10A NCAC 09 .0601 · Violation

Name of Operation: HICKORY GROVE BAPTIST WEEKDAY MINISTRIES Facility ID: 6055596 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 82 Completed Date: 11/13/2025 Age: From 0 To 4 Total Minutes: 405 Time In: 10:30 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during an Annual Compliance visit. The center is a GS110-106 facility with a Notice of Compliance issued January 10, 2019. The last Annual Compliance visit was conducted on November 20, 2024. The facility had an eighteen (18) month compliance history score of 83 % prior to today’s visit. The May 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated April 2025 was used to document compliance with child care rules. Upon arrival I was greeted at the primary entrance of the facility by S. Wagner, Administrative Co-Director, where we exchanged greetings and I explained the purpose of today’s visit. We, then, proceeded to the school’s main office where we were joined shortly thereafter by Ms. B. Balser, Administrative Co-Director. After identifying an area for my personal items we briefly discussed the facility’s current enrollment, staffing and any possibly scheduling conflicts that might need to be addressed prior to conducting a walk-through of the facility. During today’s visit eleven (11) licensed classrooms, five (5) bathrooms, utilized by children, three (3) outdoor learning environments, the program’s kitchen and all areas adjacent to these spaces were monitored. The NC Summary of Law and No Smoking signage were observed prominently posted. Upon entering Space #2, one child under twelve (12) months of age was observed seated in a high-chair near the sink area engaging in meal-time while the staff member present was observed across the room near the diapering area removing a child from a crib. One of the program’s administrators was observed positioning herself next to the child in the high-chair until the staff member joined us in that area. The staff member was then observed placing the child she had recently removed from the crib in a seated position on the floor and completing some program documentation followed by handling a bottle for that child she had recently removed from the crib. She was then observed giving that child the bottle and walking away to continue doing other custodial duties. This transition was discussed with the administrator, handwashing was not observed to take place for either the staff member or the child and the staff member present was not observed to be positioned near either of the children engaging in meal-time activities, creating a safety issue. While transitioning into Space #3 children were observed transitioning from the outdoor learning environment to the classroom. One (1) staff member was present with five (5) children between the ages of eleven (11) months old and one (1) year of age. The staff member was observed assisting children with transitioning into the classroom. then removing their outerwear and placing these items in their cubbies. The children were then observed immediately beginning to engage in independent play activities. This was discussed with the administrator, as handwashing was not observed to have taken place prior to children being allowed to handle classroom materials after coming in from the outdoor learning environment. It was also observed that although a child under one (1) year of age was enrolled in this space a copy of the facility’s safe sleep policy was not posted in a prominent place. During today’s visit children were observed engaging in personal care routines, free play activities, meal times, nap time and transitional activities. Teachers were observed provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. The center’s incident logs and copies of the incident reports were monitored. Each was found to be completed and stored, as required. Hazardous materials were observed to be maintained, as required. Program records including monthly outdoor inspections, monthly fire drills and quarterly emergency drills (Shelter in Place/Lockdown drills) were monitored. Each was found to be completed, as required. Five (5) staff files including one (1) new staff and four (4) veteran staff were monitored. Each was found to be in compliance. Eight (8) children’s records were monitored. It was observed that one (1) child did not have a parent statement on file acknowledging they had reviewed the program discipline policy complete with the child’s name, date of enrollment and the date the parent signed the statement. Emergency medication was monitored. It was observed that one (1) child with a chronic medical condition requiring two (2) life-saving medications only had one present and accessible for use with that child, as the other medication had expired in October 2025. It was also observed that one (1) children with a chronic medical condition requiring two (2) life-saving medications did not have a completed permission to administer form on file for one of the medications present. The Emergency Response Plan and Ready to Go File was reviewed. Each was observed to have been updated as changes occur, as required. The facility’s Criminal Background Check roster was monitored via the ABCMS provider portal during today’s visit. It was observed to be compliant. The last annual Sanitation Inspection was conducted on August 27, 2025. The facility received a Superior rating and 6 demerits. The facility’s last annual Fire Inspection was conducted and approved on September 30, 2025. There were seven (7) violations cited during today’s visit. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children were observed transitioning into Space #3 from the outdoor learning environment, then immediately beginning to engage in independent play activities and handling classroom materials without washing their hands. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. A staff member in Space #2 was observed engaging in meal time activities with a child while completing other tasks including paperwork and custodial duties without engaging in handwashing between these activities. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. A staff member in Space #2 was observed not to be positioned within arm’s reach of two children engaging in meal-time activities, creating a safety issue. 10A NCAC 09 .0601(a) 873 Center staff did not follow the EMC plan. It was observed that one (1) child with a chronic medical condition requiring two (2) life-saving medications only had one present and accessible for use with that child, as the other medication had expired in October 2025. 10A NCAC 09.0802(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In Space #3 a child under one (1) year of age was observed present and enrolled in this space but a copy of the facility’s safe sleep policy was not posted in a prominent place. .0606(b) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Eight (8) children’s records were monitored. It was observed that one (1) child did not have a parent statement on file acknowledging they had reviewed the program discipline policy complete with the child’s name, date of enrollment and the date the parent signed the statement. .1804(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. It was observed that one (1) child with a chronic medical condition requiring two (2) life-saving medications did not have a completed permission to administer form on file for one of the medications present. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Thursday November 27, 2025 to the email listed below. Failure to correct the violation 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 Provided and General Discussion: -It was discussed that all medication forms should be reviewed by both the administrator and staff when medication is brought in to ensure that all required medication is present and all required forms are completed in their entirety. -The program's Administrators and I discussed the importance of ensuring that all staff members are knowledgeable of sanitation requirements and the expectation that all sanitation procedures are being implemented consistently including but not limited to handwashing both before/after meal-times, after outside play and before bottle feeding or serving to other children to assure the health of children. - Staff members were reminded that it is imperative that all child care rules are always followed to ensure that both a safe indoor and outdoor environment is provided for the children in care. -During today’s visit the Program Administrators and I revisited a prior conversation that had taken about updating the program name to “Hickory Grove Early Education Center” to be consistent with what is listed on the school’s website and to reflect changes with the program’s overall mission. I provided them with the required paperwork and informed them that upon completion/return of these documents and the correction of all outstanding violations I will be able to move forward with this process. -Please continue visiting the Division’s website for the most up to date information, provider forms and expectations. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. Thank you for your time and if you have any questions about today’s visit, please feel free to contact Resha Washington at 704-910-7947 or email resha.washington@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09.0802 · Violation

Name of Operation: HICKORY GROVE BAPTIST WEEKDAY MINISTRIES Facility ID: 6055596 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 82 Completed Date: 11/13/2025 Age: From 0 To 4 Total Minutes: 405 Time In: 10:30 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during an Annual Compliance visit. The center is a GS110-106 facility with a Notice of Compliance issued January 10, 2019. The last Annual Compliance visit was conducted on November 20, 2024. The facility had an eighteen (18) month compliance history score of 83 % prior to today’s visit. The May 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated April 2025 was used to document compliance with child care rules. Upon arrival I was greeted at the primary entrance of the facility by S. Wagner, Administrative Co-Director, where we exchanged greetings and I explained the purpose of today’s visit. We, then, proceeded to the school’s main office where we were joined shortly thereafter by Ms. B. Balser, Administrative Co-Director. After identifying an area for my personal items we briefly discussed the facility’s current enrollment, staffing and any possibly scheduling conflicts that might need to be addressed prior to conducting a walk-through of the facility. During today’s visit eleven (11) licensed classrooms, five (5) bathrooms, utilized by children, three (3) outdoor learning environments, the program’s kitchen and all areas adjacent to these spaces were monitored. The NC Summary of Law and No Smoking signage were observed prominently posted. Upon entering Space #2, one child under twelve (12) months of age was observed seated in a high-chair near the sink area engaging in meal-time while the staff member present was observed across the room near the diapering area removing a child from a crib. One of the program’s administrators was observed positioning herself next to the child in the high-chair until the staff member joined us in that area. The staff member was then observed placing the child she had recently removed from the crib in a seated position on the floor and completing some program documentation followed by handling a bottle for that child she had recently removed from the crib. She was then observed giving that child the bottle and walking away to continue doing other custodial duties. This transition was discussed with the administrator, handwashing was not observed to take place for either the staff member or the child and the staff member present was not observed to be positioned near either of the children engaging in meal-time activities, creating a safety issue. While transitioning into Space #3 children were observed transitioning from the outdoor learning environment to the classroom. One (1) staff member was present with five (5) children between the ages of eleven (11) months old and one (1) year of age. The staff member was observed assisting children with transitioning into the classroom. then removing their outerwear and placing these items in their cubbies. The children were then observed immediately beginning to engage in independent play activities. This was discussed with the administrator, as handwashing was not observed to have taken place prior to children being allowed to handle classroom materials after coming in from the outdoor learning environment. It was also observed that although a child under one (1) year of age was enrolled in this space a copy of the facility’s safe sleep policy was not posted in a prominent place. During today’s visit children were observed engaging in personal care routines, free play activities, meal times, nap time and transitional activities. Teachers were observed provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. The center’s incident logs and copies of the incident reports were monitored. Each was found to be completed and stored, as required. Hazardous materials were observed to be maintained, as required. Program records including monthly outdoor inspections, monthly fire drills and quarterly emergency drills (Shelter in Place/Lockdown drills) were monitored. Each was found to be completed, as required. Five (5) staff files including one (1) new staff and four (4) veteran staff were monitored. Each was found to be in compliance. Eight (8) children’s records were monitored. It was observed that one (1) child did not have a parent statement on file acknowledging they had reviewed the program discipline policy complete with the child’s name, date of enrollment and the date the parent signed the statement. Emergency medication was monitored. It was observed that one (1) child with a chronic medical condition requiring two (2) life-saving medications only had one present and accessible for use with that child, as the other medication had expired in October 2025. It was also observed that one (1) children with a chronic medical condition requiring two (2) life-saving medications did not have a completed permission to administer form on file for one of the medications present. The Emergency Response Plan and Ready to Go File was reviewed. Each was observed to have been updated as changes occur, as required. The facility’s Criminal Background Check roster was monitored via the ABCMS provider portal during today’s visit. It was observed to be compliant. The last annual Sanitation Inspection was conducted on August 27, 2025. The facility received a Superior rating and 6 demerits. The facility’s last annual Fire Inspection was conducted and approved on September 30, 2025. There were seven (7) violations cited during today’s visit. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children were observed transitioning into Space #3 from the outdoor learning environment, then immediately beginning to engage in independent play activities and handling classroom materials without washing their hands. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. A staff member in Space #2 was observed engaging in meal time activities with a child while completing other tasks including paperwork and custodial duties without engaging in handwashing between these activities. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. A staff member in Space #2 was observed not to be positioned within arm’s reach of two children engaging in meal-time activities, creating a safety issue. 10A NCAC 09 .0601(a) 873 Center staff did not follow the EMC plan. It was observed that one (1) child with a chronic medical condition requiring two (2) life-saving medications only had one present and accessible for use with that child, as the other medication had expired in October 2025. 10A NCAC 09.0802(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In Space #3 a child under one (1) year of age was observed present and enrolled in this space but a copy of the facility’s safe sleep policy was not posted in a prominent place. .0606(b) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Eight (8) children’s records were monitored. It was observed that one (1) child did not have a parent statement on file acknowledging they had reviewed the program discipline policy complete with the child’s name, date of enrollment and the date the parent signed the statement. .1804(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. It was observed that one (1) child with a chronic medical condition requiring two (2) life-saving medications did not have a completed permission to administer form on file for one of the medications present. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Thursday November 27, 2025 to the email listed below. Failure to correct the violation 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 Provided and General Discussion: -It was discussed that all medication forms should be reviewed by both the administrator and staff when medication is brought in to ensure that all required medication is present and all required forms are completed in their entirety. -The program's Administrators and I discussed the importance of ensuring that all staff members are knowledgeable of sanitation requirements and the expectation that all sanitation procedures are being implemented consistently including but not limited to handwashing both before/after meal-times, after outside play and before bottle feeding or serving to other children to assure the health of children. - Staff members were reminded that it is imperative that all child care rules are always followed to ensure that both a safe indoor and outdoor environment is provided for the children in care. -During today’s visit the Program Administrators and I revisited a prior conversation that had taken about updating the program name to “Hickory Grove Early Education Center” to be consistent with what is listed on the school’s website and to reflect changes with the program’s overall mission. I provided them with the required paperwork and informed them that upon completion/return of these documents and the correction of all outstanding violations I will be able to move forward with this process. -Please continue visiting the Division’s website for the most up to date information, provider forms and expectations. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. Thank you for your time and if you have any questions about today’s visit, please feel free to contact Resha Washington at 704-910-7947 or email resha.washington@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

GS110-106 · Violation

