10A NCAC 09 .0304 · Violation

Name of Operation: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 1/22/2026 Number Present: 42 Completed Date: 1/22/2026 Age: From 0 To 5 Total Minutes: 175 Time In: 09:10 AM Time Out: 12:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility currently operates under G.S. 110-106 as a religious sponsored child care center. S. Krajewski, Director, assisted me with today’s visit. We conducted a walk through the facility. Children were observed in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free choice of indoor activities, personal care routines, teacher directed activities, circle time and snack. Snack consisted of milk and apples. The caregivers were interacting and meeting the developmental needs for each of the children. The last approved fire inspection was documented in December 2024. A sanitation inspection was conducted on August 25, 2025, with a “Superior” classification. A monthly fire drill was conducted on December 22, 2025. The last lockdown drill was conducted on October 9, 2025. Playground Inspection Checklists were also monitored today and occurring monthly as required. The Staff and Training Worksheets were reviewed today to verify existing staff were current with criminal background checks, ITS-SIDS training and First Aid and CPR certification. I also monitored files for six new staff members that have been hired since the last annual compliance visit which was conducted on July 10, 2025. The following violations were observed. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection on file is dated December 2024. Documentation was on file that the Fire Inspector conducted a visit in April 2025 however, the Adult Day Care and Child Care Fire Inspection report was not on file. 10A NCAC 09 .0304(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was last conducted on October 9, 2025. .0604(u);.0302(d)(8) 9995 A violation was found for which there is no item number. Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. In space #1 and #3, a staff member's purse was not stored at least five feet above the floor or in locked storage. This is a violation of requirement 15A NCAC 18A .2820(g). Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before February 5, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The Director and I reviewed the facility’s contact information today. The facility’s phone number and email address were updated in DCDEE’s Regulatory system. I encourage you to review DCDEE’s website on a regular basis for up to date information at https://ncchildcare.ncdhhs.gov/Whats-New. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-106 · Violation

Name of Operation: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 1/22/2026 Number Present: 42 Completed Date: 1/22/2026 Age: From 0 To 5 Total Minutes: 175 Time In: 09:10 AM Time Out: 12:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility currently operates under G.S. 110-106 as a religious sponsored child care center. S. Krajewski, Director, assisted me with today’s visit. We conducted a walk through the facility. Children were observed in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free choice of indoor activities, personal care routines, teacher directed activities, circle time and snack. Snack consisted of milk and apples. The caregivers were interacting and meeting the developmental needs for each of the children. The last approved fire inspection was documented in December 2024. A sanitation inspection was conducted on August 25, 2025, with a “Superior” classification. A monthly fire drill was conducted on December 22, 2025. The last lockdown drill was conducted on October 9, 2025. Playground Inspection Checklists were also monitored today and occurring monthly as required. The Staff and Training Worksheets were reviewed today to verify existing staff were current with criminal background checks, ITS-SIDS training and First Aid and CPR certification. I also monitored files for six new staff members that have been hired since the last annual compliance visit which was conducted on July 10, 2025. The following violations were observed. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection on file is dated December 2024. Documentation was on file that the Fire Inspector conducted a visit in April 2025 however, the Adult Day Care and Child Care Fire Inspection report was not on file. 10A NCAC 09 .0304(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was last conducted on October 9, 2025. .0604(u);.0302(d)(8) 9995 A violation was found for which there is no item number. Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. In space #1 and #3, a staff member's purse was not stored at least five feet above the floor or in locked storage. This is a violation of requirement 15A NCAC 18A .2820(g). Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before February 5, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The Director and I reviewed the facility’s contact information today. The facility’s phone number and email address were updated in DCDEE’s Regulatory system. I encourage you to review DCDEE’s website on a regular basis for up to date information at https://ncchildcare.ncdhhs.gov/Whats-New. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 1/22/2026 Number Present: 42 Completed Date: 1/22/2026 Age: From 0 To 5 Total Minutes: 175 Time In: 09:10 AM Time Out: 12:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility currently operates under G.S. 110-106 as a religious sponsored child care center. S. Krajewski, Director, assisted me with today’s visit. We conducted a walk through the facility. Children were observed in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free choice of indoor activities, personal care routines, teacher directed activities, circle time and snack. Snack consisted of milk and apples. The caregivers were interacting and meeting the developmental needs for each of the children. The last approved fire inspection was documented in December 2024. A sanitation inspection was conducted on August 25, 2025, with a “Superior” classification. A monthly fire drill was conducted on December 22, 2025. The last lockdown drill was conducted on October 9, 2025. Playground Inspection Checklists were also monitored today and occurring monthly as required. The Staff and Training Worksheets were reviewed today to verify existing staff were current with criminal background checks, ITS-SIDS training and First Aid and CPR certification. I also monitored files for six new staff members that have been hired since the last annual compliance visit which was conducted on July 10, 2025. The following violations were observed. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection on file is dated December 2024. Documentation was on file that the Fire Inspector conducted a visit in April 2025 however, the Adult Day Care and Child Care Fire Inspection report was not on file. 10A NCAC 09 .0304(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was last conducted on October 9, 2025. .0604(u);.0302(d)(8) 9995 A violation was found for which there is no item number. Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. In space #1 and #3, a staff member's purse was not stored at least five feet above the floor or in locked storage. This is a violation of requirement 15A NCAC 18A .2820(g). Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before February 5, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The Director and I reviewed the facility’s contact information today. The facility’s phone number and email address were updated in DCDEE’s Regulatory system. I encourage you to review DCDEE’s website on a regular basis for up to date information at https://ncchildcare.ncdhhs.gov/Whats-New. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 7/10/2025 Number Present: 35 Completed Date: 7/10/2025 Age: From 0 To 5 Total Minutes: 205 Time In: 09:45 AM Time Out: 01:10 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 under G.S. 110-106 as a religious sponsored child care center. The facility’s 18-month compliance history score was 85% before today’s visit. The Director, S. Krajewski, assisted me with the visit. A walk-through of the facility was conducted with the Director. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, circle time, free play of indoor activity areas, transitions and gross motor play. The caregivers were interacting and meeting the developmental needs for each of the children. A fire inspection was completed on December 12, 2024. A sanitation inspection was completed March 21, 2025, with a “Superior” classification. A lockdown drill was conducted on April 16, 2025, and the last fire drill was conducted on June 19, 2025. Outdoor safety inspections were monitored and are occurring monthly as requested. Ten percent of children’s records were monitored. The Staff and Training Worksheets were completed prior to today’s visit. There have been two new employees hired since a routine unannounced visit was conducted on March 10, 2025. Files for the new employees and ten percent of existing staff files were monitored. A criminal background check employee roster was reviewed. All staff have been entered and connected to the facility except for staff member. The following violations were observed. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. In space #3, the staff/child ratio sheet was not posted. .0713(a)(10), (c) & (f)(3); .2818(e) 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. An open bag of potting soil was stored an unlocked storage building on the preschool playground. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #6, a staff member's prescription medication was stored in the door of the refrigerator. 15A NCAC 18A .2820(d) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One new staff member's First Aid training was not from an approved organization. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One new staff member's CPR training was not from an approved organization. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured three and five inches in two areas in the fall zone for the climbing structure on the preschool playground instead of the required six inches. .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 July 24, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: A conversation was held with the Director and Teacher in the infant room regarding the use of sound machines in the infant classroom. Noise levels should be kept at a level so that you can hear if an infant is in distress. Places speakers or sound machines away from a child’s head and at a safe distance. Based on the American Pediatric Academy sound machines should be used at a low tone and according to manufacturer’s guidelines. Multiply sound machines should not be used at the same time and cords cannot be accessible. The staff/child ratio applicable to a classroom must be posted in the classroom in an area that parents are able to view at all times. A discussion was held with the Director and new staff member regarding approved courses for First Aid and CPR. The new staff member had a First Aid and CPR certificate upon hire however the agency was not an approved agency. The Director is familiar with Be a Smart Consumer however the staff member was not. I shared Be a Smart Consumer with the staff member and how to check if an agency and course were approved. The Director emailed the instructor the facility uses for First Aid and CPR for existing staff during the visit to schedule a class. All medication, including medication that belongs to staff, must be kept in locked storage. The Director purchased a lockbox for the refrigerator during the visit. I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 7/10/2025 Number Present: 35 Completed Date: 7/10/2025 Age: From 0 To 5 Total Minutes: 205 Time In: 09:45 AM Time Out: 01:10 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 under G.S. 110-106 as a religious sponsored child care center. The facility’s 18-month compliance history score was 85% before today’s visit. The Director, S. Krajewski, assisted me with the visit. A walk-through of the facility was conducted with the Director. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, circle time, free play of indoor activity areas, transitions and gross motor play. The caregivers were interacting and meeting the developmental needs for each of the children. A fire inspection was completed on December 12, 2024. A sanitation inspection was completed March 21, 2025, with a “Superior” classification. A lockdown drill was conducted on April 16, 2025, and the last fire drill was conducted on June 19, 2025. Outdoor safety inspections were monitored and are occurring monthly as requested. Ten percent of children’s records were monitored. The Staff and Training Worksheets were completed prior to today’s visit. There have been two new employees hired since a routine unannounced visit was conducted on March 10, 2025. Files for the new employees and ten percent of existing staff files were monitored. A criminal background check employee roster was reviewed. All staff have been entered and connected to the facility except for staff member. The following violations were observed. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. In space #3, the staff/child ratio sheet was not posted. .0713(a)(10), (c) & (f)(3); .2818(e) 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. An open bag of potting soil was stored an unlocked storage building on the preschool playground. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #6, a staff member's prescription medication was stored in the door of the refrigerator. 15A NCAC 18A .2820(d) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One new staff member's First Aid training was not from an approved organization. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One new staff member's CPR training was not from an approved organization. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured three and five inches in two areas in the fall zone for the climbing structure on the preschool playground instead of the required six inches. .