GS 110-106 · Violation

Name of Operation: PRITCHARD MEMORIAL BAPTIST CHURCH CDC Facility ID: 60003624 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/22/2025 Number Present: 78 Completed Date: 7/22/2025 Age: From 0 To 5 Total Minutes: 234 Time In: 09:46 AM Time Out: 01:40 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 the full annual compliance visit. The facility was currently operating with a GS 110-106 Notice of Compliance issued on July 31, 2014. The facility had an eighteen (18) month compliance history score of 94% prior to today’s visit. The April 2025 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. Upon arrival I was greeted by Ms. Kimberly Govan, Director, and I explained the purpose of my visit. Ms. Govan accompanied me on the walkthrough. Spaces 104 and 108 had infants present today. Safe sleep checks were documented and maintained as required. Infants were observed sleeping and playing independently on the floor. I observed bouncy seats stored in the evacuation crib. I reminded staff nothing should be stored in cribs. Diaper creams were monitored and met compliance. Each child under 15 months had a signed and posted feeding schedule. Materials were observed plentiful and in good repair. Bottles were dated and labeled as required. Toddlers were observed on the playground. Teachers were observed engaged with children and proved adequate supervision. Materials were observed in good repair. Preschool children were observed on the playground and participating in a large group art activity in Space 118 and free choice play in Space 117. Classrooms were organized and materials were plentiful and in good repair. All playgrounds were monitored. I observed age-appropriate gross motor materials available for children. The infant/toddler playground had new poured in place installed as well as artificial turf. Ms. Govan stated the preschool playground surface would be replaced next year. I observed a rusted screw loose and exposed on the wooden boarder surrounding the white board on the preschool playground. The kitchen was monitored and met requirements. The posted menu reflected what was served today. Lunch met nutrition guidelines. Medications were monitored. A child’s emergency medication was observed stored in the child’s diaper bag. The diaper bag was observed sitting on the handle of the bye bye buggy while children were sitting in the buggy. The child’s Zyrtec was also stored in the diaper bag. The permission form for the Zyrtec was not completed. The emergency medication did not have the prescription attached. Arrival and departure times were adequately documented. A sampling of children’s files were monitored. New staff records were monitored and all staff CPR/First Aid, SIDS training and CBC qualifications were verified on the staff and training worksheet completed by Ms. Govan. The last sanitation inspection was completed 5/27/25 and received a superior rating. The last fire inspection was completed 9/11/24. The EPR plan was updated on 4/8/25. The ABCMS roster was current. The facility was a non-profit corporation operated by the Pritchard Memorial Baptist Church and was listed current-active with the Secretary of State. Fire and emergency drills were observed completed as required. The incident log was completed and maintained as required. The following violation(s) were documented. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. A rusted screw was loose and exposed on the wooden boarder surrounding the white board on the preschool playground. .0601(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A child's Zyrtec was stored in the child's diaper bag and observed stored on the handle of the Bye Bye Buggy. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's Auvi-Q was not stored in the original container with the prescription attached. .0803(2)(a) 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. One (1) child did not update emergency medical care information annually. .0802(c) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. One (1) new employee hired 2/17/25 did not have a signed policy on file. .0608(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child's authorization for Zyrtec was not completed. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 5, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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 will be conducted. Email the information to jennifer.stansfield@dhhs.nc.gov The email must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: - Please email a copy of the new fire inspection within 7 days of the inspection. - Emergency medications should be stored above 5 feet and not behind lock and key. Emergency medication examples are epi pens, albuterol, and seizure medications. Nonprescription medications that are listed on the medical action plan are not considered emergency medications and should be stored behind lock and key. Examples would be antihistamines, acetaminophen, and ibuprofen. - Staff should replace outlet covers after unplugging bottle warmers. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan.dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: PRITCHARD MEMORIAL BAPTIST CHURCH CDC Facility ID: 60003624 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 7/22/2025 Number Present: 78 Completed Date: 7/22/2025 Age: From 0 To 5 Total Minutes: 234 Time In: 09:46 AM Time Out: 01:40 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 the full annual compliance visit. The facility was currently operating with a GS 110-106 Notice of Compliance issued on July 31, 2014. The facility had an eighteen (18) month compliance history score of 94% prior to today’s visit. The April 2025 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. Upon arrival I was greeted by Ms. Kimberly Govan, Director, and I explained the purpose of my visit. Ms. Govan accompanied me on the walkthrough. Spaces 104 and 108 had infants present today. Safe sleep checks were documented and maintained as required. Infants were observed sleeping and playing independently on the floor. I observed bouncy seats stored in the evacuation crib. I reminded staff nothing should be stored in cribs. Diaper creams were monitored and met compliance. Each child under 15 months had a signed and posted feeding schedule. Materials were observed plentiful and in good repair. Bottles were dated and labeled as required. Toddlers were observed on the playground. Teachers were observed engaged with children and proved adequate supervision. Materials were observed in good repair. Preschool children were observed on the playground and participating in a large group art activity in Space 118 and free choice play in Space 117. Classrooms were organized and materials were plentiful and in good repair. All playgrounds were monitored. I observed age-appropriate gross motor materials available for children. The infant/toddler playground had new poured in place installed as well as artificial turf. Ms. Govan stated the preschool playground surface would be replaced next year. I observed a rusted screw loose and exposed on the wooden boarder surrounding the white board on the preschool playground. The kitchen was monitored and met requirements. The posted menu reflected what was served today. Lunch met nutrition guidelines. Medications were monitored. A child’s emergency medication was observed stored in the child’s diaper bag. The diaper bag was observed sitting on the handle of the bye bye buggy while children were sitting in the buggy. The child’s Zyrtec was also stored in the diaper bag. The permission form for the Zyrtec was not completed. The emergency medication did not have the prescription attached. Arrival and departure times were adequately documented. A sampling of children’s files were monitored. New staff records were monitored and all staff CPR/First Aid, SIDS training and CBC qualifications were verified on the staff and training worksheet completed by Ms. Govan. The last sanitation inspection was completed 5/27/25 and received a superior rating. The last fire inspection was completed 9/11/24. The EPR plan was updated on 4/8/25. The ABCMS roster was current. The facility was a non-profit corporation operated by the Pritchard Memorial Baptist Church and was listed current-active with the Secretary of State. Fire and emergency drills were observed completed as required. The incident log was completed and maintained as required. The following violation(s) were documented. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. A rusted screw was loose and exposed on the wooden boarder surrounding the white board on the preschool playground. .0601(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A child's Zyrtec was stored in the child's diaper bag and observed stored on the handle of the Bye Bye Buggy. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's Auvi-Q was not stored in the original container with the prescription attached. .0803(2)(a) 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. One (1) child did not update emergency medical care information annually. .0802(c) 1871 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. One (1) new employee hired 2/17/25 did not have a signed policy on file. .0608(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child's authorization for Zyrtec was not completed. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 5, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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 will be conducted. Email the information to jennifer.stansfield@dhhs.nc.gov The email must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: - Please email a copy of the new fire inspection within 7 days of the inspection. - Emergency medications should be stored above 5 feet and not behind lock and key. Emergency medication examples are epi pens, albuterol, and seizure medications. Nonprescription medications that are listed on the medical action plan are not considered emergency medications and should be stored behind lock and key. Examples would be antihistamines, acetaminophen, and ibuprofen. - Staff should replace outlet covers after unplugging bottle warmers. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan.dhhs.nc.gov or 704-594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: PRITCHARD MEMORIAL BAPTIST CHURCH CDC Facility ID: 60003624 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 80 Completed Date: 5/8/2025 Age: From 0 To 5 Total Minutes: 105 Time In: 11:00 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during a Administrative Action Follow-Up Visit. The last annual compliance visit was conducted on August 23, 2022. The center had a compliance history of 91% prior to today’s visit. The following was monitored using the April 2025 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). The Written Warning administrative action was observed posted by the front door. Upon arrival I was greeted by Ms. Kim Govan, Director, and I explained the purpose of the visit. Ms. Govan accompanied me on the walkthrough. The facility transitioned to using the ProCare App to document daily arrival/departure times, daily sheets, and safe sleep checks. In Space 104 for infant care I observed one (1) infant sleeping. ProCare showed the child laid down at 10:07 and the position of the child was not indicated. A safe sleep check was not documented every fifteen (15) minutes per the safe sleep policy. The teacher stated she had connectivity issues with the iPad. I recommended using the paper safe sleep documentation to avoid connectivity issues. I also explained that the requirement was for staff to initial safe sleep checks. The ProCare app did not have a field to indicate who completed the safe sleep check. I reviewed previous safe sleep checks and observed “tummy” marked for all checks. The teacher stated all children could roll over. I explained that even if the child immediately rolled to their stomach or side staff should document “back” to show they were laid down on their back and at the first check they would circle “tummy” or “side” depending on what they observed. Children were observed eating lunch, cleaning up from lunch, and participating in free choice play. Staff/child ratio was maintained and adequate supervision was observed. Staff were engaged with children. Lunch met nutrition requirements. One (1) new staff file was monitored and met requirements. Per the corrective action plan, quarterly observations were approved. Observations had not been completed yet. Ms. Govan stated she would conduct observations next week and send me completed forms to verify compliance with approved policies and procedures. The program was observed meeting the requirements per the approved staff/child ratio policy and procedures. Once I receive documentation of observations and violations cited during today’s visit are corrected, I will recommend to close the action. The program should keep the written warning posted until the closure letter is received. One (1) violation was cited today. Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. Safe sleep documentation showed a child laid down at 10:07 am. The infant was observed still sleeping at 11:10 am. A safe sleep check was not documented every fifteen (15) minutes per the safe sleep policy. 10A NCAC 09 .0606(a) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Thursday, May 22, 2025 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance: The following was discussed during the visit: - Cribs should not be used as storage. Items should be removed from the classroom if children are not using them or kept on the floor. - Monthly attendance should still be maintained in addition to arrival and departure times. - I recommended lower tables in the toddler classrooms for eating and activities. - Ms. Govan stated new poured in place surfacing was being installed on the toddler/infant playgrounds. She stated she did not have a date scheduled yet but the work should take a week to complete. The climbing equipment on the preschool playground was not age appropriate so Ms. Govan stated she would block off half of the preschool playground for toddlers to use while work was completed. Thank you for your time today. Please contact me with any questions at Jennifer.stansfield@dhhs.nc.gov or 704-956-1648. 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. 110-90 · Violation

