10A NCAC 09 .0701 · Violation

Name of Operation: PINEVILLE NAZARENE CHILD DEVELOPMENT CENTER Facility ID: 6055214 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 64 Completed Date: 10/13/2025 Age: From 0 To 5 Total Minutes: 130 Time In: 11:50 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 visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates a G.S. 110-106 Religious Sponsored Program. The Director, L. Darnell, assisted me with today’s visit. We conducted a walk-through of the facility, children were observed in the indoor learning environment and supervision, and staff/child ratios were found to be in compliance. The children were observed participating in transitions, personal care routines, rest time. The caregivers were interacting and meeting the developmental needs for each of the children. The last fire inspection was conducted on December 8, 2024. The last sanitation inspection was conducted on September 9, 2025, a “Superior” classification. A shelter in place drill was conducted on August 11, 2025, and the last fire drill was conducted on September 12, 2025. Outdoor safety checks were also monitored today and occurring monthly as required. There have been two new staff members hired since the annual compliance visit was conducted on March 24, 2025. Files for the new staff members were monitored today. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training and First Aid and CPR certification. A criminal background check employee roster was reviewed. All staff have been entered and connected to the facility. The following violations were observed today. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #4, one child had diaper cream without the parent's signature on the authorization form. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member was hired prior to receiving a medical report. The staff member's hire date was April 1, 2025 and the medical report was dated April 30, 2025. 10A NCAC 09 .0701(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before October 27, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: A conversation was held with the Administrator regarding Pathway to the Stars/QRIS. The Director stated that the facility would continue to operate under G.S. 110-106. DCDEE has added a new training module about Child Development. The training will provide a basic overview about child development and provide information about resources and professional agencies in North Carolina. DCDEE has also added another new training about Child Care Rule Rollout which includes new rules effective July 1, 2025. Both training modules can be found on the DCDEE Moodle Learning Platform at https://www.dcdee.moodle.nc.gov/. In-service training hours are received upon completion of the training sessions. I encourage you to also utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: PINEVILLE NAZARENE CHILD DEVELOPMENT CENTER Facility ID: 6055214 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 64 Completed Date: 10/13/2025 Age: From 0 To 5 Total Minutes: 130 Time In: 11:50 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 visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates a G.S. 110-106 Religious Sponsored Program. The Director, L. Darnell, assisted me with today’s visit. We conducted a walk-through of the facility, children were observed in the indoor learning environment and supervision, and staff/child ratios were found to be in compliance. The children were observed participating in transitions, personal care routines, rest time. The caregivers were interacting and meeting the developmental needs for each of the children. The last fire inspection was conducted on December 8, 2024. The last sanitation inspection was conducted on September 9, 2025, a “Superior” classification. A shelter in place drill was conducted on August 11, 2025, and the last fire drill was conducted on September 12, 2025. Outdoor safety checks were also monitored today and occurring monthly as required. There have been two new staff members hired since the annual compliance visit was conducted on March 24, 2025. Files for the new staff members were monitored today. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training and First Aid and CPR certification. A criminal background check employee roster was reviewed. All staff have been entered and connected to the facility. The following violations were observed today. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #4, one child had diaper cream without the parent's signature on the authorization form. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member was hired prior to receiving a medical report. The staff member's hire date was April 1, 2025 and the medical report was dated April 30, 2025. 10A NCAC 09 .0701(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before October 27, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: A conversation was held with the Administrator regarding Pathway to the Stars/QRIS. The Director stated that the facility would continue to operate under G.S. 110-106. DCDEE has added a new training module about Child Development. The training will provide a basic overview about child development and provide information about resources and professional agencies in North Carolina. DCDEE has also added another new training about Child Care Rule Rollout which includes new rules effective July 1, 2025. Both training modules can be found on the DCDEE Moodle Learning Platform at https://www.dcdee.moodle.nc.gov/. In-service training hours are received upon completion of the training sessions. I encourage you to also utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: PINEVILLE NAZARENE CHILD DEVELOPMENT CENTER Facility ID: 6055214 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 64 Completed Date: 10/13/2025 Age: From 0 To 5 Total Minutes: 130 Time In: 11:50 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 visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates a G.S. 110-106 Religious Sponsored Program. The Director, L. Darnell, assisted me with today’s visit. We conducted a walk-through of the facility, children were observed in the indoor learning environment and supervision, and staff/child ratios were found to be in compliance. The children were observed participating in transitions, personal care routines, rest time. The caregivers were interacting and meeting the developmental needs for each of the children. The last fire inspection was conducted on December 8, 2024. The last sanitation inspection was conducted on September 9, 2025, a “Superior” classification. A shelter in place drill was conducted on August 11, 2025, and the last fire drill was conducted on September 12, 2025. Outdoor safety checks were also monitored today and occurring monthly as required. There have been two new staff members hired since the annual compliance visit was conducted on March 24, 2025. Files for the new staff members were monitored today. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training and First Aid and CPR certification. A criminal background check employee roster was reviewed. All staff have been entered and connected to the facility. The following violations were observed today. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #4, one child had diaper cream without the parent's signature on the authorization form. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member was hired prior to receiving a medical report. The staff member's hire date was April 1, 2025 and the medical report was dated April 30, 2025. 10A NCAC 09 .0701(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before October 27, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: A conversation was held with the Administrator regarding Pathway to the Stars/QRIS. The Director stated that the facility would continue to operate under G.S. 110-106. DCDEE has added a new training module about Child Development. The training will provide a basic overview about child development and provide information about resources and professional agencies in North Carolina. DCDEE has also added another new training about Child Care Rule Rollout which includes new rules effective July 1, 2025. Both training modules can be found on the DCDEE Moodle Learning Platform at https://www.dcdee.moodle.nc.gov/. In-service training hours are received upon completion of the training sessions. I encourage you to also utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: PINEVILLE NAZARENE CHILD DEVELOPMENT CENTER Facility ID: 6055214 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 64 Completed Date: 10/13/2025 Age: From 0 To 5 Total Minutes: 130 Time In: 11:50 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 visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The facility operates a G.S. 110-106 Religious Sponsored Program. The Director, L. Darnell, assisted me with today’s visit. We conducted a walk-through of the facility, children were observed in the indoor learning environment and supervision, and staff/child ratios were found to be in compliance. The children were observed participating in transitions, personal care routines, rest time. The caregivers were interacting and meeting the developmental needs for each of the children. The last fire inspection was conducted on December 8, 2024. The last sanitation inspection was conducted on September 9, 2025, a “Superior” classification. A shelter in place drill was conducted on August 11, 2025, and the last fire drill was conducted on September 12, 2025. Outdoor safety checks were also monitored today and occurring monthly as required. There have been two new staff members hired since the annual compliance visit was conducted on March 24, 2025. Files for the new staff members were monitored today. The Staff and Training Worksheets were reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training and First Aid and CPR certification. A criminal background check employee roster was reviewed. All staff have been entered and connected to the facility. The following violations were observed today. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #4, one child had diaper cream without the parent's signature on the authorization form. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member was hired prior to receiving a medical report. The staff member's hire date was April 1, 2025 and the medical report was dated April 30, 2025. 10A NCAC 09 .0701(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before October 27, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: A conversation was held with the Administrator regarding Pathway to the Stars/QRIS. The Director stated that the facility would continue to operate under G.S. 110-106. DCDEE has added a new training module about Child Development. The training will provide a basic overview about child development and provide information about resources and professional agencies in North Carolina. DCDEE has also added another new training about Child Care Rule Rollout which includes new rules effective July 1, 2025. Both training modules can be found on the DCDEE Moodle Learning Platform at https://www.dcdee.moodle.nc.gov/. In-service training hours are received upon completion of the training sessions. I encourage you to also utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: PINEVILLE NAZARENE CHILD DEVELOPMENT CENTER Facility ID: 6055214 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 3/24/2025 Number Present: 73 Completed Date: 3/24/2025 Age: From 0 To 5 Total Minutes: 200 Time In: 09:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility currently operates under G.S. 110-106 as a religious sponsored child care center. The facility’s 18-month compliance history score was 95% before today’s visit. Director, L. Darnell assisted me with visit. A walk-through of the facility was conducted with the Director. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, circle time, free play of indoor activity areas, transitions and gross motor play in the gym. The outdoor learning environment was not monitored due to inclement weather. The caregivers were interacting and meeting the developmental needs for each of the children. A fire inspection was completed on December 8, 2024. A sanitation inspection was completed March 6, 2025, with a “Superior” classification. A fire drill and shelter-in-place drill were conducted on February 10, 2025. Outdoor safety inspections were monitored and are occurring monthly as requested. Ten percent of children’s records were monitored. The Staff and Training Worksheets were completed prior to today’s visit. There has been one new employee hired since a routine unannounced visit was conducted on November 19, 2024. File for the new employee and ten percent of existing staff files were monitored. A criminal background check employee roster was reviewed. All staff have been entered and connected to the facility except for staff member. The following violation was documented and corrected during the visit. Violation Number Comment Rule 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 #7, Ziploc bags were stored in a basket on a bottom shelf. .0604(q) The following technical assistance was provided: -Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children three years of age and younger. Ziploc bags were observed in a basket on a bottom shelf. The Ziploc bags were placed in a locked cabinet during the visit. -A conversation was held with the Director regarding the use of sound machines and music in the infant classroom. Noise levels should be kept at a level so that you can hear if an infant is in distress. Based on the American Pediatric Academy sound machines should be used at a low tone and according to manufacturer’s guidelines. Multiply sound machines should not be used at the same time and cords cannot be accessible. I suggest not using the music and sound machines at the same time. -I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: PINEVILLE NAZARENE CHILD DEVELOPMENT CENTER Facility ID: 6055214 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 65 Completed Date: 11/19/2024 Age: From 0 To 5 Total Minutes: 130 Time In: 12:20 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates under G.S. 110-106. The program’s compliance history before today’s visit was ninety-five percent. A walk-through of the program was conducted with the Director, L. Darnell and Assistant Director, K. McCoy. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in transitions, personal care routines, and rest time. The infants were observed participating in floor activities. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were monitored during visit, supervision, staff/child ratio, first aid, CPR, special training, ITS-SIDS training, criminal background checks, emergency medical care plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, and permit restrictions. The files for three new staff were reviewed. The Staff and Training Worksheets were also reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification. The last fire inspection was conducted on December 8, 2023. The sanitation inspection was conducted on July 29, 2024, with sixteen demerits and an “approved” classification. The last fire drill was conducted on October 11, 2024, and a lockdown drill on August 9, 2024. The following violations were cited and corrected. Violation Number Comment Rule 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. A new staff member's hire date was July 9, 2024. The medical report was dated July 26, 2024. Another new staff member's hire date was July 31, 2024. The medical report was dated August 3, 2024. 10A NCAC 09 .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Prior to employment, a new staff member did not complete the criminal background check process. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A new staff member did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) The following technical assistance was provided: Criminal Background Qualification letters: Current qualification letters must be on file prior to a staff member beginning work. A new staff member was hired prior to receiving a criminal background qualification letter. However, the staff member received a qualification letter today during the visit. The letter was printed and placed on file. Sound Machines: A conversation was held with the Director and Assistant Director regarding sound machines in the classrooms during rest time. Noise levels should be kept at a level so that you can hear if children are in distress. Based on the American Pediatric Academy sound machines should be used at a low tone and according to manufacturer’s guidelines. Multiply sound machines should not be used at the same time. Annual Child Care Immunization Report: Reporting for 2024-2025 has been extended due to Hurricane Helene. Reports will be accepted until January 15, 2205. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-106 · Violation

Name of Operation: PINEVILLE NAZARENE CHILD DEVELOPMENT CENTER Facility ID: 6055214 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 65 Completed Date: 11/19/2024 Age: From 0 To 5 Total Minutes: 130 Time In: 12:20 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates under G.S. 110-106. The program’s compliance history before today’s visit was ninety-five percent. A walk-through of the program was conducted with the Director, L. Darnell and Assistant Director, K. McCoy. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in transitions, personal care routines, and rest time. The infants were observed participating in floor activities. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were monitored during visit, supervision, staff/child ratio, first aid, CPR, special training, ITS-SIDS training, criminal background checks, emergency medical care plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, and permit restrictions. The files for three new staff were reviewed. The Staff and Training Worksheets were also reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification. The last fire inspection was conducted on December 8, 2023. The sanitation inspection was conducted on July 29, 2024, with sixteen demerits and an “approved” classification. The last fire drill was conducted on October 11, 2024, and a lockdown drill on August 9, 2024. The following violations were cited and corrected. Violation Number Comment Rule 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. A new staff member's hire date was July 9, 2024. The medical report was dated July 26, 2024. Another new staff member's hire date was July 31, 2024. The medical report was dated August 3, 2024. 10A NCAC 09 .