10A NCAC 09 .0802 · Violation

Name of Operation: ST. JOHN'S BAPTIST CHURCH WEEKDAY SCHOOL Facility ID: 60003619 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 6/9/2026 Number Present: 34 Completed Date: 6/9/2026 Age: From 1 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for compliance with applicable child care requirements during a Routine Unannounced Visit. The GS. 110 Religiously sponsored licensed center continued to operate with meeting daytime care only. Ms. Kristen Hartzell, on site administrator, was present and working in the facility. The child care consultant and a parent/child could not gain access to the facility. Signage on the front door stated to call a number for the child care facility. The number was called and no one answered. The administrator was on site but not in her office to receive the call. The consultant buzzed the front door and received a church employee who would not grant either of us access. The consultant walked around the side entrance and connected with the administrator from the side door. A better system must be implemented. It was recommended for key fob system to be installed to allow the administrator or child care staff to control child care access. There are not any land lines or company cell phones issued to staff. It was recommended to purchase at least walkie talkies for staff to be able to communicate with each other and especially in case of an emergency. Further discussion and review of required access to parents and DCDEE Employees/child care consultants will be held with the church minister soon. The child care item number listing dated May 2026 was used to identify and determine non-compliance. The following sections were monitored for compliance: A1, B1, C4, C5, C6, E1, E2, F3, G1, G3, G4 and G5. A walk through of spaces # 1-6, and the outdoor learning environment was monitored for compliance. The center does not provide transportation to children. Ms. Hartzell stated no children had any medications on site. The posted allergy list in each classroom further confirmed no children with allergies and medication. Children were monitored engaged in outdoor play, and napping on cots with linen. In space #119 a white noise machine was on while toddlers slept. A question was posed to the staff present and concerns were raised that I had to elevate my voice for the staff member to hear me. It was explained that staff must be able to see and hear children at all times and if the white noise machine is too loud to the point where adults must elevate their voice to be heard, then the machine volume is too loud. Technical assistance was provided to the center staff and administrator regarding the concern about staff’s ability to supervise children properly with use of White noise machines or applications. The administrator obtained a copy of child care rule NCAC 09 .1801(a) (1-5) and (b). It was recommended to review the child care rules with all staff and develop a policy regarding use of white noise machines or applications. While monitoring space #121, a toddler walked out of the classroom, and the lead teacher or administrator were aware until I informed them. The administrator left the room and picked up the child. The lead teacher left the room while the administrator was in the hallway, and a one-year-old child was left inside the classroom with only the consultant present. The lead teacher and administrator returned to the classroom where we discussed adequate supervision of children. We discussed personal storage space for children’s belongings. It was recommended to use laundry baskets in the hallway during transitions. The outdoor learning environment protective surfacing was monitored slightly compacted. Additional mulch will be needed within the next couple of months. The program should begin now with the process. We discussed spray painting on some of the surfaces that are beginning to deteriorate. We discussed the ABCMS portal and the required process. A DCDEE roster report was run prior to the visit. The roster report was compared to the center’s staff and training worksheets. There were two staff who hold a current CBC qualification but did not submit or obtain the recertification before it expired. Monthly outdoor inspections, incident log, monthly fire drills and quarterly safety drills were monitored. After reviewing the monthly fire drill documentation, it was determined the center had not conducted monthly fire drills properly. The system must be placed on test mode and used with the children and staff so they can get use to hearing the real system when practicing. Ms. Hartzell was requested to contact the fire inspector and request a visit so she could be properly trained in how to conduct a fire drill, including how to place the system in test mode. Copies of the attendance for children and adults are also required to be maintained on file. It was recommended that after a fire drill was completed, collect the daily attendance records and write any adults who were present and participated in the monthly required drill. Ms. Hartzell was also encouraged to ask the fire inspector to review the center’s EPR plan. The required quarterly safety drills were not completed at least once every three months. The last drill completed was dated as April 29, 2026. The previous drill was dated May 2025. A drill should have been completed within the first week of July 2025, since the program operates during the summer months. The center’s printed EPR plan and Ready to Go File were monitored. The plan was reviewed and updated annually as required by child care rule. We discussed how to document staff’s annual review of the plan. The staff and training worksheet were printed and provided during the visit. Two new staff members were hired since the last AC visit completed in September of 2025. The new staff files monitored were the following: I. Beshers and S. Copeland. One existing staff file was monitored to ensure the center’s maintaining of current safety certifications. (K. Lockwood) One new staff did not have documentation showing the center’s EPR plan was reviewed with them during orientation. Documentation of orientation is not required for GS 110’s facilities. It was recommended to utilize DCDEE’s documentation of orientation form to show the review was completed before staff interface with children. One new staff did not have documentation on file showing the center’s Shaken Baby and Head Trauma policy was reviewed with them upon hiring. Two new staff did not have documentation in files showing the center’s emergency medical care plan was reviewed with them upon hiring. The last sanitation inspection was completed April 16, 2026, with five (5) demerits cited and a Superior classification issued. The last annual fire inspection was completed on September 22, 2025. It was highly recommended to begin your annual inspection process four to six weeks prior to expiration. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A one-year-old child was left unattended in front of me as the teacher and administrator left space #121 to get a one-year-old who left the space unbeknownst to either administrator or lead teacher. .1801(a)(1-5) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drills were not conducted according to child care requirements by utilizing the alarm system on test mode. Monthly fire drills were completed by using a whistle, audio clip, bell or cell alarm. .0604(t); .0302(d)(5) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The center's EMC plan was not reviewed with a new employee. 10A NCAC 09 .0802(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Two staff's CBC qualification expired before they were recertified. G.S. 110-90.2(b) & .2703(n)&(o) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Either drill was completed at least once every three months. A drill was documented in May 2025 and then on April 29, 2026. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One new staff did not have documentation or verifiable proof the EPR plan was reviewed with staff during orientation. .0607(f) 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 new staff did not have documentation on file showing review of the center's Shaken Baby and Head Trauma policy. .0608(d)(1-4) Technical Assistance Provided and General Discussion: -Today’s visit could not be finalized in the DCDEE Regulatory system due to a pending visit at another facility. A one-page handwritten visit summary was completed and the total number of cited violations were reviewed with Ms. Hartzell prior to my departure. -It was highly recommended to purchase walkie talkies for staff to be able to communicate with the administrator and each other. -It was highly recommended to revise and develop a better plan on how parents access the child care facility and DCDEE representatives/employees gain access promptly upon arrival at the building. -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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -Behavioral health flyer was emailed to Ms. Hartzell after the visit. 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 June 23,2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 will be conducted. Mail or email the information to: Mara Brinton, Child Care Consultant 3687 Stallings Road Harrisburg, NC 28075 mara.brinton@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 If you have any questions or concerns, you may contact Mara Brinton at 704-594-0140 or by email at mara.brinton@dhhs.nc.gov. You may also contact my supervisor, Amy Italiano at 704-936-6065 or by email at amy.italiano@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. 110-90 · Violation

Name of Operation: ST. JOHN'S BAPTIST CHURCH WEEKDAY SCHOOL Facility ID: 60003619 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 6/9/2026 Number Present: 34 Completed Date: 6/9/2026 Age: From 1 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for compliance with applicable child care requirements during a Routine Unannounced Visit. The GS. 110 Religiously sponsored licensed center continued to operate with meeting daytime care only. Ms. Kristen Hartzell, on site administrator, was present and working in the facility. The child care consultant and a parent/child could not gain access to the facility. Signage on the front door stated to call a number for the child care facility. The number was called and no one answered. The administrator was on site but not in her office to receive the call. The consultant buzzed the front door and received a church employee who would not grant either of us access. The consultant walked around the side entrance and connected with the administrator from the side door. A better system must be implemented. It was recommended for key fob system to be installed to allow the administrator or child care staff to control child care access. There are not any land lines or company cell phones issued to staff. It was recommended to purchase at least walkie talkies for staff to be able to communicate with each other and especially in case of an emergency. Further discussion and review of required access to parents and DCDEE Employees/child care consultants will be held with the church minister soon. The child care item number listing dated May 2026 was used to identify and determine non-compliance. The following sections were monitored for compliance: A1, B1, C4, C5, C6, E1, E2, F3, G1, G3, G4 and G5. A walk through of spaces # 1-6, and the outdoor learning environment was monitored for compliance. The center does not provide transportation to children. Ms. Hartzell stated no children had any medications on site. The posted allergy list in each classroom further confirmed no children with allergies and medication. Children were monitored engaged in outdoor play, and napping on cots with linen. In space #119 a white noise machine was on while toddlers slept. A question was posed to the staff present and concerns were raised that I had to elevate my voice for the staff member to hear me. It was explained that staff must be able to see and hear children at all times and if the white noise machine is too loud to the point where adults must elevate their voice to be heard, then the machine volume is too loud. Technical assistance was provided to the center staff and administrator regarding the concern about staff’s ability to supervise children properly with use of White noise machines or applications. The administrator obtained a copy of child care rule NCAC 09 .1801(a) (1-5) and (b). It was recommended to review the child care rules with all staff and develop a policy regarding use of white noise machines or applications. While monitoring space #121, a toddler walked out of the classroom, and the lead teacher or administrator were aware until I informed them. The administrator left the room and picked up the child. The lead teacher left the room while the administrator was in the hallway, and a one-year-old child was left inside the classroom with only the consultant present. The lead teacher and administrator returned to the classroom where we discussed adequate supervision of children. We discussed personal storage space for children’s belongings. It was recommended to use laundry baskets in the hallway during transitions. The outdoor learning environment protective surfacing was monitored slightly compacted. Additional mulch will be needed within the next couple of months. The program should begin now with the process. We discussed spray painting on some of the surfaces that are beginning to deteriorate. We discussed the ABCMS portal and the required process. A DCDEE roster report was run prior to the visit. The roster report was compared to the center’s staff and training worksheets. There were two staff who hold a current CBC qualification but did not submit or obtain the recertification before it expired. Monthly outdoor inspections, incident log, monthly fire drills and quarterly safety drills were monitored. After reviewing the monthly fire drill documentation, it was determined the center had not conducted monthly fire drills properly. The system must be placed on test mode