Name of Operation: PRITCHARD MEMORIAL BAPTIST CHURCH CDC Facility ID: 60003624 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 80 Completed Date: 5/8/2025 Age: From 0 To 5 Total Minutes: 105 Time In: 11:00 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during a Administrative Action Follow-Up Visit. The last annual compliance visit was conducted on August 23, 2022. The center had a compliance history of 91% prior to today’s visit. The following was monitored using the April 2025 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). The Written Warning administrative action was observed posted by the front door. Upon arrival I was greeted by Ms. Kim Govan, Director, and I explained the purpose of the visit. Ms. Govan accompanied me on the walkthrough. The facility transitioned to using the ProCare App to document daily arrival/departure times, daily sheets, and safe sleep checks. In Space 104 for infant care I observed one (1) infant sleeping. ProCare showed the child laid down at 10:07 and the position of the child was not indicated. A safe sleep check was not documented every fifteen (15) minutes per the safe sleep policy. The teacher stated she had connectivity issues with the iPad. I recommended using the paper safe sleep documentation to avoid connectivity issues. I also explained that the requirement was for staff to initial safe sleep checks. The ProCare app did not have a field to indicate who completed the safe sleep check. I reviewed previous safe sleep checks and observed “tummy” marked for all checks. The teacher stated all children could roll over. I explained that even if the child immediately rolled to their stomach or side staff should document “back” to show they were laid down on their back and at the first check they would circle “tummy” or “side” depending on what they observed. Children were observed eating lunch, cleaning up from lunch, and participating in free choice play. Staff/child ratio was maintained and adequate supervision was observed. Staff were engaged with children. Lunch met nutrition requirements. One (1) new staff file was monitored and met requirements. Per the corrective action plan, quarterly observations were approved. Observations had not been completed yet. Ms. Govan stated she would conduct observations next week and send me completed forms to verify compliance with approved policies and procedures. The program was observed meeting the requirements per the approved staff/child ratio policy and procedures. Once I receive documentation of observations and violations cited during today’s visit are corrected, I will recommend to close the action. The program should keep the written warning posted until the closure letter is received. One (1) violation was cited today. Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. Safe sleep documentation showed a child laid down at 10:07 am. The infant was observed still sleeping at 11:10 am. A safe sleep check was not documented every fifteen (15) minutes per the safe sleep policy. 10A NCAC 09 .0606(a) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Thursday, May 22, 2025 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance: The following was discussed during the visit: - Cribs should not be used as storage. Items should be removed from the classroom if children are not using them or kept on the floor. - Monthly attendance should still be maintained in addition to arrival and departure times. - I recommended lower tables in the toddler classrooms for eating and activities. - Ms. Govan stated new poured in place surfacing was being installed on the toddler/infant playgrounds. She stated she did not have a date scheduled yet but the work should take a week to complete. The climbing equipment on the preschool playground was not age appropriate so Ms. Govan stated she would block off half of the preschool playground for toddlers to use while work was completed. Thank you for your time today. Please contact me with any questions at Jennifer.stansfield@dhhs.nc.gov or 704-956-1648. 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: PRITCHARD MEMORIAL BAPTIST CHURCH CDC Facility ID: 60003624 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 76 Completed Date: 3/18/2025 Age: From 0 To 5 Total Minutes: 220 Time In: 10:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the Administrative Action Follow-up Visit. The last annual compliance visit was conducted on August 9, 2024. The center had a compliance history of 89% prior to today’s visit. The following was monitored using the November 2024 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). Upon my arrival I met Ms. Kim Govan, Director, and explained the purpose of the visit. The Administrative Action dated 3/4/25 was addressed to the former director of the program. The current assistant director did not sign for the certified mail. I provided copy and reviewed the action with Ms. Govan today. We discussed stipulations, time frames for completion and the appeal process. Ms. Govan stated she did not plan to appeal the action. During the visit I provided Ms. Govan with a new facility application and appendix F. The individual named as the contact/responsible party of the child care center was no longer employed by the church. Ms. Govan stated she would email me the completed copies for review. Ms. Govan accompanied me on the walkthrough. All classrooms were observed meeting staff/child ratio and adequate supervision was observed. Children were observed eating lunch, playing outdoors and preparing for rest time. Arrival times were documented as required. Emergency medications were monitored. Violations are listed below. One (1) new staff file was monitored. No violations were observed. I reviewed SIDS training for individuals observed caring for infants today. The teacher in Space 104 had expired SIDS training. The training expired 3/11/25. She was observed caring for five (5) infants today. A 12 month old was moved to Space 106 this morning due to a staff absence. The child remained in Space 106 for naptime. The two (2) teachers present during naptime did not have SIDS training. The child was moved to Space 108 and a teacher with current SIDS training was moved to Space 104. All remaining children in Space 106 were over 12 months of age. Ms. Govan requested I measure Space 114 again as permanent furniture had been removed. The facility followed minimum requirements and the capacity for Space 114 changed to a maximum group size of 23 children. The space calculations were left with Ms. Govan today. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The medical action plan completed by a physician assistant for a child in Space 114 indicated 7 ml of Benadryl. The permission form completed by the parent indicated 6 ml of Benadryl. The permission to administer the Benadryl was inconsistent. 10A NCAC 09 .0803(4)(6-9) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The teacher in Space 104 had expired SIDS training. The training expired 3/11/25. She was observed caring for five (5) infants today. A 12 month old was moved to Space 106 this morning due to a staff absence. The child remained in Space 106 for naptime. The two (2) teachers present during naptime did not have SIDS training. .1102(f) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A child's medical action plan (MAP) indicated Zyrtec was required for the allergy. The Zyrtec was not onsite. .0802(c)(3) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication permission was not completed for an emergency medication in Space 106. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Tuesday, April 1, 2025 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance/General Comments: - I recommend posting feeding schedules for children under 15 months of age in all infant/toddler classrooms to ensure schedules are posted when children are moved. - Specialty milk brought from the kitchen in individual sippy cups should be labeled and dated. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. 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. 110-90 · Violation

