COS Kids

10A NCAC 09 .1102 · Violation

Name of Operation: COS KIDS Facility ID: 60003664 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/3/2026 Number Present: 0 Completed Date: 3/3/2026 Age: From 0 To 0 Total Minutes: 185 Time In: 10:00 AM Time Out: 01:05 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 childcare requirements for an annual compliance visit. The facility currently operates with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The last annual compliance visit was conducted March 18, 2025. The NC Secretary of State website was reviewed on March 3, 2026, and Christ Our Shepherd Ministries was listed as current-active. The compliance history prior to today’s visit is 87 %. Upon arrival I was greeted by Heather Williamson, Director, and Addison Rush, Assistant Director. Ms. Williamson and Ms. Addison assisted me with the visit. A sanitation inspection was completed December 29, 2025, with a Superior classification. The last fire inspection was conducted on July 31, 2025, and the facility was approved for daytime care only. Posted items required were observed and met compliance. Ms. Rush and Ms. Williamson assisted me with a walk through of the facility and program areas. The program is serving school age children only and does not offer teacher workdays, so the children were not present during the visit. The school age program is currently using two spaces. I monitored those spaces today. The schedules, activity plans and attendance were reviewed for each room. Throughout the facility, material and equipment in each classroom were found in good repair and developmentally appropriate for the age range. There is currently one (1) child enrolled requiring emergency medications. I monitored all paperwork and medication and found in compliance. The center provides transportation and has three vans. Only one van is currently used to transport school-age children. I monitored the van being used, reviewed the attendance notebook and found in compliance. The registration is dated 2/28/26 and the insurance is current. The outdoor play area was observed as I monitored transportation and general safety requirements were in compliance. Due to inclement weather I was unable to monitor all requirements for the outdoor play area. Ten (10) percent of children’s files were selected, reviewed and no violations were cited. The staff and training worksheet was used to review staff files. There have been no new staff hired since the routine unannounced visit on October 21, 2025. Ten (10) percent of staff files were reviewed today. There were no violations cited. ABCMS was monitored and found in compliance. One (1) employee works at two facilities, is approved on the Christ Our Shepherd roster and was not on the COS Kids roster. She will be added to this facility today. Gerilyn Jones, Professional Development Coordinator, and I discussed calculating on-going training hours for a staff member currently taking EDU 119. We discussed health and safety training and calculating on-going training hours. Program records were monitored and one violation was cited for playground inspections. The last fire drill was conducted on 2/27/2026. The last shelter in place was conducted 1/30/2026. The incident log was monitored and found in compliance. The EPR plan is dated 11/24/25 and the ready-to-go files were monitored and found in compliance. The following violation was cited today: Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The November,2025 playground inspection was not documented and available for review. .0605(q) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 17, 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. Please email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Technical Assistance DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. QRIS – Pathway to the Stars We discussed that you are currently considering reducing stars to a 1-Star License or determining if your organization qualifies for a religious sponsored license. I emailed you several documents to assist with information for both types of licenses. I will talk with our Lead Consultant, Amy Italiano, to get clarification regarding the option to become a religious sponsored center. We discussed that you are still working with coaches from CCRI to prepare for your new star rated license. NC Rated License Assessment Project (NCRLAP) I shared that the NCRLAP website has additional training information and resources available at https://www.ncrlap.org/ . Although you may not complete the assessment, the resources will be helpful for your staff. I encourage you to review this website and the resources offered. Health and Safety Training Hours I will clarify and email you how you should calculate the training hours for Health and Safety and if the hours can be included/carried over in on-going training hours the first year. The rule reads as follows: (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: COS KIDS Facility ID: 60003664 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/3/2026 Number Present: 0 Completed Date: 3/3/2026 Age: From 0 To 0 Total Minutes: 185 Time In: 10:00 AM Time Out: 01:05 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 childcare requirements for an annual compliance visit. The facility currently operates with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The last annual compliance visit was conducted March 18, 2025. The NC Secretary of State website was reviewed on March 3, 2026, and Christ Our Shepherd Ministries was listed as current-active. The compliance history prior to today’s visit is 87 %. Upon arrival I was greeted by Heather Williamson, Director, and Addison Rush, Assistant Director. Ms. Williamson and Ms. Addison assisted me with the visit. A sanitation inspection was completed December 29, 2025, with a Superior classification. The last fire inspection was conducted on July 31, 2025, and the facility was approved for daytime care only. Posted items required were observed and met compliance. Ms. Rush and Ms. Williamson assisted me with a walk through of the facility and program areas. The program is serving school age children only and does not offer teacher workdays, so the children were not present during the visit. The school age program is currently using two spaces. I monitored those spaces today. The schedules, activity plans and attendance were reviewed for each room. Throughout the facility, material and equipment in each classroom were found in good repair and developmentally appropriate for the age range. There is currently one (1) child enrolled requiring emergency medications. I monitored all paperwork and medication and found in compliance. The center provides transportation and has three vans. Only one van is currently used to transport school-age children. I monitored the van being used, reviewed the attendance notebook and found in compliance. The registration is dated 2/28/26 and the insurance is current. The outdoor play area was observed as I monitored transportation and general safety requirements were in compliance. Due to inclement weather I was unable to monitor all requirements for the outdoor play area. Ten (10) percent of children’s files were selected, reviewed and no violations were cited. The staff and training worksheet was used to review staff files. There have been no new staff hired since the routine unannounced visit on October 21, 2025. Ten (10) percent of staff files were reviewed today. There were no violations cited. ABCMS was monitored and found in compliance. One (1) employee works at two facilities, is approved on the Christ Our Shepherd roster and was not on the COS Kids roster. She will be added to this facility today. Gerilyn Jones, Professional Development Coordinator, and I discussed calculating on-going training hours for a staff member currently taking EDU 119. We discussed health and safety training and calculating on-going training hours. Program records were monitored and one violation was cited for playground inspections. The last fire drill was conducted on 2/27/2026. The last shelter in place was conducted 1/30/2026. The incident log was monitored and found in compliance. The EPR plan is dated 11/24/25 and the ready-to-go files were monitored and found in compliance. The following violation was cited today: Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The November,2025 playground inspection was not documented and available for review. .0605(q) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 17, 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. Please email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Technical Assistance DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. QRIS – Pathway to the Stars We discussed that you are currently considering reducing stars to a 1-Star License or determining if your organization qualifies for a religious sponsored license. I emailed you several documents to assist with information for both types of licenses. I will talk with our Lead Consultant, Amy Italiano, to get clarification regarding the option to become a religious sponsored center. We discussed that you are still working with coaches from CCRI to prepare for your new star rated license. NC Rated License Assessment Project (NCRLAP) I shared that the NCRLAP website has additional training information and resources available at https://www.ncrlap.org/ . Although you may not complete the assessment, the resources will be helpful for your staff. I encourage you to review this website and the resources offered. Health and Safety Training Hours I will clarify and email you how you should calculate the training hours for Health and Safety and if the hours can be included/carried over in on-going training hours the first year. The rule reads as follows: (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: COS KIDS Facility ID: 60003664 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/21/2025 Number Present: 14 Completed Date: 10/21/2025 Age: From 4 To 10 Total Minutes: 170 Time In: 12:55 PM Time Out: 03:45 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 with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The last annual compliance visit was conducted March 18, 2025. The compliance history prior to today’s visit is 88 %. Upon arrival I was greeted by Heather Williamson, Director, and Addison Rush, Assistant Director. Ms. Rush assisted me with the visit. Gerilyn Jones, Professional Development Coordinator assisted me with training documentation. The following child care requirements were monitored during today’s visit: License Posted/Permit Restrictions: The license was posted, and restrictions were in compliance. Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has a current CPR certification. First Aid: Each staff has current First Aid certification. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualifications. ABCMS Roster was reviewed and was not in compliance. A violation was cited. See Technical Assistance. ITS-SIDS: There are no infant rooms at this facility. Safe sleep policy and sleep charts: There are no infant rooms at this facility. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: There is one child currently enrolled requiring Emergency Medication. Two (2) violations were cited. See violations section for more details. This is a repeat violation. Storage of Hazardous Substances: Storage of Hazardous Materials was in compliance. Storage of Medication: Emergency Medication was observed stored in compliance. General Safety: General safety was monitored and found in compliance. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. The program is currently using two (2) spaces and serving school-age children only. Program Records: I reviewed all information required to be posted and found in compliance. The last Sanitation Inspection was completed May 21, 2025, with a superior rating and five (5) demerits. The playground inspections were current and in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored and the last shelter in place was conducted September 31, 2025. The shelter in place drill conducted before was dated April 10, 2025. A violation was cited. The August 2024 fire drill was not conducted. The last fire inspection was due was conducted July 31, 2025. The Fire Inspection was not submitted to the Division within one (1) week of the inspections. A copy was provided today. A violation was cited. The EPR plan is dated November 26, 2024. The ready-to-go file was reviewed and found in compliance. The following violations were cited 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. The fire inspection dated 7/31/2025 was submitted to the division 10/21/2025. 10A NCAC 09 .0304(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The August, 2025 fire drill was not documented. .0604(t); .0302(d)(5) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A Symbicort inhaler was not in the original container with the prescription label. .0803(2)(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff hired 8/9/2023 needed 10 additional hours of on-going training hours on or before 8/9/2025. .1103(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility has no staff linked to the ABCMS portal. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place was conducted 7/31/2025 not within three (3) months of the shelter in place documented 4/10/2025. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permission to administer form for one (1) child requiring Symbicort expired 9/6/2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance Statement Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 4,2025 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. Please email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Technical Assistance DCDEE Website I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. The most current Summary of Law is located here. Please print this and update your one posted. ABCMS We discussed completing your roster. I emailed you the most current Technical Assistance document prior to leaving the visit today. You must compete the training in Moodle before. For ABCMS PROVIDER PORTAL TECHNICAL ASSISTANCE visit the following links: DCDEE Web Address: https://ncchildcare.ncdhhs.gov NC ABCMS Links Page: https://ncabcms.nc.gov Understanding the New QRIS We discussed that you are currently interested in Pathway 2 and 3. You can view the application for Pathways 2 and 3 here: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. You have tentatively chosen to apply on or before January 31, 2026, for the new license. We discussed that you are currently working with coaches from CCRI to prepare for your new star rated license. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. NC Rated License Assessment Project (NCRLAP) I shared that the NCRLAP website has additional training information and resources available at https://www.ncrlap.org/ . Although you may not complete the assessment, the resources will be helpful for your staff. I encourage you to review this website and the resources offered. On Going Training Hours Please review the email sent to you September 22, 2025, which includes many resources and free options to secure training hours for your staff. I will resend the email to you as well. Emergency Medications Please review the requirements for medications here: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS. I suggest you check all of your emergency medications for compliance to reduce the risk of violations. Repeat violations may result in Administrative Action. We discussed the violations cited and the requirements for compliance. I was unable to read the expiration date on the Symbicort Inhaler. All medication must have clear expiration dates. Acceptable Locks We discussed that slide locks are not considered in compliance for inaccessibility. You can find all of the storage requirements in section 2800, Sanitation in Child Care Centers. 15A NCAC 18A .2820 STORAGE (b) ……. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. WORKS I suggest reviewing all staff WORKS letters. You can visit the WORKS page on our website here: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS . You can get contact information for assistance here as well. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: COS KIDS Facility ID: 60003664 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/21/2025 Number Present: 14 Completed Date: 10/21/2025 Age: From 4 To 10 Total Minutes: 170 Time In: 12:55 PM Time Out: 03:45 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 with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The last annual compliance visit was conducted March 18, 2025. The compliance history prior to today’s visit is 88 %. Upon arrival I was greeted by Heather Williamson, Director, and Addison Rush, Assistant Director. Ms. Rush assisted me with the visit. Gerilyn Jones, Professional Development Coordinator assisted me with training documentation. The following child care requirements were monitored during today’s visit: License Posted/Permit Restrictions: The license was posted, and restrictions were in compliance. Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has a current CPR certification. First Aid: Each staff has current First Aid certification. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualifications. ABCMS Roster was reviewed and was not in compliance. A violation was cited. See Technical Assistance. ITS-SIDS: There are no infant rooms at this facility. Safe sleep policy and sleep charts: There are no infant rooms at this facility. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: There is one child currently enrolled requiring Emergency Medication. Two (2) violations were cited. See violations section for more details. This is a repeat violation. Storage of Hazardous Substances: Storage of Hazardous Materials was in compliance. Storage of Medication: Emergency Medication was observed stored in compliance. General Safety: General safety was monitored and found in compliance. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. The program is currently using two (2) spaces and serving school-age children only. Program Records: I reviewed all information required to be posted and found in compliance. The last Sanitation Inspection was completed May 21, 2025, with a superior rating and five (5) demerits. The playground inspections were current and in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored and the last shelter in place was conducted September 31, 2025. The shelter in place drill conducted before was dated April 10, 2025. A violation was cited. The August 2024 fire drill was not conducted. The last fire inspection was due was conducted July 31, 2025. The Fire Inspection was not submitted to the Division within one (1) week of the inspections. A copy was provided today. A violation was cited. The EPR plan is dated November 26, 2024. The ready-to-go file was reviewed and found in compliance. The following violations were cited 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. The fire inspection dated 7/31/2025 was submitted to the division 10/21/2025. 