the operator. The program’s compliance history after today's visit is was seventy-eight percent. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 1/23/2024 Number Present: 231 Completed Date: 1/23/2024 Age: From 1 To 5 Total Minutes: 450 Time In: 09:00 AM Time Out: 04:30 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 your program for compliance with applicable child care requirements for an annual compliance visit. Michele Sullivan, Licensing Supervisor accompanied me on today’s visit. Cindy Milam, Registrar and Director, Lori Koppelmann assisted me with the visit. Your facility currently operates under G.S. 110-106 as a religious sponsored child care center. The last annual compliance visit was conducted January 31, 2023. The sanitation inspection was completed October 12, 2023 with a “Superior” classification. The last fire inspection was conducted December 29, 2022 and your facility was approved for daytime care only. The last fire drill was conducted on January 10, 2024 and a shelter-in-place drill on December 15, 2023. The NC Secretary of State website was reviewed on January 22, 2024 and Calvary Church was listed as current- active. A walk-through of the facility was completed today, all indoor areas were monitored. Due to inclement weather, the outdoor areas were not monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, free play of indoor activity areas, transitions and lunch. The caregivers were interacting and meeting the developmental needs for each of the children. Ten-percent of childrens files were monitored today. The Staff and Training Worksheets were received today. There have been no new staff hired since the last visit conducted on September 13, 2023. Ten-percent of staff files were monitored today. The following violations were documented. 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 approved fire inspection was completed December 29, 2022. 10A NCAC 09 .0304(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There were three new refrigerators that did not have a thermometer inside to ensure the required temperature. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. In space #121, a portion of the vinyl covering of a child sized chair was torn. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #123 there was an aerosol can of disinfectant being stored in an unlocked cabinet. In space #133, there was also an aerosol can of disinfectant stored in an unlocked cabinet. In space #127, there was roach killing bait in an unlocked cabinet. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space # 217, a medication listed on the medical action plan was different than the medication that was present. Permission from the parent to administer the medication that was present was not on file. There was no evidence the medication had been given to the child. 10A NCAC 09 .0803(1)(a & b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Verification was not on file that a monthly playground inspection was conducted for the month of November 2023. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was conducted December 15, 2023 however, the previous drill was conducted August 11, 2023 therefore, a drill was not conducted every three months. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space # 108, a medical action plan was present however, the container for the required medication was empty. In space #219, a medical action plan was present however, the required medication was not present. .0801(b) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before February 6, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -The facility recently purchased three refrigerators to store lunches for the children enrolled in the half day program. The refrigerators did not have a thermometer located inside to monitor the temperature. There was a gauge on the outside of the refrigerator that showed it was cooling at the recommended temperature however, there nothing that indicated the actual temperature. Each refrigerator must have a thermometer showing that the required temperature of 45 degrees Fahrenheit or below. -All equipment and furnishings must be in good repair. Daily classroom monitoring by staff is recommended to ensure required items are in locked storage and equipment/furnishings remain in good repair. -An approved fire inspection must be completed on or before the date of the previous annual inspection. The facility had an inspection conducted on December 18, 2023, however, was not given the completed inspection by the Inspector. The Director stated that they had contacted the Inspector several times to inquire about the inspection. During the visit today, Licensing Supervisor contacted the Fire Inspector regarding the inspection. The Inspector requested additional items be completed before an approved inspection can be issued. The requested items were forwarded to the Director. -Shelter-in-place or a lockdown drill must be practiced every three months. I recommend placing a reminder on the calendar. A recommendation was made to review medical action plans and required emergency medication monthly to confirm medication is present in each classroom. -A suggestion was made to the Director to print the staff file checklist from DCDEE’s website and place in each staff members file to be able to accurately document date of employment for staff. The center's compliance history was reviewed with the operator. The program’s compliance history after today's visit is was seventy-eight percent. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 243 Completed Date: 9/13/2023 Age: From 0 To 5 Total Minutes: 345 Time In: 09:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. Andrea Anderson, Child Care Consultant accompanied me on today’s visit. Upon arrival, we were greeted by the Registrar, C. Milam. We stated the reason for the visit. The Registrar stated that the Director, L. Koppelmann was not present. She phoned the Director to let her know we were present, and she stated she would be on her way. A walk through of the facility was conducted with the Assistant Director, R. Belge. Children were observed participating in personal care routines, transitions, teacher directed activities and lunch. Lunch consisted of ham, cheesy potatoes, carrots, bread, and milk. Staff were observed assisting children with personal care routines and supervising activities. The Director arrived approximately 45 minutes after our arrival. The following items were monitored during today’s visit, supervision, staff/child ratio, first aid, CPR, special training, criminal background checks, ITS-SIDS training, emergency medical care plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions. The Staff and Training Worksheets were reviewed to confirm existing staff were current with CPR, First Aid, ITS-SIDS training, and criminal background qualifying letters. Thirteen new staff members have been hired since the annual compliance visit conducted on January 31, 2023. Files for new staff were monitored today. The last approved fire inspection was conducted on December 29, 2022. The last sanitation inspection was conducted on January 12, 2023, with zero demerits and a Superior rating. The Emergency drill log was monitored today, and both conducted in August 2023. Outdoor safety inspections were also monitored and occurring monthly as required. There were seven violations cited and four corrected today. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The feedings schedule we reviewed were not completed and some were not signed by the parent in space 132 and 133 10A NCAC 09 .0902(a) 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. I observed surge protectors in Space 214 and 215 that were not covered with safety plugs nor were they located behind furniture or equipment that cannot be moved by a child. 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. Space 214, I observed disinfectant wipes stored below 5 feet on a shelf near the teacher's desk. In Space 219 I observed antibacterial sanitizer stored below 5 feet on the teacher's desk. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One Benadryl in Space 218 was not stored in a locked cabinet or other locked container. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One Aquaphor in Space 130 was not labeled nor did it have written permission to administer. Two sunscreens in Space 122 did not have written permission to administer. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One cream in Space 132 is prescribed and did not come with the pharmacy label. .0803(2)(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Space 132 and 133 serving infants did not have the programs safe sleep policy posted. .0606(b) Technical Assistance: Emergency Preparedness and Response requirements (EPR): I reviewed 10A NCAC 09 .0607 requirements with you, but encourage you to read the requirement in full. The person who received EPR training terminated employment in June 2023. You will have until October 2023 to have someone complete EPR training. You will need to obtain the business NCID username and password to log into the NC Risk Management Portal to update your EPR plan. Once you edit the plan, you will need to publish it then print and place in your EPR Ready To Go Notebook. The plan is required to be reviewed in the NC Risk Management Portal each year and republished and printed. The staff who completes the EPR training and updates the EPR plan will be the staff who annually reviews the current EPR plan with staff. I reminded you how to keep the Ready to go file current with the current EPR plan, current contact information for individuals to pick-up children, current children's application, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. We discussed coming up with a plan on how the EPR Ready to Go File will be monitored routinely to ensure it remains current. A conversation was held with the Director regarding the violations cited. Below is the rule reference for each violation. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Violations must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by September 27, 2023. The letter of compliance must describe how and when the violations were corrected. The letter must be mailed to Kaye Dunlap, 3109 Wyntree Court, Matthews, NC, 28104 or emailed to Kaye.Dunlap@dhhs.nc.gov. If a letter is not received by the required date another visit will be conducted to confirm the violations were corrected. 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 or an administrative action may be recommended. 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. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 243 Completed Date: 9/13/2023 Age: From 0 To 5 Total Minutes: 345 Time In: 09:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. Andrea Anderson, Child Care Consultant accompanied me on today’s visit. Upon arrival, we were greeted by the Registrar, C. Milam. We stated the reason for the visit. The Registrar stated that the Director, L. Koppelmann was not present. She phoned the Director to let her know we were present, and she stated she would be on her way. A walk through of the facility was conducted with the Assistant Director, R. Belge. Children were observed participating in personal care routines, transitions, teacher directed activities and lunch. Lunch consisted of ham, cheesy potatoes, carrots, bread, and milk. Staff were observed assisting children with personal care routines and supervising activities. The Director arrived approximately 45 minutes after our arrival. The following items were monitored during today’s visit, supervision, staff/child ratio, first aid, CPR, special training, criminal background checks, ITS-SIDS training, emergency medical care plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions. The Staff and Training Worksheets were reviewed to confirm existing staff were current with CPR, First Aid, ITS-SIDS training, and criminal background qualifying letters. Thirteen new staff members have been hired since the annual compliance visit conducted on January 31, 2023. Files for new staff were monitored today. The last approved fire inspection was conducted on December 29, 2022. The last sanitation inspection was conducted on January 12, 2023, with zero demerits and a Superior rating. The Emergency drill log was monitored today, and both conducted in August 2023. Outdoor safety inspections were also monitored and occurring monthly as required. There were seven violations cited and four corrected today. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The feedings schedule we reviewed were not completed and some were not signed by the parent in space 132 and 133 10A NCAC 09 .0902(a) 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. I observed surge protectors in Space 214 and 215 that were not covered with safety plugs nor were they located behind furniture or equipment that cannot be moved by a child. 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. Space 214, I observed disinfectant wipes stored below 5 feet on a shelf near the teacher's desk. In Space 219 I observed antibacterial sanitizer stored below 5 feet on the teacher's desk. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One Benadryl in Space 218 was not stored in a locked cabinet or other locked container. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One Aquaphor in Space 130 was not labeled nor did it have written permission to administer. Two sunscreens in Space 122 did not have written permission to administer. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One cream in Space 132 is prescribed and did not come with the pharmacy label. .0803(2)(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Space 132 and 133 serving infants did not have the programs safe sleep policy posted. .0606(b) Technical Assistance: Emergency Preparedness and Response requirements (EPR): I reviewed 10A NCAC 09 .0607 requirements with you, but encourage you to read the requirement in full. The person who received EPR training terminated employment in June 2023. You will have until October 2023 to have someone complete EPR training. You will need to obtain the business NCID username and password to log into the NC Risk Management Portal to update your EPR plan. Once you edit the plan, you will need to publish it then print and place in your EPR Ready To Go Notebook. The plan is required to be reviewed in the NC Risk Management Portal each year and republished and printed. The staff who completes the EPR training and updates the EPR plan will be the staff who annually reviews the current EPR plan with staff. I reminded you how to keep the Ready to go file current with the current EPR plan, current contact information for individuals to pick-up children, current children's application, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. We discussed coming up with a plan on how the EPR Ready to Go File will be monitored routinely to ensure it remains current. A conversation was held with the Director regarding the violations cited. Below is the rule reference for each violation. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Violations must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by September 27, 2023. The letter of compliance must describe how and when the violations were corrected. The letter must be mailed to Kaye Dunlap, 3109 Wyntree Court, Matthews, NC, 28104 or emailed to Kaye.Dunlap@dhhs.nc.gov. If a letter is not received by the required date another visit will be conducted to confirm the violations were corrected. 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 or an administrative action may be recommended. 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. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 243 Completed Date: 9/13/2023 Age: From 0 To 5 Total Minutes: 345 Time In: 09:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. Andrea Anderson, Child Care Consultant accompanied me on today’s visit. Upon arrival, we were greeted by the Registrar, C. Milam. We stated the reason for the visit. The Registrar stated that the Director, L. Koppelmann was not present. She phoned the Director to let her know we were present, and she stated she would be on her way. A walk through of the facility was conducted with the Assistant Director, R. Belge. Children were observed participating in personal care routines, transitions, teacher directed activities and lunch. Lunch consisted of ham, cheesy potatoes, carrots, bread, and milk. Staff were observed assisting children with personal care routines and supervising activities. The Director arrived approximately 45 minutes after our arrival. The following items were monitored during today’s visit, supervision, staff/child ratio, first aid, CPR, special training, criminal background checks, ITS-SIDS training, emergency medical care plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions. The Staff and Training Worksheets were reviewed to confirm existing staff were current with CPR, First Aid, ITS-SIDS training, and criminal background qualifying letters. Thirteen new staff members have been hired since the annual compliance visit conducted on January 31, 2023. Files for new staff were monitored today. The last approved fire inspection was conducted on December 29, 2022. The last sanitation inspection was conducted on January 12, 2023, with zero demerits and a Superior rating. The Emergency drill log was monitored today, and both conducted in August 2023. Outdoor safety inspections were also monitored and occurring monthly as required. There were seven violations cited and four corrected today. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The feedings schedule we reviewed were not completed and some were not signed by the parent in space 132 and 133 10A NCAC 09 .0902(a) 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. I observed surge protectors in Space 214 and 215 that were not covered with safety plugs nor were they located behind furniture or equipment that cannot be moved by a child. 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. Space 214, I observed disinfectant wipes stored below 5 feet on a shelf near the teacher's desk. In Space 219 I observed antibacterial sanitizer stored below 5 feet on the teacher's desk. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One Benadryl in Space 218 was not stored in a locked cabinet or other locked container. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One Aquaphor in Space 130 was not labeled nor did it have written permission to administer. Two sunscreens in Space 122 did not have written permission to administer. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One cream in Space 132 is prescribed and did not come with the pharmacy label. .0803(2)(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Space 132 and 133 serving infants did not have the programs safe sleep policy posted. .0606(b) Technical Assistance: Emergency Preparedness and Response requirements (EPR): I reviewed 10A NCAC 09 .0607 requirements with you, but encourage you to read the requirement in full. The person who received EPR training terminated employment in June 2023. You will have until October 2023 to have someone complete EPR training. You will need to obtain the business NCID username and password to log into the NC Risk Management Portal to update your EPR plan. Once you edit the plan, you will need to publish it then print and place in your EPR Ready To Go Notebook. The plan is required to be reviewed in the NC Risk Management Portal each year and republished and printed. The staff who completes the EPR training and updates the EPR plan will be the staff who annually reviews the current EPR plan with staff. I reminded you how to keep the Ready to go file current with the current EPR plan, current contact information for individuals to pick-up children, current children's application, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. We discussed coming up with a plan on how the EPR Ready to Go File will be monitored routinely to ensure it remains current. A conversation was held with the Director regarding the violations cited. Below is the rule reference for each violation. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Violations must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by September 27, 2023. The letter of compliance must describe how and when the violations were corrected. The letter must be mailed to Kaye Dunlap, 3109 Wyntree Court, Matthews, NC, 28104 or emailed to Kaye.Dunlap@dhhs.nc.gov. If a letter is not received by the required date another visit will be conducted to confirm the violations were corrected. 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 or an administrative action may be recommended. 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. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 243 Completed Date: 9/13/2023 Age: From 0 To 5 Total Minutes: 345 Time In: 09:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. Andrea Anderson, Child Care Consultant accompanied me on today’s visit. Upon arrival, we were greeted by the Registrar, C. Milam. We stated the reason for the visit. The Registrar stated that the Director, L. Koppelmann was not present. She phoned the Director to let her know we were present, and she stated she would be on her way. A walk through of the facility was conducted with the Assistant Director, R. Belge. Children were observed participating in personal care routines, transitions, teacher directed activities and lunch. Lunch consisted of ham, cheesy potatoes, carrots, bread, and milk. Staff were observed assisting children with personal care routines and supervising activities. The Director arrived approximately 45 minutes after our arrival. The following items were monitored during today’s visit, supervision, staff/child ratio, first aid, CPR, special training, criminal background checks, ITS-SIDS training, emergency medical care plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions. The Staff and Training Worksheets were reviewed to confirm existing staff were current with CPR, First Aid, ITS-SIDS training, and criminal background qualifying letters. Thirteen new staff members have been hired since the annual compliance visit conducted on January 31, 2023. Files for new staff were monitored today. The last approved fire inspection was conducted on December 29, 2022. The last sanitation inspection was conducted on January 12, 2023, with zero demerits and a Superior rating. The Emergency drill log was monitored today, and both conducted in August 2023. Outdoor safety inspections were also monitored and occurring monthly as required. There were seven violations cited and four corrected today. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The feedings schedule we reviewed were not completed and some were not signed by the parent in space 132 and 133 10A NCAC 09 .0902(a) 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. I observed surge protectors in Space 214 and 215 that were not covered with safety plugs nor were they located behind furniture or equipment that cannot be moved by a child. 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. Space 214, I observed disinfectant wipes stored below 5 feet on a shelf near the teacher's desk. In Space 219 I observed antibacterial sanitizer stored below 5 feet on the teacher's desk. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One Benadryl in Space 218 was not stored in a locked cabinet or other locked container. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One Aquaphor in Space 130 was not labeled nor did it have written permission to administer. Two sunscreens in Space 122 did not have written permission to administer. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One cream in Space 132 is prescribed and did not come with the pharmacy label. .0803(2)(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Space 132 and 133 serving infants did not have the programs safe sleep policy posted. .0606(b) Technical Assistance: Emergency Preparedness and Response requirements (EPR): I reviewed 10A NCAC 09 .0607 requirements with you, but encourage you to read the requirement in full. The person who received EPR training terminated employment in June 2023. You will have until October 2023 to have someone complete EPR training. You will need to obtain the business NCID username and password to log into the NC Risk Management Portal to update your EPR plan. Once you edit the plan, you will need to publish it then print and place in your EPR Ready To Go Notebook. The plan is required to be reviewed in the NC Risk Management Portal each year and republished and printed. The staff who completes the EPR training and updates the EPR plan will be the staff who annually reviews the current EPR plan with staff. I reminded you how to keep the Ready to go file current with the current EPR plan, current contact information for individuals to pick-up children, current children's application, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. We discussed coming up with a plan on how the EPR Ready to Go File will be monitored routinely to ensure it remains current. A conversation was held with the Director regarding the violations cited. Below is the rule reference for each violation. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Violations must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by September 27, 2023. The letter of compliance must describe how and when the violations were corrected. The letter must be mailed to Kaye Dunlap, 3109 Wyntree Court, Matthews, NC, 28104 or emailed to Kaye.Dunlap@dhhs.nc.gov. If a letter is not received by the required date another visit will be conducted to confirm the violations were corrected. 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 or an administrative action may be recommended. 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. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 243 Completed Date: 9/13/2023 Age: From 0 To 5 Total Minutes: 345 Time In: 09:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. Andrea Anderson, Child Care Consultant accompanied me on today’s visit. Upon arrival, we were greeted by the Registrar, C. Milam. We stated the reason for the visit. The Registrar stated that the Director, L. Koppelmann was not present. She phoned the Director to let her know we were present, and she stated she would be on her way. A walk through of the facility was conducted with the Assistant Director, R. Belge. Children were observed participating in personal care routines, transitions, teacher directed activities and lunch. Lunch consisted of ham, cheesy potatoes, carrots, bread, and milk. Staff were observed assisting children with personal care routines and supervising activities. The Director arrived approximately 45 minutes after our arrival. The following items were monitored during today’s visit, supervision, staff/child ratio, first aid, CPR, special training, criminal background checks, ITS-SIDS training, emergency medical care plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions. The Staff and Training Worksheets were reviewed to confirm existing staff were current with CPR, First Aid, ITS-SIDS training, and criminal background qualifying letters. Thirteen new staff members have been hired since the annual compliance visit conducted on January 31, 2023. Files for new staff were monitored today. The last approved fire inspection was conducted on December 29, 2022. The last sanitation inspection was conducted on January 12, 2023, with zero demerits and a Superior rating. The Emergency drill log was monitored today, and both conducted in August 2023. Outdoor safety inspections were also monitored and occurring monthly as required. There were seven violations cited and four corrected today. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The feedings schedule we reviewed were not completed and some were not signed by the parent in space 132 and 133 10A NCAC 09 .0902(a) 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. I observed surge protectors in Space 214 and 215 that were not covered with safety plugs nor were they located behind furniture or equipment that cannot be moved by a child. 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. Space 214, I observed disinfectant wipes stored below 5 feet on a shelf near the teacher's desk. In Space 219 I observed antibacterial sanitizer stored below 5 feet on the teacher's desk. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One Benadryl in Space 218 was not stored in a locked cabinet or other locked container. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One Aquaphor in Space 130 was not labeled nor did it have written permission to administer. Two sunscreens in Space 122 did not have written permission to administer. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One cream in Space 132 is prescribed and did not come with the pharmacy label. .0803(2)(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Space 132 and 133 serving infants did not have the programs safe sleep policy posted. .0606(b) Technical Assistance: Emergency Preparedness and Response requirements (EPR): I reviewed 10A NCAC 09 .0607 requirements with you, but encourage you to read the requirement in full. The person who received EPR training terminated employment in June 2023. You will have until October 2023 to have someone complete EPR training. You will need to obtain the business NCID username and password to log into the NC Risk Management Portal to update your EPR plan. Once you edit the plan, you will need to publish it then print and place in your EPR Ready To Go Notebook. The plan is required to be reviewed in the NC Risk Management Portal each year and republished and printed. The staff who completes the EPR training and updates the EPR plan will be the staff who annually reviews the current EPR plan with staff. I reminded you how to keep the Ready to go file current with the current EPR plan, current contact information for individuals to pick-up children, current children's application, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. We discussed coming up with a plan on how the EPR Ready to Go File will be monitored routinely to ensure it remains current. A conversation was held with the Director regarding the violations cited. Below is the rule reference for each violation. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Violations must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by September 27, 2023. The letter of compliance must describe how and when the violations were corrected. The letter must be mailed to Kaye Dunlap, 3109 Wyntree Court, Matthews, NC, 28104 or emailed to Kaye.Dunlap@dhhs.nc.gov. If a letter is not received by the required date another visit will be conducted to confirm the violations were corrected. 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 or an administrative action may be recommended. 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. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 243 Completed Date: 9/13/2023 Age: From 0 To 5 Total Minutes: 345 Time In: 09:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. Andrea Anderson, Child Care Consultant accompanied me on today’s visit. Upon arrival, we were greeted by the Registrar, C. Milam. We stated the reason for the visit. The Registrar stated that the Director, L. Koppelmann was not present. She phoned the Director to let her know we were present, and she stated she would be on her way. A walk through of the facility was conducted with the Assistant Director, R. Belge. Children were observed participating in personal care routines, transitions, teacher directed activities and lunch. Lunch consisted of ham, cheesy potatoes, carrots, bread, and milk. Staff were observed assisting children with personal care routines and supervising activities. The Director arrived approximately 45 minutes after our arrival. The following items were monitored during today’s visit, supervision, staff/child ratio, first aid, CPR, special training, criminal background checks, ITS-SIDS training, emergency medical care plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions. The Staff and Training Worksheets were reviewed to confirm existing staff were current with CPR, First Aid, ITS-SIDS training, and criminal background qualifying letters. Thirteen new staff members have been hired since the annual compliance visit conducted on January 31, 2023. Files for new staff were monitored today. The last approved fire inspection was conducted on December 29, 2022. The last sanitation inspection was conducted on January 12, 2023, with zero demerits and a Superior rating. The Emergency drill log was monitored today, and both conducted in August 2023. Outdoor safety inspections were also monitored and occurring monthly as required. There were seven violations cited and four corrected today. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The feedings schedule we reviewed were not completed and some were not signed by the parent in space 132 and 133 10A NCAC 09 .0902(a) 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. I observed surge protectors in Space 214 and 215 that were not covered with safety plugs nor were they located behind furniture or equipment that cannot be moved by a child. 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. Space 214, I observed disinfectant wipes stored below 5 feet on a shelf near the teacher's desk. In Space 219 I observed antibacterial sanitizer stored below 5 feet on the teacher's desk. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One Benadryl in Space 218 was not stored in a locked cabinet or other locked container. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One Aquaphor in Space 130 was not labeled nor did it have written permission to administer. Two sunscreens in Space 122 did not have written permission to administer. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One cream in Space 132 is prescribed and did not come with the pharmacy label. .0803(2)(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Space 132 and 133 serving infants did not have the programs safe sleep policy posted. .0606(b) Technical Assistance: Emergency Preparedness and Response requirements (EPR): I reviewed 10A NCAC 09 .0607 requirements with you, but encourage you to read the requirement in full. The person who received EPR training terminated employment in June 2023. You will have until October 2023 to have someone complete EPR training. You will need to obtain the business NCID username and password to log into the NC Risk Management Portal to update your EPR plan. Once you edit the plan, you will need to publish it then print and place in your EPR Ready To Go Notebook. The plan is required to be reviewed in the NC Risk Management Portal each year and republished and printed. The staff who completes the EPR training and updates the EPR plan will be the staff who annually reviews the current EPR plan with staff. I reminded you how to keep the Ready to go file current with the current EPR plan, current contact information for individuals to pick-up children, current children's application, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. We discussed coming up with a plan on how the EPR Ready to Go File will be monitored routinely to ensure it remains current. A conversation was held with the Director regarding the violations cited. Below is the rule reference for each violation. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Violations must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by September 27, 2023. The letter of compliance must describe how and when the violations were corrected. The letter must be mailed to Kaye Dunlap, 3109 Wyntree Court, Matthews, NC, 28104 or emailed to Kaye.Dunlap@dhhs.nc.gov. If a letter is not received by the required date another visit will be conducted to confirm the violations were corrected. 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 or an administrative action may be recommended. 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. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: CALVARY CHURCH CHILD DEVELOPMENT CENTER Facility ID: 6055594 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 243 Completed Date: 9/13/2023 Age: From 0 To 5 Total Minutes: 345 Time In: 09:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the routine unannounced visit. Andrea Anderson, Child Care Consultant accompanied me on today’s visit. Upon arrival, we were greeted by the Registrar, C. Milam. We stated the reason for the visit. The Registrar stated that the Director, L. Koppelmann was not present. She phoned the Director to let her know we were present, and she stated she would be on her way. A walk through of the facility was conducted with the Assistant Director, R. Belge. Children were observed participating in personal care routines, transitions, teacher directed activities and lunch. Lunch consisted of ham, cheesy potatoes, carrots, bread, and milk. Staff were observed assisting children with personal care routines and supervising activities. The Director arrived approximately 45 minutes after our arrival. The following items were monitored during today’s visit, supervision, staff/child ratio, first aid, CPR, special training, criminal background checks, ITS-SIDS training, emergency medical care plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions. The Staff and Training Worksheets were reviewed to confirm existing staff were current with CPR, First Aid, ITS-SIDS training, and criminal background qualifying letters. Thirteen new staff members have been hired since the annual compliance visit conducted on January 31, 2023. Files for new staff were monitored today. The last approved fire inspection was conducted on December 29, 2022. The last sanitation inspection was conducted on January 12, 2023, with zero demerits and a Superior rating. The Emergency drill log was monitored today, and both conducted in August 2023. Outdoor safety inspections were also monitored and occurring monthly as required. There were seven violations cited and four corrected today. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The feedings schedule we reviewed were not completed and some were not signed by the parent in space 132 and 133 10A NCAC 09 .0902(a) 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. I observed surge protectors in Space 214 and 215 that were not covered with safety plugs nor were they located behind furniture or equipment that cannot be moved by a child. 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. Space 214, I observed disinfectant wipes stored below 5 feet on a shelf near the teacher's desk. In Space 219 I observed antibacterial sanitizer stored below 5 feet on the teacher's desk. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One Benadryl in Space 218 was not stored in a locked cabinet or other locked container. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One Aquaphor in Space 130 was not labeled nor did it have written permission to administer. Two sunscreens in Space 122 did not have written permission to administer. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One cream in Space 132 is prescribed and did not come with the pharmacy label. .0803(2)(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Space 132 and 133 serving infants did not have the programs safe sleep policy posted. .0606(b) Technical Assistance: Emergency Preparedness and Response requirements (EPR): I reviewed 10A NCAC 09 .0607 requirements with you, but encourage you to read the requirement in full. The person who received EPR training terminated employment in June 2023. You will have until October 2023 to have someone complete EPR training. You will need to obtain the business NCID username and password to log into the NC Risk Management Portal to update your EPR plan. Once you edit the plan, you will need to publish it then print and place in your EPR Ready To Go Notebook. The plan is required to be reviewed in the NC Risk Management Portal each year and republished and printed. The staff who completes the EPR training and updates the EPR plan will be the staff who annually reviews the current EPR plan with staff. I reminded you how to keep the Ready to go file current with the current EPR plan, current contact information for individuals to pick-up children, current children's application, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. We discussed coming up with a plan on how the EPR Ready to Go File will be monitored routinely to ensure it remains current. A conversation was held with the Director regarding the violations cited. Below is the rule reference for each violation. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Violations must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by September 27, 2023. The letter of compliance must describe how and when the violations were corrected. The letter must be mailed to Kaye Dunlap, 3109 Wyntree Court, Matthews, NC, 28104 or emailed to Kaye.Dunlap@dhhs.nc.gov. If a letter is not received by the required date another visit will be conducted to confirm the violations were corrected. 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 or an administrative action may be recommended. 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. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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