Name of Operation: PRITCHARD MEMORIAL BAPTIST CHURCH CDC Facility ID: 60003624 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 76 Completed Date: 3/18/2025 Age: From 0 To 5 Total Minutes: 220 Time In: 10:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the Administrative Action Follow-up Visit. The last annual compliance visit was conducted on August 9, 2024. The center had a compliance history of 89% prior to today’s visit. The following was monitored using the November 2024 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, ITS-SIDS training, and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). Upon my arrival I met Ms. Kim Govan, Director, and explained the purpose of the visit. The Administrative Action dated 3/4/25 was addressed to the former director of the program. The current assistant director did not sign for the certified mail. I provided copy and reviewed the action with Ms. Govan today. We discussed stipulations, time frames for completion and the appeal process. Ms. Govan stated she did not plan to appeal the action. During the visit I provided Ms. Govan with a new facility application and appendix F. The individual named as the contact/responsible party of the child care center was no longer employed by the church. Ms. Govan stated she would email me the completed copies for review. Ms. Govan accompanied me on the walkthrough. All classrooms were observed meeting staff/child ratio and adequate supervision was observed. Children were observed eating lunch, playing outdoors and preparing for rest time. Arrival times were documented as required. Emergency medications were monitored. Violations are listed below. One (1) new staff file was monitored. No violations were observed. I reviewed SIDS training for individuals observed caring for infants today. The teacher in Space 104 had expired SIDS training. The training expired 3/11/25. She was observed caring for five (5) infants today. A 12 month old was moved to Space 106 this morning due to a staff absence. The child remained in Space 106 for naptime. The two (2) teachers present during naptime did not have SIDS training. The child was moved to Space 108 and a teacher with current SIDS training was moved to Space 104. All remaining children in Space 106 were over 12 months of age. Ms. Govan requested I measure Space 114 again as permanent furniture had been removed. The facility followed minimum requirements and the capacity for Space 114 changed to a maximum group size of 23 children. The space calculations were left with Ms. Govan today. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The medical action plan completed by a physician assistant for a child in Space 114 indicated 7 ml of Benadryl. The permission form completed by the parent indicated 6 ml of Benadryl. The permission to administer the Benadryl was inconsistent. 10A NCAC 09 .0803(4)(6-9) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The teacher in Space 104 had expired SIDS training. The training expired 3/11/25. She was observed caring for five (5) infants today. A 12 month old was moved to Space 106 this morning due to a staff absence. The child remained in Space 106 for naptime. The two (2) teachers present during naptime did not have SIDS training. .1102(f) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A child's medical action plan (MAP) indicated Zyrtec was required for the allergy. The Zyrtec was not onsite. .0802(c)(3) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication permission was not completed for an emergency medication in Space 106. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Tuesday, April 1, 2025 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance/General Comments: - I recommend posting feeding schedules for children under 15 months of age in all infant/toddler classrooms to ensure schedules are posted when children are moved. - Specialty milk brought from the kitchen in individual sippy cups should be labeled and dated. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. 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: PRITCHARD MEMORIAL BAPTIST CHURCH CDC Facility ID: 60003624 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 1224-096L Visit Date: 12/20/2024 Number Present: 73 Completed Date: 12/20/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 10:30 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced On December 5, 2024 the Division of Child Development and Early Education (DCDEE) received a complaint allegation regarding the following: There are concerns that: 1. A staff person smokes cigarettes outside the building on the premises. 2. The facility is not adequately staffed around the end of the operating day. 3. Children in Space 106 are sharing cubbies and personal belongings are not kept separate. 4. There are concerns of alcohol consumption by a staff person during work hours. The purpose of today’s visit was to discuss the allegation with administration and staff. The 18-month compliance history was 92% prior to today’s visit. Upon arrival I was greeted by Ms. Kimberly Govan, Director, and I explained the purpose of the visit. I discussed the allegations in the office with Ms. Govan and Ms. Shannon Leary, Assistant Director. Ms. Govan accompanied me on the walkthrough. Each classroom was visited and all spaces were observed meeting staff/child ratio and adequate supervision was provided. In Space 106 I observed each child with their own cubby space and no personal belongings were combined. Ms. Govan stated shelves were added to accommodate the nine (9) children enrolled. I interviewed a sampling of staff to include floaters who spend time in all classrooms providing restroom and lunch breaks as well as closing classrooms each day. I reviewed sign in and out sheets for the month of December for classrooms that combine in the afternoon. I reviewed the tobacco policy included in the staff handbook. The statement in the handbook was specific to cigarette smoking and smelling of cigarette smoke. It did not address smokeless tobacco to include vapes. All staff sign off on receiving the employee handbook. I observed the sample DCDEE tobacco statement in staff files and a sign off sheet regarding receipt of the policy. The sample DCDEE tobacco policy includes all types of tobacco usage including vapes. Based on interviews and observations the following was determined for each allegation: 1. A staff person smokes cigarettes outside the building on the premises. I did not observed anyone smoking or smelling of cigarette smoke during the visit. I observed no smoking signage posted. It was reported that a staff member was observed using a vape next to the infant/toddler playgrounds. This allegation was substantiated. 