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Prior to employment, a new staff member did not complete the criminal background check process. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A new staff member did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) The following technical assistance was provided: Criminal Background Qualification letters: Current qualification letters must be on file prior to a staff member beginning work. A new staff member was hired prior to receiving a criminal background qualification letter. However, the staff member received a qualification letter today during the visit. The letter was printed and placed on file. Sound Machines: A conversation was held with the Director and Assistant Director regarding sound machines in the classrooms during rest time. Noise levels should be kept at a level so that you can hear if children are in distress. Based on the American Pediatric Academy sound machines should be used at a low tone and according to manufacturer’s guidelines. Multiply sound machines should not be used at the same time. Annual Child Care Immunization Report: Reporting for 2024-2025 has been extended due to Hurricane Helene. Reports will be accepted until January 15, 2205. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: PINEVILLE NAZARENE CHILD DEVELOPMENT CENTER Facility ID: 6055214 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 65 Completed Date: 11/19/2024 Age: From 0 To 5 Total Minutes: 130 Time In: 12:20 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates under G.S. 110-106. The program’s compliance history before today’s visit was ninety-five percent. A walk-through of the program was conducted with the Director, L. Darnell and Assistant Director, K. McCoy. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in transitions, personal care routines, and rest time. The infants were observed participating in floor activities. The caregivers were interacting and meeting the developmental needs for each of the children. The following items were monitored during visit, supervision, staff/child ratio, first aid, CPR, special training, ITS-SIDS training, criminal background checks, emergency medical care plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, and permit restrictions. The files for three new staff were reviewed. The Staff and Training Worksheets were also reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification. The last fire inspection was conducted on December 8, 2023. The sanitation inspection was conducted on July 29, 2024, with sixteen demerits and an “approved” classification. The last fire drill was conducted on October 11, 2024, and a lockdown drill on August 9, 2024. The following violations were cited and corrected. Violation Number Comment Rule 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. A new staff member's hire date was July 9, 2024. The medical report was dated July 26, 2024. Another new staff member's hire date was July 31, 2024. The medical report was dated August 3, 2024. 10A NCAC 09 .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Prior to employment, a new staff member did not complete the criminal background check process. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A new staff member did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) The following technical assistance was provided: Criminal Background Qualification letters: Current qualification letters must be on file prior to a staff member beginning work. A new staff member was hired prior to receiving a criminal background qualification letter. However, the staff member received a qualification letter today during the visit. The letter was printed and placed on file. Sound Machines: A conversation was held with the Director and Assistant Director regarding sound machines in the classrooms during rest time. Noise levels should be kept at a level so that you can hear if children are in distress. Based on the American Pediatric Academy sound machines should be used at a low tone and according to manufacturer’s guidelines. Multiply sound machines should not be used at the same time. Annual Child Care Immunization Report: Reporting for 2024-2025 has been extended due to Hurricane Helene. Reports will be accepted until January 15, 2205. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: PINEVILLE NAZARENE CHILD DEVELOPMENT CENTER Facility ID: 6055214 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 80 Completed Date: 4/9/2024 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: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates a G.S. 110-106 Religious Sponsored Program. The program’s 18-month compliance history before today’s visit was 94%. The last annual compliance visit was conducted on April 17, 2023. A sanitation inspection was completed January 10, 2024 with a “Superior” classification. The last fire inspection was conducted on December 8, 2023. The last fire drill was conducted on March 27, 2024, and a shelter-in-place drill on February 12, 2024. Playground safety checklists were also monitored and are occurring each month as required. L. Darnell, Director assisted me with today’s visit. A walk-through of the center was completed with the Director. We observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed participating in free play in activity areas, teacher directed activities, transitions, and personal care routines. Staff were observed interacting with the children in a nurturing and caring manner. Due to rain, the outdoor area could not be monitored. Ten percent of children’s records were monitored. The Staff and Training Worksheets were reviewed today. There have been no new staff hired since a routine unannounced visit was conducted on November 1, 2023. Ten percent of staff records were monitored today. The following violations were cited. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space #7, the paint was chipping in two places. 15A NCAC 18A .2825(a) 843 A drug or medicine was administered after its expiration date. In space #2, one infant's diaper cream expired in December 2022. 10A NCAC 09 .0803(1)(d) 847 Parent's medication authorization did not include required information. In space #7, parent permission was on file with an antifungal cream for a child one year of age. The instructions on the cream stated "do not use on children under 2 years of age unless directed by a doctor. 