Name of Operation: HICKORY GROVE BAPTIST WEEKDAY MINISTRIES Facility ID: 6055596 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 82 Completed Date: 11/13/2025 Age: From 0 To 4 Total Minutes: 405 Time In: 10:30 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during an Annual Compliance visit. The center is a GS110-106 facility with a Notice of Compliance issued January 10, 2019. The last Annual Compliance visit was conducted on November 20, 2024. The facility had an eighteen (18) month compliance history score of 83 % prior to today’s visit. The May 2023 Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing dated April 2025 was used to document compliance with child care rules. Upon arrival I was greeted at the primary entrance of the facility by S. Wagner, Administrative Co-Director, where we exchanged greetings and I explained the purpose of today’s visit. We, then, proceeded to the school’s main office where we were joined shortly thereafter by Ms. B. Balser, Administrative Co-Director. After identifying an area for my personal items we briefly discussed the facility’s current enrollment, staffing and any possibly scheduling conflicts that might need to be addressed prior to conducting a walk-through of the facility. During today’s visit eleven (11) licensed classrooms, five (5) bathrooms, utilized by children, three (3) outdoor learning environments, the program’s kitchen and all areas adjacent to these spaces were monitored. The NC Summary of Law and No Smoking signage were observed prominently posted. Upon entering Space #2, one child under twelve (12) months of age was observed seated in a high-chair near the sink area engaging in meal-time while the staff member present was observed across the room near the diapering area removing a child from a crib. One of the program’s administrators was observed positioning herself next to the child in the high-chair until the staff member joined us in that area. The staff member was then observed placing the child she had recently removed from the crib in a seated position on the floor and completing some program documentation followed by handling a bottle for that child she had recently removed from the crib. She was then observed giving that child the bottle and walking away to continue doing other custodial duties. This transition was discussed with the administrator, handwashing was not observed to take place for either the staff member or the child and the staff member present was not observed to be positioned near either of the children engaging in meal-time activities, creating a safety issue. While transitioning into Space #3 children were observed transitioning from the outdoor learning environment to the classroom. One (1) staff member was present with five (5) children between the ages of eleven (11) months old and one (1) year of age. The staff member was observed assisting children with transitioning into the classroom. then removing their outerwear and placing these items in their cubbies. The children were then observed immediately beginning to engage in independent play activities. This was discussed with the administrator, as handwashing was not observed to have taken place prior to children being allowed to handle classroom materials after coming in from the outdoor learning environment. It was also observed that although a child under one (1) year of age was enrolled in this space a copy of the facility’s safe sleep policy was not posted in a prominent place. During today’s visit children were observed engaging in personal care routines, free play activities, meal times, nap time and transitional activities. Teachers were observed provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. The center’s incident logs and copies of the incident reports were monitored. Each was found to be completed and stored, as required. Hazardous materials were observed to be maintained, as required. Program records including monthly outdoor inspections, monthly fire drills and quarterly emergency drills (Shelter in Place/Lockdown drills) were monitored. Each was found to be completed, as required. Five (5) staff files including one (1) new staff and four (4) veteran staff were monitored. Each was found to be in compliance. Eight (8) children’s records were monitored. It was observed that one (1) child did not have a parent statement on file acknowledging they had reviewed the program discipline policy complete with the child’s name, date of enrollment and the date the parent signed the statement. Emergency medication was monitored. It was observed that one (1) child with a chronic medical condition requiring two (2) life-saving medications only had one present and accessible for use with that child, as the other medication had expired in October 2025. It was also observed that one (1) children with a chronic medical condition requiring two (2) life-saving medications did not have a completed permission to administer form on file for one of the medications present. The Emergency Response Plan and Ready to Go File was reviewed. Each was observed to have been updated as changes occur, as required. The facility’s Criminal Background Check roster was monitored via the ABCMS provider portal during today’s visit. It was observed to be compliant. The last annual Sanitation Inspection was conducted on August 27, 2025. The facility received a Superior rating and 6 demerits. The facility’s last annual Fire Inspection was conducted and approved on September 30, 2025. There were seven (7) violations cited during today’s visit. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children were observed transitioning into Space #3 from the outdoor learning environment, then immediately beginning to engage in independent play activities and handling classroom materials without washing their hands. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. A staff member in Space #2 was observed engaging in meal time activities with a child while completing other tasks including paperwork and custodial duties without engaging in handwashing between these activities. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. A staff member in Space #2 was observed not to be positioned within arm’s reach of two children engaging in meal-time activities, creating a safety issue. 10A NCAC 09 .0601(a) 873 Center staff did not follow the EMC plan. It was observed that one (1) child with a chronic medical condition requiring two (2) life-saving medications only had one present and accessible for use with that child, as the other medication had expired in October 2025. 10A NCAC 09.0802(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In Space #3 a child under one (1) year of age was observed present and enrolled in this space but a copy of the facility’s safe sleep policy was not posted in a prominent place. .0606(b) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Eight (8) children’s records were monitored. It was observed that one (1) child did not have a parent statement on file acknowledging they had reviewed the program discipline policy complete with the child’s name, date of enrollment and the date the parent signed the statement. .1804(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. It was observed that one (1) child with a chronic medical condition requiring two (2) life-saving medications did not have a completed permission to administer form on file for one of the medications present. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Thursday November 27, 2025 to the email listed below. Failure to correct the violation 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 Provided and General Discussion: -It was discussed that all medication forms should be reviewed by both the administrator and staff when medication is brought in to ensure that all required medication is present and all required forms are completed in their entirety. -The program's Administrators and I discussed the importance of ensuring that all staff members are knowledgeable of sanitation requirements and the expectation that all sanitation procedures are being implemented consistently including but not limited to handwashing both before/after meal-times, after outside play and before bottle feeding or serving to other children to assure the health of children. - Staff members were reminded that it is imperative that all child care rules are always followed to ensure that both a safe indoor and outdoor environment is provided for the children in care. -During today’s visit the Program Administrators and I revisited a prior conversation that had taken about updating the program name to “Hickory Grove Early Education Center” to be consistent with what is listed on the school’s website and to reflect changes with the program’s overall mission. I provided them with the required paperwork and informed them that upon completion/return of these documents and the correction of all outstanding violations I will be able to move forward with this process. -Please continue visiting the Division’s website for the most up to date information, provider forms and expectations. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. Thank you for your time and if you have any questions about today’s visit, please feel free to contact Resha Washington at 704-910-7947 or email resha.washington@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

GS110-106 · Violation

Name of Operation: HICKORY GROVE BAPTIST WEEKDAY MINISTRIES Facility ID: 6055596 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 6/24/2025 Number Present: 67 Completed Date: 6/24/2025 Age: From 0 To 5 Total Minutes: 240 Time In: 10:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during a Routine Unannounced visit. The center is a GS110-106 facility with a Notice of Compliance issued January 10, 2019. The last annual compliance visit was conducted on November 20, 2024. The facility had an eighteen (18) month compliance history score of 80% prior to today’s visit. The following was monitored using the April 2025 Child Care Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I was greeted at the front entrance of the facility by S. Wagner, Program Administrator, where I introduced myself and shared the purpose of today’s visit. Ms. Wagner allowed me entry into the building, and we then proceeded to a meeting room located at the rear of the facility’s office area. There we spoke in more detail about the purpose of today’s visit and other topics that Ms. Wagner had recently reached out about including a request to have a previously approved space monitored for future use. At the conclusion of this discussion a walk-through of the facility was conducted. The NC Summary of Law and No Smoking signage were prominently posted. During today’s visit ten (10) licensed child care spaces currently in use, one (1) licensed child care space currently not in use, five (5) restrooms utilized by children, the facility’s foyer/entryway and spaces adjacent to these areas were monitored. Hazardous materials were observed stored, as required. Attendance records were reviewed in each classroom and observed to be completed, as required. Medication was monitored. It was observed in both Space #2 and Space #5 that two (2) children, one in each space, with chronic medical conditions had required prescribed emergency medication present, but neither was stored in the original pharmacy labeled container. It was also observed in Space # 5 that a child with a chronic medical condition had required emergency medication present, but the corresponding permission to administer form on file had expired in May 2025. This information was shared with Ms. Wagner and she stated that she would follow-up with each child’s caregiver to get each issue corrected. During today’s visit children were observed engaged in personal care routines, meal-time, free play activities, nap time and transitional activities. Teachers were observed providing nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. Program records were monitored. It was observed that monthly fire drills, quarterly emergency drills and monthly outdoor inspections were being conducted and documented as required. Twenty (20) veteran staff files were monitored using the most recent Staff and Training Worksheet. Each was found to be in compliance. Six (6) new staff files were monitored. It was observed that four (4) of these staff members did not have completed applications on file containing all required information. Children’s records were not monitored today. The last annual Sanitation Inspection was conducted on January 16, 2025. The facility received a Superior rating and 4 demerits. The last approved annual Fire Inspection was conducted on September 03, 2024. There were three (3) violations cited during today’s visit. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Medication was monitored. It was observed in both Space #2 and Space #5 that two (2) children, one in each space, with chronic medical conditions had required prescribed emergency medication present, but neither was stored in the original pharmacy labeled container. .0803(2)(a) 1030 Application for employment and date of birth was not on file for all staff. Six (6) new staff files were monitored. It was observed that four (4) of these staff members did not have completed applications on file containing all required information. .0302(d)(1)(A) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication was monitored. It was observed in Space # 5 that a child with a chronic medical condition had required emergency medication present, but the corresponding permission to administer form on file had expired in May 2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Tuesday July 08, 2025 to the email listed below. Failure to correct the violation 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 Provided and General Discussion: -During today’s visit the administrator was reminded of the importance of ensuring that all medication brought into facility for use with children be housed in the original container and all prescribed medication has the appropriate label affixed containing both information from the prescribing physician and any other pertinent information. The administrator was also reminded of the necessity of having all corresponding medication-related forms up to date and readily accessible. -The administrator and I discussed the importance of having a system in place to review all paperwork and forms for staff files to ensure all staff have all required forms and other training documentation on file. We spoke specifically about utilizing an uniform employment application to ensure that all required information is captured during the initial onboarding process. -During today’s visit Room 2109 was monitored for compliance and approved for future use with 4-year-old children. Ms. Wagner was reminded that this space had been previously measured and approved to accommodate twenty-three (23) children. She was also reminded that the program’s current Notice of Compliance’s maximum capacity is 150 and enrollment in all classrooms cannot exceed this number at any time. -During today’s visit Ms. Wagner also mentioned that the facility is interested in updating its name to “Hickory Grove Early Education Center” to be consistent with what is listed on the school’s website and to reflect changes with the program’s overall mission. I informed her that after today’s visit I would follow up additional details about this process and all required next steps. -Please continue visiting the Division’s website for the most up to date information, provider forms and expectations. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. Thank you for your time and if you have any questions about today’s visit, please feel free to contact Resha Washington at 704-910-7947 or email resha.washington@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 .0601 · Violation

Name of Operation: HICKORY GROVE BAPTIST WEEKDAY MINISTRIES Facility ID: 6055596 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 11/20/2024 Number Present: 71 Completed Date: 11/20/2024 Age: From 0 To 5 Total Minutes: 450 Time In: 10:00 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during an Annual Compliance visit. The center is a GS110-106 facility issued January 10, 2019. The last annual compliance visit was conducted on November 27, 2023. The facility had an eighteen (18) month compliance history score of 76 % prior to today’s visit. Upon arrival I was greeted at the facility’s entrance by Ms. S. Wagner, Administrative Co-Director. I explained the purpose of today’s visit, as we headed to the facility’s conference room where I placed my personal items. We were joined shortly thereafter by Ms. B. Balser, Administrative Co-Director, as we conducted a walk-through of the facility. During today’s visit children were observed engaging in personal care routines, free play activities, meal times, nap time and transitional activities. Teachers provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. The NC Summary of Law and No Smoking signage were prominently posted. In Space #1 it was observed that there were three (3) children enrolled under fifteen (15) months of age and one (1) of these children had an infant feeding plan present that had not been signed by a parent. This information was shared with the teacher and she stated that the child was not present today but she would have parents review and sign it during the next day of attendance. Plastic shopping bags were also observed being stored hanging from a shelf located directly above the changing table and less than five (5) from the floor. Both staff and administrators were reminded that this poses a safety hazard to children enrolled in this space, as children under three years of age should not have access to plastic. These were removed and placed in a secure location. It was also observed that one (1) electrical wall outlet was not covered with a safety plug when not in use. This brought to the teacher’s attention and covered with a safety plug during the walk through. In Space #2 it was observed that there were five (5) children enrolled under fifteen (15) months of age and one (1) child had an infant feeding plan present that had not been signed by parents. This was shared with the teacher present and she stated that she would get this completed as soon as possible. It was also observed that there were two (2) electrical cords hanging from electronic devices and accessible to children in this space. This was brought to the attention of both the administrators and staff present. Each cord was repositioned and made inaccessible to children during the walk through. While monitoring Space #3 lunch was observed being served but children were not observed washing their hands prior to being seated at tables and offered lunch. This was discussed with the administrator present and she informed me that typically the teacher washes hands then has the children sit on the carpet while plates are served. I recommended that she follows up with the staff member present to identify ways to modify meal time transitions so children go directly to tables after handwashing, instead of being seated on the carpet until food is served, as this contaminates their clean hands. Emergency medication was monitored in this space. It was observed that one (1) enrolled child present requires two (2) medications for a chronic medication condition, but only one was available on site. I reminded both the teaching staff present and administrators that if a child’s medical action plan lists two (2) required medications then both must be present onsite in the event of an emergency. In Space #9 three (3) electrical wall outlets were observed not covered with a safety plug when not in use. These were each covered with safety plugs during the walk through. In Space#12 there were five (5) enrolled two-year-olds present and it was observed that there were three (3) stuffed animals with small, hard eyes present in the library center and accessible to children. I reminded both the administrators and teacher present that children under three years of age should not have access any toys or materials with small parts or pieces as these present a choking hazard. The outdoor learning environment was monitored and found to be in compliance. The center’s incident logs and copies of the incident reports were monitored in each applicable child’s file. Monthly outdoor inspections were monitored for the past twelve months and it was observed that one had not been completed in either July or August 2024. This was considered to be corrected as monthly outdoor inspections were completed in the following months, as required. Monthly fire drills and quarterly Shelter in Place/Lockdown drills were monitored. It was observed that a monthly fire drill had not been conducted in July 2024. This was considered to be corrected as a monthly fire drill was conducted in the following months, as required. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s Ready to Go file had not been updated as changes occur, as required. Ten (10) staff files were monitored. Each was found to be in compliance. Eight (8) children’s records were monitored and it was observed that six (6) children’s emergency information had not been reviewed annually. The last annual Sanitation Inspection was conducted on July 11, 2024. The facility received a Superior rating and 2 demerits. The facility’s last annual Fire Inspection was due to be conducted either on or before July 25, 2024 but it did not occur until September 03, 2024 and forwarded to the consultant until September 16, 2024. I reminded both administrators that annual fire inspections are required to take place within one year of the previous inspection and the completed, corresponding form should be sent to myself within one week of the inspection being conducted. Staff members stated that moving forward they would put a system in place to ensure all required inspections are completed as required. There were eleven (11) violations cited during today’s visit. 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 facility’s last annual Fire Inspection was due to be conducted either on or before July 25, 2024 but it did not occur until September 03, 2024 and forwarded to the consultant until September 16, 2024. 10A NCAC 09 .0304(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space #1 it was observed that one (1) enrolled child under fifteen (15) months of age had an infant feeding plan present that had not been signed by a parent. In Space #2 it was observed that one (1) enrolled child under fifteen (15) months of age had an infant feeding plan present that had not been signed by a parent. .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. While monitoring Space #3 lunch was observed being served but children were not observed washing their hands prior to being seated at tables and offered lunch. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Monthly fire drills and quarterly Shelter in Place/Lockdown drills were monitored. It was observed that a monthly fire drill had not been conducted in July 2024. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Emergency medication was monitored. It was observed that one (1) enrolled child present requires two (2) medications for a chronic medication condition, but only one was available on site. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #1 it was observed that one (1) electrical wall outlet was not covered with a safety plug when not in use. It was also observed in Space #9 three (3) electrical wall outlets were observed not covered with a safety plug when not in use. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. In Space #2 two (2) electrical cords were observed hanging from electronic devices and accessible to children in this space. 10A NCAC 09 .0604(f) 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 Space #1 children under fifteen (15) months of age were present and plastic shopping bags were observed being stored hanging from a shelf located directly above the changing table and less than five (5) from the floor. In Space# 12 there were five (5) enrolled two-year-olds present and it was observed that there were three (3) stuffed animal present in the library center and accessible to children with small, hard eyes. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly outdoor inspections were monitored for the past twelve months and it was observed that one had not been completed in either July or August 2024. .0605(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Eight (8) children’s records were monitored and it was observed that six (6) children’s emergency information had not been reviewed annually. .0802(c) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s Ready to Go file had not been updated as changes occur, as required. .0607(d)(10) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday December 04, 2024 to the email listed below. Failure to correct the violation 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 Provided and General Discussion: -We discussed that self-covering electrical outlets should be monitored to ensure that they are working properly. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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: HICKORY GROVE BAPTIST WEEKDAY MINISTRIES Facility ID: 6055596 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 11/20/2024 Number Present: 71 Completed Date: 11/20/2024 Age: From 0 To 5 Total Minutes: 450 Time In: 10:00 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during an Annual Compliance visit. The center is a GS110-106 facility issued January 10, 2019. The last annual compliance visit was conducted on November 27, 2023. The facility had an eighteen (18) month compliance history score of 76 % prior to today’s visit. Upon arrival I was greeted at the facility’s entrance by Ms. S. Wagner, Administrative Co-Director. I explained the purpose of today’s visit, as we headed to the facility’s conference room where I placed my personal items. We were joined shortly thereafter by Ms. B. Balser, Administrative Co-Director, as we conducted a walk-through of the facility. During today’s visit children were observed engaging in personal care routines, free play activities, meal times, nap time and transitional activities. Teachers provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. The NC Summary of Law and No Smoking signage were prominently posted. In Space #1 it was observed that there were three (3) children enrolled under fifteen (15) months of age and one (1) of these children had an infant feeding plan present that had not been signed by a parent. This information was shared with the teacher and she stated that the child was not present today but she would have parents review and sign it during the next day of attendance. Plastic shopping bags were also observed being stored hanging from a shelf located directly above the changing table and less than five (5) from the floor. Both staff and administrators were reminded that this poses a safety hazard to children enrolled in this space, as children under three years of age should not have access to plastic. These were removed and placed in a secure location. It was also observed that one (1) electrical wall outlet was not covered with a safety plug when not in use. This brought to the teacher’s attention and covered with a safety plug during the walk through. In Space #2 it was observed that there were five (5) children enrolled under fifteen (15) months of age and one (1) child had an infant feeding plan present that had not been signed by parents. This was shared with the teacher present and she stated that she would get this completed as soon as possible. It was also observed that there were two (2) electrical cords hanging from electronic devices and accessible to children in this space. This was brought to the attention of both the administrators and staff present. Each cord was repositioned and made inaccessible to children during the walk through. While monitoring Space #3 lunch was observed being served but children were not observed washing their hands prior to being seated at tables and offered lunch. This was discussed with the administrator present and she informed me that typically the teacher washes hands then has the children sit on the carpet while plates are served. I recommended that she follows up with the staff member present to identify ways to modify meal time transitions so children go directly to tables after handwashing, instead of being seated on the carpet until food is served, as this contaminates their clean hands. Emergency medication was monitored in this space. It was observed that one (1) enrolled child present requires two (2) medications for a chronic medication condition, but only one was available on site. I reminded both the teaching staff present and administrators that if a child’s medical action plan lists two (2) required medications then both must be present onsite in the event of an emergency. In Space #9 three (3) electrical wall outlets were observed not covered with a safety plug when not in use. These were each covered with safety plugs during the walk through. In Space#12 there were five (5) enrolled two-year-olds present and it was observed that there were three (3) stuffed animals with small, hard eyes present in the library center and accessible to children. I reminded both the administrators and teacher present that children under three years of age should not have access any toys or materials with small parts or pieces as these present a choking hazard. The outdoor learning environment was monitored and found to be in compliance. The center’s incident logs and copies of the incident reports were monitored in each applicable child’s file. Monthly outdoor inspections were monitored for the past twelve months and it was observed that one had not been completed in either July or August 2024. This was considered to be corrected as monthly outdoor inspections were completed in the following months, as required. Monthly fire drills and quarterly Shelter in Place/Lockdown drills were monitored. It was observed that a monthly fire drill had not been conducted in July 2024. This was considered to be corrected as a monthly fire drill was conducted in the following months, as required. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s Ready to Go file had not been updated as changes occur, as required. Ten (10) staff files were monitored. Each was found to be in compliance. Eight (8) children’s records were monitored and it was observed that six (6) children’s emergency information had not been reviewed annually. The last annual Sanitation Inspection was conducted on July 11, 2024. The facility received a Superior rating and 2 demerits. The facility’s last annual Fire Inspection was due to be conducted either on or before July 25, 2024 but it did not occur until September 03, 2024 and forwarded to the consultant until September 16, 2024. I reminded both administrators that annual fire inspections are required to take place within one year of the previous inspection and the completed, corresponding form should be sent to myself within one week of the inspection being conducted. Staff members stated that moving forward they would put a system in place to ensure all required inspections are completed as required. There were eleven (11) violations cited during today’s visit. 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 facility’s last annual Fire Inspection was due to be conducted either on or before July 25, 2024 but it did not occur until September 03, 2024 and forwarded to the consultant until September 16, 2024. 10A NCAC 09 .0304(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space #1 it was observed that one (1) enrolled child under fifteen (15) months of age had an infant feeding plan present that had not been signed by a parent. In Space #2 it was observed that one (1) enrolled child under fifteen (15) months of age had an infant feeding plan present that had not been signed by a parent. .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. While monitoring Space #3 lunch was observed being served but children were not observed washing their hands prior to being seated at tables and offered lunch. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Monthly fire drills and quarterly Shelter in Place/Lockdown drills were monitored. It was observed that a monthly fire drill had not been conducted in July 2024. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Emergency medication was monitored. It was observed that one (1) enrolled child present requires two (2) medications for a chronic medication condition, but only one was available on site. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #1 it was observed that one (1) electrical wall outlet was not covered with a safety plug when not in use. It was also observed in Space #9 three (3) electrical wall outlets were observed not covered with a safety plug when not in use. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. In Space #2 two (2) electrical cords were observed hanging from electronic devices and accessible to children in this space. 10A NCAC 09 .0604(f) 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 Space #1 children under fifteen (15) months of age were present and plastic shopping bags were observed being stored hanging from a shelf located directly above the changing table and less than five (5) from the floor. In Space# 12 there were five (5) enrolled two-year-olds present and it was observed that there were three (3) stuffed animal present in the library center and accessible to children with small, hard eyes. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly outdoor inspections were monitored for the past twelve months and it was observed that one had not been completed in either July or August 2024. .0605(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Eight (8) children’s records were monitored and it was observed that six (6) children’s emergency information had not been reviewed annually. .0802(c) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s Ready to Go file had not been updated as changes occur, as required. .0607(d)(10) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday December 04, 2024 to the email listed below. Failure to correct the violation 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 Provided and General Discussion: -We discussed that self-covering electrical outlets should be monitored to ensure that they are working properly. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: HICKORY GROVE BAPTIST WEEKDAY MINISTRIES Facility ID: 6055596 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 11/20/2024 Number Present: 71 Completed Date: 11/20/2024 Age: From 0 To 5 Total Minutes: 450 Time In: 10:00 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during an Annual Compliance visit. The center is a GS110-106 facility issued January 10, 2019. The last annual compliance visit was conducted on November 27, 2023. The facility had an eighteen (18) month compliance history score of 76 % prior to today’s visit. Upon arrival I was greeted at the facility’s entrance by Ms. S. Wagner, Administrative Co-Director. I explained the purpose of today’s visit, as we headed to the facility’s conference room where I placed my personal items. We were joined shortly thereafter by Ms. B. Balser, Administrative Co-Director, as we conducted a walk-through of the facility. During today’s visit children were observed engaging in personal care routines, free play activities, meal times, nap time and transitional activities. Teachers provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. The NC Summary of Law and No Smoking signage were prominently posted. In Space #1 it was observed that there were three (3) children enrolled under fifteen (15) months of age and one (1) of these children had an infant feeding plan present that had not been signed by a parent. This information was shared with the teacher and she stated that the child was not present today but she would have parents review and sign it during the next day of attendance. Plastic shopping bags were also observed being stored hanging from a shelf located directly above the changing table and less than five (5) from the floor. Both staff and administrators were reminded that this poses a safety hazard to children enrolled in this space, as children under three years of age should not have access to plastic. These were removed and placed in a secure location. It was also observed that one (1) electrical wall outlet was not covered with a safety plug when not in use. This brought to the teacher’s attention and covered with a safety plug during the walk through. In Space #2 it was observed that there were five (5) children enrolled under fifteen (15) months of age and one (1) child had an infant feeding plan present that had not been signed by parents. This was shared with the teacher present and she stated that she would get this completed as soon as possible. It was also observed that there were two (2) electrical cords hanging from electronic devices and accessible to children in this space. This was brought to the attention of both the administrators and staff present. Each cord was repositioned and made inaccessible to children during the walk through. While monitoring Space #3 lunch was observed being served but children were not observed washing their hands prior to being seated at tables and offered lunch. This was discussed with the administrator present and she informed me that typically the teacher washes hands then has the children sit on the carpet while plates are served. I recommended that she follows up with the staff member present to identify ways to modify meal time transitions so children go directly to tables after handwashing, instead of being seated on the carpet until food is served, as this contaminates their clean hands. Emergency medication was monitored in this space. It was observed that one (1) enrolled child present requires two (2) medications for a chronic medication condition, but only one was available on site. I reminded both the teaching staff present and administrators that if a child’s medical action plan lists two (2) required medications then both must be present onsite in the event of an emergency. In Space #9 three (3) electrical wall outlets were observed not covered with a safety plug when not in use. These were each covered with safety plugs during the walk through. In Space#12 there were five (5) enrolled two-year-olds present and it was observed that there were three (3) stuffed animals with small, hard eyes present in the library center and accessible to children. I reminded both the administrators and teacher present that children under three years of age should not have access any toys or materials with small parts or pieces as these present a choking hazard. The outdoor learning environment was monitored and found to be in compliance. The center’s incident logs and copies of the incident reports were monitored in each applicable child’s file. Monthly outdoor inspections were monitored for the past twelve months and it was observed that one had not been completed in either July or August 2024. This was considered to be corrected as monthly outdoor inspections were completed in the following months, as required. Monthly fire drills and quarterly Shelter in Place/Lockdown drills were monitored. It was observed that a monthly fire drill had not been conducted in July 2024. This was considered to be corrected as a monthly fire drill was conducted in the following months, as required. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s Ready to Go file had not been updated as changes occur, as required. Ten (10) staff files were monitored. Each was found to be in compliance. Eight (8) children’s records were monitored and it was observed that six (6) children’s emergency information had not been reviewed annually. The last annual Sanitation Inspection was conducted on July 11, 2024. The facility received a Superior rating and 2 demerits. The facility’s last annual Fire Inspection was due to be conducted either on or before July 25, 2024 but it did not occur until September 03, 2024 and forwarded to the consultant until September 16, 2024. I reminded both administrators that annual fire inspections are required to take place within one year of the previous inspection and the completed, corresponding form should be sent to myself within one week of the inspection being conducted. Staff members stated that moving forward they would put a system in place to ensure all required inspections are completed as required. There were eleven (11) violations cited during today’s visit. 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 facility’s last annual Fire Inspection was due to be conducted either on or before July 25, 2024 but it did not occur until September 03, 2024 and forwarded to the consultant until September 16, 2024. 10A NCAC 09 .0304(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space #1 it was observed that one (1) enrolled child under fifteen (15) months of age had an infant feeding plan present that had not been signed by a parent. In Space #2 it was observed that one (1) enrolled child under fifteen (15) months of age had an infant feeding plan present that had not been signed by a parent. .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. While monitoring Space #3 lunch was observed being served but children were not observed washing their hands prior to being seated at tables and offered lunch. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Monthly fire drills and quarterly Shelter in Place/Lockdown drills were monitored. It was observed that a monthly fire drill had not been conducted in July 2024. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Emergency medication was monitored. It was observed that one (1) enrolled child present requires two (2) medications for a chronic medication condition, but only one was available on site. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #1 it was observed that one (1) electrical wall outlet was not covered with a safety plug when not in use. It was also observed in Space #9 three (3) electrical wall outlets were observed not covered with a safety plug when not in use. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. In Space #2 two (2) electrical cords were observed hanging from electronic devices and accessible to children in this space. 10A NCAC 09 .0604(f) 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 Space #1 children under fifteen (15) months of age were present and plastic shopping bags were observed being stored hanging from a shelf located directly above the changing table and less than five (5) from the floor. In Space# 12 there were five (5) enrolled two-year-olds present and it was observed that there were three (3) stuffed animal present in the library center and accessible to children with small, hard eyes. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly outdoor inspections were monitored for the past twelve months and it was observed that one had not been completed in either July or August 2024. .0605(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Eight (8) children’s records were monitored and it was observed that six (6) children’s emergency information had not been reviewed annually. .0802(c) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s Ready to Go file had not been updated as changes occur, as required. .0607(d)(10) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday December 04, 2024 to the email listed below. Failure to correct the violation 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 Provided and General Discussion: -We discussed that self-covering electrical outlets should be monitored to ensure that they are working properly. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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

GS110-106 · Violation