2. The facility is not adequately staffed around the end of the operating day. I observed Space 113 was out of ratio according to the sign in and out sheets on 12/5/24 and 12/19/24. On 12/5/24 the sign in/out sheet indicated nineteen (19) children ages 3 – 5 years old were present with one (1) teacher between 3:30 -4:00 pm. On 12/19/24 the sign in/out sheet indicated seventeen (17) children ages 3 -5 years old were present with one (1) teacher between 3:30 pm – 4:30 pm. Ms. Govan stated the class went outside and there was an additional teacher with the class, however the sign-in/out sheet only indicated the lead teacher signing out at 3:30 pm and the closer signing in at 3:30 pm. Completing the daily student sign in/out sheet was a part of the ongoing policies and procedures approved during the administrative action in 2023. The approved forms were not being implemented. Ms. Govan should retrain staff on how to complete the forms accurately to ensure ratio was maintained and documented. This allegation was substantiated. 3. Children in Space 106 are sharing cubbies and personal belongings are not kept separate. I observed each child with their own cubby space and no personal belongings were combined. Ms. Govan stated shelves were added to accommodate the nine (9) children enrolled. This allegation was unsubstantiated. 4. There are concerns of alcohol consumption by a staff person during work hours. Staff stated they had never observed any staff drinking alcohol during work hours or appearing intoxicated. I did not observe any staff smelling of alcohol or appearing intoxicated. This allegation was unsubstantiated. Three (3) new staff files were reviewed. Due to Regulatory issues and not being able to print a visit summary a handwritten visit summary was left with the provider today. All violations were reviewed with Ms. Govan. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. On 12/5/24 the sign in/out sheet indicated nineteen (19) children ages 3 – 5 years old were present with one (1) teacher between 3:30 -4:00 pm in Space 113. On 12/19/24 the sign in/out sheet indicated seventeen (17) children ages 3 -5 years old were present with one (1) teacher between 3:30 pm – 4:30 pm in Space 113. GS 110-91(7);.0713(a-d) 820 A person(s) was smoking in a vehicle used to transport children or on the premises of the child care center. It was reported that a staff member was observed smoking a vape outside the infant/toddler playground. .0604(h) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) new employees did not have a negative TB test on file for review. .0701(a) 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. One (1) new employee hired 10/7/24 did not have a signed copy of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Friday, January 3, 2025 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Another unannounced visit will be made in the near future to verify compliance with staff/child ratio. Technical Assistance/General Comments: 10A NCAC 09 .0604(h) (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. - I recommend retraining staff on how to complete head count sheets and administration checking sheets daily especially during shift change to ensure accurate documentation. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 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.

GS 110-91 · Violation

Name of Operation: PRITCHARD MEMORIAL BAPTIST CHURCH CDC Facility ID: 60003624 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 1224-096L Visit Date: 12/20/2024 Number Present: 73 Completed Date: 12/20/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 10:30 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced On December 5, 2024 the Division of Child Development and Early Education (DCDEE) received a complaint allegation regarding the following: There are concerns that: 1. A staff person smokes cigarettes outside the building on the premises. 2. The facility is not adequately staffed around the end of the operating day. 3. Children in Space 106 are sharing cubbies and personal belongings are not kept separate. 4. There are concerns of alcohol consumption by a staff person during work hours. The purpose of today’s visit was to discuss the allegation with administration and staff. The 18-month compliance history was 92% prior to today’s visit. Upon arrival I was greeted by Ms. Kimberly Govan, Director, and I explained the purpose of the visit. I discussed the allegations in the office with Ms. Govan and Ms. Shannon Leary, Assistant Director. Ms. Govan accompanied me on the walkthrough. Each classroom was visited and all spaces were observed meeting staff/child ratio and adequate supervision was provided. In Space 106 I observed each child with their own cubby space and no personal belongings were combined. Ms. Govan stated shelves were added to accommodate the nine (9) children enrolled. I interviewed a sampling of staff to include floaters who spend time in all classrooms providing restroom and lunch breaks as well as closing classrooms each day. I reviewed sign in and out sheets for the month of December for classrooms that combine in the afternoon. I reviewed the tobacco policy included in the staff handbook. The statement in the handbook was specific to cigarette smoking and smelling of cigarette smoke. It did not address smokeless tobacco to include vapes. All staff sign off on receiving the employee handbook. I observed the sample DCDEE tobacco statement in staff files and a sign off sheet regarding receipt of the policy. The sample DCDEE tobacco policy includes all types of tobacco usage including vapes. Based on interviews and observations the following was determined for each allegation: 1. A staff person smokes cigarettes outside the building on the premises. I did not observed anyone smoking or smelling of cigarette smoke during the visit. I observed no smoking signage posted. It was reported that a staff member was observed using a vape next to the infant/toddler playgrounds. This allegation was substantiated. 2. The facility is not adequately staffed around the end of the operating day. I observed Space 113 was out of ratio according to the sign in and out sheets on 12/5/24 and 12/19/24. On 12/5/24 the sign in/out sheet indicated nineteen (19) children ages 3 – 5 years old were present with one (1) teacher between 3:30 -4:00 pm. On 12/19/24 the sign in/out sheet indicated seventeen (17) children ages 3 -5 years old were present with one (1) teacher between 3:30 pm – 4:30 pm. Ms. Govan stated the class went outside and there was an additional teacher with the class, however the sign-in/out sheet only indicated the lead teacher signing out at 3:30 pm and the closer signing in at 3:30 pm. Completing the daily student sign in/out sheet was a part of the ongoing policies and procedures approved during the administrative action in 2023. The approved forms were not being implemented. Ms. Govan should retrain staff on how to complete the forms accurately to ensure ratio was maintained and documented. This allegation was substantiated. 3. Children in Space 106 are sharing cubbies and personal belongings are not kept separate. I observed each child with their own cubby space and no personal belongings were combined. Ms. Govan stated shelves were added to accommodate the nine (9) children enrolled. This allegation was unsubstantiated. 4. There are concerns of alcohol consumption by a staff person during work hours. Staff stated they had never observed any staff drinking alcohol during work hours or appearing intoxicated. I did not observe any staff smelling of alcohol or appearing intoxicated. This allegation was unsubstantiated. Three (3) new staff files were reviewed. Due to Regulatory issues and not being able to print a visit summary a handwritten visit summary was left with the provider today. All violations were reviewed with Ms. Govan. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. On 12/5/24 the sign in/out sheet indicated nineteen (19) children ages 3 – 5 years old were present with one (1) teacher between 3:30 -4:00 pm in Space 113. On 12/19/24 the sign in/out sheet indicated seventeen (17) children ages 3 -5 years old were present with one (1) teacher between 3:30 pm – 4:30 pm in Space 113. GS 110-91(7);.0713(a-d) 820 A person(s) was smoking in a vehicle used to transport children or on the premises of the child care center. It was reported that a staff member was observed smoking a vape outside the infant/toddler playground. .0604(h) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) new employees did not have a negative TB test on file for review. .0701(a) 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. One (1) new employee hired 10/7/24 did not have a signed copy of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Friday, January 3, 2025 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Another unannounced visit will be made in the near future to verify compliance with staff/child ratio. Technical Assistance/General Comments: 10A NCAC 09 .0604(h) (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. - I recommend retraining staff on how to complete head count sheets and administration checking sheets daily especially during shift change to ensure accurate documentation. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-106 · Violation

Name of Operation: PRITCHARD MEMORIAL BAPTIST CHURCH CDC Facility ID: 60003624 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 8/9/2024 Number Present: 69 Completed Date: 8/9/2024 Age: From 0 To 6 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 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 the full annual compliance visit. The facility was currently operating with a GS 110-106 Notice of Compliance issued on July 31, 2014. The facility had an eighteen (18) month compliance history score of 94% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. Upon arrival I was greeted by Ms. Kimberly Govan, Director, and I explained the purpose of my visit. Ms. Vanover-Govan accompanied me on the walkthrough. Spaces 1 and 3 had infants present today. Children in Space 1 were observed participating in water play on the playground. Teachers provided adequate supervision and maintained a safe environment. Cribs were labeled and each infant had an assigned crib. Safe sleep checks were completed as required. Bottles were dated and labeled. Diaper creams had current permissions and were stored properly. I observed infants in Space 3 riding in the Bye-Bye Buggy, being fed, and participating in supervised tummy time. Safe sleep checks were documented as required. Three (3) feeding plans in Space 1 and one (1) feeding plan in Space 3 did not have parent signatures. Toddlers and preschool aged children were observed participating in free choice activities and preparing for lunch. Lunch met nutrition requirements and reflected what was listed on the menu. Classrooms were observed organized and materials were observed in good repair. New materials, rugs, and shelving units were observed in classrooms throughout the facility. Walls and ceilings were observed in good repair. I monitored all playgrounds. I observed age appropriate gross motor materials available for children. Ms. Govan stated the facility was planning to replace the poured in place on both playgrounds and was currently getting estimates on new surfacing. Equipment was placed over areas that were torn. The kitchen was monitored and met requirements. Medications were monitored. Each had current permissions and medical action plans if needed. Medications were properly stored. Arrival and departure times were adequately documented. A sampling of children’s files were monitored. New staff records were monitored and all staff CPR/First Aid, SIDS training and CBC qualifications were verified on the staff and training worksheet completed by Ms. Govan. The last sanitation inspection was completed 5/15/24 and received a superior rating. The last fire inspection was completed 9/11/24. The facility was a non-profit corporation operated by the Pritchard Memorial Baptist Church and was listed current-active with the Secretary of State. Fire and emergency drills were observed completed as required. The incident log was completed and maintained as required. The following violation(s) were documented. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Four (4) infant feeding plans did not have parent signatures. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An aerosol can and first aid cold packs were stored in an unlocked closet in the hallway. Sunscreen was stored in an unlocked cabinet below the changing table in Space 4. .2820(b) 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. Five (5) children did not have an updated EMC on file for review. .0802(c) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Five (5) children had expired off-premise permissions on file for review. .1005(b)(4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) employee hired 4/8/24 did not have documentation of completing the training on file for review. .1102(g) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 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 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 will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant P.O. box 1967 Huntersville, NC 28078 jennifer.stansfieldl@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: - Staff and staff child food should be stored in the staff kitchen or labeled if stored in the classroom refrigerators. - If using the tablet to document safe sleep checks make sure the program meets all the requirements in rule to include staff signature. - Please email a copy of the new fire inspection within 7 days of the inspection. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan.dhhs.nc.gov or or 704594-0147 if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: PRITCHARD MEMORIAL BAPTIST CHURCH CDC Facility ID: 60003624 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 8/9/2024 Number Present: 69 Completed Date: 8/9/2024 Age: From 0 To 6 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 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 the full annual compliance visit. The facility was currently operating with a GS 110-106 Notice of Compliance issued on July 31, 2014. The facility had an eighteen (18) month compliance history score of 94% prior to today’s visit. The March 2024 Center Item Number Listing and the May 2023 Annual Compliance Checklist were used to monitor today. Upon arrival I was greeted by Ms. Kimberly Govan, Director, and I explained the purpose of my visit. Ms. Vanover-Govan accompanied me on the walkthrough. Spaces 1 and 3 had infants present today. Children in Space 1 were observed participating in water play on the playground. Teachers provided adequate supervision and maintained a safe environment. Cribs were labeled and each infant had an assigned crib. Safe sleep checks were completed as required. Bottles were dated and labeled. Diaper creams had current permissions and were stored properly. I observed infants in Space 3 riding in the Bye-Bye Buggy, being fed, and participating in supervised tummy time. Safe sleep checks were documented as required. Three (3) feeding plans in Space 1 and