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 July 24, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: A conversation was held with the Director and Teacher in the infant room regarding the use of sound machines in the infant classroom. Noise levels should be kept at a level so that you can hear if an infant is in distress. Places speakers or sound machines away from a child’s head and at a safe distance. Based on the American Pediatric Academy sound machines should be used at a low tone and according to manufacturer’s guidelines. Multiply sound machines should not be used at the same time and cords cannot be accessible. The staff/child ratio applicable to a classroom must be posted in the classroom in an area that parents are able to view at all times. A discussion was held with the Director and new staff member regarding approved courses for First Aid and CPR. The new staff member had a First Aid and CPR certificate upon hire however the agency was not an approved agency. The Director is familiar with Be a Smart Consumer however the staff member was not. I shared Be a Smart Consumer with the staff member and how to check if an agency and course were approved. The Director emailed the instructor the facility uses for First Aid and CPR for existing staff during the visit to schedule a class. All medication, including medication that belongs to staff, must be kept in locked storage. The Director purchased a lockbox for the refrigerator during the visit. I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 2/10/2025 Number Present: 46 Completed Date: 2/10/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 10:10 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates a G.S. 110-106 Religious Sponsored Program. Upon arrival, I was greeted by the Director, S. Krajewski and Staff Minister, B. Bitter. I stated the reason for the visit and conducted a walk-through of the facility was conducted with the Director. During the walk-through, children were observed in the indoor environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free choice of activity areas, circle time and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. There have been four new staff members hired since the annual compliance visit conducted on July 22, 2024. Files for the new staff members were monitored today. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification. The last fire inspection was conducted on December 20, 2024. The last sanitation inspection was conducted on October 1, 2024, and received a “Superior” classification. A shelter-in-place drill was conducted on January 12, 2025, and the last fire drill was conducted on January 31, 2025. Outdoor safety checks were also monitored today and occurring monthly as required. The were four violations cited and two corrected during the visit. Violation Number Comment Rule 618 Diaper changing surfaces were not kept free of storage. In space #2, the space was free of storage, however the diaper changing pad had several torn places causing the changing pad not to be disinfected properly. 15A NCAC 18A .2819(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlet safety covers were missing from an outlet in the restroom between space #5 and #6 and four in the entrance of spaces #5 and #6. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In sapce #4, plastic bags of diapers were being stored in an unlocked bottom cabinet. .0604(q) 9995 A violation was found for which there is no item number. Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. In space #2, a purse was located on a coat hook and was not at least five feet above the floor. This violation of a requirement in 15A NCAC 18A .2820(g). Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before February 24, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -Plastic bags must not be accessible to children under three. A suggestion was made to remove the diapers from the plastic bag and place them in a container labeled with the child’s name or lock the cabinet where the diapers are stored. -Diapering surfaces must be free of storage and good repair. In space #1, the changing pad had several torn places. The Director reported that the changing pad is new, however, she has had difficulty finding one that is more durable and fits the facility’s changing tables. - Purses and other personal effects belonging to child care center employees shall be stored at least five feet above the floor or in locked storage. The staff member placed the purse on a shelf that was above five feet from the floor. -Electrical outlets must be protected with safety covers. The facility shares space with the church. A suggestion was made to monitor outlets each morning following a church service. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-106 · Violation

Name of Operation: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 2/10/2025 Number Present: 46 Completed Date: 2/10/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 10:10 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates a G.S. 110-106 Religious Sponsored Program. Upon arrival, I was greeted by the Director, S. Krajewski and Staff Minister, B. Bitter. I stated the reason for the visit and conducted a walk-through of the facility was conducted with the Director. During the walk-through, children were observed in the indoor environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free choice of activity areas, circle time and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. There have been four new staff members hired since the annual compliance visit conducted on July 22, 2024. Files for the new staff members were monitored today. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification. The last fire inspection was conducted on December 20, 2024. The last sanitation inspection was conducted on October 1, 2024, and received a “Superior” classification. A shelter-in-place drill was conducted on January 12, 2025, and the last fire drill was conducted on January 31, 2025. Outdoor safety checks were also monitored today and occurring monthly as required. The were four violations cited and two corrected during the visit. Violation Number Comment Rule 618 Diaper changing surfaces were not kept free of storage. In space #2, the space was free of storage, however the diaper changing pad had several torn places causing the changing pad not to be disinfected properly. 15A NCAC 18A .2819(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlet safety covers were missing from an outlet in the restroom between space #5 and #6 and four in the entrance of spaces #5 and #6. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In sapce #4, plastic bags of diapers were being stored in an unlocked bottom cabinet. .0604(q) 9995 A violation was found for which there is no item number. Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. In space #2, a purse was located on a coat hook and was not at least five feet above the floor. This violation of a requirement in 15A NCAC 18A .2820(g). Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before February 24, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -Plastic bags must not be accessible to children under three. A suggestion was made to remove the diapers from the plastic bag and place them in a container labeled with the child’s name or lock the cabinet where the diapers are stored. -Diapering surfaces must be free of storage and good repair. In space #1, the changing pad had several torn places. The Director reported that the changing pad is new, however, she has had difficulty finding one that is more durable and fits the facility’s changing tables. - Purses and other personal effects belonging to child care center employees shall be stored at least five feet above the floor or in locked storage. The staff member placed the purse on a shelf that was above five feet from the floor. -Electrical outlets must be protected with safety covers. The facility shares space with the church. A suggestion was made to monitor outlets each morning following a church service. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 2/10/2025 Number Present: 46 Completed Date: 2/10/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 10:10 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates a G.S. 110-106 Religious Sponsored Program. Upon arrival, I was greeted by the Director, S. Krajewski and Staff Minister, B. Bitter. I stated the reason for the visit and conducted a walk-through of the facility was conducted with the Director. During the walk-through, children were observed in the indoor environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free choice of activity areas, circle time and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. There have been four new staff members hired since the annual compliance visit conducted on July 22, 2024. Files for the new staff members were monitored today. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification. The last fire inspection was conducted on December 20, 2024. The last sanitation inspection was conducted on October 1, 2024, and received a “Superior” classification. A shelter-in-place drill was conducted on January 12, 2025, and the last fire drill was conducted on January 31, 2025. Outdoor safety checks were also monitored today and occurring monthly as required. The were four violations cited and two corrected during the visit. Violation Number Comment Rule 618 Diaper changing surfaces were not kept free of storage. In space #2, the space was free of storage, however the diaper changing pad had several torn places causing the changing pad not to be disinfected properly. 15A NCAC 18A .2819(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlet safety covers were missing from an outlet in the restroom between space #5 and #6 and four in the entrance of spaces #5 and #6. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In sapce #4, plastic bags of diapers were being stored in an unlocked bottom cabinet. .0604(q) 9995 A violation was found for which there is no item number. Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. In space #2, a purse was located on a coat hook and was not at least five feet above the floor. This violation of a requirement in 15A NCAC 18A .2820(g). Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before February 24, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -Plastic bags must not be accessible to children under three. A suggestion was made to remove the diapers from the plastic bag and place them in a container labeled with the child’s name or lock the cabinet where the diapers are stored. -Diapering surfaces must be free of storage and good repair. In space #1, the changing pad had several torn places. The Director reported that the changing pad is new, however, she has had difficulty finding one that is more durable and fits the facility’s changing tables. - Purses and other personal effects belonging to child care center employees shall be stored at least five feet above the floor or in locked storage. The staff member placed the purse on a shelf that was above five feet from the floor. -Electrical outlets must be protected with safety covers. The facility shares space with the church. A suggestion was made to monitor outlets each morning following a church service. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 7/22/2024 Number Present: 46 Completed Date: 7/22/2024 Age: From 0 To 6 Total Minutes: 375 Time In: 10:15 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates a G.S. 110-106 Religious Sponsored Program. A checklist was used to monitor the facility today. Upon arrival, I was greeted by and met with Sarah Krajewski, Director. Staff Minister, Brent Bitter also welcomed me before the walkthrough for today's visit. Ms. Krajewski was able to accompany me on the walkthrough the facility. I monitored each classroom and each outdoor play environment during today's visit. The NC Secretary of State website was reviewed July 22, 2024, and Grace Evangelical Lutheran Church is listed as current- active. The center’s annual compliance history is 84% before today’s visit. The following requirements were monitored during today’s walkthrough: Supervision: I observed for a short period in each classroom and on the playgrounds. During the observations supervision was maintained. The toddler group was observed outside playing, riding tricycles and playing on stationary equipment. Staff was observing caring for and talking with the children in caring tones. The infant teachers were observed in personal care routines ad the infants were engaged in tummy time, free play and care routines. One infant was propped on a boppy holding her sippy cup to eat. The staff were attentive to the needs of the children using nurturing tones. The classroom serving two-year-old's was observed outdoors. One teacher stayed with the group and supervised outdoor play while another teacher brought two children in the room for toilet routines. All child interactions were positive, and the children were engaged in several outdoor activities with the teacher stationed in a way allowing good supervision. The two preschool rooms were observed combined on the outdoor play area and engaged in riding scooters, tricycles and blowing bubbles. Both groups went inside for routines and preparing for lunch time. In the room serving three-year-old children I observed staff assisting with lunch needs and having conversations with the children. In the classroom serving four and five-year-old children I observed children eating. The teacher was seated and eating modeling good nutritional eating habits. Children bring their lunches from home and several meals were observed meeting nutritional requirements. Staff Child Ratio: The facility currently follows the minimum staff/child ratio. Staff/child ratio was observed being maintained in each classroom. CPR/First Aid: All permanent staff have current First Aid and CPR certification. Two substitutes hired after 6/1/24 did not have current First Aid and CPR certification however have not worked 90 days. Special Training: All permanent staff have current ITS/SIDS certification. One substitute did not have ITS/SIDS certification however she is not and will not be scheduled in the infant room. Storage of Hazardous Substances: Cleaning supplies were stored properly today. A cold compress found in an emergency backpack located in a cubby in the twos room and a bag of potting soil leading to the preschool outdoor play area was observed accessible to children. Storage of Medication: Anti-fungal cream was found in the room serving infants without a physician’s signature. Hydrocortisone was observed without physician permission in the room serving two year olds. One emergency medication for asthma observed in the room serving four- and five-year-olds