10A NCAC 09 .0304(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The August, 2025 fire drill was not documented. .0604(t); .0302(d)(5) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A Symbicort inhaler was not in the original container with the prescription label. .0803(2)(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff hired 8/9/2023 needed 10 additional hours of on-going training hours on or before 8/9/2025. .1103(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility has no staff linked to the ABCMS portal. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place was conducted 7/31/2025 not within three (3) months of the shelter in place documented 4/10/2025. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permission to administer form for one (1) child requiring Symbicort expired 9/6/2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance Statement Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 4,2025 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. Please email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Technical Assistance DCDEE Website I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. The most current Summary of Law is located here. Please print this and update your one posted. ABCMS We discussed completing your roster. I emailed you the most current Technical Assistance document prior to leaving the visit today. You must compete the training in Moodle before. For ABCMS PROVIDER PORTAL TECHNICAL ASSISTANCE visit the following links: DCDEE Web Address: https://ncchildcare.ncdhhs.gov NC ABCMS Links Page: https://ncabcms.nc.gov Understanding the New QRIS We discussed that you are currently interested in Pathway 2 and 3. You can view the application for Pathways 2 and 3 here: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. You have tentatively chosen to apply on or before January 31, 2026, for the new license. We discussed that you are currently working with coaches from CCRI to prepare for your new star rated license. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. NC Rated License Assessment Project (NCRLAP) I shared that the NCRLAP website has additional training information and resources available at https://www.ncrlap.org/ . Although you may not complete the assessment, the resources will be helpful for your staff. I encourage you to review this website and the resources offered. On Going Training Hours Please review the email sent to you September 22, 2025, which includes many resources and free options to secure training hours for your staff. I will resend the email to you as well. Emergency Medications Please review the requirements for medications here: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS. I suggest you check all of your emergency medications for compliance to reduce the risk of violations. Repeat violations may result in Administrative Action. We discussed the violations cited and the requirements for compliance. I was unable to read the expiration date on the Symbicort Inhaler. All medication must have clear expiration dates. Acceptable Locks We discussed that slide locks are not considered in compliance for inaccessibility. You can find all of the storage requirements in section 2800, Sanitation in Child Care Centers. 15A NCAC 18A .2820 STORAGE (b) ……. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. WORKS I suggest reviewing all staff WORKS letters. You can visit the WORKS page on our website here: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS . You can get contact information for assistance here as well. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: COS KIDS Facility ID: 60003664 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/21/2025 Number Present: 14 Completed Date: 10/21/2025 Age: From 4 To 10 Total Minutes: 170 Time In: 12:55 PM Time Out: 03:45 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 with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The last annual compliance visit was conducted March 18, 2025. The compliance history prior to today’s visit is 88 %. Upon arrival I was greeted by Heather Williamson, Director, and Addison Rush, Assistant Director. Ms. Rush assisted me with the visit. Gerilyn Jones, Professional Development Coordinator assisted me with training documentation. The following child care requirements were monitored during today’s visit: License Posted/Permit Restrictions: The license was posted, and restrictions were in compliance. Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has a current CPR certification. First Aid: Each staff has current First Aid certification. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualifications. ABCMS Roster was reviewed and was not in compliance. A violation was cited. See Technical Assistance. ITS-SIDS: There are no infant rooms at this facility. Safe sleep policy and sleep charts: There are no infant rooms at this facility. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: There is one child currently enrolled requiring Emergency Medication. Two (2) violations were cited. See violations section for more details. This is a repeat violation. Storage of Hazardous Substances: Storage of Hazardous Materials was in compliance. Storage of Medication: Emergency Medication was observed stored in compliance. General Safety: General safety was monitored and found in compliance. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. The program is currently using two (2) spaces and serving school-age children only. Program Records: I reviewed all information required to be posted and found in compliance. The last Sanitation Inspection was completed May 21, 2025, with a superior rating and five (5) demerits. The playground inspections were current and in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored and the last shelter in place was conducted September 31, 2025. The shelter in place drill conducted before was dated April 10, 2025. A violation was cited. The August 2024 fire drill was not conducted. The last fire inspection was due was conducted July 31, 2025. The Fire Inspection was not submitted to the Division within one (1) week of the inspections. A copy was provided today. A violation was cited. The EPR plan is dated November 26, 2024. The ready-to-go file was reviewed and found in compliance. The following violations were cited 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. The fire inspection dated 7/31/2025 was submitted to the division 10/21/2025. 10A NCAC 09 .0304(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The August, 2025 fire drill was not documented. .0604(t); .0302(d)(5) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A Symbicort inhaler was not in the original container with the prescription label. .0803(2)(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff hired 8/9/2023 needed 10 additional hours of on-going training hours on or before 8/9/2025. .1103(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility has no staff linked to the ABCMS portal. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place was conducted 7/31/2025 not within three (3) months of the shelter in place documented 4/10/2025. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permission to administer form for one (1) child requiring Symbicort expired 9/6/2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance Statement Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 4,2025 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. Please email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Technical Assistance DCDEE Website I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. The most current Summary of Law is located here. Please print this and update your one posted. ABCMS We discussed completing your roster. I emailed you the most current Technical Assistance document prior to leaving the visit today. You must compete the training in Moodle before. For ABCMS PROVIDER PORTAL TECHNICAL ASSISTANCE visit the following links: DCDEE Web Address: https://ncchildcare.ncdhhs.gov NC ABCMS Links Page: https://ncabcms.nc.gov Understanding the New QRIS We discussed that you are currently interested in Pathway 2 and 3. You can view the application for Pathways 2 and 3 here: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. You have tentatively chosen to apply on or before January 31, 2026, for the new license. We discussed that you are currently working with coaches from CCRI to prepare for your new star rated license. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. NC Rated License Assessment Project (NCRLAP) I shared that the NCRLAP website has additional training information and resources available at https://www.ncrlap.org/ . Although you may not complete the assessment, the resources will be helpful for your staff. I encourage you to review this website and the resources offered. On Going Training Hours Please review the email sent to you September 22, 2025, which includes many resources and free options to secure training hours for your staff. I will resend the email to you as well. Emergency Medications Please review the requirements for medications here: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS. I suggest you check all of your emergency medications for compliance to reduce the risk of violations. Repeat violations may result in Administrative Action. We discussed the violations cited and the requirements for compliance. I was unable to read the expiration date on the Symbicort Inhaler. All medication must have clear expiration dates. Acceptable Locks We discussed that slide locks are not considered in compliance for inaccessibility. You can find all of the storage requirements in section 2800, Sanitation in Child Care Centers. 15A NCAC 18A .2820 STORAGE (b) ……. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. WORKS I suggest reviewing all staff WORKS letters. You can visit the WORKS page on our website here: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS . You can get contact information for assistance here as well. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: COS KIDS Facility ID: 60003664 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/21/2025 Number Present: 14 Completed Date: 10/21/2025 Age: From 4 To 10 Total Minutes: 170 Time In: 12:55 PM Time Out: 03:45 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 with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The last annual compliance visit was conducted March 18, 2025. The compliance history prior to today’s visit is 88 %. Upon arrival I was greeted by Heather Williamson, Director, and Addison Rush, Assistant Director. Ms. Rush assisted me with the visit. Gerilyn Jones, Professional Development Coordinator assisted me with training documentation. The following child care requirements were monitored during today’s visit: License Posted/Permit Restrictions: The license was posted, and restrictions were in compliance. Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has a current CPR certification. First Aid: Each staff has current First Aid certification. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualifications. ABCMS Roster was reviewed and was not in compliance. A violation was cited. See Technical Assistance. ITS-SIDS: There are no infant rooms at this facility. Safe sleep policy and sleep charts: There are no infant rooms at this facility. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: There is one child currently enrolled requiring Emergency Medication. Two (2) violations were cited. See violations section for more details. This is a repeat violation. Storage of Hazardous Substances: Storage of Hazardous Materials was in compliance. Storage of Medication: Emergency Medication was observed stored in compliance. General Safety: General safety was monitored and found in compliance. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. The program is currently using two (2) spaces and serving school-age children only. Program Records: I reviewed all information required to be posted and found in compliance. The last Sanitation Inspection was completed May 21, 2025, with a superior rating and five (5) demerits. The playground inspections were current and in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored and the last shelter in place was conducted September 31, 2025. The shelter in place drill conducted before was dated April 10, 2025. A violation was cited. The August 2024 fire drill was not conducted. The last fire inspection was due was conducted July 31, 2025. The Fire Inspection was not submitted to the Division within one (1) week of the inspections. A copy was provided today. A violation was cited. The EPR plan is dated November 26, 2024. The ready-to-go file was reviewed and found in compliance. The following violations were cited 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. The fire inspection dated 7/31/2025 was submitted to the division 10/21/2025. 10A NCAC 09 .0304(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The August, 2025 fire drill was not documented. .0604(t); .0302(d)(5) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A Symbicort inhaler was not in the original container with the prescription label. .0803(2)(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff hired 8/9/2023 needed 10 additional hours of on-going training hours on or before 8/9/2025. .1103(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility has no staff linked to the ABCMS portal. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place was conducted 7/31/2025 not within three (3) months of the shelter in place documented 4/10/2025. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permission to administer form for one (1) child requiring Symbicort expired 9/6/2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance Statement Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 4,2025 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. Please email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Technical Assistance DCDEE Website I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. The most current Summary of Law is located here. Please print this and update your one posted. ABCMS We discussed completing your roster. I emailed you the most current Technical Assistance document prior to leaving the visit today. You must compete the training in Moodle before. For ABCMS PROVIDER PORTAL TECHNICAL ASSISTANCE visit the following links: DCDEE Web Address: https://ncchildcare.ncdhhs.gov NC ABCMS Links Page: https://ncabcms.nc.gov Understanding the New QRIS We discussed that you are currently interested in Pathway 2 and 3. You can view the application for Pathways 2 and 3 here: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. You have tentatively chosen to apply on or before January 31, 2026, for the new license. We discussed that you are currently working with coaches from CCRI to prepare for your new star rated license. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. NC Rated License Assessment Project (NCRLAP) I shared that the NCRLAP website has additional training information and resources available at https://www.ncrlap.org/ . Although you may not complete the assessment, the resources will be helpful for your staff. I encourage you to review this website and the resources offered. On Going Training Hours Please review the email sent to you September 22, 2025, which includes many resources and free options to secure training hours for your staff. I will resend the email to you as well. Emergency Medications Please review the requirements for medications here: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS. I suggest you check all of your emergency medications for compliance to reduce the risk of violations. Repeat violations may result in Administrative Action. We discussed the violations cited and the requirements for compliance. I was unable to read the expiration date on the Symbicort Inhaler. All medication must have clear expiration dates. Acceptable Locks We discussed that slide locks are not considered in compliance for inaccessibility. You can find all of the storage requirements in section 2800, Sanitation in Child Care Centers. 15A NCAC 18A .2820 STORAGE (b) ……. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. WORKS I suggest reviewing all staff WORKS letters. You can visit the WORKS page on our website here: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS . You can get contact information for assistance here as well. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: COS KIDS Facility ID: 60003664 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 4 Completed Date: 2/18/2025 Age: From 7 To 10 Total Minutes: 220 Time In: 11:35 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The last annual compliance visit was conducted April 28, 2024. The NC Secretary of State website was reviewed on March 18, 2025, and Christ Our Shepherd Ministries was listed as current-active. The compliance history prior to today’s visit was 89 %. Upon arrival I was greeted by Heather Williamson, Director, and Addison Rush, Assistant Director. Ms. Williamson and Ms. Addison assisted me with the visit. We discussed that all preschool children have been moved to Christ Our Shepherd Ministries building and that COS Kids will now only serve school age children. Addison Rush, Assistant Director will be the Director for COS Kids effective June 20, 2025. A sanitation inspection was completed November 22, 2024, with a Superior classification. The last fire inspection was conducted on August 2, 2024, and the facility was approved for daytime care only. Four (4) children’s files were selected, reviewed and no violations were cited. Medical reports for two children enrolled were over one year old from the date of enrollment. The children attended Christ Our Shepherd Ministries before enrolling in COS Kids for afterschool. The staff and training worksheet was used to review staff files. One (1) new staff file was reviewed, and ten (10) percent of veteran staff files were reviewed. There were no violations cited. Gerilyn Jones, Professional Development Coordinator, and I discussed calculating on-going training hours for a staff member currently taking EDU 119. Posted items required were observed and met compliance. The Written Warning for the center was completed December 16, 2024. The Summary of Law is dated 2011. The most current Summary can be found on our website. Program records were reviewed. The last fire drill was conducted March 17, 2025. February 2025 fire drill was not completed. The last shelter in place was conducted December 31, 2025, which was after the requirement to conduct a shelter in place or lock down drill at least every three months. The previous shelter in place drill was conducted August 26, 2024. The incident log was reviewed and found in compliance. The last playground inspection was completed March 7, 2025. The inspection was completed by a staff member who does not have Playground Safety. Ms. Williamson is enrolled in the course offered March 26, 2025. The EPR is dated November 26, 2024, and the ready-to-go file was monitored and found in compliance. The center provides transportation and has three vans. Only one van is currently used to transport school-age children. I monitored the van being used. The fire extinguisher in the van is dated June, 2023. The outdoor area and equipment were monitored, and violations were observed. Please see the violations section for details. I monitored all emergency medications. There are currently two (2) children enrolled requiring emergency medications and violations were cited. Please see the violations section for details. The school age program is currently using two spaces. I monitored those spaces today. I observed school age children arrive, transition to free play, activity centers, and teacher directed activities. I monitored each room for safe indoor environment and general safety. A first aid kit accessible to children containing bee sting wipes and sharp scissors was removed prior to children arriving. The schedules, activity plans and attendance were reviewed for each room. Throughout the facility, material and equipment in each classroom were found in good repair and developmentally appropriate for the age range. Supervision and staff child ratios were maintained during today’s visit. Each group was observed in approved/adequate space. Permit restrictions were met. I observed caregivers use nurturing and caring tones. The following violations were cited today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The fence locate t the far left of the play area near the road is bent and the cross pipe is bent and the end exposed. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The February 2025 fire drill was not documented. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Cinderblocks, rocks and stumps with sharp edges were accessible to children. Yellow plastic on PVC pipe and a Rubbermaid storage bin lid were broken and cracked creating a hazard for children. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The teepees and tires located on the outdoor play area were full of leaves, weeds and debris. 15A NCAC 18A .2832(a) 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 (1) child had Valtoco on site without the original labeled container. One (1) child has Epi-pen on site without a physician's signature. .0803(2)(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have been completed by a staff member not certified in playground safety. .0605(q) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguisher located in the van expired June, 2023. 10A NCAC 09 .1003(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The December 31, 2024 shelter-in-place drill was not conducted within three months of the August, 26, 2024 drill. .0604(u);.0302(d)(8) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 1, 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. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Technical Assistance Emergency Medication Please review 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS for clear understanding of emergency medication requirements. Outdoor Play Area Please review 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e)One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: COS KIDS Facility ID: 60003664 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 4 Completed Date: 2/18/2025 Age: From 7 To 10 Total Minutes: 220 Time In: 11:35 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The last annual compliance visit was conducted April 28, 2024. The NC Secretary of State website was reviewed on March 18, 2025, and Christ Our Shepherd Ministries was listed as current-active. The compliance history prior to today’s visit was 89 %. Upon arrival I was greeted by Heather Williamson, Director, and Addison Rush, Assistant Director. Ms. Williamson and Ms. Addison assisted me with the visit. We discussed that all preschool children have been moved to Christ Our Shepherd Ministries building and that COS Kids will now only serve school age children. Addison Rush, Assistant Director will be the Director for COS Kids effective June 20, 2025. A sanitation inspection was completed November 22, 2024, with a Superior classification. The last fire inspection was conducted on August 2, 2024, and the facility was approved for daytime care only. Four (4) children’s files were selected, reviewed and no violations were cited. Medical reports for two children enrolled were over one year old from the date of enrollment. The children attended Christ Our Shepherd Ministries before enrolling in COS Kids for afterschool. The staff and training worksheet was used to review staff files. One (1) new staff file was reviewed, and ten (10) percent of veteran staff files were reviewed. There were no violations cited. Gerilyn Jones, Professional Development Coordinator, and I discussed calculating on-going training hours for a staff member currently taking EDU 119. Posted items required were observed and met compliance. The Written Warning for the center was completed December 16, 2024. The Summary of Law is dated 2011. The most current Summary can be found on our website. Program records were reviewed. The last fire drill was conducted March 17, 2025. February 2025 fire drill was not completed. The last shelter in place was conducted December 31, 2025, which was after the requirement to conduct a shelter in place or lock down drill at least every three months. The previous shelter in place drill was conducted August 26, 2024. The incident log was reviewed and found in compliance. The last playground inspection was completed March 7, 2025. The inspection was completed by a staff member who does not have Playground Safety. Ms. Williamson is enrolled in the course offered March 26, 2025. The EPR is dated November 26, 2024, and the ready-to-go file was monitored and found in compliance. The center provides transportation and has three vans. Only one van is currently used to transport school-age children. I monitored the van being used. The fire extinguisher in the van is dated June, 2023. The outdoor area and equipment were monitored, and violations were observed. Please see the violations section for details. I monitored all emergency medications. There are currently two (2) children enrolled requiring emergency medications and violations were cited. Please see the violations section for details. The school age program is currently using two spaces. I monitored those spaces today. I observed school age children arrive, transition to free play, activity centers, and teacher directed activities. I monitored each room for safe indoor environment and general safety. A first aid kit accessible to children containing bee sting wipes and sharp scissors was removed prior to children arriving. The schedules, activity plans and attendance were reviewed for each room. Throughout the facility, material and equipment in each classroom were found in good repair and developmentally appropriate for the age range. Supervision and staff child ratios were maintained during today’s visit. Each group was observed in approved/adequate space. Permit restrictions were met. I observed caregivers use nurturing and caring tones. The following violations were cited today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The fence locate t the far left of the play area near the road is bent and the cross pipe is bent and the end exposed. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The February 2025 fire drill was not documented. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Cinderblocks, rocks and stumps with sharp edges were accessible to children. Yellow plastic on PVC pipe and a Rubbermaid storage bin lid were broken and cracked creating a hazard for children. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The teepees and tires located on the outdoor play area were full of leaves, weeds and debris. 15A NCAC 18A .2832(a) 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 (1) child had Valtoco on site without the original labeled container. One (1) child has Epi-pen on site without a physician's signature. .0803(2)(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have been completed by a staff member not certified in playground safety. .0605(q) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguisher located in the van expired June, 2023. 10A NCAC 09 .1003(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The December 31, 2024 shelter-in-place drill was not conducted within three months of the August, 26, 2024 drill. .0604(u);.0302(d)(8) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 1, 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. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Technical Assistance Emergency Medication Please review 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS for clear understanding of emergency medication requirements. Outdoor Play Area Please review 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e)One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: COS KIDS Facility ID: 60003664 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 4 Completed Date: 2/18/2025 Age: From 7 To 10 Total Minutes: 220 Time In: 11:35 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The last annual compliance visit was conducted April 28, 2024. The NC Secretary of State website was reviewed on March 18, 2025, and Christ Our Shepherd Ministries was listed as current-active. The compliance history prior to today’s visit was 89 %. Upon arrival I was greeted by Heather Williamson, Director, and Addison Rush, Assistant Director. Ms. Williamson and Ms. Addison assisted me with the visit. We discussed that all preschool children have been moved to Christ Our Shepherd Ministries building and that COS Kids will now only serve school age children. Addison Rush, Assistant Director will be the Director for COS Kids effective June 20, 2025. A sanitation inspection was completed November 22, 2024, with a Superior classification. The last fire inspection was conducted on August 2, 2024, and the facility was approved for daytime care only. Four (4) children’s files were selected, reviewed and no violations were cited. Medical reports for two children enrolled were over one year old from the date of enrollment. The children attended Christ Our Shepherd Ministries before enrolling in COS Kids for afterschool. The staff and training worksheet was used to review staff files. One (1) new staff file was reviewed, and ten (10) percent of veteran staff files were reviewed. There were no violations cited. Gerilyn Jones, Professional Development Coordinator, and I discussed calculating on-going training hours for a staff member currently taking EDU 119. Posted items required were observed and met compliance. The Written Warning for the center was completed December 16, 2024. The Summary of Law is dated 2011. The most current Summary can be found on our website. Program records were reviewed. The last fire drill was conducted March 17, 2025. February 2025 fire drill was not completed. The last shelter in place was conducted December 31, 2025, which was after the requirement to conduct a shelter in place or lock down drill at least every three months. The previous shelter in place drill was conducted August 26, 2024. The incident log was reviewed and found in compliance. The last playground inspection was completed March 7, 2025. The inspection was completed by a staff member who does not have Playground Safety. Ms. Williamson is enrolled in the course offered March 26, 2025. The EPR is dated November 26, 2024, and the ready-to-go file was monitored and found in compliance. The center provides transportation and has three vans. Only one van is currently used to transport school-age children. I monitored the van being used. The fire extinguisher in the van is dated June, 2023. The outdoor area and equipment were monitored, and violations were observed. Please see the violations section for details. I monitored all emergency medications. There are currently two (2) children enrolled requiring emergency medications and violations were cited. Please see the violations section for details. The school age program is currently using two spaces. I monitored those spaces today. I observed school age children arrive, transition to free play, activity centers, and teacher directed activities. I monitored each room for safe indoor environment and general safety. A first aid kit accessible to children containing bee sting wipes and sharp scissors was removed prior to children arriving. The schedules, activity plans and attendance were reviewed for each room. Throughout the facility, material and equipment in each classroom were found in good repair and developmentally appropriate for the age range. Supervision and staff child ratios were maintained during today’s visit. Each group was observed in approved/adequate space. Permit restrictions were met. I observed caregivers use nurturing and caring tones. The following violations were cited today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The fence locate t the far left of the play area near the road is bent and the cross pipe is bent and the end exposed. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The February 2025 fire drill was not documented. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Cinderblocks, rocks and stumps with sharp edges were accessible to children. Yellow plastic on PVC pipe and a Rubbermaid storage bin lid were broken and cracked creating a hazard for children. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The teepees and tires located on the outdoor play area were full of leaves, weeds and debris. 15A NCAC 18A .2832(a) 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 (1) child had Valtoco on site without the original labeled container. One (1) child has Epi-pen on site without a physician's signature. .0803(2)(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have been completed by a staff member not certified in playground safety. .0605(q) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguisher located in the van expired June, 2023. 10A NCAC 09 .1003(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The December 31, 2024 shelter-in-place drill was not conducted within three months of the August, 26, 2024 drill. .0604(u);.0302(d)(8) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 1, 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. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Technical Assistance Emergency Medication Please review 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS for clear understanding of emergency medication requirements. Outdoor Play Area Please review 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e)One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .1003 · Violation