Name of Operation: HICKORY GROVE BAPTIST WEEKDAY MINISTRIES Facility ID: 6055596 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 11/20/2024 Number Present: 71 Completed Date: 11/20/2024 Age: From 0 To 5 Total Minutes: 450 Time In: 10:00 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during an Annual Compliance visit. The center is a GS110-106 facility issued January 10, 2019. The last annual compliance visit was conducted on November 27, 2023. The facility had an eighteen (18) month compliance history score of 76 % prior to today’s visit. Upon arrival I was greeted at the facility’s entrance by Ms. S. Wagner, Administrative Co-Director. I explained the purpose of today’s visit, as we headed to the facility’s conference room where I placed my personal items. We were joined shortly thereafter by Ms. B. Balser, Administrative Co-Director, as we conducted a walk-through of the facility. During today’s visit children were observed engaging in personal care routines, free play activities, meal times, nap time and transitional activities. Teachers provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. The NC Summary of Law and No Smoking signage were prominently posted. In Space #1 it was observed that there were three (3) children enrolled under fifteen (15) months of age and one (1) of these children had an infant feeding plan present that had not been signed by a parent. This information was shared with the teacher and she stated that the child was not present today but she would have parents review and sign it during the next day of attendance. Plastic shopping bags were also observed being stored hanging from a shelf located directly above the changing table and less than five (5) from the floor. Both staff and administrators were reminded that this poses a safety hazard to children enrolled in this space, as children under three years of age should not have access to plastic. These were removed and placed in a secure location. It was also observed that one (1) electrical wall outlet was not covered with a safety plug when not in use. This brought to the teacher’s attention and covered with a safety plug during the walk through. In Space #2 it was observed that there were five (5) children enrolled under fifteen (15) months of age and one (1) child had an infant feeding plan present that had not been signed by parents. This was shared with the teacher present and she stated that she would get this completed as soon as possible. It was also observed that there were two (2) electrical cords hanging from electronic devices and accessible to children in this space. This was brought to the attention of both the administrators and staff present. Each cord was repositioned and made inaccessible to children during the walk through. While monitoring Space #3 lunch was observed being served but children were not observed washing their hands prior to being seated at tables and offered lunch. This was discussed with the administrator present and she informed me that typically the teacher washes hands then has the children sit on the carpet while plates are served. I recommended that she follows up with the staff member present to identify ways to modify meal time transitions so children go directly to tables after handwashing, instead of being seated on the carpet until food is served, as this contaminates their clean hands. Emergency medication was monitored in this space. It was observed that one (1) enrolled child present requires two (2) medications for a chronic medication condition, but only one was available on site. I reminded both the teaching staff present and administrators that if a child’s medical action plan lists two (2) required medications then both must be present onsite in the event of an emergency. In Space #9 three (3) electrical wall outlets were observed not covered with a safety plug when not in use. These were each covered with safety plugs during the walk through. In Space#12 there were five (5) enrolled two-year-olds present and it was observed that there were three (3) stuffed animals with small, hard eyes present in the library center and accessible to children. I reminded both the administrators and teacher present that children under three years of age should not have access any toys or materials with small parts or pieces as these present a choking hazard. The outdoor learning environment was monitored and found to be in compliance. The center’s incident logs and copies of the incident reports were monitored in each applicable child’s file. Monthly outdoor inspections were monitored for the past twelve months and it was observed that one had not been completed in either July or August 2024. This was considered to be corrected as monthly outdoor inspections were completed in the following months, as required. Monthly fire drills and quarterly Shelter in Place/Lockdown drills were monitored. It was observed that a monthly fire drill had not been conducted in July 2024. This was considered to be corrected as a monthly fire drill was conducted in the following months, as required. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s Ready to Go file had not been updated as changes occur, as required. Ten (10) staff files were monitored. Each was found to be in compliance. Eight (8) children’s records were monitored and it was observed that six (6) children’s emergency information had not been reviewed annually. The last annual Sanitation Inspection was conducted on July 11, 2024. The facility received a Superior rating and 2 demerits. The facility’s last annual Fire Inspection was due to be conducted either on or before July 25, 2024 but it did not occur until September 03, 2024 and forwarded to the consultant until September 16, 2024. I reminded both administrators that annual fire inspections are required to take place within one year of the previous inspection and the completed, corresponding form should be sent to myself within one week of the inspection being conducted. Staff members stated that moving forward they would put a system in place to ensure all required inspections are completed as required. There were eleven (11) violations cited during today’s visit. 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 facility’s last annual Fire Inspection was due to be conducted either on or before July 25, 2024 but it did not occur until September 03, 2024 and forwarded to the consultant until September 16, 2024. 10A NCAC 09 .0304(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space #1 it was observed that one (1) enrolled child under fifteen (15) months of age had an infant feeding plan present that had not been signed by a parent. In Space #2 it was observed that one (1) enrolled child under fifteen (15) months of age had an infant feeding plan present that had not been signed by a parent. .0902(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. While monitoring Space #3 lunch was observed being served but children were not observed washing their hands prior to being seated at tables and offered lunch. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Monthly fire drills and quarterly Shelter in Place/Lockdown drills were monitored. It was observed that a monthly fire drill had not been conducted in July 2024. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Emergency medication was monitored. It was observed that one (1) enrolled child present requires two (2) medications for a chronic medication condition, but only one was available on site. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #1 it was observed that one (1) electrical wall outlet was not covered with a safety plug when not in use. It was also observed in Space #9 three (3) electrical wall outlets were observed not covered with a safety plug when not in use. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. In Space #2 two (2) electrical cords were observed hanging from electronic devices and accessible to children in this space. 10A NCAC 09 .0604(f) 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 Space #1 children under fifteen (15) months of age were present and plastic shopping bags were observed being stored hanging from a shelf located directly above the changing table and less than five (5) from the floor. In Space# 12 there were five (5) enrolled two-year-olds present and it was observed that there were three (3) stuffed animal present in the library center and accessible to children with small, hard eyes. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly outdoor inspections were monitored for the past twelve months and it was observed that one had not been completed in either July or August 2024. .0605(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Eight (8) children’s records were monitored and it was observed that six (6) children’s emergency information had not been reviewed annually. .0802(c) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s Ready to Go file had not been updated as changes occur, as required. .0607(d)(10) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday December 04, 2024 to the email listed below. Failure to correct the violation 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 Provided and General Discussion: -We discussed that self-covering electrical outlets should be monitored to ensure that they are working properly. If you have any questions, please contact Resha K. Washington at 704-910-7947 or email resha.washington@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

GS110-106 · Violation

Name of Operation: HICKORY GROVE BAPTIST WEEKDAY MINISTRIES Facility ID: 6055596 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 6/27/2024 Number Present: 57 Completed Date: 6/27/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 11:30 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during an Routine Unannounced visit. The center is a GS110-106 facility issued January 10, 2019. The last annual compliance visit was conducted on November 27, 2023. The facility had an eighteen (18) month compliance history score of 83% prior to today’s visit. The following was monitored using the March 2024 Child Care Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I was greeted at the side entrance by a member of the office staff, B. Balser, where I introduced myself and shared the purpose of today’s visit. I inquired if Ms. L. Harell, Administrative Director, was available and it was shared that she was not onsite, as she was assisting at the Mallard Creek location but she would be back onsite soon. I was then escorted to a meeting room located at the rear of the facility’s office area by Ms. Balser where I explained more in detail the purpose of today’s visit prior to beginning a walk-through of the facility. As we proceeded to the first classroom Ms. Balser and I discussed the current staffing of the facility, classrooms being utilized and the program’s current enrollment. The NC Summary of Law and No Smoking signage were prominently posted. In Space #1, three children under twelve (12) months of age were present and it was observed that there was a cord hanging from a small electronical device being stored on top of a mini fridge and accessible to children. I brought this to the attention of the teacher present and reminded her that electrical cords should not be accessible to infants and toddlers. This was corrected during the visit. In Space #2, two children were observed engaging in meal-time activities. One child, under twelve (12) months of age was being held by a staff member while drinking a bottle and one child that was one (1) year of age was observed drinking a sippy cup while sitting in a high-chair near another staff member. Within ten minutes of being in Space #2 the staff member positioned near the child in the high-chair was observed leaving for lunch. It was at this time that I discussed with the teacher present the need for a staff member to be accessible and positioned near the child in the high-chair, as this creates a safety issue. The teacher shared that typically a staff member is always near any child in a high-chair or engaging in meal-time activities. She then stated that the child she was feeding had finished, as she began washing their hands and repositioning herself closer to the child in the high-chair. At this point Ms. Harrell joined us on the walk-through and we briefly returned to meeting room where my personal items were being stored to review medications for the infant and toddler classrooms. Upon completion, we resumed the walk-through. In Space #5, Space #6 and Space #7 children two (2) years of age were present and it was observed that plastic grocery bags were both hanging from hooks in cubbies and being stored on shelves that were accessible to children. Both the teachers in these spaces and the administrator were reminded that plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. In Space #8 medications were monitored. A plastic bin containing emergency medication was observed being stored in an unlocked cabinet on a shelf that was less than five feet from the ground. I reminded the administrator that designated emergency medications including those that are used or needed for the immediate recovery from a life-threatening event and include Glucagon, epinephrine auto-injector, diazepam rectal installation and albuterol shall be stored out of reach of children at least five feet high, but are not required to be in locked storage. The bin was moved to a higher shelf during the walk-through. It was also observed that two (2) children had emergency medications present with expired permission to administer forms on file and one (1) child had emergency medication present with an expired Medical Action Plan on file. In Space #10 it was observed that a bottle of White-Out with the warning Keep Out of the Reach of Children accompanied by other warnings was being stored in an unlocked drawer. This was removed during the walk through and placed in a secured location. During the visit children were observed engaged in personal care routines, meal-time, free play activities, nap time and transitional activities. Teachers provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. Program records were monitored. It was observed that monthly fire drills are being conducted and documented as required. Emergency drills (shelter-in-place/lockdown) were reviewed, and it was observed that one prior emergency drill had occurred at a four-month interval instead of the required three-month interval. This was considered corrected, as the most recent emergency drill had been conducted in the required timeframe. Monthly outdoor playground inspections for the last twelve months were reviewed, and it was observed that there was no completed outdoor playground inspection on file for May 2024, as required. This violation was considered corrected as a monthly outdoor playground inspection had occurred in June 2024, as required. Eighteen (18) veteran staff files were monitored using the most recent Staff and Training Worksheet. It was observed that one (1) staff member hired in August 2019 did not have current documentation on file for the successful completing of a CPR course from a training organization approved by the Division and one (1) staff member hired in September 2021 did not have current documentation on file for successfully completing a First Aid course from a training organization approved by the Division, as required. Two (2) new staff files were monitored, and it was observed that one (1) staff member hired on March 11, 2024 did not have current documentation on file for successfully completing a First Aid course from a training organization approved by the Division within the first 90 days of employment, as required. The same staff member was also required to have an Emergency Information form completed either on or before March 11, 2024 and this did not occur until March 21, 2024. It was also shared that one (1) new staff member hired on April 04, 2024 began to provide care to children on April 05, 2024. However, the documentation on file reflected she did not review The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to doing this, as required. This did not occur until April 22, 2024. Children’s records were not monitored today. The last annual Sanitation Inspection was conducted on January 05, 2024. The facility received a Superior rating and 6 demerits. The last annual Fire Inspection was conducted on July 26, 2023. There were thirteen (13) violations cited during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In Space #2, one child that was one (1) year of age was observed engaging in meal-time activities while seated in a high-chair with no staff member positioned near them. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In Space #1, three children under twelve (12) months of age were present and it was observed that there was a cord hanging from a small electronical device being stored on top of a mini fridge 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 #10 it was observed that a bottle of White-Out with the warning Keep Out of the Reach of Children accompanied by other warnings was being stored in an unlocked drawer. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #8 a plastic bin containing emergency medication was observed being stored in an unlocked cabinet on a shelf that was less than five feet from the ground. 15A NCAC 18A .2820(d) 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 Space #5, Space #6 and Space #7 children two (2) years of age were present and it was observed that plastic grocery bags were both hanging from hooks in cubbies and being stored on shelves that were accessible to children. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly outdoor playground inspections for the last twelve months were reviewed, and it was observed that there was no completed outdoor playground inspection on file for May 2024, as required. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two (2) new staff files were monitored, and it was observed that one (1) staff member hired on March 11, 2024 was required to have an Emergency Information form completed either on or before March 11, 2024 and this did not occur until March 21, 2024. .0701(a) 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. It was observed that one (1) staff member hired in September 2021 and one (1) staff member hired on March 11, 2024 did not have documentation on file for successfully completing a First Aid course from a training organization approved by the Division within the first 90 days of employment, as required. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. It was observed that one (1) staff member hired in August 2019 did not have current documentation on file for the successful completing of a CPR course from a training organization approved by the Division, as required. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Emergency drills (shelter-in-place/lockdown) were reviewed, and it was observed that one prior emergency drill had occurred at a four-month interval instead of the required three-month interval. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In Space #8 medications were monitored. It was observed that one (1) child had emergency medication present with an expired Medical Action Plan on file. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. It was shared that one (1) new staff member hired on April 04, 2024 began to provide care for children on April 05, 2024 but did not review The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to doing this, as required. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #8 medications were monitored. It was observed that two (2) children had emergency medications present with expired permission to administer forms on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday July 10, 2024 to the email listed below. Failure to correct the violation 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 Provided and General Discussion: -It was discussed that all medication forms should be reviewed by both the administrator and staff when medication is brought in to ensure that they are completed in their entirety. -The administrator and I discussed the storage requirements for various medications, any hazardous items that has multiple warnings and other materials that could pose safety concerns for children. - We discussed the importance of putting a system in place to ensure that all required monthly drills and program related inspections are completed in the required timeframe, as well as documented and readily accessible for review. We spoke specifically about the outdoor inspections and fire drills. -We discussed the importance of putting a system in place to review all required paperwork and forms for staff files to ensure all staff have all required forms, certificates and other training documentation on file and that these trainings are recognized and approved by DCDEE. We spoke specifically about the requirement of completing an emergency information form either on or before the first day of employment, as well as having documentation on file for all staff to show their successful completion of both a CPR and First Aid course from a training organization approved by the Division within the first 90 days of employment, as required. -Please continue visiting the Division’s website for the most up to date information, provider forms and expectations. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. Thank you for your time and if you have any questions about today’s visit, please feel free to contact Resha Washington at 704-910-7947 or email resha.washington@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 .0601 · Violation