was not in the original container with pharmacy label and did not have current Medication Action Plan – Asthma or current permission to administer form signed by parent. Adequate/Approved Space: All children were observed in approved spaces indoors and outdoors today. Staff Records: I reviewed the current staff and training worksheets. Two substitute staff have been hired since the last routine unannounced visit; their files were reviewed today and found in compliance. One veteran staff did not sign Shaken Baby Head Trauma Policy before date of employment. Program Records: Daily attendance was reviewed today and found meeting compliance. Children’s arrival and departure times are captured in the Bright Wheels app. The last fire inspection was conducted 11-28-23. The last sanitation inspection was conducted on 3-13-2024 with a superior rating. I reviewed the emergency drill log. The last fire drill was conducted on 6-2-24 and the last shelter in place drill was conducted 4-17-24. A shelter in place drill should have been conducted by 7-17-24. First aid posters were observed posted. Incident logs were reviewed and found meeting compliance. I reviewed the monthly playground inspections and found them meeting compliance. I observed your current EPR plan dated 3/11/24 and the Emergency Care Plan was posted. All information required to be posted was observed posted today. A No Smoking sign was posted however did not include the No Tobacco statement. Safe Sleep Checks were monitored and it was found documented that one child was placed on her tummy to sleep initially. License Posted: The facility operates as a G.S110-106 Religious Sponsored Program Permit Restrictions: The permit restrictions, daytime care only and no cooking allowed in the building, were observed meeting compliance today. General Health and Safety: While completing the walkthrough I observed an electrical cord hanging and plastic bags accessible to children in Space 2. In Space 3, I observed a child under 12 months propped on a boppy on the floor with a sippy cup and a bottle not labeled and dated correctly. In Space 4, I observed a refrigerator in dramatic play did not shut properly leaving gaps where children's fingers could get caught and/or pinched. Additionally, while observing Space 4, small beads were found accessible to children in two backpack pockets in a cubby posing a choking hazard. While walking through the three-year-old room in Space 5, an area rug was observed with stains and will need to be cleaned. The preschool outdoor play area was monitored. I observed standing water in several places, compacted and inadequate mulch depth and weeds in the mulch. The following violations were observed during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In Space 3, and infant was observed drinking milk from a sippy cup while propped on a large boppy pillow. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Spaces 2, 3 and 4 bottles and cups for several children were observed not dated and labeled. 15A NCAC 18A .2804(d) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. A wooden kitchen set on the two year old outdoor play area did not close properly creating a pinch point. In space 4, a refrigerator in dramatic play area did not close properly creating a pinch point. In Space 5, the handle on the cabinet in the kitchenette needs to be replaced. .0601(d) 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 preschool play area has standing water at the end of the slide, in the sensory table and on the sandbox cover. Weeds are growing in the mulch near the playground border around the stationary play equipment. 15A NCAC 18A .2832(a) 815 Electrical cords were accessible to infants and toddlers. In Space 2, an electrical cord was observed hanging and accessible to children. 10A NCAC 09 .0604(f) 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 4 a cold compress labeled keep out of reach of children was observed in an emergency back pack located accessible to children. In a covered walkthrough to the preschool outdoor play area potting soil was open adn accessible to children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 6, an emergency inhaler was observed not in original package with label and did not have a medical action plan. .0803(2)(a) 847 Parent's medication authorization did not include required information. In Space 3, anti-fungal cream did not have physician's authorization. In Space 3, Anti-fungal cream was observed without physician's permission to administer. In Space 4, hydrocortisone was observed without a physician's permission to administer. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Spaces 2, 3 and 4 plastic bags were observed accessible to children. .0604(q) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. In Space 3, it was documented that an infant was placed on tummy as the initial sleep position. .0606(a)(1)(A-B) 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 4-17-2024 and was due by 7-17-2024. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. .0604(j) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch located on the outdoor play area was compacted and did not meet the required depth. .0605(k)(1-4) 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 August 5, 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: 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 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 checking all labels for toys to comply with choking warnings. We also discussed reviewing medications regularly and having all emergency medications brought to you in order to maintain compliance with proper documentation. We discussed a daily system to check labels and dates on all food brought into the center. I talked with infant staff regarding proper documentation when placing an infant in the crib to sleep. All infants must be placed on their backs to sleep. We discussed adding "No Tobacco on the premises" to all signage and to the Parent Policies signature page. We discussed proper seating apparatus for infants would include high chairs or chairs with trays which can be easily cleaned. If an infant will not sit in an appropriate apparatus to feed then he/she must be held while eating. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov. 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, please contact me at 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov . If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0902 · Violation

Name of Operation: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 7/22/2024 Number Present: 46 Completed Date: 7/22/2024 Age: From 0 To 6 Total Minutes: 375 Time In: 10:15 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates a G.S. 110-106 Religious Sponsored Program. A checklist was used to monitor the facility today. Upon arrival, I was greeted by and met with Sarah Krajewski, Director. Staff Minister, Brent Bitter also welcomed me before the walkthrough for today's visit. Ms. Krajewski was able to accompany me on the walkthrough the facility. I monitored each classroom and each outdoor play environment during today's visit. The NC Secretary of State website was reviewed July 22, 2024, and Grace Evangelical Lutheran Church is listed as current- active. The center’s annual compliance history is 84% before today’s visit. The following requirements were monitored during today’s walkthrough: Supervision: I observed for a short period in each classroom and on the playgrounds. During the observations supervision was maintained. The toddler group was observed outside playing, riding tricycles and playing on stationary equipment. Staff was observing caring for and talking with the children in caring tones. The infant teachers were observed in personal care routines ad the infants were engaged in tummy time, free play and care routines. One infant was propped on a boppy holding her sippy cup to eat. The staff were attentive to the needs of the children using nurturing tones. The classroom serving two-year-old's was observed outdoors. One teacher stayed with the group and supervised outdoor play while another teacher brought two children in the room for toilet routines. All child interactions were positive, and the children were engaged in several outdoor activities with the teacher stationed in a way allowing good supervision. The two preschool rooms were observed combined on the outdoor play area and engaged in riding scooters, tricycles and blowing bubbles. Both groups went inside for routines and preparing for lunch time. In the room serving three-year-old children I observed staff assisting with lunch needs and having conversations with the children. In the classroom serving four and five-year-old children I observed children eating. The teacher was seated and eating modeling good nutritional eating habits. Children bring their lunches from home and several meals were observed meeting nutritional requirements. Staff Child Ratio: The facility currently follows the minimum staff/child ratio. Staff/child ratio was observed being maintained in each classroom. CPR/First Aid: All permanent staff have current First Aid and CPR certification. Two substitutes hired after 6/1/24 did not have current First Aid and CPR certification however have not worked 90 days. Special Training: All permanent staff have current ITS/SIDS certification. One substitute did not have ITS/SIDS certification however she is not and will not be scheduled in the infant room. Storage of Hazardous Substances: Cleaning supplies were stored properly today. A cold compress found in an emergency backpack located in a cubby in the twos room and a bag of potting soil leading to the preschool outdoor play area was observed accessible to children. Storage of Medication: Anti-fungal cream was found in the room serving infants without a physician’s signature. Hydrocortisone was observed without physician permission in the room serving two year olds. One emergency medication for asthma observed in the room serving four- and five-year-olds was not in the original container with pharmacy label and did not have current Medication Action Plan – Asthma or current permission to administer form signed by parent. Adequate/Approved Space: All children were observed in approved spaces indoors and outdoors today. Staff Records: I reviewed the current staff and training worksheets. Two substitute staff have been hired since the last routine unannounced visit; their files were reviewed today and found in compliance. One veteran staff did not sign Shaken Baby Head Trauma Policy before date of employment. Program Records: Daily attendance was reviewed today and found meeting compliance. Children’s arrival and departure times are captured in the Bright Wheels app. The last fire inspection was conducted 11-28-23. The last sanitation inspection was conducted on 3-13-2024 with a superior rating. I reviewed the emergency drill log. The last fire drill was conducted on 6-2-24 and the last shelter in place drill was conducted 4-17-24. A shelter in place drill should have been conducted by 7-17-24. First aid posters were observed posted. Incident logs were reviewed and found meeting compliance. I reviewed the monthly playground inspections and found them meeting compliance. I observed your current EPR plan dated 3/11/24 and the Emergency Care Plan was posted. All information required to be posted was observed posted today. A No Smoking sign was posted however did not include the No Tobacco statement. Safe Sleep Checks were monitored and it was found documented that one child was placed on her tummy to sleep initially. License Posted: The facility operates as a G.S110-106 Religious Sponsored Program Permit Restrictions: The permit restrictions, daytime care only and no cooking allowed in the building, were observed meeting compliance today. General Health and Safety: While completing the walkthrough I observed an electrical cord hanging and plastic bags accessible to children in Space 2. In Space 3, I observed a child under 12 months propped on a boppy on the floor with a sippy cup and a bottle not labeled and dated correctly. In Space 4, I observed a refrigerator in dramatic play did not shut properly leaving gaps where children's fingers could get caught and/or pinched. Additionally, while observing Space 4, small beads were found accessible to children in two backpack pockets in a cubby posing a choking hazard. While walking through the three-year-old room in Space 5, an area rug was observed with stains and will need to be cleaned. The preschool outdoor play area was monitored. I observed standing water in several places, compacted and inadequate mulch depth and weeds in the mulch. The following violations were observed during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In Space 3, and infant was observed drinking milk from a sippy cup while propped on a large boppy pillow. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Spaces 2, 3 and 4 bottles and cups for several children were observed not dated and labeled. 15A NCAC 18A .2804(d) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. A wooden kitchen set on the two year old outdoor play area did not close properly creating a pinch point. In space 4, a refrigerator in dramatic play area did not close properly creating a pinch point. In Space 5, the handle on the cabinet in the kitchenette needs to be replaced. .0601(d) 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 preschool play area has standing water at the end of the slide, in the sensory table and on the sandbox cover. Weeds are growing in the mulch near the playground border around the stationary play equipment. 15A NCAC 18A .2832(a) 815 Electrical cords were accessible to infants and toddlers. In Space 2, an electrical cord was observed hanging and accessible to children. 10A NCAC 09 .0604(f) 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 4 a cold compress labeled keep out of reach of children was observed in an emergency back pack located accessible to children. In a covered walkthrough to the preschool outdoor play area potting soil was open adn accessible to children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 6, an emergency inhaler was observed not in original package with label and did not have a medical action plan. .0803(2)(a) 847 Parent's medication authorization did not include required information. In Space 3, anti-fungal cream did not have physician's authorization. In Space 3, Anti-fungal cream was observed without physician's permission to administer. In Space 4, hydrocortisone was observed without a physician's permission to administer. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Spaces 2, 3 and 4 plastic bags were observed accessible to children. .0604(q) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. In Space 3, it was documented that an infant was placed on tummy as the initial sleep position. .0606(a)(1)(A-B) 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 4-17-2024 and was due by 7-17-2024. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. .0604(j) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch located on the outdoor play area was compacted and did not meet the required depth. .0605(k)(1-4) 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 August 5, 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: 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 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 checking all labels for toys to comply with choking warnings. We also discussed reviewing medications regularly and having all emergency medications brought to you in order to maintain compliance with proper documentation. We discussed a daily system to check labels and dates on all food brought into the center. I talked with infant staff regarding proper documentation when placing an infant in the crib to sleep. All infants must be placed on their backs to sleep. We discussed adding "No Tobacco on the premises" to all signage and to the Parent Policies signature page. We discussed proper seating apparatus for infants would include high chairs or chairs with trays which can be easily cleaned. If an infant will not sit in an appropriate apparatus to feed then he/she must be held while eating. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov. 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, please contact me at 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov . If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 7/22/2024 Number Present: 46 Completed Date: 7/22/2024 Age: From 0 To 6 Total Minutes: 375 Time In: 10:15 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates a G.S. 110-106 Religious Sponsored Program. A checklist was used to monitor the facility today. Upon arrival, I was greeted by and met with Sarah Krajewski, Director. Staff Minister, Brent Bitter also welcomed me before the walkthrough for today's visit. Ms. Krajewski was able to accompany me on the walkthrough the facility. I monitored each classroom and each outdoor play environment during today's visit. The NC Secretary of State website was reviewed July 22, 2024, and Grace Evangelical Lutheran Church is listed as current- active. The center’s annual compliance history is 84% before today’s visit. The following requirements were monitored during today’s walkthrough: Supervision: I observed for a short period in each classroom and on the playgrounds. During the observations supervision was maintained. The toddler group was observed outside playing, riding tricycles and playing on stationary equipment. Staff was observing caring for and talking with the children in caring tones. The infant teachers were observed in personal care routines ad the infants were engaged in tummy time, free play and care routines. One infant was propped on a boppy holding her sippy cup to eat. The staff were attentive to the needs of the children using nurturing tones. The classroom serving two-year-old's was observed outdoors. One teacher stayed with the group and supervised outdoor play while another teacher brought two children in the room for toilet routines. All child interactions were positive, and the children were engaged in several outdoor activities with the teacher stationed in a way allowing good supervision. The two preschool rooms were observed combined on the outdoor play area and engaged in riding scooters, tricycles and blowing bubbles. Both groups went inside for routines and preparing for lunch time. In the room serving three-year-old children I observed staff assisting with lunch needs and having conversations with the children. In the classroom serving four and five-year-old children I observed children eating. The teacher was seated and eating modeling good nutritional eating habits. Children bring their lunches from home and several meals were observed meeting nutritional requirements. Staff Child Ratio: The facility currently follows the minimum staff/child ratio. Staff/child ratio was observed being maintained in each classroom. CPR/First Aid: All permanent staff have current First Aid and CPR certification. Two substitutes hired after 6/1/24 did not have current First Aid and CPR certification however have not worked 90 days. Special Training: All permanent staff have current ITS/SIDS certification. One substitute did not have ITS/SIDS certification however she is not and will not be scheduled in the infant room. Storage of Hazardous Substances: Cleaning supplies were stored properly today. A cold compress found in an emergency backpack located in a cubby in the twos room and a bag of potting soil leading to the preschool outdoor play area was observed accessible to children. Storage of Medication: Anti-fungal cream was found in the room serving infants without a physician’s signature. Hydrocortisone was observed without physician permission in the room serving two year olds. One emergency medication for asthma observed in the room serving four- and five-year-olds was not in the original container with pharmacy label and did not have current Medication Action Plan – Asthma or current permission to administer form signed by parent. Adequate/Approved Space: All children were observed in approved spaces indoors and outdoors today. Staff Records: I reviewed the current staff and training worksheets. Two substitute staff have been hired since the last routine unannounced visit; their files were reviewed today and found in compliance. One veteran staff did not sign Shaken Baby Head Trauma Policy before date of employment. Program Records: Daily attendance was reviewed today and found meeting compliance. Children’s arrival and departure times are captured in the Bright Wheels app. The last fire inspection was conducted 11-28-23. The last sanitation inspection was conducted on 3-13-2024 with a superior rating. I reviewed the emergency drill log. The last fire drill was conducted on 6-2-24 and the last shelter in place drill was conducted 4-17-24. A shelter in place drill should have been conducted by 7-17-24. First aid posters were observed posted. Incident logs were reviewed and found meeting compliance. I reviewed the monthly playground inspections and found them meeting compliance. I observed your current EPR plan dated 3/11/24 and the Emergency Care Plan was posted. All information required to be posted was observed posted today. A No Smoking sign was posted however did not include the No Tobacco statement. Safe Sleep Checks were monitored and it was found documented that one child was placed on her tummy to sleep initially. License Posted: The facility operates as a G.S110-106 Religious Sponsored Program Permit Restrictions: The permit restrictions, daytime care only and no cooking allowed in the building, were observed meeting compliance today. General Health and Safety: While completing the walkthrough I observed an electrical cord hanging and plastic bags accessible to children in Space 2. In Space 3, I observed a child under 12 months propped on a boppy on the floor with a sippy cup and a bottle not labeled and dated correctly. In Space 4, I observed a refrigerator in dramatic play did not shut properly leaving gaps where children's fingers could get caught and/or pinched. Additionally, while observing Space 4, small beads were found accessible to children in two backpack pockets in a cubby posing a choking hazard. While walking through the three-year-old room in Space 5, an area rug was observed with stains and will need to be cleaned. The preschool outdoor play area was monitored. I observed standing water in several places, compacted and inadequate mulch depth and weeds in the mulch. The following violations were observed during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In Space 3, and infant was observed drinking milk from a sippy cup while propped on a large boppy pillow. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Spaces 2, 3 and 4 bottles and cups for several children were observed not dated and labeled. 15A NCAC 18A .2804(d) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. A wooden kitchen set on the two year old outdoor play area did not close properly creating a pinch point. In space 4, a refrigerator in dramatic play area did not close properly creating a pinch point. In Space 5, the handle on the cabinet in the kitchenette needs to be replaced. .0601(d) 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 preschool play area has standing water at the end of the slide, in the sensory table and on the sandbox cover. Weeds are growing in the mulch near the playground border around the stationary play equipment. 15A NCAC 18A .2832(a) 815 Electrical cords were accessible to infants and toddlers. In Space 2, an electrical cord was observed hanging and accessible to children. 10A NCAC 09 .0604(f) 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 4 a cold compress labeled keep out of reach of children was observed in an emergency back pack located accessible to children. In a covered walkthrough to the preschool outdoor play area potting soil was open adn accessible to children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 6, an emergency inhaler was observed not in original package with label and did not have a medical action plan. .0803(2)(a) 847 Parent's medication authorization did not include required information. In Space 3, anti-fungal cream did not have physician's authorization. In Space 3, Anti-fungal cream was observed without physician's permission to administer. In Space 4, hydrocortisone was observed without a physician's permission to administer. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Spaces 2, 3 and 4 plastic bags were observed accessible to children. .0604(q) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. In Space 3, it was documented that an infant was placed on tummy as the initial sleep position. .0606(a)(1)(A-B) 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 4-17-2024 and was due by 7-17-2024. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. .0604(j) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch located on the outdoor play area was compacted and did not meet the required depth. .0605(k)(1-4) 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 August 5, 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: 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 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 checking all labels for toys to comply with choking warnings. We also discussed reviewing medications regularly and having all emergency medications brought to you in order to maintain compliance with proper documentation. We discussed a daily system to check labels and dates on all food brought into the center. I talked with infant staff regarding proper documentation when placing an infant in the crib to sleep. All infants must be placed on their backs to sleep. We discussed adding "No Tobacco on the premises" to all signage and to the Parent Policies signature page. We discussed proper seating apparatus for infants would include high chairs or chairs with trays which can be easily cleaned. If an infant will not sit in an appropriate apparatus to feed then he/she must be held while eating. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov. 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, please contact me at 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov . If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 7/22/2024 Number Present: 46 Completed Date: 7/22/2024 Age: From 0 To 6 Total Minutes: 375 Time In: 10:15 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates a G.S. 110-106 Religious Sponsored Program. A checklist was used to monitor the facility today. Upon arrival, I was greeted by and met with Sarah Krajewski, Director. Staff Minister, Brent Bitter also welcomed me before the walkthrough for today's visit. Ms. Krajewski was able to accompany me on the walkthrough the facility. I monitored each classroom and each outdoor play environment during today's visit. The NC Secretary of State website was reviewed July 22, 2024, and Grace Evangelical Lutheran Church is listed as current- active. The center’s annual compliance history is 84% before today’s visit. The following requirements were monitored during today’s walkthrough: Supervision: I observed for a short period in each classroom and on the playgrounds. During the observations supervision was maintained. The toddler group was observed outside playing, riding tricycles and playing on stationary equipment. Staff was observing caring for and talking with the children in caring tones. The infant teachers were observed in personal care routines ad the infants were engaged in tummy time, free play and care routines. One infant was propped on a boppy holding her sippy cup to eat. The staff were attentive to the needs of the children using nurturing tones. The classroom serving two-year-old's was observed outdoors. One teacher stayed with the group and supervised outdoor play while another teacher brought two children in the room for toilet routines. All child interactions were positive, and the children were engaged in several outdoor activities with the teacher stationed in a way allowing good supervision. The two preschool rooms were observed combined on the outdoor play area and engaged in riding scooters, tricycles and blowing bubbles. Both groups went inside for routines and preparing for lunch time. In the room serving three-year-old children I observed staff assisting with lunch needs and having conversations with the children. In the classroom serving four and five-year-old children I observed children eating. The teacher was seated and eating modeling good nutritional eating habits. Children bring their lunches from home and several meals were observed meeting nutritional requirements. Staff Child Ratio: The facility currently follows the minimum staff/child ratio. Staff/child ratio was observed being maintained in each classroom. CPR/First Aid: All permanent staff have current First Aid and CPR