10A NCAC 09 .0803(4)(6-9) 9995 A violation was found for which there is no item number. Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. In space #4, there were two purses located in a cabinet that was not locked or five feet from the floor. The is a violation of a requirement in 15A NCAC 18A .2820(g). Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before April 23, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: We discussed medication requirements found in 10A NCAC 09 .0803. Staff must review instructions for medications brought in by parents to ensure it meets requirements. If a medication states that it’s not intended for children under two years of age, it cannot be administered to a child under two years of age unless a doctor’s note with specific instructions is received. Also, medications including over the counter diaper creams that have expired must be sent home and not administered to any child. A reminder was given that purses and other personal effects belonging to staff must be kept in locked storage or at least five feet off the floor. A suggestion was made to review requirements for storage of personal belongings with the staff. During the walk through, it was noticed that in space #7, the paint was peeling/flaking in a couple of places. All walls and ceilings must be in good condition free of peeling and flaking paint. The Director was reminded that the church Pastor’s criminal background qualifying letter expires May 8, 2024. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: PINEVILLE NAZARENE CHILD DEVELOPMENT CENTER Facility ID: 6055214 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 80 Completed Date: 4/9/2024 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: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates a G.S. 110-106 Religious Sponsored Program. The program’s 18-month compliance history before today’s visit was 94%. The last annual compliance visit was conducted on April 17, 2023. A sanitation inspection was completed January 10, 2024 with a “Superior” classification. The last fire inspection was conducted on December 8, 2023. The last fire drill was conducted on March 27, 2024, and a shelter-in-place drill on February 12, 2024. Playground safety checklists were also monitored and are occurring each month as required. L. Darnell, Director assisted me with today’s visit. A walk-through of the center was completed with the Director. We observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed participating in free play in activity areas, teacher directed activities, transitions, and personal care routines. Staff were observed interacting with the children in a nurturing and caring manner. Due to rain, the outdoor area could not be monitored. Ten percent of children’s records were monitored. The Staff and Training Worksheets were reviewed today. There have been no new staff hired since a routine unannounced visit was conducted on November 1, 2023. Ten percent of staff records were monitored today. The following violations were cited. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space #7, the paint was chipping in two places. 15A NCAC 18A .2825(a) 843 A drug or medicine was administered after its expiration date. In space #2, one infant's diaper cream expired in December 2022. 10A NCAC 09 .0803(1)(d) 847 Parent's medication authorization did not include required information. In space #7, parent permission was on file with an antifungal cream for a child one year of age. The instructions on the cream stated "do not use on children under 2 years of age unless directed by a doctor. 10A NCAC 09 .0803(4)(6-9) 9995 A violation was found for which there is no item number. Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. In space #4, there were two purses located in a cabinet that was not locked or five feet from the floor. The is a violation of a requirement in 15A NCAC 18A .2820(g). Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before April 23, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: We discussed medication requirements found in 10A NCAC 09 .0803. Staff must review instructions for medications brought in by parents to ensure it meets requirements. If a medication states that it’s not intended for children under two years of age, it cannot be administered to a child under two years of age unless a doctor’s note with specific instructions is received. Also, medications including over the counter diaper creams that have expired must be sent home and not administered to any child. A reminder was given that purses and other personal effects belonging to staff must be kept in locked storage or at least five feet off the floor. A suggestion was made to review requirements for storage of personal belongings with the staff. During the walk through, it was noticed that in space #7, the paint was peeling/flaking in a couple of places. All walls and ceilings must be in good condition free of peeling and flaking paint. The Director was reminded that the church Pastor’s criminal background qualifying letter expires May 8, 2024. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-106 · Violation

Name of Operation: PINEVILLE NAZARENE CHILD DEVELOPMENT CENTER Facility ID: 6055214 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 80 Completed Date: 4/9/2024 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: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates a G.S. 110-106 Religious Sponsored Program. The program’s 18-month compliance history before today’s visit was 94%. The last annual compliance visit was conducted on April 17, 2023. A sanitation inspection was completed January 10, 2024 with a “Superior” classification. The last fire inspection was conducted on December 8, 2023. The last fire drill was conducted on March 27, 2024, and a shelter-in-place drill on February 12, 2024. Playground safety checklists were also monitored and are occurring each month as required. L. Darnell, Director assisted me with today’s visit. A walk-through of the center was completed with the Director. We observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed participating in free play in activity areas, teacher directed activities, transitions, and personal care routines. Staff were observed interacting with the children in a nurturing and caring manner. Due to rain, the outdoor area could not be monitored. Ten percent of children’s records were monitored. The Staff and Training Worksheets were reviewed today. There have been no new staff hired since a routine unannounced visit was conducted on November 1, 2023. Ten percent of staff records were monitored today. The following violations were cited. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space #7, the paint was chipping in two places. 15A NCAC 18A .2825(a) 843 A drug or medicine was administered after its expiration date. In space #2, one infant's diaper cream expired in December 2022. 10A NCAC 09 .0803(1)(d) 847 Parent's medication authorization did not include required information. In space #7, parent permission was on file with an antifungal cream for a child one year of age. The instructions on the cream stated "do not use on children under 2 years of age unless directed by a doctor. 10A NCAC 09 .0803(4)(6-9) 9995 A violation was found for which there is no item number. Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. In space #4, there were two purses located in a cabinet that was not locked or five feet from the floor. The is a violation of a requirement in 15A NCAC 18A .2820(g). Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before April 23, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: We discussed medication requirements found in 10A NCAC 09 .0803. Staff must review instructions for medications brought in by parents to ensure it meets requirements. If a medication states that it’s not intended for children under two years of age, it cannot be administered to a child under two years of age unless a doctor’s note with specific instructions is received. Also, medications including over the counter diaper creams that have expired must be sent home and not administered to any child. A reminder was given that purses and other personal effects belonging to staff must be kept in locked storage or at least five feet off the floor. A suggestion was made to review requirements for storage of personal belongings with the staff. During the walk through, it was noticed that in space #7, the paint was peeling/flaking in a couple of places. All walls and ceilings must be in good condition free of peeling and flaking paint. The Director was reminded that the church Pastor’s criminal background qualifying letter expires May 8, 2024. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: PINEVILLE NAZARENE CHILD DEVELOPMENT CENTER Facility ID: 6055214 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 80 Completed Date: 4/9/2024 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: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The facility operates a G.S. 110-106 Religious Sponsored Program. The program’s 18-month compliance history before today’s visit was 94%. The last annual compliance visit was conducted on April 17, 2023. A sanitation inspection was completed January 10, 2024 with a “Superior” classification. The last fire inspection was conducted on December 8, 2023. The last fire drill was conducted on March 27, 2024, and a shelter-in-place drill on February 12, 2024. Playground safety checklists were also monitored and are occurring each month as required. L. Darnell, Director assisted me with today’s visit. A walk-through of the center was completed with the Director. We observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed participating in free play in activity areas, teacher directed activities, transitions, and personal care routines. Staff were observed interacting with the children in a nurturing and caring manner. Due to rain, the outdoor area could not be monitored. Ten percent of children’s records were monitored. The Staff and Training Worksheets were reviewed today. There have been no new staff hired since a routine unannounced visit was conducted on November 1, 2023. Ten percent of staff records were monitored today. The following violations were cited. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space #7, the paint was chipping in two places. 15A NCAC 18A .2825(a) 843 A drug or medicine was administered after its expiration date. In space #2, one infant's diaper cream expired in December 2022. 10A NCAC 09 .0803(1)(d) 847 Parent's medication authorization did not include required information. In space #7, parent permission was on file with an antifungal cream for a child one year of age. The instructions on the cream stated "do not use on children under 2 years of age unless directed by a doctor. 10A NCAC 09 .0803(4)(6-9) 9995 A violation was found for which there is no item number. Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. In space #4, there were two purses located in a cabinet that was not locked or five feet from the floor. The is a violation of a requirement in 15A NCAC 18A .2820(g). Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before April 23, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: We discussed medication requirements found in 10A NCAC 09 .0803. Staff must review instructions for medications brought in by parents to ensure it meets requirements. If a medication states that it’s not intended for children under two years of age, it cannot be administered to a child under two years of age unless a doctor’s note with specific instructions is received. Also, medications including over the counter diaper creams that have expired must be sent home and not administered to any child. A reminder was given that purses and other personal effects belonging to staff must be kept in locked storage or at least five feet off the floor. A suggestion was made to review requirements for storage of personal belongings with the staff. During the walk through, it was noticed that in space #7, the paint was peeling/flaking in a couple of places. All walls and ceilings must be in good condition free of peeling and flaking paint. The Director was reminded that the church Pastor’s criminal background qualifying letter expires May 8, 2024. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times