one (1) feeding plan in Space 3 did not have parent signatures. Toddlers and preschool aged children were observed participating in free choice activities and preparing for lunch. Lunch met nutrition requirements and reflected what was listed on the menu. Classrooms were observed organized and materials were observed in good repair. New materials, rugs, and shelving units were observed in classrooms throughout the facility. Walls and ceilings were observed in good repair. I monitored all playgrounds. I observed age appropriate gross motor materials available for children. Ms. Govan stated the facility was planning to replace the poured in place on both playgrounds and was currently getting estimates on new surfacing. Equipment was placed over areas that were torn. The kitchen was monitored and met requirements. Medications were monitored. Each had current permissions and medical action plans if needed. Medications were properly stored. Arrival and departure times were adequately documented. A sampling of children’s files were monitored. New staff records were monitored and all staff CPR/First Aid, SIDS training and CBC qualifications were verified on the staff and training worksheet completed by Ms. Govan. The last sanitation inspection was completed 5/15/24 and received a superior rating. The last fire inspection was completed 9/11/24. The facility was a non-profit corporation operated by the Pritchard Memorial Baptist Church and was listed current-active with the Secretary of State. Fire and emergency drills were observed completed as required. The incident log was completed and maintained as required. The following violation(s) were documented. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Four (4) infant feeding plans did not have parent signatures. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An aerosol can and first aid cold packs were stored in an unlocked closet in the hallway. Sunscreen was stored in an unlocked cabinet below the changing table in Space 4. .2820(b) 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. Five (5) children did not have an updated EMC on file for review. .0802(c) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Five (5) children had expired off-premise permissions on file for review. .1005(b)(4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) employee hired 4/8/24 did not have documentation of completing the training on file for review. .1102(g) Corrective Action: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 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 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 will be conducted. Mail or email the information to: Jennifer Stansfield, Child Care Consultant P.O. box 1967 Huntersville, NC 28078 jennifer.stansfieldl@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: - Staff and staff child food should be stored in the staff kitchen or labeled if stored in the classroom refrigerators. - If using the tablet to document safe sleep checks make sure the program meets all the requirements in rule to include staff signature. - Please email a copy of the new fire inspection within 7 days of the inspection. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 or Michele Sullivan, Licensing Supervisor, michele.sullivan.dhhs.nc.gov or or 704594-0147 if you have questions. 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: PRITCHARD MEMORIAL BAPTIST CHURCH CDC Facility ID: 60003624 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 1/12/2024 Number Present: 63 Completed Date: 1/12/2024 Age: From 0 To 5 Total Minutes: 90 Time In: 11:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during a Administrative Action Follow-Up Visit. The last annual compliance visit was conducted on August 16, 2023. The center had a compliance history of 88% prior to today’s visit. The following was monitored using the August 2023 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). The administrative action was observed posted in the hallway. Upon arrival I was greeted by Ms. Kim Govan, Director, and I explained the purpose of my visit. I monitored for implementation of approved policies and procedures of the corrective action plan for the administrative action issued August 28, 2023. Prior to conducting the walkthrough Ms. Govan and I discussed the complaint visit conducted 11/8/23 and follow-up conducted 11/29/23. In response to the self-report, Ms. Govan conducted individual meetings with all staff to review adequate supervision and name to face requirements when transitioning from one space to another. Ms. Govan stated she followed employee policies regarding written reprimands with employees involved in the incident. Ms. Govan accompanied me on the walkthrough. Infants were observed eating and participating in floor play activities. Safe sleep checks were reviewed and met requirements. Lunch was observed and met nutrition requirements. Children were observed finishing lunch and preparing for rest time. Teachers were engaged with children and assisting with personal care routines. Arrival and departure times were documented as required. Adequate supervision was observed, and staff/child ratio was maintained. I reviewed two (2) emergency medications and permissions. One (1) child’s permission for Benadryl expires today. Ms. Govan stated she would have the permission updated today at pick up. I reminded Ms. Govan that medication permissions were valid for 6 months and topical ointments and creams permissions were valid for 12 months. One (1) child’s medical action plan (MAP) indicated Auvi-Q as the medication prescribed for an allergic reaction. The medication onsite was Epi Pen Jr. The permission was for the Epi Pen Jr and was current. Ms. Govan stated she would have parents renew the MAP at pick up today and indicate the medication that was onsite on the form. All approved policies and procedures were incorporated into the facility’s operating procedures and monitored. I reviewed three (3) new employee files. I will recommend closing the administrative action once the violation is corrected. All stipulations for the CAP were completed on time and approved policies and procedures were implemented. The administrative action should remain posted until the closure letter is received. Violation Number Comment Rule 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One (1) child’s medical action plan (MAP) indicated Auvi-Q as the medication prescribed for an allergic reaction. The medication onsite was Epi Pen Jr. .0801(b) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Friday, January 26, 2024 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 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: PRITCHARD MEMORIAL BAPTIST CHURCH CDC Facility ID: 60003624 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: 1023-286L Visit Date: 11/8/2023 Number Present: 76 Completed Date: 11/8/2023 Age: From 0 To 5 Total Minutes: 90 Time In: 09:40 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced On October 25, 2023, the Division of Child Development and Early Education (DCDEE) received a complaint allegation regarding the following: There is a concern that a child was not adequately supervised. The purpose of today’s visit was to discuss the allegation with administration. The 18-month compliance history was 89% prior to today’s visit. Upon arrival I was greeted by Ms. Kathy Evans, substitute administrator, and I