Name of Operation: HICKORY GROVE BAPTIST WEEKDAY MINISTRIES Facility ID: 6055596 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 6/27/2024 Number Present: 57 Completed Date: 6/27/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 11:30 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during an Routine Unannounced visit. The center is a GS110-106 facility issued January 10, 2019. The last annual compliance visit was conducted on November 27, 2023. The facility had an eighteen (18) month compliance history score of 83% prior to today’s visit. The following was monitored using the March 2024 Child Care Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I was greeted at the side entrance by a member of the office staff, B. Balser, where I introduced myself and shared the purpose of today’s visit. I inquired if Ms. L. Harell, Administrative Director, was available and it was shared that she was not onsite, as she was assisting at the Mallard Creek location but she would be back onsite soon. I was then escorted to a meeting room located at the rear of the facility’s office area by Ms. Balser where I explained more in detail the purpose of today’s visit prior to beginning a walk-through of the facility. As we proceeded to the first classroom Ms. Balser and I discussed the current staffing of the facility, classrooms being utilized and the program’s current enrollment. The NC Summary of Law and No Smoking signage were prominently posted. In Space #1, three children under twelve (12) months of age were present and it was observed that there was a cord hanging from a small electronical device being stored on top of a mini fridge and accessible to children. I brought this to the attention of the teacher present and reminded her that electrical cords should not be accessible to infants and toddlers. This was corrected during the visit. In Space #2, two children were observed engaging in meal-time activities. One child, under twelve (12) months of age was being held by a staff member while drinking a bottle and one child that was one (1) year of age was observed drinking a sippy cup while sitting in a high-chair near another staff member. Within ten minutes of being in Space #2 the staff member positioned near the child in the high-chair was observed leaving for lunch. It was at this time that I discussed with the teacher present the need for a staff member to be accessible and positioned near the child in the high-chair, as this creates a safety issue. The teacher shared that typically a staff member is always near any child in a high-chair or engaging in meal-time activities. She then stated that the child she was feeding had finished, as she began washing their hands and repositioning herself closer to the child in the high-chair. At this point Ms. Harrell joined us on the walk-through and we briefly returned to meeting room where my personal items were being stored to review medications for the infant and toddler classrooms. Upon completion, we resumed the walk-through. In Space #5, Space #6 and Space #7 children two (2) years of age were present and it was observed that plastic grocery bags were both hanging from hooks in cubbies and being stored on shelves that were accessible to children. Both the teachers in these spaces and the administrator were reminded that plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. In Space #8 medications were monitored. A plastic bin containing emergency medication was observed being stored in an unlocked cabinet on a shelf that was less than five feet from the ground. I reminded the administrator that designated emergency medications including those that are used or needed for the immediate recovery from a life-threatening event and include Glucagon, epinephrine auto-injector, diazepam rectal installation and albuterol shall be stored out of reach of children at least five feet high, but are not required to be in locked storage. The bin was moved to a higher shelf during the walk-through. It was also observed that two (2) children had emergency medications present with expired permission to administer forms on file and one (1) child had emergency medication present with an expired Medical Action Plan on file. In Space #10 it was observed that a bottle of White-Out with the warning Keep Out of the Reach of Children accompanied by other warnings was being stored in an unlocked drawer. This was removed during the walk through and placed in a secured location. During the visit children were observed engaged in personal care routines, meal-time, free play activities, nap time and transitional activities. Teachers provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. Program records were monitored. It was observed that monthly fire drills are being conducted and documented as required. Emergency drills (shelter-in-place/lockdown) were reviewed, and it was observed that one prior emergency drill had occurred at a four-month interval instead of the required three-month interval. This was considered corrected, as the most recent emergency drill had been conducted in the required timeframe. Monthly outdoor playground inspections for the last twelve months were reviewed, and it was observed that there was no completed outdoor playground inspection on file for May 2024, as required. This violation was considered corrected as a monthly outdoor playground inspection had occurred in June 2024, as required. Eighteen (18) veteran staff files were monitored using the most recent Staff and Training Worksheet. It was observed that one (1) staff member hired in August 2019 did not have current documentation on file for the successful completing of a CPR course from a training organization approved by the Division and one (1) staff member hired in September 2021 did not have current documentation on file for successfully completing a First Aid course from a training organization approved by the Division, as required. Two (2) new staff files were monitored, and it was observed that one (1) staff member hired on March 11, 2024 did not have current documentation on file for successfully completing a First Aid course from a training organization approved by the Division within the first 90 days of employment, as required. The same staff member was also required to have an Emergency Information form completed either on or before March 11, 2024 and this did not occur until March 21, 2024. It was also shared that one (1) new staff member hired on April 04, 2024 began to provide care to children on April 05, 2024. However, the documentation on file reflected she did not review The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to doing this, as required. This did not occur until April 22, 2024. Children’s records were not monitored today. The last annual Sanitation Inspection was conducted on January 05, 2024. The facility received a Superior rating and 6 demerits. The last annual Fire Inspection was conducted on July 26, 2023. There were thirteen (13) violations cited during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In Space #2, one child that was one (1) year of age was observed engaging in meal-time activities while seated in a high-chair with no staff member positioned near them. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In Space #1, three children under twelve (12) months of age were present and it was observed that there was a cord hanging from a small electronical device being stored on top of a mini fridge 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 #10 it was observed that a bottle of White-Out with the warning Keep Out of the Reach of Children accompanied by other warnings was being stored in an unlocked drawer. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #8 a plastic bin containing emergency medication was observed being stored in an unlocked cabinet on a shelf that was less than five feet from the ground. 15A NCAC 18A .2820(d) 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 Space #5, Space #6 and Space #7 children two (2) years of age were present and it was observed that plastic grocery bags were both hanging from hooks in cubbies and being stored on shelves that were accessible to children. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly outdoor playground inspections for the last twelve months were reviewed, and it was observed that there was no completed outdoor playground inspection on file for May 2024, as required. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two (2) new staff files were monitored, and it was observed that one (1) staff member hired on March 11, 2024 was required to have an Emergency Information form completed either on or before March 11, 2024 and this did not occur until March 21, 2024. .0701(a) 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. It was observed that one (1) staff member hired in September 2021 and one (1) staff member hired on March 11, 2024 did not have documentation on file for successfully completing a First Aid course from a training organization approved by the Division within the first 90 days of employment, as required. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. It was observed that one (1) staff member hired in August 2019 did not have current documentation on file for the successful completing of a CPR course from a training organization approved by the Division, as required. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Emergency drills (shelter-in-place/lockdown) were reviewed, and it was observed that one prior emergency drill had occurred at a four-month interval instead of the required three-month interval. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In Space #8 medications were monitored. It was observed that one (1) child had emergency medication present with an expired Medical Action Plan on file. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. It was shared that one (1) new staff member hired on April 04, 2024 began to provide care for children on April 05, 2024 but did not review The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to doing this, as required. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #8 medications were monitored. It was observed that two (2) children had emergency medications present with expired permission to administer forms on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday July 10, 2024 to the email listed below. Failure to correct the violation 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 Provided and General Discussion: -It was discussed that all medication forms should be reviewed by both the administrator and staff when medication is brought in to ensure that they are completed in their entirety. -The administrator and I discussed the storage requirements for various medications, any hazardous items that has multiple warnings and other materials that could pose safety concerns for children. - We discussed the importance of putting a system in place to ensure that all required monthly drills and program related inspections are completed in the required timeframe, as well as documented and readily accessible for review. We spoke specifically about the outdoor inspections and fire drills. -We discussed the importance of putting a system in place to review all required paperwork and forms for staff files to ensure all staff have all required forms, certificates and other training documentation on file and that these trainings are recognized and approved by DCDEE. We spoke specifically about the requirement of completing an emergency information form either on or before the first day of employment, as well as having documentation on file for all staff to show their successful completion of both a CPR and First Aid course from a training organization approved by the Division within the first 90 days of employment, as required. -Please continue visiting the Division’s website for the most up to date information, provider forms and expectations. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. Thank you for your time and if you have any questions about today’s visit, please feel free to contact Resha Washington at 704-910-7947 or email resha.washington@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: HICKORY GROVE BAPTIST WEEKDAY MINISTRIES Facility ID: 6055596 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 6/27/2024 Number Present: 57 Completed Date: 6/27/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 11:30 AM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during an Routine Unannounced visit. The center is a GS110-106 facility issued January 10, 2019. The last annual compliance visit was conducted on November 27, 2023. The facility had an eighteen (18) month compliance history score of 83% prior to today’s visit. The following was monitored using the March 2024 Child Care Center Item Number Listing: supervision, capacity, staff/child ratios, adequate and approved space, criminal background checks, CPR, First Aid, special training, new staff records, storage of hazardous products, and storage of medication. Upon arrival I was greeted at the side entrance by a member of the office staff, B. Balser, where I introduced myself and shared the purpose of today’s visit. I inquired if Ms. L. Harell, Administrative Director, was available and it was shared that she was not onsite, as she was assisting at the Mallard Creek location but she would be back onsite soon. I was then escorted to a meeting room located at the rear of the facility’s office area by Ms. Balser where I explained more in detail the purpose of today’s visit prior to beginning a walk-through of the facility. As we proceeded to the first classroom Ms. Balser and I discussed the current staffing of the facility, classrooms being utilized and the program’s current enrollment. The NC Summary of Law and No Smoking signage were prominently posted. In Space #1, three children under twelve (12) months of age were present and it was observed that there was a cord hanging from a small electronical device being stored on top of a mini fridge and accessible to children. I brought this to the attention of the teacher present and reminded her that electrical cords should not be accessible to infants and toddlers. This was corrected during the visit. In Space #2, two children were observed engaging in meal-time activities. One child, under twelve (12) months of age was being held by a staff member while drinking a bottle and one child that was one (1) year of age was observed drinking a sippy cup while sitting in a high-chair near another staff member. Within ten minutes of being in Space #2 the staff member positioned near the child in the high-chair was observed leaving for lunch. It was at this time that I discussed with the teacher present the need for a staff member to be accessible and positioned near the child in the high-chair, as this creates a safety issue. The teacher shared that typically a staff member is always near any child in a high-chair or engaging in meal-time activities. She then stated that the child she was feeding had finished, as she began washing their hands and repositioning herself closer to the child in the high-chair. At this point Ms. Harrell joined us on the walk-through and we briefly returned to meeting room where my personal items were being stored to review medications for the infant and toddler classrooms. Upon completion, we resumed the walk-through. In Space #5, Space #6 and Space #7 children two (2) years of age were present and it was observed that plastic grocery bags were both hanging from hooks in cubbies and being stored on shelves that were accessible to children. Both the teachers in these spaces and the administrator were reminded that plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. In Space #8 medications were monitored. A plastic bin containing emergency medication was observed being stored in an unlocked cabinet on a shelf that was less than five feet from the ground. I reminded the administrator that designated emergency medications including those that are used or needed for the immediate recovery from a life-threatening event and include Glucagon, epinephrine auto-injector, diazepam rectal installation and albuterol shall be stored out of reach of children at least five feet high, but are not required to be in locked storage. The bin was moved to a higher shelf during the walk-through. It was also observed that two (2) children had emergency medications present with expired permission to administer forms on file and one (1) child had emergency medication present with an expired Medical Action Plan on file. In Space #10 it was observed that a bottle of White-Out with the warning Keep Out of the Reach of Children accompanied by other warnings was being stored in an unlocked drawer. This was removed during the walk through and placed in a secured location. During the visit children were observed engaged in personal care routines, meal-time, free play activities, nap time and transitional activities. Teachers provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. Program records were monitored. It was observed that monthly fire drills are being conducted and documented as required. Emergency drills (shelter-in-place/lockdown) were reviewed, and it was observed that one prior emergency drill had occurred at a four-month interval instead of the required three-month interval. This was considered corrected, as the most recent emergency drill had been conducted in the required timeframe. Monthly outdoor playground inspections for the last twelve months were reviewed, and it was observed that there was no completed outdoor playground inspection on file for May 2024, as required. This violation was considered corrected as a monthly outdoor playground inspection had occurred in June 2024, as required. Eighteen (18) veteran staff files were monitored using the most recent Staff and Training Worksheet. It was observed that one (1) staff member hired in August 2019 did not have current documentation on file for the successful completing of a CPR course from a training organization approved by the Division and one (1) staff member hired in September 2021 did not have current documentation on file for successfully completing a First Aid course from a training organization approved by the Division, as required. Two (2) new staff files were monitored, and it was observed that one (1) staff member hired on March 11, 2024 did not have current documentation on file for successfully completing a First Aid course from a training organization approved by the Division within the first 90 days of employment, as required. The same staff member was also required to have an Emergency Information form completed either on or before March 11, 2024 and this did not occur until March 21, 2024. It was also shared that one (1) new staff member hired on April 04, 2024 began to provide care to children on April 05, 2024. However, the documentation on file reflected she did not review The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to doing this, as required. This did not occur until April 22, 2024. Children’s records were not monitored today. The last annual Sanitation Inspection was conducted on January 05, 2024. The facility received a Superior rating and 6 demerits. The last annual Fire Inspection was conducted on July 26, 2023. There were thirteen (13) violations cited during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In Space #2, one child that was one (1) year of age was observed engaging in meal-time activities while seated in a high-chair with no staff member positioned near them. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In Space #1, three children under twelve (12) months of age were present and it was observed that there was a cord hanging from a small electronical device being stored on top of a mini fridge 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 #10 it was observed that a bottle of White-Out with the warning Keep Out of the Reach of Children accompanied by other warnings was being stored in an unlocked drawer. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #8 a plastic bin containing emergency medication was observed being stored in an unlocked cabinet on a shelf that was less than five feet from the ground. 15A NCAC 18A .2820(d) 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 Space #5, Space #6 and Space #7 children two (2) years of age were present and it was observed that plastic grocery bags were both hanging from hooks in cubbies and being stored on shelves that were accessible to children. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly outdoor playground inspections for the last twelve months were reviewed, and it was observed that there was no completed outdoor playground inspection on file for May 2024, as required. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two (2) new staff files were monitored, and it was observed that one (1) staff member hired on March 11, 2024 was required to have an Emergency Information form completed either on or before March 11, 2024 and this did not occur until March 21, 2024. .0701(a) 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. It was observed that one (1) staff member hired in September 2021 and one (1) staff member hired on March 11, 2024 did not have documentation on file for successfully completing a First Aid course from a training organization approved by the Division within the first 90 days of employment, as required. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. It was observed that one (1) staff member hired in August 2019 did not have current documentation on file for the successful completing of a CPR course from a training organization approved by the Division, as required. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Emergency drills (shelter-in-place/lockdown) were reviewed, and it was observed that one prior emergency drill had occurred at a four-month interval instead of the required three-month interval. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In Space #8 medications were monitored. It was observed that one (1) child had emergency medication present with an expired Medical Action Plan on file. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. It was shared that one (1) new staff member hired on April 04, 2024 began to provide care for children on April 05, 2024 but did not review The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to doing this, as required. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #8 medications were monitored. It was observed that two (2) children had emergency medications present with expired permission to administer forms on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Wednesday July 10, 2024 to the email listed below. Failure to correct the violation 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 Provided and General Discussion: -It was discussed that all medication forms should be reviewed by both the administrator and staff when medication is brought in to ensure that they are completed in their entirety. -The administrator and I discussed the storage requirements for various medications, any hazardous items that has multiple warnings and other materials that could pose safety concerns for children. - We discussed the importance of putting a system in place to ensure that all required monthly drills and program related inspections are completed in the required timeframe, as well as documented and readily accessible for review. We spoke specifically about the outdoor inspections and fire drills. -We discussed the importance of putting a system in place to review all required paperwork and forms for staff files to ensure all staff have all required forms, certificates and other training documentation on file and that these trainings are recognized and approved by DCDEE. We spoke specifically about the requirement of completing an emergency information form either on or before the first day of employment, as well as having documentation on file for all staff to show their successful completion of both a CPR and First Aid course from a training organization approved by the Division within the first 90 days of employment, as required. -Please continue visiting the Division’s website for the most up to date information, provider forms and expectations. -It was highly recommended to maintain your staff and training worksheets to always keep them current and maintain DCDEE WORKS status letters for each lead teacher, teacher, and administrator. -Please check your email regularly for updates from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. Thank you for your time and if you have any questions about today’s visit, please feel free to contact Resha Washington at 704-910-7947 or email resha.washington@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: HICKORY GROVE BAPTIST WEEKDAY MINISTRIES Facility ID: 6055596 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 82 Completed Date: 11/27/2023 Age: From 0 To 5 Total Minutes: 390 Time In: 10:00 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during an Annual Compliance visit. The center is a GS110-106 facility issued January 10, 2019. The last annual compliance visit was conducted on November 29, 2022. The facility had an eighteen (18) month compliance history score of 86 % prior to today’s visit. Upon arrival I was greeted by L. Harrell, Administrative Director. I explained the purpose of today’s visit. We were joined by V. Evans Director, as we conducted a walk-through of the facility. During the visit I observed children engaged in personal care routines, free play activities, nap time and transitional activities. Teachers provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. The NC Summary of Law and No Smoking signage were prominently posted. During the walk through of the facility it was observed that there was one (1) electrical wall outlet and three (3) electrical outlets on a power strip not covered with safety plugs when not in use. This was covered with a safety plug during the walk through. These were covered with safety plugs during the walk through. In Space #1 it was observed that there were four (4) enrolled children present under twelve (12) months and two (2) of these children had infant feeding plans present that had not been signed or dated by parents. Safe Sleep check documentation were monitored for all four children and it was observed on all children’s safe sleep charts that it was not consistently documented that children are placed on their backs as their initial sleep position. It was also observed that there was one (1) topical medication present with an incomplete permission to administer form on file and there was one (1) electrical wall outlet not covered with a safety plug when not in use. This was covered with a safety plug during the walk through. In Space #2 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children had infant feeding plans present that had not been signed or dated by parents. Safe Sleep check documentation were monitored for all four children and it was observed on all children’s safe sleep charts that it was not consistently documented that children are placed on their backs as their initial sleep position. It was also observed that there were two (2) topical medications present with incomplete permission to administer forms on file and there was one (1) electrical wall outlet not covered with a safety plug when not in use. This was covered with a safety plug during the walk through. In Space #3 it was observed that there was one (1) topical medication present with an incomplete permission to administer form on file. In Space #8 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children did not have infant feeding plans posted or present in the classroom for review. Medications were monitored. There were two (2) topical medications present with expired permission to administer forms and there were four (4) topical medications with incomplete permission to administer forms on file. It was also observed that there was one child present under twelve (12) months, but the facility’s safe sleep policy was not posted or accessible for review. Safe Sleep check documentation was monitored for the child present under twelve (12) months of age and it was observed on the child’s safe sleep chart that it was not consistently documented that the child is placed on their backs as their initial sleep position. It was also observed that there was one (1) electrical wall outlet not covered with a safety plug when not in use. This was covered with a safety plug during the walk through. In Space #9 it was observed that there were four (4) topical medications with incomplete permission to administer forms on file. In Space#12 there were eight (8) two year olds present and it was observed that there were three (3) bags of crafting snow and two (2) Snowman snow globe craft kits with the warning not for use with children under three years of age due to choking hazard stored in a unlocked lower cabinet. These were removed during the walk through and placed in a secured location. I reminded both administrators and staff that it is imperative to read the label for all items used with and accessible to children prior to them being brought into classroom to ensure there are no potential safety hazards. The outdoor learning environment was monitored and found to be in compliance. The center’s incident logs and copies of the incident reports were monitored in each applicable child’s file. Monthly outdoor inspections were monitored for the past twelve months and found to be in compliance. Monthly fire drills and quarterly Shelter in Place/Lockdown drills were monitored documented and current. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s EPR was not up to date. The EPR listed outdated information and had not been updated to reflect the current administrative staff. Five staff files were monitored. It was observed that two (2) staff members hired in September 2023 did not have completed applications accessible or documentation on file for new employee orientation. One new staff member did not have a medical statement on file for review. Three veteran staff members had not completed annual staff evaluations or annual staff development plans as required. It was also observed that three veteran employees did not have documentation available for the annual review of the facility’s Emergency Medical Care Plan or the facility’s Emergency Response Plan, as required. Eight children’s records were monitored and found to be in compliance. The last annual Sanitation Inspection was conducted on July 07, 2023. The facility received a Superior rating and 7 demerits. The last annual Fire Inspection was conducted on July 26, 2023. There were twelve (12) violations cited during today’s visit. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. In Space #8 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children did not have infant feeding plans posted or present in the classroom for review. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space #1 it was observed that there were four (4) enrolled children present under twelve (12) months and two (2) of these children had infant feeding plans present that had not been signed or dated by parents and in Space #2 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children had infant feeding plans present that had not been signed or dated by parents. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. During the walk through of the facility it was observed that there were four(4) electrical wall outlets and three (3) electrical outlets on a power strip not covered with safety plugs when not in use. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Medications were monitored and it was observed in Space #1 and Space #3 there was one (1) topical medication present with an incomplete permission to administer form on file. In Space #2 there were two (2) topical medications present with incomplete permission to administer forms on file. It was also observed in Space#8 and Space #9 that there were four (4) topical medications with incomplete permission to administer forms on file. 10A NCAC 09 .0803(4)(6-9) 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. It was observed in Space #8 there were two (2) topical medications present with expired permission to administer forms. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. It was observed that three veteran employees did not have documentation available for the annual review of the facility’s Emergency Medical Care Plan, as required. 10A NCAC 09 .0802(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. It was observed that there was one child present under twelve (12) months, but the facility’s safe sleep policy was not posted or accessible for review. .0606(b) 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. Safe Sleep check documentation was monitored and it was observed that it was not consistently documented that children are placed on their backs as their initial sleep position. .0606(a)(1)(A-B) 1030 Application for employment and date of birth was not on file for all staff. It was observed that two (2) staff members hired in September 2023 did not have completed applications accessible. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. It was observed that a staff member hired in September 2023 did not have a medical statement on file for review. 10A NCAC 09 .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three veteran staff members had not completed annual staff evaluations or annual staff development plans as required. 10A NCAC 09 .0514(f) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s EPR was not up to date. The EPR listed outdated information and had not been updated to reflect the current administrative staff. .0607(e) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Monday December 11, 2023 to the email listed below. Failure to correct the violation 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. 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: HICKORY GROVE BAPTIST WEEKDAY MINISTRIES Facility ID: 6055596 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 82 Completed Date: 11/27/2023 Age: From 0 To 5 Total Minutes: 390 Time In: 10:00 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during an Annual Compliance visit. The center is a GS110-106 facility issued January 10, 2019. The last annual compliance visit was conducted on November 29, 2022. The facility had an eighteen (18) month compliance history score of 86 % prior to today’s visit. Upon arrival I was greeted by L. Harrell, Administrative Director. I explained the purpose of today’s visit. We were joined by V. Evans Director, as we conducted a walk-through of the facility. During the visit I observed children engaged in personal care routines, free play activities, nap time and transitional activities. Teachers provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. The NC Summary of Law and No Smoking signage were prominently posted. During the walk through of the facility it was observed that there was one (1) electrical wall outlet and three (3) electrical outlets on a power strip not covered with safety plugs when not in use. This was covered with a safety plug during the walk through. These were covered with safety plugs during the walk through. In Space #1 it was observed that there were four (4) enrolled children present under twelve (12) months and two (2) of these children had infant feeding plans present that had not been signed or dated by parents. Safe Sleep check documentation were monitored for all four children and it was observed on all children’s safe sleep charts that it was not consistently documented that children are placed on their backs as their initial sleep position. It was also observed that there was one (1) topical medication present with an incomplete permission to administer form on file and there was one (1) electrical wall outlet not covered with a safety plug when not in use. This was covered with a safety plug during the walk through. In Space #2 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children had infant feeding plans present that had not been signed or dated by parents. Safe Sleep check documentation were monitored for all four children and it was observed on all children’s safe sleep charts that it was not consistently documented that children are placed on their backs as their initial sleep position. It was also observed that there were two (2) topical medications present with incomplete permission to administer forms on file and there was one (1) electrical wall outlet not covered with a safety plug when not in use. This was covered with a safety plug during the walk through. In Space #3 it was observed that there was one (1) topical medication present with an incomplete permission to administer form on file. In Space #8 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children did not have infant feeding plans posted or present in the classroom for review. Medications were monitored. There were two (2) topical medications present with expired permission to administer forms and there were four (4) topical medications with incomplete permission to administer forms on file. It was also observed that there was one child present under twelve (12) months, but the facility’s safe sleep policy was not posted or accessible for review. Safe Sleep check documentation was monitored for the child present under twelve (12) months of age and it was observed on the child’s safe sleep chart that it was not consistently documented that the child is placed on their backs as their initial sleep position. It was also observed that there was one (1) electrical wall outlet not covered with a safety plug when not in use. This was covered with a safety plug during the walk through. In Space #9 it was observed that there were four (4) topical medications with incomplete permission to administer forms on file. In Space#12 there were eight (8) two year olds present and it was observed that there were three (3) bags of crafting snow and two (2) Snowman snow globe craft kits with the warning not for use with children under three years of age due to choking hazard stored in a unlocked lower cabinet. These were removed during the walk through and placed in a secured location. I reminded both administrators and staff that it is imperative to read the label for all items used with and accessible to children prior to them being brought into classroom to ensure there are no potential safety hazards. The outdoor learning environment was monitored and found to be in compliance. The center’s incident logs and copies of the incident reports were monitored in each applicable child’s file. Monthly outdoor inspections were monitored for the past twelve months and found to be in compliance. Monthly fire drills and quarterly Shelter in Place/Lockdown drills were monitored documented and current. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s EPR was not up to date. The EPR listed outdated information and had not been updated to reflect the current administrative staff. Five staff files were monitored. It was observed that two (2) staff members hired in September 2023 did not have completed applications accessible or documentation on file for new employee orientation. One new staff member did not have a medical statement on file for review. Three veteran staff members had not completed annual staff evaluations or annual staff development plans as required. It was also observed that three veteran employees did not have documentation available for the annual review of the facility’s Emergency Medical Care Plan or the facility’s Emergency Response Plan, as required. Eight children’s records were monitored and found to be in compliance. The last annual Sanitation Inspection was conducted on July 07, 2023. The facility received a Superior rating and 7 demerits. The last annual Fire Inspection was conducted on July 26, 2023. There were twelve (12) violations cited during today’s visit. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. In Space #8 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children did not have infant feeding plans posted or present in the classroom for review. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space #1 it was observed that there were four (4) enrolled children present under twelve (12) months and two (2) of these children had infant feeding plans present that had not been signed or dated by parents and in Space #2 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children had infant feeding plans present that had not been signed or dated by parents. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. During the walk through of the facility it was observed that there were four(4) electrical wall outlets and three (3) electrical outlets on a power strip not covered with safety plugs when not in use. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Medications were monitored and it was observed in Space #1 and Space #3 there was one (1) topical medication present with an incomplete permission to administer form on file. In Space #2 there were two (2) topical medications present with incomplete permission to administer forms on file. It was also observed in Space#8 and Space #9 that there were four (4) topical medications with incomplete permission to administer forms on file. 10A NCAC 09 .0803(4)(6-9) 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. It was observed in Space #8 there were two (2) topical medications present with expired permission to administer forms. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. It was observed that three veteran employees did not have documentation available for the annual review of the facility’s Emergency Medical Care Plan, as required. 10A NCAC 09 .0802(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. It was observed that there was one child present under twelve (12) months, but the facility’s safe sleep policy was not posted or accessible for review. .0606(b) 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. Safe Sleep check documentation was monitored and it was observed that it was not consistently documented that children are placed on their backs as their initial sleep position. .0606(a)(1)(A-B) 1030 Application for employment and date of birth was not on file for all staff. It was observed that two (2) staff members hired in September 2023 did not have completed applications accessible. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. It was observed that a staff member hired in September 2023 did not have a medical statement on file for review. 10A NCAC 09 .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three veteran staff members had not completed annual staff evaluations or annual staff development plans as required. 10A NCAC 09 .0514(f) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s EPR was not up to date. The EPR listed outdated information and had not been updated to reflect the current administrative staff. .0607(e) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Monday December 11, 2023 to the email listed below. Failure to correct the violation 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. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: HICKORY GROVE BAPTIST WEEKDAY MINISTRIES Facility ID: 6055596 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 82 Completed Date: 11/27/2023 Age: From 0 To 5 Total Minutes: 390 Time In: 10:00 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during an Annual Compliance visit. The center is a GS110-106 facility issued January 10, 2019. The last annual compliance visit was conducted on November 29, 2022. The facility had an eighteen (18) month compliance history score of 86 % prior to today’s visit. Upon arrival I was greeted by L. Harrell, Administrative Director. I explained the purpose of today’s visit. We were joined by V. Evans Director, as we conducted a walk-through of the facility. During the visit I observed children engaged in personal care routines, free play activities, nap time and transitional activities. Teachers provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. The NC Summary of Law and No Smoking signage were prominently posted. During the walk through of the facility it was observed that there was one (1) electrical wall outlet and three (3) electrical outlets on a power strip not covered with safety plugs when not in use. This was covered with a safety plug during the walk through. These were covered with safety plugs during the walk through. In Space #1 it was observed that there were four (4) enrolled children present under twelve (12) months and two (2) of these children had infant feeding plans present that had not been signed or dated by parents. Safe Sleep check documentation were monitored for all four children and it was observed on all children’s safe sleep charts that it was not consistently documented that children are placed on their backs as their initial sleep position. It was also observed that there was one (1) topical medication present with an incomplete permission to administer form on file and there was one (1) electrical wall outlet not covered with a safety plug when not in use. This was covered with a safety plug during the walk through. In Space #2 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children had infant feeding plans present that had not been signed or dated by parents. Safe Sleep check documentation were monitored for all four children and it was observed on all children’s safe sleep charts that it was not consistently documented that children are placed on their backs as their initial sleep position. It was also observed that there were two (2) topical medications present with incomplete permission to administer forms on file and there was one (1) electrical wall outlet not covered with a safety plug when not in use. This was covered with a safety plug during the walk through. In Space #3 it was observed that there was one (1) topical medication present with an incomplete permission to administer form on file. In Space #8 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children did not have infant feeding plans posted or present in the classroom for review. Medications were monitored. There were two (2) topical medications present with expired permission to administer forms and there were four (4) topical medications with incomplete permission to administer forms on file. It was also observed that there was one child present under twelve (12) months, but the facility’s safe sleep policy was not posted or accessible for review. Safe Sleep check documentation was monitored for the child present under twelve (12) months of age and it was observed on the child’s safe sleep chart that it was not consistently documented that the child is placed on their backs as their initial sleep position. It was also observed that there was one (1) electrical wall outlet not covered with a safety plug when not in use. This was covered with a safety plug during the walk through. In Space #9 it was observed that there were four (4) topical medications with incomplete permission to administer forms on file. In Space#12 there were eight (8) two year olds present and it was observed that there were three (3) bags of crafting snow and two (2) Snowman snow globe craft kits with the warning not for use with children under three years of age due to choking hazard stored in a unlocked lower cabinet. These were removed during the walk through and placed in a secured location. I reminded both administrators and staff that it is imperative to read the label for all items used with and accessible to children prior to them being brought into classroom to ensure there are no potential safety hazards. The outdoor learning environment was monitored and found to be in compliance. The center’s incident logs and copies of the incident reports were monitored in each applicable child’s file. Monthly outdoor inspections were monitored for the past twelve months and found to be in compliance. Monthly fire drills and quarterly Shelter in Place/Lockdown drills were monitored documented and current. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s EPR was not up to date. The EPR listed outdated information and had not been updated to reflect the current administrative staff. Five staff files were monitored. It was observed that two (2) staff members hired in September 2023 did not have completed applications accessible or documentation on file for new employee orientation. One new staff member did not have a medical statement on file for review. Three veteran staff members had not completed annual staff evaluations or annual staff development plans as required. It was also observed that three veteran employees did not have documentation available for the annual review of the facility’s Emergency Medical Care Plan or the facility’s Emergency Response Plan, as required. Eight children’s records were monitored and found to be in compliance. The last annual Sanitation Inspection was conducted on July 07, 2023. The facility received a Superior rating and 7 demerits. The last annual Fire Inspection was conducted on July 26, 2023. There were twelve (12) violations cited during today’s visit. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. In Space #8 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children did not have infant feeding plans posted or present in the classroom for review. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space #1 it was observed that there were four (4) enrolled children present under twelve (12) months and two (2) of these children had infant feeding plans present that had not been signed or dated by parents and in Space #2 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children had infant feeding plans present that had not been signed or dated by parents. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. During the walk through of the facility it was observed that there were four(4) electrical wall outlets and three (3) electrical outlets on a power strip not covered with safety plugs when not in use. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Medications were monitored and it was observed in Space #1 and Space #3 there was one (1) topical medication present with an incomplete permission to administer form on file. In Space #2 there were two (2) topical medications present with incomplete permission to administer forms on file. It was also observed in Space#8 and Space #9 that there were four (4) topical medications with incomplete permission to administer forms on file. 10A NCAC 09 .0803(4)(6-9) 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. It was observed in Space #8 there were two (2) topical medications present with expired permission to administer forms. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. It was observed that three veteran employees did not have documentation available for the annual review of the facility’s Emergency Medical Care Plan, as required. 10A NCAC 09 .0802(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. It was observed that there was one child present under twelve (12) months, but the facility’s safe sleep policy was not posted or accessible for review. .0606(b) 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. Safe Sleep check documentation was monitored and it was observed that it was not consistently documented that children are placed on their backs as their initial sleep position. .0606(a)(1)(A-B) 1030 Application for employment and date of birth was not on file for all staff. It was observed that two (2) staff members hired in September 2023 did not have completed applications accessible. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. It was observed that a staff member hired in September 2023 did not have a medical statement on file for review. 10A NCAC 09 .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three veteran staff members had not completed annual staff evaluations or annual staff development plans as required. 10A NCAC 09 .0514(f) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s EPR was not up to date. The EPR listed outdated information and had not been updated to reflect the current administrative staff. .0607(e) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Monday December 11, 2023 to the email listed below. Failure to correct the violation 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. 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: HICKORY GROVE BAPTIST WEEKDAY MINISTRIES Facility ID: 6055596 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 82 Completed Date: 11/27/2023 Age: From 0 To 5 Total Minutes: 390 Time In: 10:00 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during an Annual Compliance visit. The center is a GS110-106 facility issued January 10, 2019. The last annual compliance visit was conducted on November 29, 2022. The facility had an eighteen (18) month compliance history score of 86 % prior to today’s visit. Upon arrival I was greeted by L. Harrell, Administrative Director. I explained the purpose of today’s visit. We were joined by V. Evans Director, as we conducted a walk-through of the facility. During the visit I observed children engaged in personal care routines, free play activities, nap time and transitional activities. Teachers provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. The NC Summary of Law and No Smoking signage were prominently posted. During the walk through of the facility it was observed that there was one (1) electrical wall outlet and three (3) electrical outlets on a power strip not covered with safety plugs when not in use. This was covered with a safety plug during the walk through. These were covered with safety plugs during the walk through. In Space #1 it was observed that there were four (4) enrolled children present under twelve (12) months and two (2) of these children had infant feeding plans present that had not been signed or dated by parents. Safe Sleep check documentation were monitored for all four children and it was observed on all children’s safe sleep charts that it was not consistently documented that children are placed on their backs as their initial sleep position. It was also observed that there was one (1) topical medication present with an incomplete permission to administer form on file and there was one (1) electrical wall outlet not covered with a safety plug when not in use. This was covered with a safety plug during the walk through. In Space #2 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children had infant feeding plans present that had not been signed or dated by parents. Safe Sleep check documentation were monitored for all four children and it was observed on all children’s safe sleep charts that it was not consistently documented that children are placed on their backs as their initial sleep position. It was also observed that there were two (2) topical medications present with incomplete permission to administer forms on file and there was one (1) electrical wall outlet not covered with a safety plug when not in use. This was covered with a safety plug during the walk through. In Space #3 it was observed that there was one (1) topical medication present with an incomplete permission to administer form on file. In Space #8 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children did not have infant feeding plans posted or present in the classroom for review. Medications were monitored. There were two (2) topical medications present with expired permission to administer forms and there were four (4) topical medications with incomplete permission to administer forms on file. It was also observed that there was one child present under twelve (12) months, but the facility’s safe sleep policy was not posted or accessible for review. Safe Sleep check documentation was monitored for the child present under twelve (12) months of age and it was observed on the child’s safe sleep chart that it was not consistently documented that the child is placed on their backs as their initial sleep position. It was also observed that there was one (1) electrical wall outlet not covered with a safety plug when not in use. This was covered with a safety plug during the walk through. In Space #9 it was observed that there were four (4) topical medications with incomplete permission to administer forms on file. In Space#12 there were eight (8) two year olds present and it was observed that there were three (3) bags of crafting snow and two (2) Snowman snow globe craft kits with the warning not for use with children under three years of age due to choking hazard stored in a unlocked lower cabinet. These were removed during the walk through and placed in a secured location. I reminded both administrators and staff that it is imperative to read the label for all items used with and accessible to children prior to them being brought into classroom to ensure there are no potential safety hazards. The outdoor learning environment was monitored and found to be in compliance. The center’s incident logs and copies of the incident reports were monitored in each applicable child’s file. Monthly outdoor inspections were monitored for the past twelve months and found to be in compliance. Monthly fire drills and quarterly Shelter in Place/Lockdown drills were monitored documented and current. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s EPR was not up to date. The EPR listed outdated information and had not been updated to reflect the current administrative staff. Five staff files were monitored. It was observed that two (2) staff members hired in September 2023 did not have completed applications accessible or documentation on file for new employee orientation. One new staff member did not have a medical statement on file for review. Three veteran staff members had not completed annual staff evaluations or annual staff development plans as required. It was also observed that three veteran employees did not have documentation available for the annual review of the facility’s Emergency Medical Care Plan or the facility’s Emergency Response Plan, as required. Eight children’s records were monitored and found to be in compliance. The last annual Sanitation Inspection was conducted on July 07, 2023. The facility received a Superior rating and 7 demerits. The last annual Fire Inspection was conducted on July 26, 2023. There were twelve (12) violations cited during today’s visit. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. In Space #8 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children did not have infant feeding plans posted or present in the classroom for review. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space #1 it was observed that there were four (4) enrolled children present under twelve (12) months and two (2) of these children had infant feeding plans present that had not been signed or dated by parents and in Space #2 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children had infant feeding plans present that had not been signed or dated by parents. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. During the walk through of the facility it was observed that there were four(4) electrical wall outlets and three (3) electrical outlets on a power strip not covered with safety plugs when not in use. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Medications were monitored and it was observed in Space #1 and Space #3 there was one (1) topical medication present with an incomplete permission to administer form on file. In Space #2 there were two (2) topical medications present with incomplete permission to administer forms on file. It was also observed in Space#8 and Space #9 that there were four (4) topical medications with incomplete permission to administer forms on file. 10A NCAC 09 .0803(4)(6-9) 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. It was observed in Space #8 there were two (2) topical medications present with expired permission to administer forms. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. It was observed that three veteran employees did not have documentation available for the annual review of the facility’s Emergency Medical Care Plan, as required. 10A NCAC 09 .0802(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. It was observed that there was one child present under twelve (12) months, but the facility’s safe sleep policy was not posted or accessible for review. .0606(b) 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. Safe Sleep check documentation was monitored and it was observed that it was not consistently documented that children are placed on their backs as their initial sleep position. .0606(a)(1)(A-B) 1030 Application for employment and date of birth was not on file for all staff. It was observed that two (2) staff members hired in September 2023 did not have completed applications accessible. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. It was observed that a staff member hired in September 2023 did not have a medical statement on file for review. 10A NCAC 09 .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three veteran staff members had not completed annual staff evaluations or annual staff development plans as required. 10A NCAC 09 .0514(f) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s EPR was not up to date. The EPR listed outdated information and had not been updated to reflect the current administrative staff. .0607(e) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Monday December 11, 2023 to the email listed below. Failure to correct the violation 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. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: HICKORY GROVE BAPTIST WEEKDAY MINISTRIES Facility ID: 6055596 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 82 Completed Date: 11/27/2023 Age: From 0 To 5 Total Minutes: 390 Time In: 10:00 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during an Annual Compliance visit. The center is a GS110-106 facility issued January 10, 2019. The last annual compliance visit was conducted on November 29, 2022. The facility had an eighteen (18) month compliance history score of 86 % prior to today’s visit. Upon arrival I was greeted by L. Harrell, Administrative Director. I explained the purpose of today’s visit. We were joined by V. Evans Director, as we conducted a walk-through of the facility. During the visit I observed children engaged in personal care routines, free play activities, nap time and transitional activities. Teachers provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. The NC Summary of Law and No Smoking signage were prominently posted. During the walk through of the facility it was observed that there was one (1) electrical wall outlet and three (3) electrical outlets on a power strip not covered with safety plugs when not in use. This was covered with a safety plug during the walk through. These were covered with safety plugs during the walk through. In Space #1 it was observed that there were four (4) enrolled children present under twelve (12) months and two (2) of these children had infant feeding plans present that had not been signed or dated by parents. Safe Sleep check documentation were monitored for all four children and it was observed on all children’s safe sleep charts that it was not consistently documented that children are placed on their backs as their initial sleep position. It was also observed that there was one (1) topical medication present with an incomplete permission to administer form on file and there was one (1) electrical wall outlet not covered with a safety plug when not in use. This was covered with a safety plug during the walk through. In Space #2 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children had infant feeding plans present that had not been signed or dated by parents. Safe Sleep check documentation were monitored for all four children and it was observed on all children’s safe sleep charts that it was not consistently documented that children are placed on their backs as their initial sleep position. It was also observed that there were two (2) topical medications present with incomplete permission to administer forms on file and there was one (1) electrical wall outlet not covered with a safety plug when not in use. This was covered with a safety plug during the walk through. In Space #3 it was observed that there was one (1) topical medication present with an incomplete permission to administer form on file. In Space #8 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children did not have infant feeding plans posted or present in the classroom for review. Medications were monitored. There were two (2) topical medications present with expired permission to administer forms and there were four (4) topical medications with incomplete permission to administer forms on file. It was also observed that there was one child present under twelve (12) months, but the facility’s safe sleep policy was not posted or accessible for review. Safe Sleep check documentation was monitored for the child present under twelve (12) months of age and it was observed on the child’s safe sleep chart that it was not consistently documented that the child is placed on their backs as their initial sleep position. It was also observed that there was one (1) electrical wall outlet not covered with a safety plug when not in use. This was covered with a safety plug during the walk through. In Space #9 it was observed that there were four (4) topical medications with incomplete permission to administer forms on file. In Space#12 there were eight (8) two year olds present and it was observed that there were three (3) bags of crafting snow and two (2) Snowman snow globe craft kits with the warning not for use with children under three years of age due to choking hazard stored in a unlocked lower cabinet. These were removed during the walk through and placed in a secured location. I reminded both administrators and staff that it is imperative to read the label for all items used with and accessible to children prior to them being brought into classroom to ensure there are no potential safety hazards. The outdoor learning environment was monitored and found to be in compliance. The center’s incident logs and copies of the incident reports were monitored in each applicable child’s file. Monthly outdoor inspections were monitored for the past twelve months and found to be in compliance. Monthly fire drills and quarterly Shelter in Place/Lockdown drills were monitored documented and current. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s EPR was not up to date. The EPR listed outdated information and had not been updated to reflect the current administrative staff. Five staff files were monitored. It was observed that two (2) staff members hired in September 2023 did not have completed applications accessible or documentation on file for new employee orientation. One new staff member did not have a medical statement on file for review. Three veteran staff members had not completed annual staff evaluations or annual staff development plans as required. It was also observed that three veteran employees did not have documentation available for the annual review of the facility’s Emergency Medical Care Plan or the facility’s Emergency Response Plan, as required. Eight children’s records were monitored and found to be in compliance. The last annual Sanitation Inspection was conducted on July 07, 2023. The facility received a Superior rating and 7 demerits. The last annual Fire Inspection was conducted on July 26, 2023. There were twelve (12) violations cited during today’s visit. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. In Space #8 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children did not have infant feeding plans posted or present in the classroom for review. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space #1 it was observed that there were four (4) enrolled children present under twelve (12) months and two (2) of these children had infant feeding plans present that had not been signed or dated by parents and in Space #2 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children had infant feeding plans present that had not been signed or dated by parents. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. During the walk through of the facility it was observed that there were four(4) electrical wall outlets and three (3) electrical outlets on a power strip not covered with safety plugs when not in use. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Medications were monitored and it was observed in Space #1 and Space #3 there was one (1) topical medication present with an incomplete permission to administer form on file. In Space #2 there were two (2) topical medications present with incomplete permission to administer forms on file. It was also observed in Space#8 and Space #9 that there were four (4) topical medications with incomplete permission to administer forms on file. 10A NCAC 09 .0803(4)(6-9) 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. It was observed in Space #8 there were two (2) topical medications present with expired permission to administer forms. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. It was observed that three veteran employees did not have documentation available for the annual review of the facility’s Emergency Medical Care Plan, as required. 10A NCAC 09 .0802(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. It was observed that there was one child present under twelve (12) months, but the facility’s safe sleep policy was not posted or accessible for review. .0606(b) 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. Safe Sleep check documentation was monitored and it was observed that it was not consistently documented that children are placed on their backs as their initial sleep position. .0606(a)(1)(A-B) 1030 Application for employment and date of birth was not on file for all staff. It was observed that two (2) staff members hired in September 2023 did not have completed applications accessible. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. It was observed that a staff member hired in September 2023 did not have a medical statement on file for review. 10A NCAC 09 .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three veteran staff members had not completed annual staff evaluations or annual staff development plans as required. 10A NCAC 09 .0514(f) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s EPR was not up to date. The EPR listed outdated information and had not been updated to reflect the current administrative staff. .0607(e) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Monday December 11, 2023 to the email listed below. Failure to correct the violation 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. 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: HICKORY GROVE BAPTIST WEEKDAY MINISTRIES Facility ID: 6055596 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 82 Completed Date: 11/27/2023 Age: From 0 To 5 Total Minutes: 390 Time In: 10:00 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during an Annual Compliance visit. The center is a GS110-106 facility issued January 10, 2019. The last annual compliance visit was conducted on November 29, 2022. The facility had an eighteen (18) month compliance history score of 86 % prior to today’s visit. Upon arrival I was greeted by L. Harrell, Administrative Director. I explained the purpose of today’s visit. We were joined by V. Evans Director, as we conducted a walk-through of the facility. During the visit I observed children engaged in personal care routines, free play activities, nap time and transitional activities. Teachers provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. The NC Summary of Law and No Smoking signage were prominently posted. During the walk through of the facility it was observed that there was one (1) electrical wall outlet and three (3) electrical outlets on a power strip not covered with safety plugs when not in use. This was covered with a safety plug during the walk through. These were covered with safety plugs during the walk through. In Space #1 it was observed that there were four (4) enrolled children present under twelve (12) months and two (2) of these children had infant feeding plans present that had not been signed or dated by parents. Safe Sleep check documentation were monitored for all four children and it was observed on all children’s safe sleep charts that it was not consistently documented that children are placed on their backs as their initial sleep position. It was also observed that there was one (1) topical medication present with an incomplete permission to administer form on file and there was one (1) electrical wall outlet not covered with a safety plug when not in use. This was covered with a safety plug during the walk through. In Space #2 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children had infant feeding plans present that had not been signed or dated by parents. Safe Sleep check documentation were monitored for all four children and it was observed on all children’s safe sleep charts that it was not consistently documented that children are placed on their backs as their initial sleep position. It was also observed that there were two (2) topical medications present with incomplete permission to administer forms on file and there was one (1) electrical wall outlet not covered with a safety plug when not in use. This was covered with a safety plug during the walk through. In Space #3 it was observed that there was one (1) topical medication present with an incomplete permission to administer form on file. In Space #8 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children did not have infant feeding plans posted or present in the classroom for review. Medications were monitored. There were two (2) topical medications present with expired permission to administer forms and there were four (4) topical medications with incomplete permission to administer forms on file. It was also observed that there was one child present under twelve (12) months, but the facility’s safe sleep policy was not posted or accessible for review. Safe Sleep check documentation was monitored for the child present under twelve (12) months of age and it was observed on the child’s safe sleep chart that it was not consistently documented that the child is placed on their backs as their initial sleep position. It was also observed that there was one (1) electrical wall outlet not covered with a safety plug when not in use. This was covered with a safety plug during the walk through. In Space #9 it was observed that there were four (4) topical medications with incomplete permission to administer forms on file. In Space#12 there were eight (8) two year olds present and it was observed that there were three (3) bags of crafting snow and two (2) Snowman snow globe craft kits with the warning not for use with children under three years of age due to choking hazard stored in a unlocked lower cabinet. These were removed during the walk through and placed in a secured location. I reminded both administrators and staff that it is imperative to read the label for all items used with and accessible to children prior to them being brought into classroom to ensure there are no potential safety hazards. The outdoor learning environment was monitored and found to be in compliance. The center’s incident logs and copies of the incident reports were monitored in each applicable child’s file. Monthly outdoor inspections were monitored for the past twelve months and found to be in compliance. Monthly fire drills and quarterly Shelter in Place/Lockdown drills were monitored documented and current. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s EPR was not up to date. The EPR listed outdated information and had not been updated to reflect the current administrative staff. Five staff files were monitored. It was observed that two (2) staff members hired in September 2023 did not have completed applications accessible or documentation on file for new employee orientation. One new staff member did not have a medical statement on file for review. Three veteran staff members had not completed annual staff evaluations or annual staff development plans as required. It was also observed that three veteran employees did not have documentation available for the annual review of the facility’s Emergency Medical Care Plan or the facility’s Emergency Response Plan, as required. Eight children’s records were monitored and found to be in compliance. The last annual Sanitation Inspection was conducted on July 07, 2023. The facility received a Superior rating and 7 demerits. The last annual Fire Inspection was conducted on July 26, 2023. There were twelve (12) violations cited during today’s visit. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. In Space #8 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children did not have infant feeding plans posted or present in the classroom for review. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space #1 it was observed that there were four (4) enrolled children present under twelve (12) months and two (2) of these children had infant feeding plans present that had not been signed or dated by parents and in Space #2 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children had infant feeding plans present that had not been signed or dated by parents. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. During the walk through of the facility it was observed that there were four(4) electrical wall outlets and three (3) electrical outlets on a power strip not covered with safety plugs when not in use. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Medications were monitored and it was observed in Space #1 and Space #3 there was one (1) topical medication present with an incomplete permission to administer form on file. In Space #2 there were two (2) topical medications present with incomplete permission to administer forms on file. It was also observed in Space#8 and Space #9 that there were four (4) topical medications with incomplete permission to administer forms on file. 10A NCAC 09 .0803(4)(6-9) 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. It was observed in Space #8 there were two (2) topical medications present with expired permission to administer forms. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. It was observed that three veteran employees did not have documentation available for the annual review of the facility’s Emergency Medical Care Plan, as required. 10A NCAC 09 .0802(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. It was observed that there was one child present under twelve (12) months, but the facility’s safe sleep policy was not posted or accessible for review. .0606(b) 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. Safe Sleep check documentation was monitored and it was observed that it was not consistently documented that children are placed on their backs as their initial sleep position. .0606(a)(1)(A-B) 1030 Application for employment and date of birth was not on file for all staff. It was observed that two (2) staff members hired in September 2023 did not have completed applications accessible. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. It was observed that a staff member hired in September 2023 did not have a medical statement on file for review. 10A NCAC 09 .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three veteran staff members had not completed annual staff evaluations or annual staff development plans as required. 10A NCAC 09 .0514(f) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s EPR was not up to date. The EPR listed outdated information and had not been updated to reflect the current administrative staff. .0607(e) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Monday December 11, 2023 to the email listed below. Failure to correct the violation 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. 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

GS110-106 · Violation

Name of Operation: HICKORY GROVE BAPTIST WEEKDAY MINISTRIES Facility ID: 6055596 Consultant: RESHA WASHINGTON Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 82 Completed Date: 11/27/2023 Age: From 0 To 5 Total Minutes: 390 Time In: 10:00 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during an Annual Compliance visit. The center is a GS110-106 facility issued January 10, 2019. The last annual compliance visit was conducted on November 29, 2022. The facility had an eighteen (18) month compliance history score of 86 % prior to today’s visit. Upon arrival I was greeted by L. Harrell, Administrative Director. I explained the purpose of today’s visit. We were joined by V. Evans Director, as we conducted a walk-through of the facility. During the visit I observed children engaged in personal care routines, free play activities, nap time and transitional activities. Teachers provided nurturing interactions and the facility was found in compliance with supervision, staff/child ratio, capacity and group size. The NC Summary of Law and No Smoking signage were prominently posted. During the walk through of the facility it was observed that there was one (1) electrical wall outlet and three (3) electrical outlets on a power strip not covered with safety plugs when not in use. This was covered with a safety plug during the walk through. These were covered with safety plugs during the walk through. In Space #1 it was observed that there were four (4) enrolled children present under twelve (12) months and two (2) of these children had infant feeding plans present that had not been signed or dated by parents. Safe Sleep check documentation were monitored for all four children and it was observed on all children’s safe sleep charts that it was not consistently documented that children are placed on their backs as their initial sleep position. It was also observed that there was one (1) topical medication present with an incomplete permission to administer form on file and there was one (1) electrical wall outlet not covered with a safety plug when not in use. This was covered with a safety plug during the walk through. In Space #2 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children had infant feeding plans present that had not been signed or dated by parents. Safe Sleep check documentation were monitored for all four children and it was observed on all children’s safe sleep charts that it was not consistently documented that children are placed on their backs as their initial sleep position. It was also observed that there were two (2) topical medications present with incomplete permission to administer forms on file and there was one (1) electrical wall outlet not covered with a safety plug when not in use. This was covered with a safety plug during the walk through. In Space #3 it was observed that there was one (1) topical medication present with an incomplete permission to administer form on file. In Space #8 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children did not have infant feeding plans posted or present in the classroom for review. Medications were monitored. There were two (2) topical medications present with expired permission to administer forms and there were four (4) topical medications with incomplete permission to administer forms on file. It was also observed that there was one child present under twelve (12) months, but the facility’s safe sleep policy was not posted or accessible for review. Safe Sleep check documentation was monitored for the child present under twelve (12) months of age and it was observed on the child’s safe sleep chart that it was not consistently documented that the child is placed on their backs as their initial sleep position. It was also observed that there was one (1) electrical wall outlet not covered with a safety plug when not in use. This was covered with a safety plug during the walk through. In Space #9 it was observed that there were four (4) topical medications with incomplete permission to administer forms on file. In Space#12 there were eight (8) two year olds present and it was observed that there were three (3) bags of crafting snow and two (2) Snowman snow globe craft kits with the warning not for use with children under three years of age due to choking hazard stored in a unlocked lower cabinet. These were removed during the walk through and placed in a secured location. I reminded both administrators and staff that it is imperative to read the label for all items used with and accessible to children prior to them being brought into classroom to ensure there are no potential safety hazards. The outdoor learning environment was monitored and found to be in compliance. The center’s incident logs and copies of the incident reports were monitored in each applicable child’s file. Monthly outdoor inspections were monitored for the past twelve months and found to be in compliance. Monthly fire drills and quarterly Shelter in Place/Lockdown drills were monitored documented and current. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s EPR was not up to date. The EPR listed outdated information and had not been updated to reflect the current administrative staff. Five staff files were monitored. It was observed that two (2) staff members hired in September 2023 did not have completed applications accessible or documentation on file for new employee orientation. One new staff member did not have a medical statement on file for review. Three veteran staff members had not completed annual staff evaluations or annual staff development plans as required. It was also observed that three veteran employees did not have documentation available for the annual review of the facility’s Emergency Medical Care Plan or the facility’s Emergency Response Plan, as required. Eight children’s records were monitored and found to be in compliance. The last annual Sanitation Inspection was conducted on July 07, 2023. The facility received a Superior rating and 7 demerits. The last annual Fire Inspection was conducted on July 26, 2023. There were twelve (12) violations cited during today’s visit. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. In Space #8 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children did not have infant feeding plans posted or present in the classroom for review. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space #1 it was observed that there were four (4) enrolled children present under twelve (12) months and two (2) of these children had infant feeding plans present that had not been signed or dated by parents and in Space #2 it was observed that there were four (4) enrolled children present under fifteen (15) months and three (3) of these children had infant feeding plans present that had not been signed or dated by parents. .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. During the walk through of the facility it was observed that there were four(4) electrical wall outlets and three (3) electrical outlets on a power strip not covered with safety plugs when not in use. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Medications were monitored and it was observed in Space #1 and Space #3 there was one (1) topical medication present with an incomplete permission to administer form on file. In Space #2 there were two (2) topical medications present with incomplete permission to administer forms on file. It was also observed in Space#8 and Space #9 that there were four (4) topical medications with incomplete permission to administer forms on file. 10A NCAC 09 .0803(4)(6-9) 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. It was observed in Space #8 there were two (2) topical medications present with expired permission to administer forms. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. It was observed that three veteran employees did not have documentation available for the annual review of the facility’s Emergency Medical Care Plan, as required. 10A NCAC 09 .0802(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. It was observed that there was one child present under twelve (12) months, but the facility’s safe sleep policy was not posted or accessible for review. .0606(b) 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. Safe Sleep check documentation was monitored and it was observed that it was not consistently documented that children are placed on their backs as their initial sleep position. .0606(a)(1)(A-B) 1030 Application for employment and date of birth was not on file for all staff. It was observed that two (2) staff members hired in September 2023 did not have completed applications accessible. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. It was observed that a staff member hired in September 2023 did not have a medical statement on file for review. 10A NCAC 09 .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three veteran staff members had not completed annual staff evaluations or annual staff development plans as required. 10A NCAC 09 .0514(f) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Response Plan and Ready to Go File was reviewed and it was observed that the facility’s EPR was not up to date. The EPR listed outdated information and had not been updated to reflect the current administrative staff. .0607(e) Corrective Action: Violations must be corrected immediately. The childcare provider is expected to maintain all applicable childcare requirements at all times. The provider will send me a compliance letter explaining how she corrected today’s violation and the steps she put in place to ensure on going compliance on or before Monday December 11, 2023 to the email listed below. Failure to correct the violation 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. 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