Name of Operation: COS KIDS Facility ID: 60003664 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 4 Completed Date: 2/18/2025 Age: From 7 To 10 Total Minutes: 220 Time In: 11:35 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The last annual compliance visit was conducted April 28, 2024. The NC Secretary of State website was reviewed on March 18, 2025, and Christ Our Shepherd Ministries was listed as current-active. The compliance history prior to today’s visit was 89 %. Upon arrival I was greeted by Heather Williamson, Director, and Addison Rush, Assistant Director. Ms. Williamson and Ms. Addison assisted me with the visit. We discussed that all preschool children have been moved to Christ Our Shepherd Ministries building and that COS Kids will now only serve school age children. Addison Rush, Assistant Director will be the Director for COS Kids effective June 20, 2025. A sanitation inspection was completed November 22, 2024, with a Superior classification. The last fire inspection was conducted on August 2, 2024, and the facility was approved for daytime care only. Four (4) children’s files were selected, reviewed and no violations were cited. Medical reports for two children enrolled were over one year old from the date of enrollment. The children attended Christ Our Shepherd Ministries before enrolling in COS Kids for afterschool. The staff and training worksheet was used to review staff files. One (1) new staff file was reviewed, and ten (10) percent of veteran staff files were reviewed. There were no violations cited. Gerilyn Jones, Professional Development Coordinator, and I discussed calculating on-going training hours for a staff member currently taking EDU 119. Posted items required were observed and met compliance. The Written Warning for the center was completed December 16, 2024. The Summary of Law is dated 2011. The most current Summary can be found on our website. Program records were reviewed. The last fire drill was conducted March 17, 2025. February 2025 fire drill was not completed. The last shelter in place was conducted December 31, 2025, which was after the requirement to conduct a shelter in place or lock down drill at least every three months. The previous shelter in place drill was conducted August 26, 2024. The incident log was reviewed and found in compliance. The last playground inspection was completed March 7, 2025. The inspection was completed by a staff member who does not have Playground Safety. Ms. Williamson is enrolled in the course offered March 26, 2025. The EPR is dated November 26, 2024, and the ready-to-go file was monitored and found in compliance. The center provides transportation and has three vans. Only one van is currently used to transport school-age children. I monitored the van being used. The fire extinguisher in the van is dated June, 2023. The outdoor area and equipment were monitored, and violations were observed. Please see the violations section for details. I monitored all emergency medications. There are currently two (2) children enrolled requiring emergency medications and violations were cited. Please see the violations section for details. The school age program is currently using two spaces. I monitored those spaces today. I observed school age children arrive, transition to free play, activity centers, and teacher directed activities. I monitored each room for safe indoor environment and general safety. A first aid kit accessible to children containing bee sting wipes and sharp scissors was removed prior to children arriving. The schedules, activity plans and attendance were reviewed for each room. Throughout the facility, material and equipment in each classroom were found in good repair and developmentally appropriate for the age range. Supervision and staff child ratios were maintained during today’s visit. Each group was observed in approved/adequate space. Permit restrictions were met. I observed caregivers use nurturing and caring tones. The following violations were cited today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The fence locate t the far left of the play area near the road is bent and the cross pipe is bent and the end exposed. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The February 2025 fire drill was not documented. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Cinderblocks, rocks and stumps with sharp edges were accessible to children. Yellow plastic on PVC pipe and a Rubbermaid storage bin lid were broken and cracked creating a hazard for children. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The teepees and tires located on the outdoor play area were full of leaves, weeds and debris. 15A NCAC 18A .2832(a) 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 (1) child had Valtoco on site without the original labeled container. One (1) child has Epi-pen on site without a physician's signature. .0803(2)(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have been completed by a staff member not certified in playground safety. .0605(q) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguisher located in the van expired June, 2023. 10A NCAC 09 .1003(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The December 31, 2024 shelter-in-place drill was not conducted within three months of the August, 26, 2024 drill. .0604(u);.0302(d)(8) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 1, 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. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Technical Assistance Emergency Medication Please review 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS for clear understanding of emergency medication requirements. Outdoor Play Area Please review 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e)One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: COS KIDS Facility ID: 60003664 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 4 Completed Date: 2/18/2025 Age: From 7 To 10 Total Minutes: 220 Time In: 11:35 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The last annual compliance visit was conducted April 28, 2024. The NC Secretary of State website was reviewed on March 18, 2025, and Christ Our Shepherd Ministries was listed as current-active. The compliance history prior to today’s visit was 89 %. Upon arrival I was greeted by Heather Williamson, Director, and Addison Rush, Assistant Director. Ms. Williamson and Ms. Addison assisted me with the visit. We discussed that all preschool children have been moved to Christ Our Shepherd Ministries building and that COS Kids will now only serve school age children. Addison Rush, Assistant Director will be the Director for COS Kids effective June 20, 2025. A sanitation inspection was completed November 22, 2024, with a Superior classification. The last fire inspection was conducted on August 2, 2024, and the facility was approved for daytime care only. Four (4) children’s files were selected, reviewed and no violations were cited. Medical reports for two children enrolled were over one year old from the date of enrollment. The children attended Christ Our Shepherd Ministries before enrolling in COS Kids for afterschool. The staff and training worksheet was used to review staff files. One (1) new staff file was reviewed, and ten (10) percent of veteran staff files were reviewed. There were no violations cited. Gerilyn Jones, Professional Development Coordinator, and I discussed calculating on-going training hours for a staff member currently taking EDU 119. Posted items required were observed and met compliance. The Written Warning for the center was completed December 16, 2024. The Summary of Law is dated 2011. The most current Summary can be found on our website. Program records were reviewed. The last fire drill was conducted March 17, 2025. February 2025 fire drill was not completed. The last shelter in place was conducted December 31, 2025, which was after the requirement to conduct a shelter in place or lock down drill at least every three months. The previous shelter in place drill was conducted August 26, 2024. The incident log was reviewed and found in compliance. The last playground inspection was completed March 7, 2025. The inspection was completed by a staff member who does not have Playground Safety. Ms. Williamson is enrolled in the course offered March 26, 2025. The EPR is dated November 26, 2024, and the ready-to-go file was monitored and found in compliance. The center provides transportation and has three vans. Only one van is currently used to transport school-age children. I monitored the van being used. The fire extinguisher in the van is dated June, 2023. The outdoor area and equipment were monitored, and violations were observed. Please see the violations section for details. I monitored all emergency medications. There are currently two (2) children enrolled requiring emergency medications and violations were cited. Please see the violations section for details. The school age program is currently using two spaces. I monitored those spaces today. I observed school age children arrive, transition to free play, activity centers, and teacher directed activities. I monitored each room for safe indoor environment and general safety. A first aid kit accessible to children containing bee sting wipes and sharp scissors was removed prior to children arriving. The schedules, activity plans and attendance were reviewed for each room. Throughout the facility, material and equipment in each classroom were found in good repair and developmentally appropriate for the age range. Supervision and staff child ratios were maintained during today’s visit. Each group was observed in approved/adequate space. Permit restrictions were met. I observed caregivers use nurturing and caring tones. The following violations were cited today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The fence locate t the far left of the play area near the road is bent and the cross pipe is bent and the end exposed. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The February 2025 fire drill was not documented. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Cinderblocks, rocks and stumps with sharp edges were accessible to children. Yellow plastic on PVC pipe and a Rubbermaid storage bin lid were broken and cracked creating a hazard for children. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The teepees and tires located on the outdoor play area were full of leaves, weeds and debris. 15A NCAC 18A .2832(a) 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 (1) child had Valtoco on site without the original labeled container. One (1) child has Epi-pen on site without a physician's signature. .0803(2)(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have been completed by a staff member not certified in playground safety. .0605(q) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguisher located in the van expired June, 2023. 10A NCAC 09 .1003(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The December 31, 2024 shelter-in-place drill was not conducted within three months of the August, 26, 2024 drill. .0604(u);.0302(d)(8) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 1, 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. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Technical Assistance Emergency Medication Please review 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS for clear understanding of emergency medication requirements. Outdoor Play Area Please review 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e)One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: COS KIDS Facility ID: 60003664 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 4 Completed Date: 2/18/2025 Age: From 7 To 10 Total Minutes: 220 Time In: 11:35 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The last annual compliance visit was conducted April 28, 2024. The NC Secretary of State website was reviewed on March 18, 2025, and Christ Our Shepherd Ministries was listed as current-active. The compliance history prior to today’s visit was 89 %. Upon arrival I was greeted by Heather Williamson, Director, and Addison Rush, Assistant Director. Ms. Williamson and Ms. Addison assisted me with the visit. We discussed that all preschool children have been moved to Christ Our Shepherd Ministries building and that COS Kids will now only serve school age children. Addison Rush, Assistant Director will be the Director for COS Kids effective June 20, 2025. A sanitation inspection was completed November 22, 2024, with a Superior classification. The last fire inspection was conducted on August 2, 2024, and the facility was approved for daytime care only. Four (4) children’s files were selected, reviewed and no violations were cited. Medical reports for two children enrolled were over one year old from the date of enrollment. The children attended Christ Our Shepherd Ministries before enrolling in COS Kids for afterschool. The staff and training worksheet was used to review staff files. One (1) new staff file was reviewed, and ten (10) percent of veteran staff files were reviewed. There were no violations cited. Gerilyn Jones, Professional Development Coordinator, and I discussed calculating on-going training hours for a staff member currently taking EDU 119. Posted items required were observed and met compliance. The Written Warning for the center was completed December 16, 2024. The Summary of Law is dated 2011. The most current Summary can be found on our website. Program records were reviewed. The last fire drill was conducted March 17, 2025. February 2025 fire drill was not completed. The last shelter in place was conducted December 31, 2025, which was after the requirement to conduct a shelter in place or lock down drill at least every three months. The previous shelter in place drill was conducted August 26, 2024. The incident log was reviewed and found in compliance. The last playground inspection was completed March 7, 2025. The inspection was completed by a staff member who does not have Playground Safety. Ms. Williamson is enrolled in the course offered March 26, 2025. The EPR is dated November 26, 2024, and the ready-to-go file was monitored and found in compliance. The center provides transportation and has three vans. Only one van is currently used to transport school-age children. I monitored the van being used. The fire extinguisher in the van is dated June, 2023. The outdoor area and equipment were monitored, and violations were observed. Please see the violations section for details. I monitored all emergency medications. There are currently two (2) children enrolled requiring emergency medications and violations were cited. Please see the violations section for details. The school age program is currently using two spaces. I monitored those spaces today. I observed school age children arrive, transition to free play, activity centers, and teacher directed activities. I monitored each room for safe indoor environment and general safety. A first aid kit accessible to children containing bee sting wipes and sharp scissors was removed prior to children arriving. The schedules, activity plans and attendance were reviewed for each room. Throughout the facility, material and equipment in each classroom were found in good repair and developmentally appropriate for the age range. Supervision and staff child ratios were maintained during today’s visit. Each group was observed in approved/adequate space. Permit restrictions were met. I observed caregivers use nurturing and caring tones. The following violations were cited today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The fence locate t the far left of the play area near the road is bent and the cross pipe is bent and the end exposed. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The February 2025 fire drill was not documented. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Cinderblocks, rocks and stumps with sharp edges were accessible to children. Yellow plastic on PVC pipe and a Rubbermaid storage bin lid were broken and cracked creating a hazard for children. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The teepees and tires located on the outdoor play area were full of leaves, weeds and debris. 15A NCAC 18A .2832(a) 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 (1) child had Valtoco on site without the original labeled container. One (1) child has Epi-pen on site without a physician's signature. .0803(2)(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have been completed by a staff member not certified in playground safety. .0605(q) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguisher located in the van expired June, 2023. 10A NCAC 09 .1003(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The December 31, 2024 shelter-in-place drill was not conducted within three months of the August, 26, 2024 drill. .0604(u);.0302(d)(8) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 1, 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. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Technical Assistance Emergency Medication Please review 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS for clear understanding of emergency medication requirements. Outdoor Play Area Please review 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e)One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: COS KIDS Facility ID: 60003664 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 4 Completed Date: 2/18/2025 Age: From 7 To 10 Total Minutes: 220 Time In: 11:35 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The last annual compliance visit was conducted April 28, 2024. The NC Secretary of State website was reviewed on March 18, 2025, and Christ Our Shepherd Ministries was listed as current-active. The compliance history prior to today’s visit was 89 %. Upon arrival I was greeted by Heather Williamson, Director, and Addison Rush, Assistant Director. Ms. Williamson and Ms. Addison assisted me with the visit. We discussed that all preschool children have been moved to Christ Our Shepherd Ministries building and that COS Kids will now only serve school age children. Addison Rush, Assistant Director will be the Director for COS Kids effective June 20, 2025. A sanitation inspection was completed November 22, 2024, with a Superior classification. The last fire inspection was conducted on August 2, 2024, and the facility was approved for daytime care only. Four (4) children’s files were selected, reviewed and no violations were cited. Medical reports for two children enrolled were over one year old from the date of enrollment. The children attended Christ Our Shepherd Ministries before enrolling in COS Kids for afterschool. The staff and training worksheet was used to review staff files. One (1) new staff file was reviewed, and ten (10) percent of veteran staff files were reviewed. There were no violations cited. Gerilyn Jones, Professional Development Coordinator, and I discussed calculating on-going training hours for a staff member currently taking EDU 119. Posted items required were observed and met compliance. The Written Warning for the center was completed December 16, 2024. The Summary of Law is dated 2011. The most current Summary can be found on our website. Program records were reviewed. The last fire drill was conducted March 17, 2025. February 2025 fire drill was not completed. The last shelter in place was conducted December 31, 2025, which was after the requirement to conduct a shelter in place or lock down drill at least every three months. The previous shelter in place drill was conducted August 26, 2024. The incident log was reviewed and found in compliance. The last playground inspection was completed March 7, 2025. The inspection was completed by a staff member who does not have Playground Safety. Ms. Williamson is enrolled in the course offered March 26, 2025. The EPR is dated November 26, 2024, and the ready-to-go file was monitored and found in compliance. The center provides transportation and has three vans. Only one van is currently used to transport school-age children. I monitored the van being used. The fire extinguisher in the van is dated June, 2023. The outdoor area and equipment were monitored, and violations were observed. Please see the violations section for details. I monitored all emergency medications. There are currently two (2) children enrolled requiring emergency medications and violations were cited. Please see the violations section for details. The school age program is currently using two spaces. I monitored those spaces today. I observed school age children arrive, transition to free play, activity centers, and teacher directed activities. I monitored each room for safe indoor environment and general safety. A first aid kit accessible to children containing bee sting wipes and sharp scissors was removed prior to children arriving. The schedules, activity plans and attendance were reviewed for each room. Throughout the facility, material and equipment in each classroom were found in good repair and developmentally appropriate for the age range. Supervision and staff child ratios were maintained during today’s visit. Each group was observed in approved/adequate space. Permit restrictions were met. I observed caregivers use nurturing and caring tones. The following violations were cited today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The fence locate t the far left of the play area near the road is bent and the cross pipe is bent and the end exposed. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The February 2025 fire drill was not documented. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Cinderblocks, rocks and stumps with sharp edges were accessible to children. Yellow plastic on PVC pipe and a Rubbermaid storage bin lid were broken and cracked creating a hazard for children. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The teepees and tires located on the outdoor play area were full of leaves, weeds and debris. 15A NCAC 18A .2832(a) 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 (1) child had Valtoco on site without the original labeled container. One (1) child has Epi-pen on site without a physician's signature. .0803(2)(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have been completed by a staff member not certified in playground safety. .0605(q) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguisher located in the van expired June, 2023. 10A NCAC 09 .1003(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The December 31, 2024 shelter-in-place drill was not conducted within three months of the August, 26, 2024 drill. .0604(u);.0302(d)(8) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 1, 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. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Technical Assistance Emergency Medication Please review 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS for clear understanding of emergency medication requirements. Outdoor Play Area Please review 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e)One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: COS KIDS Facility ID: 60003664 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 4 Completed Date: 2/18/2025 Age: From 7 To 10 Total Minutes: 220 Time In: 11:35 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The last annual compliance visit was conducted April 28, 2024. The NC Secretary of State website was reviewed on March 18, 2025, and Christ Our Shepherd Ministries was listed as current-active. The compliance history prior to today’s visit was 89 %. Upon arrival I was greeted by Heather Williamson, Director, and Addison Rush, Assistant Director. Ms. Williamson and Ms. Addison assisted me with the visit. We discussed that all preschool children have been moved to Christ Our Shepherd Ministries building and that COS Kids will now only serve school age children. Addison Rush, Assistant Director will be the Director for COS Kids effective June 20, 2025. A sanitation inspection was completed November 22, 2024, with a Superior classification. The last fire inspection was conducted on August 2, 2024, and the facility was approved for daytime care only. Four (4) children’s files were selected, reviewed and no violations were cited. Medical reports for two children enrolled were over one year old from the date of enrollment. The children attended Christ Our Shepherd Ministries before enrolling in COS Kids for afterschool. The staff and training worksheet was used to review staff files. One (1) new staff file was reviewed, and ten (10) percent of veteran staff files were reviewed. There were no violations cited. Gerilyn Jones, Professional Development Coordinator, and I discussed calculating on-going training hours for a staff member currently taking EDU 119. Posted items required were observed and met compliance. The Written Warning for the center was completed December 16, 2024. The Summary of Law is dated 2011. The most current Summary can be found on our website. Program records were reviewed. The last fire drill was conducted March 17, 2025. February 2025 fire drill was not completed. The last shelter in place was conducted December 31, 2025, which was after the requirement to conduct a shelter in place or lock down drill at least every three months. The previous shelter in place drill was conducted August 26, 2024. The incident log was reviewed and found in compliance. The last playground inspection was completed March 7, 2025. The inspection was completed by a staff member who does not have Playground Safety. Ms. Williamson is enrolled in the course offered March 26, 2025. The EPR is dated November 26, 2024, and the ready-to-go file was monitored and found in compliance. The center provides transportation and has three vans. Only one van is currently used to transport school-age children. I monitored the van being used. The fire extinguisher in the van is dated June, 2023. The outdoor area and equipment were monitored, and violations were observed. Please see the violations section for details. I monitored all emergency medications. There are currently two (2) children enrolled requiring emergency medications and violations were cited. Please see the violations section for details. The school age program is currently using two spaces. I monitored those spaces today. I observed school age children arrive, transition to free play, activity centers, and teacher directed activities. I monitored each room for safe indoor environment and general safety. A first aid kit accessible to children containing bee sting wipes and sharp scissors was removed prior to children arriving. The schedules, activity plans and attendance were reviewed for each room. Throughout the facility, material and equipment in each classroom were found in good repair and developmentally appropriate for the age range. Supervision and staff child ratios were maintained during today’s visit. Each group was observed in approved/adequate space. Permit restrictions were met. I observed caregivers use nurturing and caring tones. The following violations were cited today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The fence locate t the far left of the play area near the road is bent and the cross pipe is bent and the end exposed. G.S. 110-91(6); .0601(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The February 2025 fire drill was not documented. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Cinderblocks, rocks and stumps with sharp edges were accessible to children. Yellow plastic on PVC pipe and a Rubbermaid storage bin lid were broken and cracked creating a hazard for children. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The teepees and tires located on the outdoor play area were full of leaves, weeds and debris. 15A NCAC 18A .2832(a) 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 (1) child had Valtoco on site without the original labeled container. One (1) child has Epi-pen on site without a physician's signature. .0803(2)(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have been completed by a staff member not certified in playground safety. .0605(q) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguisher located in the van expired June, 2023. 10A NCAC 09 .1003(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The December 31, 2024 shelter-in-place drill was not conducted within three months of the August, 26, 2024 drill. .0604(u);.0302(d)(8) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 1, 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. Please email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Technical Assistance Emergency Medication Please review 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS for clear understanding of emergency medication requirements. Outdoor Play Area Please review 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e)One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: COS KIDS Facility ID: 60003664 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 15 Completed Date: 12/19/2024 Age: From 3 To 4 Total Minutes: 209 Time In: 09:46 AM Time Out: 01:15 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. Heather Williamson, Director, and Addison Rush, Assistant Director assisted me with the visit. The facility currently operates with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The last annual compliance visit was conducted April 28, 2024. The NC Secretary of State website was reviewed on December 19, 2024, and Christ Our Shepherd Ministries was listed as current-active. The compliance history prior to today’s visit is 92 %. Upon arrival we reviewed staff records and program records. During our review Jennifer Kappas, Child Care Resources Inc. came by the office to discuss technical assistance provided in a classroom today. Glendora Dalton, Human Resources and Family Service Director, joined us and we discussed updating the Legal Designee Form, the assigned agent with the Secretary of State and the Preservice Form for Administrators. We talked about designee responsibilities as listed on the form including signing all DCDEE visit forms, requesting changes to the facility license, and other visits as applicable. A walk-through of the facility was completed today, all indoor areas were monitored. I observed children in both the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care rfree play outdoor activities. The caregivers were interacting and meeting the developmental needs for each of the children. The files for three (3) new staff were reviewed verifying CBC Qualifying Letter, First Aid/ CPR certification, Recognizing and Responding to Child Maltreatment and health and safety training. One new staff member will need CPR/FA certification by March19, 2025. The Staff and Training Worksheets were also reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification and health and safety trainings. Two veteran staff members have not competed all of the health and safety trainings. The following child care requirements were monitored during today’s visit: License Posted/Permit Restrictions: The license was posted, and restrictions were in compliance. Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has a current CPR certification. First Aid: Each staff has current First Aid certification. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualifications. ITS-SIDS: There are no infant rooms at this facility. Safe sleep policy and sleep charts: There are no infant rooms at this facility. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: Diaper creams and Emergency Medications were monitored and found in compliance. Storage of Hazardous Substances: Storage of Hazardous Materials was in compliance. Storage of Medication: Emergency Medication for one child was observed expired. General Safety: Push pins, a screwdriver and batteries were observed in unlocked classroom drawers accessible to children. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found un compliance. The last Sanitation Inspection was completed November 22, 2024, with a superior rating and four (4) demerits. The playground inspections were current and in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored and the last shelter in place was conducted August 26, 2024. The August 2024 fire drill was not conducted. The last fire inspection was due July 19, 2024, and was conducted August 3, 2024. The EPR plan is dated November 26, 2024. The following violations were cited 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. he last fire inspection was due July 19, 2024, and was conducted August 3, 2024. The Fire Inspection was not submitted to DCDEE within one week of approval on the DCDEE form. 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 109 individual water bottles from home were not dated. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drill conducted in August, 2024. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. In Space 112 sharp push pins were in an unlocked drawer accessible to children. In Space 109 batteries and a sharp screwdriver were in an unlocked drawer accessible to children. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 112 an epi-pen expired August 2024 was not returned to parent. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place drill was conducted August 26, 2024. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child's Medical Action Plan expired September 7, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 10, 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: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Technical Assistance We discussed updating the Preservice Administrator Form for both Heather Williamson and Addison Rush. This can be found under Provider documents and forms on our website. I will email a copy of this form to you. We discussed updating the Legal Designee Form. You can use titles of positions instead of naming a person on this form. I will email you this form to complete and return to me. We discussed the Healthy Social Behaviors Imitative offered through Child Care Resources Inc. You can access more information here: We discussed the outdoor natural play area and the lower fenced in area being used by the afterschool children. I will determine if this area is licensed and can be used. I did not see a map in your file. I recommend not using this area until I can verify that it is approved for outdoor play. We discussed rules for emergency medications and I encourage you to review the requirements with your staff. I suggest all medications come through your administrative staff prior to going to the classrooms and for you to develop a spreadsheet for tracking expirations dates for the Medical Action Plan and the permission to administer medication forms. The rules references are below: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS We discussed monitoring the due date for your annual fire inspection and using the required DCDEE form for the inspections. The inspection should be sent to me within one week of the inspection. Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. You can access the most updated Summary of Law here as well. Get Ready for the 3’s: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) SAVE THE DATE – NCRLAP Get Ready for the 3’s Training for Mecklenburg County Facilities WHO: All Mecklenburg County Owners and Administrators WHAT: Training with Megan Porter from the NCRLAP The Environment Rating Scales (ERS) Third editions- ECERS-3, ITERS-3 WHEN: January 14, 2025, 1:00 pm-3:00 pm WHERE: Child Care Resources Inc. 200-B Regency Executive Park Dr. STE 240 Charlotte, NC 28217 WHY: Exciting news! New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, and ITERS-3—also known as the "3s"—will be used for DCDEE assessments. We want you to have all you need to prepare for them. These third editions come with a spiral binding at the top, replacing the current revised editions. QRIS UPDATES: Quality Rating and Improvement System (QRIS), a star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality in child care. It encourages programs to engage in continuous quality improvement and families may use the star rating to make informed decisions when choosing a child care facility. We understand that you may have questions as you consider this information. Questions about QRIS Modernization (Reform) may be sent to DCDEE_QRIS@dhhs.nc.gov. In an effort to provide consistent and accurate answers to all individuals, we will be collecting the questions and preparing a FAQ that will be shared as we continue this work. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for the most up to date news regarding QRIS including Pathway options for your facility. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: COS KIDS Facility ID: 60003664 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 15 Completed Date: 12/19/2024 Age: From 3 To 4 Total Minutes: 209 Time In: 09:46 AM Time Out: 01:15 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. Heather Williamson, Director, and Addison Rush, Assistant Director assisted me with the visit. The facility currently operates with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The last annual compliance visit was conducted April 28, 2024. The NC Secretary of State website was reviewed on December 19, 2024, and Christ Our Shepherd Ministries was listed as current-active. The compliance history prior to today’s visit is 92 %. Upon arrival we reviewed staff records and program records. During our review Jennifer Kappas, Child Care Resources Inc. came by the office to discuss technical assistance provided in a classroom today. Glendora Dalton, Human Resources and Family Service Director, joined us and we discussed updating the Legal Designee Form, the assigned agent with the Secretary of State and the Preservice Form for Administrators. We talked about designee responsibilities as listed on the form including signing all DCDEE visit forms, requesting changes to the facility license, and other visits as applicable. A walk-through of the facility was completed today, all indoor areas were monitored. I observed children in both the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care rfree play outdoor activities. The caregivers were interacting and meeting the developmental needs for each of the children. The files for three (3) new staff were reviewed verifying CBC Qualifying Letter, First Aid/ CPR certification, Recognizing and Responding to Child Maltreatment and health and safety training. One new staff member will need CPR/FA certification by March19, 2025. The Staff and Training Worksheets were also reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification and health and safety trainings. Two veteran staff members have not competed all of the health and safety trainings. The following child care requirements were monitored during today’s visit: License Posted/Permit Restrictions: The license was posted, and restrictions were in compliance. Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has a current CPR certification. First Aid: Each staff has current First Aid certification. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualifications. ITS-SIDS: There are no infant rooms at this facility. Safe sleep policy and sleep charts: There are no infant rooms at this facility. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: Diaper creams and Emergency Medications were monitored and found in compliance. Storage of Hazardous Substances: Storage of Hazardous Materials was in compliance. Storage of Medication: Emergency Medication for one child was observed expired. General Safety: Push pins, a screwdriver and batteries were observed in unlocked classroom drawers accessible to children. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found un compliance. The last Sanitation Inspection was completed November 22, 2024, with a superior rating and four (4) demerits. The playground inspections were current and in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored and the last shelter in place was conducted August 26, 2024. The August 2024 fire drill was not conducted. The last fire inspection was due July 19, 2024, and was conducted August 3, 2024. The EPR plan is dated November 26, 2024. The following violations were cited 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. he last fire inspection was due July 19, 2024, and was conducted August 3, 2024. The Fire Inspection was not submitted to DCDEE within one week of approval on the DCDEE form. 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 109 individual water bottles from home were not dated. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drill conducted in August, 2024. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. In Space 112 sharp push pins were in an unlocked drawer accessible to children. In Space 109 batteries and a sharp screwdriver were in an unlocked drawer accessible to children. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 112 an epi-pen expired August 2024 was not returned to parent. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place drill was conducted August 26, 2024. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child's Medical Action Plan expired September 7, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 10, 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: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Technical Assistance We discussed updating the Preservice Administrator Form for both Heather Williamson and Addison Rush. This can be found under Provider documents and forms on our website. I will email a copy of this form to you. We discussed updating the Legal Designee Form. You can use titles of positions instead of naming a person on this form. I will email you this form to complete and return to me. We discussed the Healthy Social Behaviors Imitative offered through Child Care Resources Inc. You can access more information here: We discussed the outdoor natural play area and the lower fenced in area being used by the afterschool children. I will determine if this area is licensed and can be used. I did not see a map in your file. I recommend not using this area until I can verify that it is approved for outdoor play. We discussed rules for emergency medications and I encourage you to review the requirements with your staff. I suggest all medications come through your administrative staff prior to going to the classrooms and for you to develop a spreadsheet for tracking expirations dates for the Medical Action Plan and the permission to administer medication forms. The rules references are below: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS We discussed monitoring the due date for your annual fire inspection and using the required DCDEE form for the inspections. The inspection should be sent to me within one week of the inspection. Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. You can access the most updated Summary of Law here as well. Get Ready for the 3’s: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) SAVE THE DATE – NCRLAP Get Ready for the 3’s Training for Mecklenburg County Facilities WHO: All Mecklenburg County Owners and Administrators WHAT: Training with Megan Porter from the NCRLAP The Environment Rating Scales (ERS) Third editions- ECERS-3, ITERS-3 WHEN: January 14, 2025, 1:00 pm-3:00 pm WHERE: Child Care Resources Inc. 200-B Regency Executive Park Dr. STE 240 Charlotte, NC 28217 WHY: Exciting news! New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, and ITERS-3—also known as the "3s"—will be used for DCDEE assessments. We want you to have all you need to prepare for them. These third editions come with a spiral binding at the top, replacing the current revised editions. QRIS UPDATES: Quality Rating and Improvement System (QRIS), a star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality in child care. It encourages programs to engage in continuous quality improvement and families may use the star rating to make informed decisions when choosing a child care facility. We understand that you may have questions as you consider this information. Questions about QRIS Modernization (Reform) may be sent to DCDEE_QRIS@dhhs.nc.gov. In an effort to provide consistent and accurate answers to all individuals, we will be collecting the questions and preparing a FAQ that will be shared as we continue this work. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for the most up to date news regarding QRIS including Pathway options for your facility. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: COS KIDS Facility ID: 60003664 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 15 Completed Date: 12/19/2024 Age: From 3 To 4 Total Minutes: 209 Time In: 09:46 AM Time Out: 01:15 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. Heather Williamson, Director, and Addison Rush, Assistant Director assisted me with the visit. The facility currently operates with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The last annual compliance visit was conducted April 28, 2024. The NC Secretary of State website was reviewed on December 19, 2024, and Christ Our Shepherd Ministries was listed as current-active. The compliance history prior to today’s visit is 92 %. Upon arrival we reviewed staff records and program records. During our review Jennifer Kappas, Child Care Resources Inc. came by the office to discuss technical assistance provided in a classroom today. Glendora Dalton, Human Resources and Family Service Director, joined us and we discussed updating the Legal Designee Form, the assigned agent with the Secretary of State and the Preservice Form for Administrators. We talked about designee responsibilities as listed on the form including signing all DCDEE visit forms, requesting changes to the facility license, and other visits as applicable. A walk-through of the facility was completed today, all indoor areas were monitored. I observed children in both the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care rfree play outdoor activities. The caregivers were interacting and meeting the developmental needs for each of the children. The files for three (3) new staff were reviewed verifying CBC Qualifying Letter, First Aid/ CPR certification, Recognizing and Responding to Child Maltreatment and health and safety training. One new staff member will need CPR/FA certification by March19, 2025. The Staff and Training Worksheets were also reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification and health and safety trainings. Two veteran staff members have not competed all of the health and safety trainings. The following child care requirements were monitored during today’s visit: License Posted/Permit Restrictions: The license was posted, and restrictions were in compliance. Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has a current CPR certification. First Aid: Each staff has current First Aid certification. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualifications. ITS-SIDS: There are no infant rooms at this facility. Safe sleep policy and sleep charts: There are no infant rooms at this facility. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: Diaper creams and Emergency Medications were monitored and found in compliance. Storage of Hazardous Substances: Storage of Hazardous Materials was in compliance. Storage of Medication: Emergency Medication for one child was observed expired. General Safety: Push pins, a screwdriver and batteries were observed in unlocked classroom drawers accessible to children. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found un compliance. The last Sanitation Inspection was completed November 22, 2024, with a superior rating and four (4) demerits. The playground inspections were current and in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored and the last shelter in place was conducted August 26, 2024. The August 2024 fire drill was not conducted. The last fire inspection was due July 19, 2024, and was conducted August 3, 2024. The EPR plan is dated November 26, 2024. The following violations were cited 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. he last fire inspection was due July 19, 2024, and was conducted August 3, 2024. The Fire Inspection was not submitted to DCDEE within one week of approval on the DCDEE form. 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 109 individual water bottles from home were not dated. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drill conducted in August, 2024. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. In Space 112 sharp push pins were in an unlocked drawer accessible to children. In Space 109 batteries and a sharp screwdriver were in an unlocked drawer accessible to children. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 112 an epi-pen expired August 2024 was not returned to parent. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place drill was conducted August 26, 2024. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child's Medical Action Plan expired September 7, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 10, 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: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Technical Assistance We discussed updating the Preservice Administrator Form for both Heather Williamson and Addison Rush. This can be found under Provider documents and forms on our website. I will email a copy of this form to you. We discussed updating the Legal Designee Form. You can use titles of positions instead of naming a person on this form. I will email you this form to complete and return to me. We discussed the Healthy Social Behaviors Imitative offered through Child Care Resources Inc. You can access more information here: We discussed the outdoor natural play area and the lower fenced in area being used by the afterschool children. I will determine if this area is licensed and can be used. I did not see a map in your file. I recommend not using this area until I can verify that it is approved for outdoor play. We discussed rules for emergency medications and I encourage you to review the requirements with your staff. I suggest all medications come through your administrative staff prior to going to the classrooms and for you to develop a spreadsheet for tracking expirations dates for the Medical Action Plan and the permission to administer medication forms. The rules references are below: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS We discussed monitoring the due date for your annual fire inspection and using the required DCDEE form for the inspections. The inspection should be sent to me within one week of the inspection. Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. You can access the most updated Summary of Law here as well. Get Ready for the 3’s: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) SAVE THE DATE – NCRLAP Get Ready for the 3’s Training for Mecklenburg County Facilities WHO: All Mecklenburg County Owners and Administrators WHAT: Training with Megan Porter from the NCRLAP The Environment Rating Scales (ERS) Third editions- ECERS-3, ITERS-3 WHEN: January 14, 2025, 1:00 pm-3:00 pm WHERE: Child Care Resources Inc. 200-B Regency Executive Park Dr. STE 240 Charlotte, NC 28217 WHY: Exciting news! New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, and ITERS-3—also known as the "3s"—will be used for DCDEE assessments. We want you to have all you need to prepare for them. These third editions come with a spiral binding at the top, replacing the current revised editions. QRIS UPDATES: Quality Rating and Improvement System (QRIS), a star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality in child care. It encourages programs to engage in continuous quality improvement and families may use the star rating to make informed decisions when choosing a child care facility. We understand that you may have questions as you consider this information. Questions about QRIS Modernization (Reform) may be sent to DCDEE_QRIS@dhhs.nc.gov. In an effort to provide consistent and accurate answers to all individuals, we will be collecting the questions and preparing a FAQ that will be shared as we continue this work. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for the most up to date news regarding QRIS including Pathway options for your facility. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: COS KIDS Facility ID: 60003664 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 15 Completed Date: 12/19/2024 Age: From 3 To 4 Total Minutes: 209 Time In: 09:46 AM Time Out: 01:15 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. Heather Williamson, Director, and Addison Rush, Assistant Director assisted me with the visit. The facility currently operates with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The last annual compliance visit was conducted April 28, 2024. The NC Secretary of State website was reviewed on December 19, 2024, and Christ Our Shepherd Ministries was listed as current-active. The compliance history prior to today’s visit is 92 %. Upon arrival we reviewed staff records and program records. During our review Jennifer Kappas, Child Care Resources Inc. came by the office to discuss technical assistance provided in a classroom today. Glendora Dalton, Human Resources and Family Service Director, joined us and we discussed updating the Legal Designee Form, the assigned agent with the Secretary of State and the Preservice Form for Administrators. We talked about designee responsibilities as listed on the form including signing all DCDEE visit forms, requesting changes to the facility license, and other visits as applicable. A walk-through of the facility was completed today, all indoor areas were monitored. I observed children in both the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care rfree play outdoor activities. The caregivers were interacting and meeting the developmental needs for each of the children. The files for three (3) new staff were reviewed verifying CBC Qualifying Letter, First Aid/ CPR certification, Recognizing and Responding to Child Maltreatment and health and safety training. One new staff member will need CPR/FA certification by March19, 2025. The Staff and Training Worksheets were also reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification and health and safety trainings. Two veteran staff members have not competed all of the health and safety trainings. The following child care requirements were monitored during today’s visit: License Posted/Permit Restrictions: The license was posted, and restrictions were in compliance. Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has a current CPR certification. First Aid: Each staff has current First Aid certification. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualifications. ITS-SIDS: There are no infant rooms at this facility. Safe sleep policy and sleep charts: There are no infant rooms at this facility. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: Diaper creams and Emergency Medications were monitored and found in compliance. Storage of Hazardous Substances: Storage of Hazardous Materials was in compliance. Storage of Medication: Emergency Medication for one child was observed expired. General Safety: Push pins, a screwdriver and batteries were observed in unlocked classroom drawers accessible to children. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found un compliance. The last Sanitation Inspection was completed November 22, 2024, with a superior rating and four (4) demerits. The playground inspections were current and in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored and the last shelter in place was conducted August 26, 2024. The August 2024 fire drill was not conducted. The last fire inspection was due July 19, 2024, and was conducted August 3, 2024. The EPR plan is dated November 26, 2024. The following violations were cited 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. he last fire inspection was due July 19, 2024, and was conducted August 3, 2024. The Fire Inspection was not submitted to DCDEE within one week of approval on the DCDEE form. 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 109 individual water bottles from home were not dated. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drill conducted in August, 2024. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. In Space 112 sharp push pins were in an unlocked drawer accessible to children. In Space 109 batteries and a sharp screwdriver were in an unlocked drawer accessible to children. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 112 an epi-pen expired August 2024 was not returned to parent. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place drill was conducted August 26, 2024. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child's Medical Action Plan expired September 7, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 10, 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: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Technical Assistance We discussed updating the Preservice Administrator Form for both Heather Williamson and Addison Rush. This can be found under Provider documents and forms on our website. I will email a copy of this form to you. We discussed updating the Legal Designee Form. You can use titles of positions instead of naming a person on this form. I will email you this form to complete and return to me. We discussed the Healthy Social Behaviors Imitative offered through Child Care Resources Inc. You can access more information here: We discussed the outdoor natural play area and the lower fenced in area being used by the afterschool children. I will determine if this area is licensed and can be used. I did not see a map in your file. I recommend not using this area until I can verify that it is approved for outdoor play. We discussed rules for emergency medications and I encourage you to review the requirements with your staff. I suggest all medications come through your administrative staff prior to going to the classrooms and for you to develop a spreadsheet for tracking expirations dates for the Medical Action Plan and the permission to administer medication forms. The rules references are below: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS We discussed monitoring the due date for your annual fire inspection and using the required DCDEE form for the inspections. The inspection should be sent to me within one week of the inspection. Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. You can access the most updated Summary of Law here as well. Get Ready for the 3’s: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) SAVE THE DATE – NCRLAP Get Ready for the 3’s Training for Mecklenburg County Facilities WHO: All Mecklenburg County Owners and Administrators WHAT: Training with Megan Porter from the NCRLAP The Environment Rating Scales (ERS) Third editions- ECERS-3, ITERS-3 WHEN: January 14, 2025, 1:00 pm-3:00 pm WHERE: Child Care Resources Inc. 200-B Regency Executive Park Dr. STE 240 Charlotte, NC 28217 WHY: Exciting news! New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, and ITERS-3—also known as the "3s"—will be used for DCDEE assessments. We want you to have all you need to prepare for them. These third editions come with a spiral binding at the top, replacing the current revised editions. QRIS UPDATES: Quality Rating and Improvement System (QRIS), a star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality in child care. It encourages programs to engage in continuous quality improvement and families may use the star rating to make informed decisions when choosing a child care facility. We understand that you may have questions as you consider this information. Questions about QRIS Modernization (Reform) may be sent to DCDEE_QRIS@dhhs.nc.gov. In an effort to provide consistent and accurate answers to all individuals, we will be collecting the questions and preparing a FAQ that will be shared as we continue this work. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for the most up to date news regarding QRIS including Pathway options for your facility. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: COS KIDS Facility ID: 60003664 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 15 Completed Date: 12/19/2024 Age: From 3 To 4 Total Minutes: 209 Time In: 09:46 AM Time Out: 01:15 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. Heather Williamson, Director, and Addison Rush, Assistant Director assisted me with the visit. The facility currently operates with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The last annual compliance visit was conducted April 28, 2024. The NC Secretary of State website was reviewed on December 19, 2024, and Christ Our Shepherd Ministries was listed as current-active. The compliance history prior to today’s visit is 92 %. Upon arrival we reviewed staff records and program records. During our review Jennifer Kappas, Child Care Resources Inc. came by the office to discuss technical assistance provided in a classroom today. Glendora Dalton, Human Resources and Family Service Director, joined us and we discussed updating the Legal Designee Form, the assigned agent with the Secretary of State and the Preservice Form for Administrators. We talked about designee responsibilities as listed on the form including signing all DCDEE visit forms, requesting changes to the facility license, and other visits as applicable. A walk-through of the facility was completed today, all indoor areas were monitored. I observed children in both the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care rfree play outdoor activities. The caregivers were interacting and meeting the developmental needs for each of the children. The files for three (3) new staff were reviewed verifying CBC Qualifying Letter, First Aid/ CPR certification, Recognizing and Responding to Child Maltreatment and health and safety training. One new staff member will need CPR/FA certification by March19, 2025. The Staff and Training Worksheets were also reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification and health and safety trainings. Two veteran staff members have not competed all of the health and safety trainings. The following child care requirements were monitored during today’s visit: License Posted/Permit Restrictions: The license was posted, and restrictions were in compliance. Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has a current CPR certification. First Aid: Each staff has current First Aid certification. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualifications. ITS-SIDS: There are no infant rooms at this facility. Safe sleep policy and sleep charts: There are no infant rooms at this facility. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: Diaper creams and Emergency Medications were monitored and found in compliance. Storage of Hazardous Substances: Storage of Hazardous Materials was in compliance. Storage of Medication: Emergency Medication for one child was observed expired. General Safety: Push pins, a screwdriver and batteries were observed in unlocked classroom drawers accessible to children. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found un compliance. The last Sanitation Inspection was completed November 22, 2024, with a superior rating and four (4) demerits. The playground inspections were current and in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored and the last shelter in place was conducted August 26, 2024. The August 2024 fire drill was not conducted. The last fire inspection was due July 19, 2024, and was conducted August 3, 2024. The EPR plan is dated November 26, 2024. The following violations were cited 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. he last fire inspection was due July 19, 2024, and was conducted August 3, 2024. The Fire Inspection was not submitted to DCDEE within one week of approval on the DCDEE form. 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 109 individual water bottles from home were not dated. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drill conducted in August, 2024. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. In Space 112 sharp push pins were in an unlocked drawer accessible to children. In Space 109 batteries and a sharp screwdriver were in an unlocked drawer accessible to children. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 112 an epi-pen expired August 2024 was not returned to parent. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place drill was conducted August 26, 2024. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child's Medical Action Plan expired September 7, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 10, 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: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Technical Assistance We discussed updating the Preservice Administrator Form for both Heather Williamson and Addison Rush. This can be found under Provider documents and forms on our website. I will email a copy of this form to you. We discussed updating the Legal Designee Form. You can use titles of positions instead of naming a person on this form. I will email you this form to complete and return to me. We discussed the Healthy Social Behaviors Imitative offered through Child Care Resources Inc. You can access more information here: We discussed the outdoor natural play area and the lower fenced in area being used by the afterschool children. I will determine if this area is licensed and can be used. I did not see a map in your file. I recommend not using this area until I can verify that it is approved for outdoor play. We discussed rules for emergency medications and I encourage you to review the requirements with your staff. I suggest all medications come through your administrative staff prior to going to the classrooms and for you to develop a spreadsheet for tracking expirations dates for the Medical Action Plan and the permission to administer medication forms. The rules references are below: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS We discussed monitoring the due date for your annual fire inspection and using the required DCDEE form for the inspections. The inspection should be sent to me within one week of the inspection. Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. You can access the most updated Summary of Law here as well. Get Ready for the 3’s: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) SAVE THE DATE – NCRLAP Get Ready for the 3’s Training for Mecklenburg County Facilities WHO: All Mecklenburg County Owners and Administrators WHAT: Training with Megan Porter from the NCRLAP The Environment Rating Scales (ERS) Third editions- ECERS-3, ITERS-3 WHEN: January 14, 2025, 1:00 pm-3:00 pm WHERE: Child Care Resources Inc. 200-B Regency Executive Park Dr. STE 240 Charlotte, NC 28217 WHY: Exciting news! New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, and ITERS-3—also known as the "3s"—will be used for DCDEE assessments. We want you to have all you need to prepare for them. These third editions come with a spiral binding at the top, replacing the current revised editions. QRIS UPDATES: Quality Rating and Improvement System (QRIS), a star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality in child care. It encourages programs to engage in continuous quality improvement and families may use the star rating to make informed decisions when choosing a child care facility. We understand that you may have questions as you consider this information. Questions about QRIS Modernization (Reform) may be sent to DCDEE_QRIS@dhhs.nc.gov. In an effort to provide consistent and accurate answers to all individuals, we will be collecting the questions and preparing a FAQ that will be shared as we continue this work. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for the most up to date news regarding QRIS including Pathway options for your facility. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: COS KIDS Facility ID: 60003664 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 15 Completed Date: 12/19/2024 Age: From 3 To 4 Total Minutes: 209 Time In: 09:46 AM Time Out: 01:15 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. Heather Williamson, Director, and Addison Rush, Assistant Director assisted me with the visit. The facility currently operates with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The last annual compliance visit was conducted April 28, 2024. The NC Secretary of State website was reviewed on December 19, 2024, and Christ Our Shepherd Ministries was listed as current-active. The compliance history prior to today’s visit is 92 %. Upon arrival we reviewed staff records and program records. During our review Jennifer Kappas, Child Care Resources Inc. came by the office to discuss technical assistance provided in a classroom today. Glendora Dalton, Human Resources and Family Service Director, joined us and we discussed updating the Legal Designee Form, the assigned agent with the Secretary of State and the Preservice Form for Administrators. We talked about designee responsibilities as listed on the form including signing all DCDEE visit forms, requesting changes to the facility license, and other visits as applicable. A walk-through of the facility was completed today, all indoor areas were monitored. I observed children in both the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care rfree play outdoor activities. The caregivers were interacting and meeting the developmental needs for each of the children. The files for three (3) new staff were reviewed verifying CBC Qualifying Letter, First Aid/ CPR certification, Recognizing and Responding to Child Maltreatment and health and safety training. One new staff member will need CPR/FA certification by March19, 2025. The Staff and Training Worksheets were also reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification and health and safety trainings. Two veteran staff members have not competed all of the health and safety trainings. The following child care requirements were monitored during today’s visit: License Posted/Permit Restrictions: The license was posted, and restrictions were in compliance. Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has a current CPR certification. First Aid: Each staff has current First Aid certification. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualifications. ITS-SIDS: There are no infant rooms at this facility. Safe sleep policy and sleep charts: There are no infant rooms at this facility. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: Diaper creams and Emergency Medications were monitored and found in compliance. Storage of Hazardous Substances: Storage of Hazardous Materials was in compliance. Storage of Medication: Emergency Medication for one child was observed expired. General Safety: Push pins, a screwdriver and batteries were observed in unlocked classroom drawers accessible to children. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found un compliance. The last Sanitation Inspection was completed November 22, 2024, with a superior rating and four (4) demerits. The playground inspections were current and in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored and the last shelter in place was conducted August 26, 2024. The August 2024 fire drill was not conducted. The last fire inspection was due July 19, 2024, and was conducted August 3, 2024. The EPR plan is dated November 26, 2024. The following violations were cited 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. he last fire inspection was due July 19, 2024, and was conducted August 3, 2024. The Fire Inspection was not submitted to DCDEE within one week of approval on the DCDEE form. 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 109 individual water bottles from home were not dated. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drill conducted in August, 2024. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. In Space 112 sharp push pins were in an unlocked drawer accessible to children. In Space 109 batteries and a sharp screwdriver were in an unlocked drawer accessible to children. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 112 an epi-pen expired August 2024 was not returned to parent. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place drill was conducted August 26, 2024. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child's Medical Action Plan expired September 7, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 10, 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: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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. Technical Assistance We discussed updating the Preservice Administrator Form for both Heather Williamson and Addison Rush. This can be found under Provider documents and forms on our website. I will email a copy of this form to you. We discussed updating the Legal Designee Form. You can use titles of positions instead of naming a person on this form. I will email you this form to complete and return to me. We discussed the Healthy Social Behaviors Imitative offered through Child Care Resources Inc. You can access more information here: We discussed the outdoor natural play area and the lower fenced in area being used by the afterschool children. I will determine if this area is licensed and can be used. I did not see a map in your file. I recommend not using this area until I can verify that it is approved for outdoor play. We discussed rules for emergency medications and I encourage you to review the requirements with your staff. I suggest all medications come through your administrative staff prior to going to the classrooms and for you to develop a spreadsheet for tracking expirations dates for the Medical Action Plan and the permission to administer medication forms. The rules references are below: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS We discussed monitoring the due date for your annual fire inspection and using the required DCDEE form for the inspections. The inspection should be sent to me within one week of the inspection. Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. You can access the most updated Summary of Law here as well. Get Ready for the 3’s: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) SAVE THE DATE – NCRLAP Get Ready for the 3’s Training for Mecklenburg County Facilities WHO: All Mecklenburg County Owners and Administrators WHAT: Training with Megan Porter from the NCRLAP The Environment Rating Scales (ERS) Third editions- ECERS-3, ITERS-3 WHEN: January 14, 2025, 1:00 pm-3:00 pm WHERE: Child Care Resources Inc. 200-B Regency Executive Park Dr. STE 240 Charlotte, NC 28217 WHY: Exciting news! New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, and ITERS-3—also known as the "3s"—will be used for DCDEE assessments. We want you to have all you need to prepare for them. These third editions come with a spiral binding at the top, replacing the current revised editions. QRIS UPDATES: Quality Rating and Improvement System (QRIS), a star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality in child care. It encourages programs to engage in continuous quality improvement and families may use the star rating to make informed decisions when choosing a child care facility. We understand that you may have questions as you consider this information. Questions about QRIS Modernization (Reform) may be sent to DCDEE_QRIS@dhhs.nc.gov. In an effort to provide consistent and accurate answers to all individuals, we will be collecting the questions and preparing a FAQ that will be shared as we continue this work. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for the most up to date news regarding QRIS including Pathway options for your facility. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: COS KIDS Facility ID: 60003664 Consultant: DORA NETTLES Operation Type: Center Case Number: 0524-454A Visit Date: 5/10/2024 Number Present: 25 Completed Date: 5/10/2024 Age: From 3 To 5 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Tina Townsend-Strong, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Townsend-Strong, and additional staff members. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member failed to attend to a four year old child in a nurturing and appropriate manner when the staff member exposed their genitals to a child. G.S. 110-91(10) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) Violations must be corrected immediately. Within one week (5/17/2024), you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Dora Nettles, Investigations Consultant, 704-386-0374, dora.nettles@dhhs.nc.gov , fax 919-715-1013. You may contact me, Dora Nettles, Investigations Consultant, 704-386-0374, dora.nettles@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-105 · Violation