and used with the children and staff so they can get use to hearing the real system when practicing. Ms. Hartzell was requested to contact the fire inspector and request a visit so she could be properly trained in how to conduct a fire drill, including how to place the system in test mode. Copies of the attendance for children and adults are also required to be maintained on file. It was recommended that after a fire drill was completed, collect the daily attendance records and write any adults who were present and participated in the monthly required drill. Ms. Hartzell was also encouraged to ask the fire inspector to review the center’s EPR plan. The required quarterly safety drills were not completed at least once every three months. The last drill completed was dated as April 29, 2026. The previous drill was dated May 2025. A drill should have been completed within the first week of July 2025, since the program operates during the summer months. The center’s printed EPR plan and Ready to Go File were monitored. The plan was reviewed and updated annually as required by child care rule. We discussed how to document staff’s annual review of the plan. The staff and training worksheet were printed and provided during the visit. Two new staff members were hired since the last AC visit completed in September of 2025. The new staff files monitored were the following: I. Beshers and S. Copeland. One existing staff file was monitored to ensure the center’s maintaining of current safety certifications. (K. Lockwood) One new staff did not have documentation showing the center’s EPR plan was reviewed with them during orientation. Documentation of orientation is not required for GS 110’s facilities. It was recommended to utilize DCDEE’s documentation of orientation form to show the review was completed before staff interface with children. One new staff did not have documentation on file showing the center’s Shaken Baby and Head Trauma policy was reviewed with them upon hiring. Two new staff did not have documentation in files showing the center’s emergency medical care plan was reviewed with them upon hiring. The last sanitation inspection was completed April 16, 2026, with five (5) demerits cited and a Superior classification issued. The last annual fire inspection was completed on September 22, 2025. It was highly recommended to begin your annual inspection process four to six weeks prior to expiration. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A one-year-old child was left unattended in front of me as the teacher and administrator left space #121 to get a one-year-old who left the space unbeknownst to either administrator or lead teacher. .1801(a)(1-5) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drills were not conducted according to child care requirements by utilizing the alarm system on test mode. Monthly fire drills were completed by using a whistle, audio clip, bell or cell alarm. .0604(t); .0302(d)(5) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The center's EMC plan was not reviewed with a new employee. 10A NCAC 09 .0802(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Two staff's CBC qualification expired before they were recertified. G.S. 110-90.2(b) & .2703(n)&(o) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Either drill was completed at least once every three months. A drill was documented in May 2025 and then on April 29, 2026. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One new staff did not have documentation or verifiable proof the EPR plan was reviewed with staff during orientation. .0607(f) 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 new staff did not have documentation on file showing review of the center's Shaken Baby and Head Trauma policy. .0608(d)(1-4) Technical Assistance Provided and General Discussion: -Today’s visit could not be finalized in the DCDEE Regulatory system due to a pending visit at another facility. A one-page handwritten visit summary was completed and the total number of cited violations were reviewed with Ms. Hartzell prior to my departure. -It was highly recommended to purchase walkie talkies for staff to be able to communicate with the administrator and each other. -It was highly recommended to revise and develop a better plan on how parents access the child care facility and DCDEE representatives/employees gain access promptly upon arrival at the building. -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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -Behavioral health flyer was emailed to Ms. Hartzell after the visit. 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 June 23,2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 will be conducted. Mail or email the information to: Mara Brinton, Child Care Consultant 3687 Stallings Road Harrisburg, NC 28075 mara.brinton@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 If you have any questions or concerns, you may contact Mara Brinton at 704-594-0140 or by email at mara.brinton@dhhs.nc.gov. You may also contact my supervisor, Amy Italiano at 704-936-6065 or by email at amy.italiano@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: ST. JOHN'S BAPTIST CHURCH WEEKDAY SCHOOL Facility ID: 60003619 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 6/9/2026 Number Present: 34 Completed Date: 6/9/2026 Age: From 1 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for compliance with applicable child care requirements during a Routine Unannounced Visit. The GS. 110 Religiously sponsored licensed center continued to operate with meeting daytime care only. Ms. Kristen Hartzell, on site administrator, was present and working in the facility. The child care consultant and a parent/child could not gain access to the facility. Signage on the front door stated to call a number for the child care facility. The number was called and no one answered. The administrator was on site but not in her office to receive the call. The consultant buzzed the front door and received a church employee who would not grant either of us access. The consultant walked around the side entrance and connected with the administrator from the side door. A better system must be implemented. It was recommended for key fob system to be installed to allow the administrator or child care staff to control child care access. There are not any land lines or company cell phones issued to staff. It was recommended to purchase at least walkie talkies for staff to be able to communicate with each other and especially in case of an emergency. Further discussion and review of required access to parents and DCDEE Employees/child care consultants will be held with the church minister soon. The child care item number listing dated May 2026 was used to identify and determine non-compliance. The following sections were monitored for compliance: A1, B1, C4, C5, C6, E1, E2, F3, G1, G3, G4 and G5. A walk through of spaces # 1-6, and the outdoor learning environment was monitored for compliance. The center does not provide transportation to children. Ms. Hartzell stated no