explained the purpose of my visit. Ms. Kimberly Govan, director, was not onsite today. Ms. Evans called Ms. Govan to inform her of my visit. I spoke with Ms. Govan briefly regarding the incident and because it was a self-report it was unnecessary for Ms. Govan to come to the facility. Ms. Govan called me on 10/24/23 to report that a two (2) year old child was left unsupervised on the playground. Ms. Govan collected statements from each teacher who was present on the day of the incident. The statements were reviewed today. On October 24, 2023 the lead teacher for Space 7 was absent and a floater was present in the classroom. Spaces 7 and 8 for children two and three years of age were on the playground together. It was reported that no other classrooms were on the playground. Space 8 lined up to go inside for lunch. While children lined up a child bit another child. The teacher for Space 8 asked the teacher for Space 7 keep the child who bit outside with her until she was able to get the children inside and cleaned up for lunch. I observed the head count sheet for Space 8 indicated the time she transitioned the child to Space 7. The teacher for Space 7 lined her classroom up to go inside and left the child from Space 8 on the playground. I observed the child was not added to the head count sheet for Space 7. The teacher for Space 8 asked if the child was going to stay in Space 7 for lunch. The teacher for Space 7 realized she left the child outside and brought him into the classroom. The child was reported as sitting against the wall waiting to go inside. I asked if the teacher would like to add additional information to the written statement and she stated “no.” I reviewed head count sheets from 10/24/23 and observed Spaces 7 and 8 were in ratio. Based on interviews, observations, and the self-report the concern that a child was not adequately supervised was substantiated. Ms. Evans accompanied me on a walk through. Two (2) new teacher files were reviewed and met requirements. A new cook was hired on 10/16/23 and it was explained he was employed by the church. I observed a current qualification letter on file for him. He did not have a TB test result or medical report available for review. I explained that he was required to have each because he prepared food for children in licensed care. The following violations were cited and another visit will be required in the near future to verify compliance with supervision Violation Number Comment Rule 303 Children were not adequately supervised at all times. On 10/24/23 a two year old child was left on the playground unsupervised. .1801(a)(1-5) 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. The CDC cook hired 10/16/23 did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The CDC cook hired 10/16/23 did not have a negative TB test on file for review. .0701(a) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Wednesday, November 21, 2023 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648 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 .0304 · Violation

Name of Operation: PRITCHARD MEMORIAL BAPTIST CHURCH CDC Facility ID: 60003624 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 8/16/2023 Number Present: 60 Completed Date: 8/16/2023 Age: From 0 To 6 Total Minutes: 270 Time In: 10:10 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full Annual Compliance. The facility is currently operating with a Notice of Compliance issued on August 11, 20014 and had an eighteen (18) month compliance history score of 83% prior to today’s visit. The June 2022 Center Item Number Listing and May 2023 Annual Compliance Checklist were used to monitor today. A copy of the checklist was left today. Upon arrival I was greeted by Ms. Kathy Evans, administrator, and I explained the purpose of my visit. I was introduced to Ms. Kimberly Vanover-Govan, Director. Ms. Vanover-Govan began employment on 8/15/23. Both Ms. Evans and Ms. Vanover-Govan accompanied me on the walkthrough. Spaces 1 - 3 were used to care for infants. Spaces 1 and 3 had infants present today. Infants were observed sleeping and playing independently. Safe sleep checks were observed completed as required. Each crib was individually labeled. One (1) bottle was observed without the date. The teacher stated she labeled the bottle in the morning but the marker rubbed off the bottle. We discussed using tape for that bottle to write names and dates. All other bottles were labeled and dated correctly. Arrival and departure times were documented as required. Diaper creams and topical ointments were stored properly and permissions were current. Feeding schedules were posted for each child and signed. Spaces 4 and 5 were used to care for toddlers. I observed a child playing with a Matchbox car. Matchbox cars should not be available to children under three years of age. The car was removed during the visit. Spaces 6, 7, 9 and 10 were monitored. Space 8 was not currently being used. Emergency medications were monitored and met requirements. Teachers were observed providing a nurturing environment and engaged with children. I monitored all playgrounds. I observed age appropriate gross motor materials available for children. The kitchen was monitored. Allergies were posted and the menu corresponded with the lunch being prepared. The last sanitation inspection was completed 6/2/23 and received a superior rating. The facility had a fire inspection 2/28/23 and was found unsatisfactory. The inspector returned 7/11/23 and 8/1/23. Ms. Evans stated repairs were scheduled for Monday, August 21, 2023. She stated she was to contact Mr. Dillon Houser once repairs were completed for another inspection. Ms. Vanover-Govan stated she would email the inspection report once received. I explained that all inspection reports should be emailed to the consultant even if an unsatisfactory report was received. Fire and emergency drills were observed completed as required. One (1) new staff file was reviewed, and six (6) children’s files were reviewed. Each met requirements. I measured Space 100 used for care during the last hour of the day. The maximum number of children allowed in the space was calculated at twenty-eight (28). A copy of the measurements was emailed today. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection form from 2/28/23 was not emailed to the consultant within one week of the inspection. 10A NCAC 09 .0304(a) 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 4 a child under three (3) years of age was playing with a Matchbox car. .0604(q) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter explaining how she corrected each of today’s violation and the steps she put in place to ensure on going compliance to me on or before Wednesday, August 30, 2023 to the address listed below. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or a more stringent 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. General Comments: - The administrator preservice form for Ms. Vanover-Govan was collected today. I emailed a copy of her letter from WORKS for her file. Technical Assistance: - The staff kitchen should remain locked during operating hours. - All handwashing sinks should have handwashing signs posted - Food brought from home should be labeled and dated Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 705-956-1648. 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: ratio. Open / not marked corrected.