certification. Two substitutes hired after 6/1/24 did not have current First Aid and CPR certification however have not worked 90 days. Special Training: All permanent staff have current ITS/SIDS certification. One substitute did not have ITS/SIDS certification however she is not and will not be scheduled in the infant room. Storage of Hazardous Substances: Cleaning supplies were stored properly today. A cold compress found in an emergency backpack located in a cubby in the twos room and a bag of potting soil leading to the preschool outdoor play area was observed accessible to children. Storage of Medication: Anti-fungal cream was found in the room serving infants without a physician’s signature. Hydrocortisone was observed without physician permission in the room serving two year olds. One emergency medication for asthma observed in the room serving four- and five-year-olds was not in the original container with pharmacy label and did not have current Medication Action Plan – Asthma or current permission to administer form signed by parent. Adequate/Approved Space: All children were observed in approved spaces indoors and outdoors today. Staff Records: I reviewed the current staff and training worksheets. Two substitute staff have been hired since the last routine unannounced visit; their files were reviewed today and found in compliance. One veteran staff did not sign Shaken Baby Head Trauma Policy before date of employment. Program Records: Daily attendance was reviewed today and found meeting compliance. Children’s arrival and departure times are captured in the Bright Wheels app. The last fire inspection was conducted 11-28-23. The last sanitation inspection was conducted on 3-13-2024 with a superior rating. I reviewed the emergency drill log. The last fire drill was conducted on 6-2-24 and the last shelter in place drill was conducted 4-17-24. A shelter in place drill should have been conducted by 7-17-24. First aid posters were observed posted. Incident logs were reviewed and found meeting compliance. I reviewed the monthly playground inspections and found them meeting compliance. I observed your current EPR plan dated 3/11/24 and the Emergency Care Plan was posted. All information required to be posted was observed posted today. A No Smoking sign was posted however did not include the No Tobacco statement. Safe Sleep Checks were monitored and it was found documented that one child was placed on her tummy to sleep initially. License Posted: The facility operates as a G.S110-106 Religious Sponsored Program Permit Restrictions: The permit restrictions, daytime care only and no cooking allowed in the building, were observed meeting compliance today. General Health and Safety: While completing the walkthrough I observed an electrical cord hanging and plastic bags accessible to children in Space 2. In Space 3, I observed a child under 12 months propped on a boppy on the floor with a sippy cup and a bottle not labeled and dated correctly. In Space 4, I observed a refrigerator in dramatic play did not shut properly leaving gaps where children's fingers could get caught and/or pinched. Additionally, while observing Space 4, small beads were found accessible to children in two backpack pockets in a cubby posing a choking hazard. While walking through the three-year-old room in Space 5, an area rug was observed with stains and will need to be cleaned. The preschool outdoor play area was monitored. I observed standing water in several places, compacted and inadequate mulch depth and weeds in the mulch. The following violations were observed during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In Space 3, and infant was observed drinking milk from a sippy cup while propped on a large boppy pillow. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Spaces 2, 3 and 4 bottles and cups for several children were observed not dated and labeled. 15A NCAC 18A .2804(d) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. A wooden kitchen set on the two year old outdoor play area did not close properly creating a pinch point. In space 4, a refrigerator in dramatic play area did not close properly creating a pinch point. In Space 5, the handle on the cabinet in the kitchenette needs to be replaced. .0601(d) 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 preschool play area has standing water at the end of the slide, in the sensory table and on the sandbox cover. Weeds are growing in the mulch near the playground border around the stationary play equipment. 15A NCAC 18A .2832(a) 815 Electrical cords were accessible to infants and toddlers. In Space 2, an electrical cord was observed hanging and accessible to children. 10A NCAC 09 .0604(f) 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 4 a cold compress labeled keep out of reach of children was observed in an emergency back pack located accessible to children. In a covered walkthrough to the preschool outdoor play area potting soil was open adn accessible to children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 6, an emergency inhaler was observed not in original package with label and did not have a medical action plan. .0803(2)(a) 847 Parent's medication authorization did not include required information. In Space 3, anti-fungal cream did not have physician's authorization. In Space 3, Anti-fungal cream was observed without physician's permission to administer. In Space 4, hydrocortisone was observed without a physician's permission to administer. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Spaces 2, 3 and 4 plastic bags were observed accessible to children. .0604(q) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. In Space 3, it was documented that an infant was placed on tummy as the initial sleep position. .0606(a)(1)(A-B) 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 4-17-2024 and was due by 7-17-2024. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. .0604(j) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch located on the outdoor play area was compacted and did not meet the required depth. .0605(k)(1-4) 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 August 5, 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: 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 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 checking all labels for toys to comply with choking warnings. We also discussed reviewing medications regularly and having all emergency medications brought to you in order to maintain compliance with proper documentation. We discussed a daily system to check labels and dates on all food brought into the center. I talked with infant staff regarding proper documentation when placing an infant in the crib to sleep. All infants must be placed on their backs to sleep. We discussed adding "No Tobacco on the premises" to all signage and to the Parent Policies signature page. We discussed proper seating apparatus for infants would include high chairs or chairs with trays which can be easily cleaned. If an infant will not sit in an appropriate apparatus to feed then he/she must be held while eating. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov. 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, please contact me at 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov . If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S110-106 · Violation

Name of Operation: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 7/22/2024 Number Present: 46 Completed Date: 7/22/2024 Age: From 0 To 6 Total Minutes: 375 Time In: 10:15 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates a G.S. 110-106 Religious Sponsored Program. A checklist was used to monitor the facility today. Upon arrival, I was greeted by and met with Sarah Krajewski, Director. Staff Minister, Brent Bitter also welcomed me before the walkthrough for today's visit. Ms. Krajewski was able to accompany me on the walkthrough the facility. I monitored each classroom and each outdoor play environment during today's visit. The NC Secretary of State website was reviewed July 22, 2024, and Grace Evangelical Lutheran Church is listed as current- active. The center’s annual compliance history is 84% before today’s visit. The following requirements were monitored during today’s walkthrough: Supervision: I observed for a short period in each classroom and on the playgrounds. During the observations supervision was maintained. The toddler group was observed outside playing, riding tricycles and playing on stationary equipment. Staff was observing caring for and talking with the children in caring tones. The infant teachers were observed in personal care routines ad the infants were engaged in tummy time, free play and care routines. One infant was propped on a boppy holding her sippy cup to eat. The staff were attentive to the needs of the children using nurturing tones. The classroom serving two-year-old's was observed outdoors. One teacher stayed with the group and supervised outdoor play while another teacher brought two children in the room for toilet routines. All child interactions were positive, and the children were engaged in several outdoor activities with the teacher stationed in a way allowing good supervision. The two preschool rooms were observed combined on the outdoor play area and engaged in riding scooters, tricycles and blowing bubbles. Both groups went inside for routines and preparing for lunch time. In the room serving three-year-old children I observed staff assisting with lunch needs and having conversations with the children. In the classroom serving four and five-year-old children I observed children eating. The teacher was seated and eating modeling good nutritional eating habits. Children bring their lunches from home and several meals were observed meeting nutritional requirements. Staff Child Ratio: The facility currently follows the minimum staff/child ratio. Staff/child ratio was observed being maintained in each classroom. CPR/First Aid: All permanent staff have current First Aid and CPR certification. Two substitutes hired after 6/1/24 did not have current First Aid and CPR certification however have not worked 90 days. Special Training: All permanent staff have current ITS/SIDS certification. One substitute did not have ITS/SIDS certification however she is not and will not be scheduled in the infant room. Storage of Hazardous Substances: Cleaning supplies were stored properly today. A cold compress found in an emergency backpack located in a cubby in the twos room and a bag of potting soil leading to the preschool outdoor play area was observed accessible to children. Storage of Medication: Anti-fungal cream was found in the room serving infants without a physician’s signature. Hydrocortisone was observed without physician permission in the room serving two year olds. One emergency medication for asthma observed in the room serving four- and five-year-olds was not in the original container with pharmacy label and did not have current Medication Action Plan – Asthma or current permission to administer form signed by parent. Adequate/Approved Space: All children were observed in approved spaces indoors and outdoors today. Staff Records: I reviewed the current staff and training worksheets. Two substitute staff have been hired since the last routine unannounced visit; their files were reviewed today and found in compliance. One veteran staff did not sign Shaken Baby Head Trauma Policy before date of employment. Program Records: Daily attendance was reviewed today and found meeting compliance. Children’s arrival and departure times are captured in the Bright Wheels app. The last fire inspection was conducted 11-28-23. The last sanitation inspection was conducted on 3-13-2024 with a superior rating. I reviewed the emergency drill log. The last fire drill was conducted on 6-2-24 and the last shelter in place drill was conducted 4-17-24. A shelter in place drill should have been conducted by 7-17-24. First aid posters were observed posted. Incident logs were reviewed and found meeting compliance. I reviewed the monthly playground inspections and found them meeting compliance. I observed your current EPR plan dated 3/11/24 and the Emergency Care Plan was posted. All information required to be posted was observed posted today. A No Smoking sign was posted however did not include the No Tobacco statement. Safe Sleep Checks were monitored and it was found documented that one child was placed on her tummy to sleep initially. License Posted: The facility operates as a G.S110-106 Religious Sponsored Program Permit Restrictions: The permit restrictions, daytime care only and no cooking allowed in the building, were observed meeting compliance today. General Health and Safety: While completing the walkthrough I observed an electrical cord hanging and plastic bags accessible to children in Space 2. In Space 3, I observed a child under 12 months propped on a boppy on the floor with a sippy cup and a bottle not labeled and dated correctly. In Space 4, I observed a refrigerator in dramatic play did not shut properly leaving gaps where children's fingers could get caught and/or pinched. Additionally, while observing Space 4, small beads were found accessible to children in two backpack pockets in a cubby posing a choking hazard. While walking through the three-year-old room in Space 5, an area rug was observed with stains and will need to be cleaned. The preschool outdoor play area was monitored. I observed standing water in several places, compacted and inadequate mulch depth and weeds in the mulch. The following violations were observed during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In Space 3, and infant was observed drinking milk from a sippy cup while propped on a large boppy pillow. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Spaces 2, 3 and 4 bottles and cups for several children were observed not dated and labeled. 15A NCAC 18A .2804(d) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. A wooden kitchen set on the two year old outdoor play area did not close properly creating a pinch point. In space 4, a refrigerator in dramatic play area did not close properly creating a pinch point. In Space 5, the handle on the cabinet in the kitchenette needs to be replaced. .0601(d) 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 preschool play area has standing water at the end of the slide, in the sensory table and on the sandbox cover. Weeds are growing in the mulch near the playground border around the stationary play equipment. 