children had any medications on site. The posted allergy list in each classroom further confirmed no children with allergies and medication. Children were monitored engaged in outdoor play, and napping on cots with linen. In space #119 a white noise machine was on while toddlers slept. A question was posed to the staff present and concerns were raised that I had to elevate my voice for the staff member to hear me. It was explained that staff must be able to see and hear children at all times and if the white noise machine is too loud to the point where adults must elevate their voice to be heard, then the machine volume is too loud. Technical assistance was provided to the center staff and administrator regarding the concern about staff’s ability to supervise children properly with use of White noise machines or applications. The administrator obtained a copy of child care rule NCAC 09 .1801(a) (1-5) and (b). It was recommended to review the child care rules with all staff and develop a policy regarding use of white noise machines or applications. While monitoring space #121, a toddler walked out of the classroom, and the lead teacher or administrator were aware until I informed them. The administrator left the room and picked up the child. The lead teacher left the room while the administrator was in the hallway, and a one-year-old child was left inside the classroom with only the consultant present. The lead teacher and administrator returned to the classroom where we discussed adequate supervision of children. We discussed personal storage space for children’s belongings. It was recommended to use laundry baskets in the hallway during transitions. The outdoor learning environment protective surfacing was monitored slightly compacted. Additional mulch will be needed within the next couple of months. The program should begin now with the process. We discussed spray painting on some of the surfaces that are beginning to deteriorate. We discussed the ABCMS portal and the required process. A DCDEE roster report was run prior to the visit. The roster report was compared to the center’s staff and training worksheets. There were two staff who hold a current CBC qualification but did not submit or obtain the recertification before it expired. Monthly outdoor inspections, incident log, monthly fire drills and quarterly safety drills were monitored. After reviewing the monthly fire drill documentation, it was determined the center had not conducted monthly fire drills properly. The system must be placed on test mode and used with the children and staff so they can get use to hearing the real system when practicing. Ms. Hartzell was requested to contact the fire inspector and request a visit so she could be properly trained in how to conduct a fire drill, including how to place the system in test mode. Copies of the attendance for children and adults are also required to be maintained on file. It was recommended that after a fire drill was completed, collect the daily attendance records and write any adults who were present and participated in the monthly required drill. Ms. Hartzell was also encouraged to ask the fire inspector to review the center’s EPR plan. The required quarterly safety drills were not completed at least once every three months. The last drill completed was dated as April 29, 2026. The previous drill was dated May 2025. A drill should have been completed within the first week of July 2025, since the program operates during the summer months. The center’s printed EPR plan and Ready to Go File were monitored. The plan was reviewed and updated annually as required by child care rule. We discussed how to document staff’s annual review of the plan. The staff and training worksheet were printed and provided during the visit. Two new staff members were hired since the last AC visit completed in September of 2025. The new staff files monitored were the following: I. Beshers and S. Copeland. One existing staff file was monitored to ensure the center’s maintaining of current safety certifications. (K. Lockwood) One new staff did not have documentation showing the center’s EPR plan was reviewed with them during orientation. Documentation of orientation is not required for GS 110’s facilities. It was recommended to utilize DCDEE’s documentation of orientation form to show the review was completed before staff interface with children. One new staff did not have documentation on file showing the center’s Shaken Baby and Head Trauma policy was reviewed with them upon hiring. Two new staff did not have documentation in files showing the center’s emergency medical care plan was reviewed with them upon hiring. The last sanitation inspection was completed April 16, 2026, with five (5) demerits cited and a Superior classification issued. The last annual fire inspection was completed on September 22, 2025. It was highly recommended to begin your annual inspection process four to six weeks prior to expiration. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A one-year-old child was left unattended in front of me as the teacher and administrator left space #121 to get a one-year-old who left the space unbeknownst to either administrator or lead teacher. .1801(a)(1-5) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drills were not conducted according to child care requirements by utilizing the alarm system on test mode. Monthly fire drills were completed by using a whistle, audio clip, bell or cell alarm. .0604(t); .0302(d)(5) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The center's EMC plan was not reviewed with a new employee. 10A NCAC 09 .0802(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Two staff's CBC qualification expired before they were recertified. G.S. 110-90.2(b) & .2703(n)&(o) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Either drill was completed at least once every three months. A drill was documented in May 2025 and then on April 29, 2026. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One new staff did not have documentation or verifiable proof the EPR plan was reviewed with staff during orientation. .0607(f) 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 new staff did not have documentation on file showing review of the center's Shaken Baby and Head Trauma policy. .0608(d)(1-4) Technical Assistance Provided and General Discussion: -Today’s visit could not be finalized in the DCDEE Regulatory system due to a pending visit at another facility. A one-page handwritten visit summary was completed and the total number of cited violations were reviewed with Ms. Hartzell prior to my departure. -It was highly recommended to purchase walkie talkies for staff to be able to communicate with the administrator and each other. -It was highly recommended to revise and develop a better plan on how parents access the child care facility and DCDEE representatives/employees gain access promptly upon arrival at the building. -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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -Behavioral health flyer was emailed to Ms. Hartzell after the visit. 