Name of Operation: COS KIDS Facility ID: 60003664 Consultant: DORA NETTLES Operation Type: Center Case Number: 0524-454A Visit Date: 5/10/2024 Number Present: 25 Completed Date: 5/10/2024 Age: From 3 To 5 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Tina Townsend-Strong, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Townsend-Strong, and additional staff members. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member failed to attend to a four year old child in a nurturing and appropriate manner when the staff member exposed their genitals to a child. G.S. 110-91(10) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) Violations must be corrected immediately. Within one week (5/17/2024), you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Dora Nettles, Investigations Consultant, 704-386-0374, dora.nettles@dhhs.nc.gov , fax 919-715-1013. You may contact me, Dora Nettles, Investigations Consultant, 704-386-0374, dora.nettles@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: COS KIDS Facility ID: 60003664 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 26 Completed Date: 4/8/2024 Age: From 3 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Tina Townsend-Strong, Director, and Addison Rush, Assistant Director assisted me with the visit. The facility currently operates with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled in. The last annual compliance visit was conducted April 20, 2023. A sanitation inspection was completed November 2, 2023 with a “Superior” classification. The last fire inspection was conducted July 19, 2023 and your facility was approved for daytime care only. The last fire drill was conducted on March 28, 2024 and a shelter-in-place drill on February 8, 2024. The NC Secretary of State website was reviewed on April 4, 2024 and Christ Our Shepherd Ministries was listed as current- active. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor 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 and outdoor activity areas, and transitions. The caregivers were interacting and meeting the developmental needs for each of the children. Ten percent of children’s records were monitored. The Staff and Training Worksheets were received today. Ten percent of existing staff files were monitored. There have been three new staff hired since an administrative action follow up visit was conducted on October 11, 2023. Files for the new staff were also monitored. The following violations were documented. Violation Number Comment Rule 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space #117, there were no paper towels located by the sink in the children's restroom. 15A NCAC 18A .2818(b) & (d) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The natural playground used by school age children, have several tree stumps and three wood boards that the wood is rotting. .0601(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 #5, an aerosol can of disinfectant was stored in an unlocked cabinet. In a van used to transport children, an aerosol can of disinfectant spray was located in the door of the van. In the same van, an aerosol can of sanitizing spray was located in a bookbag on the floor of the passenger seat side of the van. .2820(b) 860 Balloons were accessible to children. Latex balloons were observed in space #1. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new staff member did not have verification on file that orientation had been completed. .1101(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguishers in two of the three vans used for transportation was being stored unsecured on the floorboard in the front of the van. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Eight children being transported did not have a photograph attached to their identifying information. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member did not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One new staff member did not have verification on file that the EPR plan was reviewed during orientation. .0607(f) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child's medical action plan has not been updated since March 17, 2023. .0801(b) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. One of three vans being used for transportation did not have signage posted in the van regarding the smoking and tobacco restriction. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of surfacing in the fall zones for the climbing structures and swings measured one inch to three inches in four different places. .0605(k)(1-4) 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 April 22, 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: -Any product in an aerosol can must be stored in a locked storage room or cabinet when not in use. I suggest monitoring all classrooms and vans used to transport children at least weekly. -Balloons shall be prohibited for children of all ages. -Mulch in the fall zones for the climbing structures and swings must measure at least six inches in dept. Once additional mulch is delivered, I recommend raking mulch frequently to avoid the mulch from getting compacted. -Medical action plans for children with health care needs are required to be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. -Fire extinguishers located in the vans used to transport children must be mounted or secured. Signage regarding the smoking and tobacco restriction shall be posted in vehicles used to transport children. -A photograph of each child must be included with identifying information for each child being transported. A suggestion was made that before a child is transported to review all required documents for each child being transported to ensure all requirements are in compliance. -As a reminder, standing permission to transport children to and from school must include expected time of departure and arrival, and the transportation provider. -Each employee must have an annual staff evaluation and staff development plan on file. Both must be completed annually according to the employee’s hire date. - Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Also, as a part of staff orientation, the EPR plan must be reviewed with each staff member upon hire and on an annual basis after. -As a reminder, liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area. A suggestion was made that before a classroom is opened in the morning, that staff monitor to ensure each sink has soap and paper towels. -The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. The facility is in cohort #1 which means their preparation year began July 1, 2023, to June 30, 2024, with a reassessment year of July 1, 2024 to June 30, 2025. The Director stated that the facility participates in Quality Everyday Project administered by Child Care Resources, Inc. 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 .1003 · Violation

Name of Operation: COS KIDS Facility ID: 60003664 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 26 Completed Date: 4/8/2024 Age: From 3 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Tina Townsend-Strong, Director, and Addison Rush, Assistant Director assisted me with the visit. The facility currently operates with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled in. The last annual compliance visit was conducted April 20, 2023. A sanitation inspection was completed November 2, 2023 with a “Superior” classification. The last fire inspection was conducted July 19, 2023 and your facility was approved for daytime care only. The last fire drill was conducted on March 28, 2024 and a shelter-in-place drill on February 8, 2024. The NC Secretary of State website was reviewed on April 4, 2024 and Christ Our Shepherd Ministries was listed as current- active. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor 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 and outdoor activity areas, and transitions. The caregivers were interacting and meeting the developmental needs for each of the children. Ten percent of children’s records were monitored. The Staff and Training Worksheets were received today. Ten percent of existing staff files were monitored. There have been three new staff hired since an administrative action follow up visit was conducted on October 11, 2023. Files for the new staff were also monitored. The following violations were documented. Violation Number Comment Rule 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space #117, there were no paper towels located by the sink in the children's restroom. 15A NCAC 18A .2818(b) & (d) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The natural playground used by school age children, have several tree stumps and three wood boards that the wood is rotting. .0601(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 #5, an aerosol can of disinfectant was stored in an unlocked cabinet. In a van used to transport children, an aerosol can of disinfectant spray was located in the door of the van. In the same van, an aerosol can of sanitizing spray was located in a bookbag on the floor of the passenger seat side of the van. .2820(b) 860 Balloons were accessible to children. Latex balloons were observed in space #1. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new staff member did not have verification on file that orientation had been completed. .1101(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguishers in two of the three vans used for transportation was being stored unsecured on the floorboard in the front of the van. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Eight children being transported did not have a photograph attached to their identifying information. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member did not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One new staff member did not have verification on file that the EPR plan was reviewed during orientation. .0607(f) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child's medical action plan has not been updated since March 17, 2023. .0801(b) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. One of three vans being used for transportation did not have signage posted in the van regarding the smoking and tobacco restriction. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of surfacing in the fall zones for the climbing structures and swings measured one inch to three inches in four different places. .0605(k)(1-4) 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 April 22, 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: -Any product in an aerosol can must be stored in a locked storage room or cabinet when not in use. I suggest monitoring all classrooms and vans used to transport children at least weekly. -Balloons shall be prohibited for children of all ages. -Mulch in the fall zones for the climbing structures and swings must measure at least six inches in dept. Once additional mulch is delivered, I recommend raking mulch frequently to avoid the mulch from getting compacted. -Medical action plans for children with health care needs are required to be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. -Fire extinguishers located in the vans used to transport children must be mounted or secured. Signage regarding the smoking and tobacco restriction shall be posted in vehicles used to transport children. -A photograph of each child must be included with identifying information for each child being transported. A suggestion was made that before a child is transported to review all required documents for each child being transported to ensure all requirements are in compliance. -As a reminder, standing permission to transport children to and from school must include expected time of departure and arrival, and the transportation provider. -Each employee must have an annual staff evaluation and staff development plan on file. Both must be completed annually according to the employee’s hire date. - Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Also, as a part of staff orientation, the EPR plan must be reviewed with each staff member upon hire and on an annual basis after. -As a reminder, liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area. A suggestion was made that before a classroom is opened in the morning, that staff monitor to ensure each sink has soap and paper towels. -The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. The facility is in cohort #1 which means their preparation year began July 1, 2023, to June 30, 2024, with a reassessment year of July 1, 2024 to June 30, 2025. The Director stated that the facility participates in Quality Everyday Project administered by Child Care Resources, Inc. 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: COS KIDS Facility ID: 60003664 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 26 Completed Date: 4/8/2024 Age: From 3 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Tina Townsend-Strong, Director, and Addison Rush, Assistant Director assisted me with the visit. The facility currently operates with a five-star license, issued August 26, 2020, earning 6 points in the education component, 6 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by offering a staff benefits package and approved enhanced policies. The program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled in. The last annual compliance visit was conducted April 20, 2023. A sanitation inspection was completed November 2, 2023 with a “Superior” classification. The last fire inspection was conducted July 19, 2023 and your facility was approved for daytime care only. The last fire drill was conducted on March 28, 2024 and a shelter-in-place drill on February 8, 2024. The NC Secretary of State website was reviewed on April 4, 2024 and Christ Our Shepherd Ministries was listed as current- active. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor 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 and outdoor activity areas, and transitions. The caregivers were interacting and meeting the developmental needs for each of the children. Ten percent of children’s records were monitored. The Staff and Training Worksheets were received today. Ten percent of existing staff files were monitored. There have been three new staff hired since an administrative action follow up visit was conducted on October 11, 2023. Files for the new staff were also monitored. The following violations were documented. Violation Number Comment Rule 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space #117, there were no paper towels located by the sink in the children's restroom. 15A NCAC 18A .2818(b) & (d) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The natural playground used by school age children, have several tree stumps and three wood boards that the wood is rotting. .0601(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 #5, an aerosol can of disinfectant was stored in an unlocked cabinet. In a van used to transport children, an aerosol can of disinfectant spray was located in the door of the van. In the same van, an aerosol can of sanitizing spray was located in a bookbag on the floor of the passenger seat side of the van. .2820(b) 860 Balloons were accessible to children. Latex balloons were observed in space #1. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new staff member did not have verification on file that orientation had been completed. .1101(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguishers in two of the three vans used for transportation was being stored unsecured on the floorboard in the front of the van. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Eight children being transported did not have a photograph attached to their identifying information. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member did not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One new staff member did not have verification on file that the EPR plan was reviewed during orientation. .0607(f) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child's medical action plan has not been updated since March 17, 2023. .0801(b) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. One of three vans being used for transportation did not have signage posted in the van regarding the smoking and tobacco restriction. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of surfacing in the fall zones for the climbing structures and swings measured one inch to three inches in four different places. .0605(k)(1-4) 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 April 22, 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: -Any product in an aerosol can must be stored in a locked storage room or cabinet when not in use. I suggest monitoring all classrooms and vans used to transport children at least weekly. -Balloons shall be prohibited for children of all ages. -Mulch in the fall zones for the climbing structures and swings must measure at least six inches in dept. Once additional mulch is delivered, I recommend raking mulch frequently to avoid the mulch from getting compacted. -Medical action plans for children with health care needs are required to be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. -Fire extinguishers located in the vans used to transport children must be mounted or secured. Signage regarding the smoking and tobacco restriction shall be posted in vehicles used to transport children. -A photograph of each child must be included with identifying information for each child being transported. A suggestion was made that before a child is transported to review all required documents for each child being transported to ensure all requirements are in compliance. -As a reminder, standing permission to transport children to and from school must include expected time of departure and arrival, and the transportation provider. -Each employee must have an annual staff evaluation and staff development plan on file. Both must be completed annually according to the employee’s hire date. - Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Also, as a part of staff orientation, the EPR plan must be reviewed with each staff member upon hire and on an annual basis after. -As a reminder, liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area. A suggestion was made that before a classroom is opened in the morning, that staff monitor to ensure each sink has soap and paper towels. -The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. The facility is in cohort #1 which means their preparation year began July 1, 2023, to June 30, 2024, with a reassessment year of July 1, 2024 to June 30, 2025. The Director stated that the facility participates in Quality Everyday Project administered by Child Care Resources, Inc. 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