15A NCAC 18A .2832(a) 815 Electrical cords were accessible to infants and toddlers. In Space 2, an electrical cord was observed hanging and accessible to children. 10A NCAC 09 .0604(f) 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 4 a cold compress labeled keep out of reach of children was observed in an emergency back pack located accessible to children. In a covered walkthrough to the preschool outdoor play area potting soil was open adn accessible to children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 6, an emergency inhaler was observed not in original package with label and did not have a medical action plan. .0803(2)(a) 847 Parent's medication authorization did not include required information. In Space 3, anti-fungal cream did not have physician's authorization. In Space 3, Anti-fungal cream was observed without physician's permission to administer. In Space 4, hydrocortisone was observed without a physician's permission to administer. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Spaces 2, 3 and 4 plastic bags were observed accessible to children. .0604(q) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. In Space 3, it was documented that an infant was placed on tummy as the initial sleep position. .0606(a)(1)(A-B) 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 4-17-2024 and was due by 7-17-2024. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. .0604(j) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch located on the outdoor play area was compacted and did not meet the required depth. .0605(k)(1-4) 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 August 5, 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: 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 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 checking all labels for toys to comply with choking warnings. We also discussed reviewing medications regularly and having all emergency medications brought to you in order to maintain compliance with proper documentation. We discussed a daily system to check labels and dates on all food brought into the center. I talked with infant staff regarding proper documentation when placing an infant in the crib to sleep. All infants must be placed on their backs to sleep. We discussed adding "No Tobacco on the premises" to all signage and to the Parent Policies signature page. We discussed proper seating apparatus for infants would include high chairs or chairs with trays which can be easily cleaned. If an infant will not sit in an appropriate apparatus to feed then he/she must be held while eating. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov. 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, please contact me at 980-748-6270 or by email at Lisa.Eddins-Smith@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: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 7/22/2024 Number Present: 46 Completed Date: 7/22/2024 Age: From 0 To 6 Total Minutes: 375 Time In: 10:15 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates a G.S. 110-106 Religious Sponsored Program. A checklist was used to monitor the facility today. Upon arrival, I was greeted by and met with Sarah Krajewski, Director. Staff Minister, Brent Bitter also welcomed me before the walkthrough for today's visit. Ms. Krajewski was able to accompany me on the walkthrough the facility. I monitored each classroom and each outdoor play environment during today's visit. The NC Secretary of State website was reviewed July 22, 2024, and Grace Evangelical Lutheran Church is listed as current- active. The center’s annual compliance history is 84% before today’s visit. The following requirements were monitored during today’s walkthrough: Supervision: I observed for a short period in each classroom and on the playgrounds. During the observations supervision was maintained. The toddler group was observed outside playing, riding tricycles and playing on stationary equipment. Staff was observing caring for and talking with the children in caring tones. The infant teachers were observed in personal care routines ad the infants were engaged in tummy time, free play and care routines. One infant was propped on a boppy holding her sippy cup to eat. The staff were attentive to the needs of the children using nurturing tones. The classroom serving two-year-old's was observed outdoors. One teacher stayed with the group and supervised outdoor play while another teacher brought two children in the room for toilet routines. All child interactions were positive, and the children were engaged in several outdoor activities with the teacher stationed in a way allowing good supervision. The two preschool rooms were observed combined on the outdoor play area and engaged in riding scooters, tricycles and blowing bubbles. Both groups went inside for routines and preparing for lunch time. In the room serving three-year-old children I observed staff assisting with lunch needs and having conversations with the children. In the classroom serving four and five-year-old children I observed children eating. The teacher was seated and eating modeling good nutritional eating habits. Children bring their lunches from home and several meals were observed meeting nutritional requirements. Staff Child Ratio: The facility currently follows the minimum staff/child ratio. Staff/child ratio was observed being maintained in each classroom. CPR/First Aid: All permanent staff have current First Aid and CPR certification. Two substitutes hired after 6/1/24 did not have current First Aid and CPR certification however have not worked 90 days. Special Training: All permanent staff have current ITS/SIDS certification. One substitute did not have ITS/SIDS certification however she is not and will not be scheduled in the infant room. Storage of Hazardous Substances: Cleaning supplies were stored properly today. A cold compress found in an emergency backpack located in a cubby in the twos room and a bag of potting soil leading to the preschool outdoor play area was observed accessible to children. Storage of Medication: Anti-fungal cream was found in the room serving infants without a physician’s signature. Hydrocortisone was observed without physician permission in the room serving two year olds. One emergency medication for asthma observed in the room serving four- and five-year-olds was not in the original container with pharmacy label and did not have current Medication Action Plan – Asthma or current permission to administer form signed by parent. Adequate/Approved Space: All children were observed in approved spaces indoors and outdoors today. Staff Records: I reviewed the current staff and training worksheets. Two substitute staff have been hired since the last routine unannounced visit; their files were reviewed today and found in compliance. One veteran staff did not sign Shaken Baby Head Trauma Policy before date of employment. Program Records: Daily attendance was reviewed today and found meeting compliance. Children’s arrival and departure times are captured in the Bright Wheels app. The last fire inspection was conducted 11-28-23. The last sanitation inspection was conducted on 3-13-2024 with a superior rating. I reviewed the emergency drill log. The last fire drill was conducted on 6-2-24 and the last shelter in place drill was conducted 4-17-24. A shelter in place drill should have been conducted by 7-17-24. First aid posters were observed posted. Incident logs were reviewed and found meeting compliance. I reviewed the monthly playground inspections and found them meeting compliance. I observed your current EPR plan dated 3/11/24 and the Emergency Care Plan was posted. All information required to be posted was observed posted today. A No Smoking sign was posted however did not include the No Tobacco statement. Safe Sleep Checks were monitored and it was found documented that one child was placed on her tummy to sleep initially. License Posted: The facility operates as a G.S110-106 Religious Sponsored Program Permit Restrictions: The permit restrictions, daytime care only and no cooking allowed in the building, were observed meeting compliance today. General Health and Safety: While completing the walkthrough I observed an electrical cord hanging and plastic bags accessible to children in Space 2. In Space 3, I observed a child under 12 months propped on a boppy on the floor with a sippy cup and a bottle not labeled and dated correctly. In Space 4, I observed a refrigerator in dramatic play did not shut properly leaving gaps where children's fingers could get caught and/or pinched. Additionally, while observing Space 4, small beads were found accessible to children in two backpack pockets in a cubby posing a choking hazard. While walking through the three-year-old room in Space 5, an area rug was observed with stains and will need to be cleaned. The preschool outdoor play area was monitored. I observed standing water in several places, compacted and inadequate mulch depth and weeds in the mulch. The following violations were observed during today’s visit: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In Space 3, and infant was observed drinking milk from a sippy cup while propped on a large boppy pillow. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Spaces 2, 3 and 4 bottles and cups for several children were observed not dated and labeled. 15A NCAC 18A .2804(d) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. A wooden kitchen set on the two year old outdoor play area did not close properly creating a pinch point. In space 4, a refrigerator in dramatic play area did not close properly creating a pinch point. In Space 5, the handle on the cabinet in the kitchenette needs to be replaced. .0601(d) 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 preschool play area has standing water at the end of the slide, in the sensory table and on the sandbox cover. Weeds are growing in the mulch near the playground border around the stationary play equipment. 15A NCAC 18A .2832(a) 815 Electrical cords were accessible to infants and toddlers. In Space 2, an electrical cord was observed hanging and accessible to children. 10A NCAC 09 .0604(f) 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 4 a cold compress labeled keep out of reach of children was observed in an emergency back pack located accessible to children. In a covered walkthrough to the preschool outdoor play area potting soil was open adn accessible to children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 6, an emergency inhaler was observed not in original package with label and did not have a medical action plan. .0803(2)(a) 847 Parent's medication authorization did not include required information. In Space 3, anti-fungal cream did not have physician's authorization. In Space 3, Anti-fungal cream was observed without physician's permission to administer. In Space 4, hydrocortisone was observed without a physician's permission to administer. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Spaces 2, 3 and 4 plastic bags were observed accessible to children. .0604(q) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. In Space 3, it was documented that an infant was placed on tummy as the initial sleep position. .0606(a)(1)(A-B) 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 4-17-2024 and was due by 7-17-2024. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. .0604(j) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch located on the outdoor play area was compacted and did not meet the required depth. .0605(k)(1-4) 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 August 5, 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: 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 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 checking all labels for toys to comply with choking warnings. We also discussed reviewing medications regularly and having all emergency medications brought to you in order to maintain compliance with proper documentation. We discussed a daily system to check labels and dates on all food brought into the center. I talked with infant staff regarding proper documentation when placing an infant in the crib to sleep. All infants must be placed on their backs to sleep. We discussed adding "No Tobacco on the premises" to all signage and to the Parent Policies signature page. We discussed proper seating apparatus for infants would include high chairs or chairs with trays which can be easily cleaned. If an infant will not sit in an appropriate apparatus to feed then he/she must be held while eating. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov. 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, please contact me at 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov . If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 2/19/2024 Number Present: 34 Completed Date: 2/19/2024 Age: From 0 To 5 Total Minutes: 190 Time In: 10:30 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates a G.S. 110-106 Religious Sponsored Program. Lisa Eddins-Smith, Child Care Accompanied me on today’s visit. The NC Secretary of State website was reviewed February 5, 2024, and Grace Evangelical Lutheran Church is listed as current- active. Upon arrival, we were greeted by the Director, S. Krajewski. We introduced ourselves and stated the reason for the visit. A walk-through of the facility was conducted with the Director. During the walk-through, we observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free choice of activity areas, transitions, group time and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. There have been seven new staff members hired since the annual compliance visit conducted on July 25, 2023. Files for the new staff members were monitored today. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification. The last fire inspection was conducted on November 28, 2023. The last sanitation inspection was conducted on October 4, 2023, with seven demerits and a “Superior” rating. A shelter-in-place drill was conducted on January 11, 2024 and the last fire drill was conducted on February 9, 2024. Outdoor safety checks were also monitored today and occurring monthly as required. The were four violations cited and three corrected during the visit. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In space #4, the paint on the wall was peeling in four different places. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4 and #5, one outlet in each space was not protected with a safety cover. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #4, a prescription medication was stored in a staff member's bag in an unlocked cabinet. 15A NCAC 18A .2820(d) 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 #4, a child's diaper cream had expired. .0803(12) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before March 4, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: A conversation was held with the Director regarding the violations cited today. The rule reference for each violation is listed below. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. A discussion was held with the Director regarding the staff medical file for each staff member and what must be in the medical file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 2/19/2024 Number Present: 34 Completed Date: 2/19/2024 Age: From 0 To 5 Total Minutes: 190 Time In: 10:30 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates a G.S. 110-106 Religious Sponsored Program. Lisa Eddins-Smith, Child Care Accompanied me on today’s visit. The NC Secretary of State website was reviewed February 5, 2024, and Grace Evangelical Lutheran Church is listed as current- active. Upon arrival, we were greeted by the Director, S. Krajewski. We introduced ourselves and stated the reason for the visit. A walk-through of the facility was conducted with the Director. During the walk-through, we observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free choice of activity areas, transitions, group time and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. There have been seven new staff members hired since the annual compliance visit conducted on July 25, 2023. Files for the new staff members were monitored today. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification. The last fire inspection was conducted on November 28, 2023. The last sanitation inspection was conducted on October 4, 2023, with seven demerits and a “Superior” rating. A shelter-in-place drill was conducted on January 11, 2024 and the last fire drill was conducted on February 9, 2024. Outdoor safety checks were also monitored today and occurring monthly as required. The were four violations cited and three corrected during the visit. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In space #4, the paint on the wall was peeling in four different places. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4 and #5, one outlet in each space was not protected with a safety cover. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #4, a prescription medication was stored in a staff member's bag in an unlocked cabinet. 15A NCAC 18A .2820(d) 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 #4, a child's diaper cream had expired. .0803(12) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before March 4, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: A conversation was held with the Director regarding the violations cited today. The rule reference for each violation is listed below. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. A discussion was held with the Director regarding the staff medical file for each staff member and what must be in the medical file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 2/19/2024 Number Present: 34 Completed Date: 2/19/2024 Age: From 0 To 5 Total Minutes: 190 Time In: 10:30 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates a G.S. 110-106 Religious Sponsored Program. Lisa Eddins-Smith, Child Care Accompanied me on today’s visit. The NC Secretary of State website was reviewed February 5, 2024, and Grace Evangelical Lutheran Church is listed as current- active. Upon arrival, we were greeted by the Director, S. Krajewski. We introduced ourselves and stated the reason for the visit. A walk-through of the facility was conducted with the Director. During the walk-through, we observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free choice of activity areas, transitions, group time and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. There have been seven new staff members hired since the annual compliance visit conducted on July 25, 2023. Files for the new staff members were monitored today. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification. The last fire inspection was conducted on November 28, 2023. The last sanitation inspection was conducted on October 4, 2023, with seven demerits and a “Superior” rating. A shelter-in-place drill was conducted on January 11, 2024 and the last fire drill was conducted on February 9, 2024. Outdoor safety checks were also monitored today and occurring monthly as required. The were four violations cited and three corrected during the visit. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In space #4, the paint on the wall was peeling in four different places. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4 and #5, one outlet in each space was not protected with a safety cover. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #4, a prescription medication was stored in a staff member's bag in an unlocked cabinet. 15A NCAC 18A .2820(d) 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 #4, a child's diaper cream had expired. .0803(12) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before March 4, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: A conversation was held with the Director regarding the violations cited today. The rule reference for each violation is listed below. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. A discussion was held with the Director regarding the staff medical file for each staff member and what must be in the medical file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 2/19/2024 Number Present: 34 Completed Date: 2/19/2024 Age: From 0 To 5 Total Minutes: 190 Time In: 10:30 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates a G.S. 110-106 Religious Sponsored Program. Lisa Eddins-Smith, Child Care Accompanied me on today’s visit. The NC Secretary of State website was reviewed February 5, 2024, and Grace Evangelical Lutheran Church is listed as current- active. Upon arrival, we were greeted by the Director, S. Krajewski. We introduced ourselves and stated the reason for the visit. A walk-through of the facility was conducted with the Director. During the walk-through, we observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free choice of activity areas, transitions, group time and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. There have been seven new staff members hired since the annual compliance visit conducted on July 25, 2023. Files for the new staff members were monitored today. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification. The last fire inspection was conducted on November 28, 2023. The last sanitation inspection was conducted on October 4, 2023, with seven demerits and a “Superior” rating. A shelter-in-place drill was conducted on January 11, 2024 and the last fire drill was conducted on February 9, 2024. Outdoor safety checks were also monitored today and occurring monthly as required. The were four violations cited and three corrected during the visit. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In space #4, the paint on the wall was peeling in four different places. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4 and #5, one outlet in each space was not protected with a safety cover. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #4, a prescription medication was stored in a staff member's bag in an unlocked cabinet. 15A NCAC 18A .2820(d) 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 #4, a child's diaper cream had expired. .0803(12) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before March 4, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: A conversation was held with the Director regarding the violations cited today. The rule reference for each violation is listed below. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. A discussion was held with the Director regarding the staff medical file for each staff member and what must be in the medical file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 2/19/2024 Number Present: 34 Completed Date: 2/19/2024 Age: From 0 To 5 Total Minutes: 190 Time In: 10:30 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates a G.S. 110-106 Religious Sponsored Program. Lisa Eddins-Smith, Child Care Accompanied me on today’s visit. The NC Secretary of State website was reviewed February 5, 2024, and Grace Evangelical Lutheran Church is listed as current- active. Upon arrival, we were greeted by the Director, S. Krajewski. We introduced ourselves and stated the reason for the visit. A walk-through of the facility was conducted with the Director. During the walk-through, we observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free choice of activity areas, transitions, group time and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. There have been seven new staff members hired since the annual compliance visit conducted on July 25, 2023. Files for the new staff members were monitored today. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification. The last fire inspection was conducted on November 28, 2023. The last sanitation inspection was conducted on October 4, 2023, with seven demerits and a “Superior” rating. A shelter-in-place drill was conducted on January 11, 2024 and the last fire drill was conducted on February 9, 2024. Outdoor safety checks were also monitored today and occurring monthly as required. The were four violations cited and three corrected during the visit. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In space #4, the paint on the wall was peeling in four different places. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4 and #5, one outlet in each space was not protected with a safety cover. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #4, a prescription medication was stored in a staff member's bag in an unlocked cabinet. 15A NCAC 18A .2820(d) 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 #4, a child's diaper cream had expired. .0803(12) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before March 4, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: A conversation was held with the Director regarding the violations cited today. The rule reference for each violation is listed below. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. A discussion was held with the Director regarding the staff medical file for each staff member and what must be in the medical file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 2/19/2024 Number Present: 34 Completed Date: 2/19/2024 Age: From 0 To 5 Total Minutes: 190 Time In: 10:30 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates a G.S. 110-106 Religious Sponsored Program. Lisa Eddins-Smith, Child Care Accompanied me on today’s visit. The NC Secretary of State website was reviewed February 5, 2024, and Grace Evangelical Lutheran Church is listed as current- active. Upon arrival, we were greeted by the Director, S. Krajewski. We introduced ourselves and stated the reason for the visit. A walk-through of the facility was conducted with the Director. During the walk-through, we observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free choice of activity areas, transitions, group time and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. There have been seven new staff members hired since the annual compliance visit conducted on July 25, 2023. Files for the new staff members were monitored today. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification. The last fire inspection was conducted on November 28, 2023. The last sanitation inspection was conducted on October 4, 2023, with seven demerits and a “Superior” rating. A shelter-in-place drill was conducted on January 11, 2024 and the last fire drill was conducted on February 9, 2024. Outdoor safety checks were also monitored today and occurring monthly as required. The were four violations cited and three corrected during the visit. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean and in good repair. In space #4, the paint on the wall was peeling in four different places. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4 and #5, one outlet in each space was not protected with a safety cover. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #4, a prescription medication was stored in a staff member's bag in an unlocked cabinet. 15A NCAC 18A .2820(d) 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 #4, a child's diaper cream had expired. .0803(12) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before March 4, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: A conversation was held with the Director regarding the violations cited today. The rule reference for each violation is listed below. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. 