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 June 23,2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 will be conducted. Mail or email the information to: Mara Brinton, Child Care Consultant 3687 Stallings Road Harrisburg, NC 28075 mara.brinton@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 If you have any questions or concerns, you may contact Mara Brinton at 704-594-0140 or by email at mara.brinton@dhhs.nc.gov. You may also contact my supervisor, Amy Italiano at 704-936-6065 or by email at amy.italiano@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: ST. JOHN'S BAPTIST CHURCH WEEKDAY SCHOOL Facility ID: 60003619 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 9/9/2025 Number Present: 41 Completed Date: 9/9/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:30 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 unannounced visit was to monitor compliance with applicable child care requirements during the Annual Compliance Visit. Upon arrival at the center, Ms. Kristina Hartell greeted and escorted me inside. The center continued their GS 110-religously sponsored licensed child care facility. Restrictions listed on the license were monitored in compliance. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated April 2025 were used to document compliance. Spaces # 1-6 were monitored for compliance. Push pins were monitored in use to hang items on the wall in classrooms where there were children under the age of three. Push pins are considered potential choking hazards for children. Recommendations were made to utilize Velcro or tape instead. We discussed offering other types of blocks in classrooms with children two years of age. A question was asked regarding whether children can take their shoes off during nap time. For safety reasons, children should keep their shoes on during nap time. If a special needs child needs specific accommodation while in care, ADA standards require reasonable determinations are made. It was recommended to have the parents place in writing or the child’s doctor to place in writing what is required for the child during nap time. It was stressed that additional staff may need to be assigned to the specific child’s classroom during nap time or be on site, and ready to assist in the event of a warranted evacuation of the building. Children were monitored playing outside, napping and eating lunch sent from home. Water bottles sent from home and lunches were monitored labeled and dated. No medications were provided for review. Posted allergy lists were monitored on each classroom door refrigerator. Staff and Training worksheets were not maintained current. The previous staff and training worksheets on file from the last visit in June were used to monitor compliance. No new staff have been hired since the last visit completed June 30, 2025. Two existing staff files were monitored for compliance. One staff member did not present verifiable proof of accepted CPR and FA training. Kristina Hartell and Aye Mo will have fifteen days to obtain a requalification of their CBC qualification. An ABCMS was printed prior to the visit and reviewed with Ms. Hartell. One staff member who was terminated August 4, 2025, by Ms. Olmsted was not unlinked in the ABCMS. The center has five days from hiring to notify the Division a new employee was hired and the same time frame to remove or unlink a terminated employee from the system. Forty-two children were monitored enrolled. Four children’s files were randomly selected and monitored for compliance. The center’s EPR plan and Ready to Go File were monitored for compliance and found to meet child care requirements. Documentation for quarterly safety drills, monthly fire drills, playground inspections and center incident log were monitored. The daily attendance with children’s arrival and departure times were monitored, documented and current for the week. The last sanitation inspection was conducted on February 5, 2025, (8) eight demerits cited, and a Superior Classification issued. The last annual fire inspection was completed September 17, 2024. It was highly recommended to begin the annual inspection process four to six weeks prior to expiration. 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. Push pins were monitored used in classrooms with children under the age of three years. .0604(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Two staff were monitored with expired CBC qualifications. Their CBC qualifications expired in August 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member was monitored with FA documentation on file. However, the vendor's documentation was not accepted due the training only listed as adult FA instead of applicable modules for child or pediatric FA. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member was monitored with CPR documentation on file. However, the vendor's documentation was not accepted due the training only listed as adult CPR instead of applicable modules for child or pediatric CPR. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Two existing staff did not have a current CBC qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The center's ABCMS roster report was not current. A terminated staff member as of August 4, 2025, remained listed/linked to the facility in the system. G.S. 110-90.2 & .2703(r) Technical Assistance Provided and General Discussion: 1. The center administrators have and know how to link employees and print the roster report from the ABCMS. The administrative staff are still working to link the staff applicants within the ABCMS. 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 2. It was recommended to maintain the center’s staff and training worksheet current. Violations were cited and additional review was required because the worksheets were not maintained current. Please work to update the worksheets and email them once updated. 3. It was recommended to work on labeling center shelves to assist the children in learning how to return play items to a designated place. 4. It was recommended to introduce time reflective on the posted daily schedules so children could begin to associate time with a scheduled daily activity. 5. The DCDEE CPR/FA guide was emailed to Ms. Olmsted to assist in reviewing staff’s CPR and FA documentation. 6. The summary could not be finalized due to computer issues. A final summary will be completed and emailed by the end of the day. The violations were reviewed with Ms. Olmsted prior to my departure. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Tuesday, September 23, 2025. You may email me with your letter of correction. Mail documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@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: ratio. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: ST. JOHN'S BAPTIST CHURCH WEEKDAY SCHOOL Facility ID: 60003619 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 6/30/2025 Number Present: 28 Completed Date: 6/30/2025 Age: From 0 To 6 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 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 for compliance with applicable child care requirements during a Routine Unannounced Visit. The GS. 110 Religiously sponsored licensed center continued to operate with meeting daytime care only. Ms. Lydia Olmsted, on site administrator, was present and working in the facility. Today, was the first day of operating summer camp. The child care item number listing dated November 2024 was used to identify and determine non-compliance. The following sections were monitored for compliance: A1, B1, C4, C5, C6, E1, E2, F3, G1, G3, G4 and G5. A walk through of spaces # 1-6, the outdoor learning environment was monitored for compliance. The center does not provide transportation to children. Ms. Olmsted stated no children had any medication thus far for summer camp. Children were monitored engaged in outdoor play, eating lunch and preparing to nap on cots with linen. There was one toddler in space #119 without a current feeding schedule. The schedule was obtained from the classroom next door and posted in the space the child will be served. There were a couple of books in poor repair that were pulled from the bookshelf during the visit in space #119. A couple of unused electrical outlets in a power surge in space #119 were monitored not covered. There were several plastic bags accessible to children under the age of three in space #115. All observed plastic bags were removed by Ms. Lydia during the visit. There were a couple of children’s water bottles that were not labeled or dated. Ms. Olmsted labeled any water bottles not meeting requirements during the visit. There was not an allergy list posted in space #115. It was recommended to relocate one emergency crib to closer to the exit door in space #119. There was a volunteer present and working in space#119 (B. Celek), who did not have the required paperwork on file. The DCDEE Volunteer checklist was emailed to Ms. Olmsted during the visit. Children were observed riding tricycle bikes while engaged in daily outdoor play. No helmets were observed. We discussed best practices and the current child care rule which only states children riding bicycles were required to wear helmets. The outdoor learning environment was monitored without meeting required six inches of protective surfacing (mulch). We discussed the ABCMS portal and the required process. A DCDEE roster report was run prior to the visit. The roster report was compared to the center’s staff and training worksheets. There was one staff member not linked in the ABCMS to the center. Ms. Olmsted stated the staff member A. Young had technological difficulty completing the required process. The staff member was off today, and I requested Ms. Olmsted to take a screen shot of the system so I could email it to the DCDEE CBC unit for assistance. Ms. Olmsted attempted but was locked out of the system. No violation will be cited due to the list being current except for one staff member facing technological difficulties. If the staff can’t finalize the required process by the end of the week, Ms. Olmsted must communicate with me. Monthly outdoor inspections, incident log, monthly fire drills and quarterly safety drills were monitored completed and current. The outdoor playground inspections had many issues noted on the inspection reports. The church utilizes volunteer support for child care center projects and child care facility repairs. We discussed developing long-term plans for repairs with the volunteer members. If any outdoor equipment is in poor repair or does not meet child care rules, the equipment must either be repaired or removed. We discussed making any equipment in poor repair inaccessible to children by using construction yellow tape and taping off the equipment until it could be repaired or fully removed. The center’s printed EPR plan and Ready to Go File were monitored. The plan was reviewed and updated annually. The staff and training worksheet were printed and provided during the visit. One new staff member was hired since the last AC visit completed in September of 2024. The new staff file member, A. Nystrom’s file was monitored for compliance. The existing staff were monitored to ensure the center’s maintaining of current safety certifications. The last sanitation inspection was completed February 5, 2025, with eight (8) demerits cited and a Superior classification issued. The last annual fire inspection was completed on September 17, 2024. It was highly recommended to begin your annual inspection process four to six weeks prior to expiration. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. A center allergy list was not monitored posted. .0901(g) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Water bottles sent from home were not labeled or dated. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). One toddler under fifteen months was monitored in space #119 without a posted infant feeding schedule. 10A NCAC 09 .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. A power surge protector was monitored with uncovered electrical outlets in space #119. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were monitored in space #119 and accessible to children under the age of three years. .0604(q) 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 volunteer did not have a TB results or screening on file prior to working. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One volunteer staff member did not have a HQ on file prior to beginning employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. .0701(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The outdoor learning environments required at least six inches in protective surfacing. The monitored environment was monitored with approximately two inches of protective surfacing and approximately four inches of dirt. .0605(k)(1-4) Technical Assistance Provided and General Discussion: 1. Today’s visit could not be finalized in the DCDEE Regulatory system due to internet and MiFi issues. The visit summary was reviewed with Ms. Olmstead and violations cited were reviewed prior to my departure. The final summary will be emailed to Ms. Olmstead by tomorrow morning. 2. 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 3. 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (e) Children riding bicycles must wear safety helmets. Children were monitored riding tricycles. We discussed researching the manufacturers’ instructions or warnings to discern if the children should be wearing helmets. It was recommended as best practice for children to wear helmets when using any equipment with wheels. A violation was not cited due to children not riding bicycles. 4. It was recommended to utilize landscaping borders to help maintain mulch in the outdoor learning environment. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Monday, July 14, 2025. You may email me with your letter of correction. Mail written documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@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: ratio. Open / not marked corrected.