15A NCAC 18A .2825 WALLS AND CEILINGS (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. A discussion was held with the Director regarding the staff medical file for each staff member and what must be in the medical file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 7/25/2023 Number Present: 44 Completed Date: 7/25/2023 Age: From 0 To 5 Total Minutes: 200 Time In: 09:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced was to monitor compliance of applicable child care requirements during the annual compliance visit. A checklist was used to monitor the facility today. I met with Sarah Krejewski, Director, during today's visit. You were able to accompany me on the walkthrough of the facility. I monitored each classroom and each outdoor play environment during today's visit. Toddlers were observed during morning snack, which followed the current menu posted. The refrigerator thermometer read 40 degrees. All children's lunch boxes and sippy cups were observed labeled and dated accurately. All children were seated while they ate and the teacher was standing by the tables as children ate. While in their classroom I observed material and equipment in good repair. All medications in the classroom had current written permission to administer and they were stored properly. One child is under 15 months and his current feeding schedule was observed posted. While in the room serving infants, I observed one infant resting and the visual safe sleep document was reviewed. The current safe sleep policy is posted in the classroom. Each infant had a current feeding schedule posted. Four children were observed awake and playing with material and the staff was observed seated with the children encouraging play. The refrigerator thermometer read 40 degrees and all bottles and food were observed stored properly, labeled and dated. Two outlets were observed uncovered in the room, you covered them during the visit. I observed the class serving two year old children during outdoor play. Happy Feet, a special program, was being conducted during the outdoor time. The teacher monitor as children participated. While in the classroom I observed on outlet uncovered, you covered it during the visit. Emergency medication was reviewed with a current medical action plan and written permission to administer and observed stored properly. All food stored in the refrigerator were labeled and dated, the refrigerator thermometer read 38 degrees. Both preschool groups were observed. One group was observed during large group time with the teacher encouraging children to sing. The other preschool group was observed during center play. While in Space 6, while monitoring the interest center material I observed the pretend sink in the dramatic play area with a broken handle, you removed the piece during today's visit. The medication was monitored, it had current permission to administer and a current medical action plan. You store the medication in a back pack which was observed on top of the cubbies, but below 5 feet. I explained emergency medications must be stored above 5 feet, the base of the book bag must be 5 feet or above in order for you to store the medication in the bookbag. When outdoors the teacher will carry/wear the back pack during outdoor time unless you can store it above 5 feet while outdoors. You placed the medication in an unlocked cabinet above 5 feet during the visit. While in Space 5 I observed an aerosol bug spray on top of a large cabinet, I explained it need to be stored in a locked cabinet because it's an aerosol, the teacher placed it in a locked cabinet during the visit. Supervision and staff/child ratio were maintained with each group today. All staff were heard using nurturing tones as they spoke with children. Staff were engaged with children in each group. Program records were monitored and found meeting compliance. The last fire inspection was conducted on 8-24-22. The last sanitation inspection was conducted on 1-9-23. The current incident log was reviewed and found meeting compliance. The emergency drill log was reviewed and found meeting compliance. The emergency care plan and all other paperwork required to be posted was observed posted in classrooms today. A sample of children's records were reviewed today and found meeting compliance. I reviewed the current staff/training worksheet against the staff files today and found them meeting compliance. I also reviewed the Head Pastors and Staff Minister's current criminal record qualifying letters and found them meeting compliance. Each outdoor play space was monitored today. You are currently renovating the preschool playground, so the preschool children are using the upper back portion of the parking lot for outdoor play. I observed the gross motor material each preschool class uses during the outdoor play. Each child has permission to play outside the fenced in area, you cone the back portion of the upper parking lot off during outdoor time. Children do not have access to the area being renovated. You provided a safety plan prior renovations starting and you will notify me when complete so I can remeasure the area. The following violations were cited during today's visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. I observed the pretend sink in the dramatic play area of Space 6 with a broken handle. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlets were observed uncovered in Space 3, 4 and in the stairwell leading to the preschool classrooms. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. I observed an Auvi-Q medication stored in a bookbag below 5 feet in Space 6 and an aerosol bug spray stored on top of a cabinet in space 5. 15A NCAC 18A .2820(d) Compliance Statement: Each violation cited during today's visit were corrected during the visit you are not required to submit a compliance statement to me. Technical Assistance was provided on the following: Safe Sleep Documentation: I discussed the safe sleep document with the infant floater today, discussing the comment line on the visual safe sleep document. That is where you can note if the infant rolled over when placing in crib, if child didn't sleep so you removed the infant from the crib, etc. I encourage you to place the clock in the area where you have the safe sleep documents hung for easier view of times when placing infants in the crib and/or conducting the visual safe sleep checks. I reminded you and the infant floater that nothing can be stored inside or under the evacuation crib. It can be assigned to a child for rest. The intent of the evacuation crib is to be able to place infants in the evacuation crib and quickly move to the designated space for safety. If you have items stored or under it takes up time to remove those items before placing infants in the crib to evacuate. Breast Milk storage: You asked how long you can store frozen breast milk. We reviewed the current sanitation requirements found in 15A NCAC 18A .2804(d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. (e) Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days shall be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer. Frozen human milk shall be thawed in accordance with of Rule .2807(i)(1) or (i)(2) of this Section and prepared in the child care center's kitchen or food preparation area. In addition to the labeling required by Paragraph (d) of this Rule, frozen human milk shall be labeled with the date that it is thawed for use. Human milk that was previously frozen and has been thawed shall be refrigerated and stored for no more than 24 hours from when it was thawed. Human milk that was previously frozen and has been thawed shall not be refrozen for storage at the child care center. Reminder: You will need to have the annual fire inspection conducted by 8-24-23. You stated you have contacted the fire marshal's office to inform them you were ready for inspection. I encourage you to follow up to ensure you have the inspection within the required timeframe. If you have any questions please contact me: Andrea Anderson PO Box 49335 Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: GRACE CHILD CARE CENTER Facility ID: 60001907 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 7/25/2023 Number Present: 44 Completed Date: 7/25/2023 Age: From 0 To 5 Total Minutes: 200 Time In: 09:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced was to monitor compliance of applicable child care requirements during the annual compliance visit. A checklist was used to monitor the facility today. I met with Sarah Krejewski, Director, during today's visit. You were able to accompany me on the walkthrough of the facility. I monitored each classroom and each outdoor play environment during today's visit. Toddlers were observed during morning snack, which followed the current menu posted. The refrigerator thermometer read 40 degrees. All children's lunch boxes and sippy cups were observed labeled and dated accurately. All children were seated while they ate and the teacher was standing by the tables as children ate. While in their classroom I observed material and equipment in good repair. All medications in the classroom had current written permission to administer and they were stored properly. One child is under 15 months and his current feeding schedule was observed posted. While in the room serving infants, I observed one infant resting and the visual safe sleep document was reviewed. The current safe sleep policy is posted in the classroom. Each infant had a current feeding schedule posted. Four children were observed awake and playing with material and the staff was observed seated with the children encouraging play. The refrigerator thermometer read 40 degrees and all bottles and food were observed stored properly, labeled and dated. Two outlets were observed uncovered in the room, you covered them during the visit. I observed the class serving two year old children during outdoor play. Happy Feet, a special program, was being conducted during the outdoor time. The teacher monitor as children participated. While in the classroom I observed on outlet uncovered, you covered it during the visit. Emergency medication was reviewed with a current medical action plan and written permission to administer and observed stored properly. All food stored in the refrigerator were labeled and dated, the refrigerator thermometer read 38 degrees. Both preschool groups were observed. One group was observed during large group time with the teacher encouraging children to sing. The other preschool group was observed during center play. While in Space 6, while monitoring the interest center material I observed the pretend sink in the dramatic play area with a broken handle, you removed the piece during today's visit. The medication was monitored, it had current permission to administer and a current medical action plan. You store the medication in a back pack which was observed on top of the cubbies, but below 5 feet. I explained emergency medications must be stored above 5 feet, the base of the book bag must be 5 feet or above in order for you to store the medication in the bookbag. When outdoors the teacher will carry/wear the back pack during outdoor time unless you can store it above 5 feet while outdoors. You placed the medication in an unlocked cabinet above 5 feet during the visit. While in Space 5 I observed an aerosol bug spray on top of a large cabinet, I explained it need to be stored in a locked cabinet because it's an aerosol, the teacher placed it in a locked cabinet during the visit. Supervision and staff/child ratio were maintained with each group today. All staff were heard using nurturing tones as they spoke with children. Staff were engaged with children in each group. Program records were monitored and found meeting compliance. The last fire inspection was conducted on 8-24-22. The last sanitation inspection was conducted on 1-9-23. The current incident log was reviewed and found meeting compliance. The emergency drill log was reviewed and found meeting compliance. The emergency care plan and all other paperwork required to be posted was observed posted in classrooms today. A sample of children's records were reviewed today and found meeting compliance. I reviewed the current staff/training worksheet against the staff files today and found them meeting compliance. I also reviewed the Head Pastors and Staff Minister's current criminal record qualifying letters and found them meeting compliance. Each outdoor play space was monitored today. You are currently renovating the preschool playground, so the preschool children are using the upper back portion of the parking lot for outdoor play. I observed the gross motor material each preschool class uses during the outdoor play. Each child has permission to play outside the fenced in area, you cone the back portion of the upper parking lot off during outdoor time. Children do not have access to the area being renovated. You provided a safety plan prior renovations starting and you will notify me when complete so I can remeasure the area. The following violations were cited during today's visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. I observed the pretend sink in the dramatic play area of Space 6 with a broken handle. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlets were observed uncovered in Space 3, 4 and in the stairwell leading to the preschool classrooms. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. I observed an Auvi-Q medication stored in a bookbag below 5 feet in Space 6 and an aerosol bug spray stored on top of a cabinet in space 5. 15A NCAC 18A .2820(d) Compliance Statement: Each violation cited during today's visit were corrected during the visit you are not required to submit a compliance statement to me. Technical Assistance was provided on the following: Safe Sleep Documentation: I discussed the safe sleep document with the infant floater today, discussing the comment line on the visual safe sleep document. That is where you can note if the infant rolled over when placing in crib, if child didn't sleep so you removed the infant from the crib, etc. I encourage you to place the clock in the area where you have the safe sleep documents hung for easier view of times when placing infants in the crib and/or conducting the visual safe sleep checks. I reminded you and the infant floater that nothing can be stored inside or under the evacuation crib. It can be assigned to a child for rest. The intent of the evacuation crib is to be able to place infants in the evacuation crib and quickly move to the designated space for safety. If you have items stored or under it takes up time to remove those items before placing infants in the crib to evacuate. Breast Milk storage: You asked how long you can store frozen breast milk. We reviewed the current sanitation requirements found in 15A NCAC 18A .2804(d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. (e) Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days shall be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer. Frozen human milk shall be thawed in accordance with of Rule .2807(i)(1) or (i)(2) of this Section and prepared in the child care center's kitchen or food preparation area. In addition to the labeling required by Paragraph (d) of this Rule, frozen human milk shall be labeled with the date that it is thawed for use. Human milk that was previously frozen and has been thawed shall be refrigerated and stored for no more than 24 hours from when it was thawed. Human milk that was previously frozen and has been thawed shall not be refrozen for storage at the child care center. Reminder: You will need to have the annual fire inspection conducted by 8-24-23. You stated you have contacted the fire marshal's office to inform them you were ready for inspection. I encourage you to follow up to ensure you have the inspection within the required timeframe. If you have any questions please contact me: Andrea Anderson PO Box 49335 Charlotte, NC 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 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