10A NCAC 09 .0902 · Violation

Name of Operation: ST. JOHN'S BAPTIST CHURCH WEEKDAY SCHOOL Facility ID: 60003619 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 6/30/2025 Number Present: 28 Completed Date: 6/30/2025 Age: From 0 To 6 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 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 for compliance with applicable child care requirements during a Routine Unannounced Visit. The GS. 110 Religiously sponsored licensed center continued to operate with meeting daytime care only. Ms. Lydia Olmsted, on site administrator, was present and working in the facility. Today, was the first day of operating summer camp. The child care item number listing dated November 2024 was used to identify and determine non-compliance. The following sections were monitored for compliance: A1, B1, C4, C5, C6, E1, E2, F3, G1, G3, G4 and G5. A walk through of spaces # 1-6, the outdoor learning environment was monitored for compliance. The center does not provide transportation to children. Ms. Olmsted stated no children had any medication thus far for summer camp. Children were monitored engaged in outdoor play, eating lunch and preparing to nap on cots with linen. There was one toddler in space #119 without a current feeding schedule. The schedule was obtained from the classroom next door and posted in the space the child will be served. There were a couple of books in poor repair that were pulled from the bookshelf during the visit in space #119. A couple of unused electrical outlets in a power surge in space #119 were monitored not covered. There were several plastic bags accessible to children under the age of three in space #115. All observed plastic bags were removed by Ms. Lydia during the visit. There were a couple of children’s water bottles that were not labeled or dated. Ms. Olmsted labeled any water bottles not meeting requirements during the visit. There was not an allergy list posted in space #115. It was recommended to relocate one emergency crib to closer to the exit door in space #119. There was a volunteer present and working in space#119 (B. Celek), who did not have the required paperwork on file. The DCDEE Volunteer checklist was emailed to Ms. Olmsted during the visit. Children were observed riding tricycle bikes while engaged in daily outdoor play. No helmets were observed. We discussed best practices and the current child care rule which only states children riding bicycles were required to wear helmets. The outdoor learning environment was monitored without meeting required six inches of protective surfacing (mulch). We discussed the ABCMS portal and the required process. A DCDEE roster report was run prior to the visit. The roster report was compared to the center’s staff and training worksheets. There was one staff member not linked in the ABCMS to the center. Ms. Olmsted stated the staff member A. Young had technological difficulty completing the required process. The staff member was off today, and I requested Ms. Olmsted to take a screen shot of the system so I could email it to the DCDEE CBC unit for assistance. Ms. Olmsted attempted but was locked out of the system. No violation will be cited due to the list being current except for one staff member facing technological difficulties. If the staff can’t finalize the required process by the end of the week, Ms. Olmsted must communicate with me. Monthly outdoor inspections, incident log, monthly fire drills and quarterly safety drills were monitored completed and current. The outdoor playground inspections had many issues noted on the inspection reports. The church utilizes volunteer support for child care center projects and child care facility repairs. We discussed developing long-term plans for repairs with the volunteer members. If any outdoor equipment is in poor repair or does not meet child care rules, the equipment must either be repaired or removed. We discussed making any equipment in poor repair inaccessible to children by using construction yellow tape and taping off the equipment until it could be repaired or fully removed. The center’s printed EPR plan and Ready to Go File were monitored. The plan was reviewed and updated annually. The staff and training worksheet were printed and provided during the visit. One new staff member was hired since the last AC visit completed in September of 2024. The new staff file member, A. Nystrom’s file was monitored for compliance. The existing staff were monitored to ensure the center’s maintaining of current safety certifications. The last sanitation inspection was completed February 5, 2025, with eight (8) demerits cited and a Superior classification issued. The last annual fire inspection was completed on September 17, 2024. It was highly recommended to begin your annual inspection process four to six weeks prior to expiration. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. A center allergy list was not monitored posted. .0901(g) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Water bottles sent from home were not labeled or dated. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). One toddler under fifteen months was monitored in space #119 without a posted infant feeding schedule. 10A NCAC 09 .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. A power surge protector was monitored with uncovered electrical outlets in space #119. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were monitored in space #119 and accessible to children under the age of three years. .0604(q) 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 volunteer did not have a TB results or screening on file prior to working. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One volunteer staff member did not have a HQ on file prior to beginning employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. .0701(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The outdoor learning environments required at least six inches in protective surfacing. The monitored environment was monitored with approximately two inches of protective surfacing and approximately four inches of dirt. .0605(k)(1-4) Technical Assistance Provided and General Discussion: 1. Today’s visit could not be finalized in the DCDEE Regulatory system due to internet and MiFi issues. The visit summary was reviewed with Ms. Olmstead and violations cited were reviewed prior to my departure. The final summary will be emailed to Ms. Olmstead by tomorrow morning. 2. 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 3. 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (e) Children riding bicycles must wear safety helmets. Children were monitored riding tricycles. We discussed researching the manufacturers’ instructions or warnings to discern if the children should be wearing helmets. It was recommended as best practice for children to wear helmets when using any equipment with wheels. A violation was not cited due to children not riding bicycles. 4. It was recommended to utilize landscaping borders to help maintain mulch in the outdoor learning environment. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Monday, July 14, 2025. You may email me with your letter of correction. Mail written documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@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 .2506 · Violation

Name of Operation: ST. JOHN'S BAPTIST CHURCH WEEKDAY SCHOOL Facility ID: 60003619 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 6/30/2025 Number Present: 28 Completed Date: 6/30/2025 Age: From 0 To 6 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 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 for compliance with applicable child care requirements during a Routine Unannounced Visit. The GS. 110 Religiously sponsored licensed center continued to operate with meeting daytime care only. Ms. Lydia Olmsted, on site administrator, was present and working in the facility. Today, was the first day of operating summer camp. The child care item number listing dated November 2024 was used to identify and determine non-compliance. The following sections were monitored for compliance: A1, B1, C4, C5, C6, E1, E2, F3, G1, G3, G4 and G5. A walk through of spaces # 1-6, the outdoor learning environment was monitored for compliance. The center does not provide transportation to children. Ms. Olmsted stated no children had any medication thus far for summer camp. Children were monitored engaged in outdoor play, eating lunch and preparing to nap on cots with linen. There was one toddler in space #119 without a current feeding schedule. The schedule was obtained from the classroom next door and posted in the space the child will be served. There were a couple of books in poor repair that were pulled from the bookshelf during the visit in space #119. A couple of unused electrical outlets in a power surge in space #119 were monitored not covered. There were several plastic bags accessible to children under the age of three in space #115. All observed plastic bags were removed by Ms. Lydia during the visit. There were a couple of children’s water bottles that were not labeled or dated. Ms. Olmsted labeled any water bottles not meeting requirements during the visit. There was not an allergy list posted in space #115. It was recommended to relocate one emergency crib to closer to the exit door in space #119. There was a volunteer present and working in space#119 (B. Celek), who did not have the required paperwork on file. The DCDEE Volunteer checklist was emailed to Ms. Olmsted during the visit. Children were observed riding tricycle bikes while engaged in daily outdoor play. No helmets were observed. We discussed best practices and the current child care rule which only states children riding bicycles were required to wear helmets. The outdoor learning environment was monitored without meeting required six inches of protective surfacing (mulch). We discussed the ABCMS portal and the required process. A DCDEE roster report was run prior to the visit. The roster report was compared to the center’s staff and training worksheets. There was one staff member not linked in the ABCMS to the center. Ms. Olmsted stated the staff member A. Young had technological difficulty completing the required process. The staff member was off today, and I requested Ms. Olmsted to take a screen shot of the system so I could email it to the DCDEE CBC unit for assistance. Ms. Olmsted attempted but was locked out of the system. No violation will be cited due to the list being current except for one staff member facing technological difficulties. If the staff can’t finalize the required process by the end of the week, Ms. Olmsted must communicate with me. Monthly outdoor inspections, incident log, monthly fire drills and quarterly safety drills were monitored completed and current. The outdoor playground inspections had many issues noted on the inspection reports. The church utilizes volunteer support for child care center projects and child care facility repairs. We discussed developing long-term plans for repairs with the volunteer members. If any outdoor equipment is in poor repair or does not meet child care rules, the equipment must either be repaired or removed. We discussed making any equipment in poor repair inaccessible to children by using construction yellow tape and taping off the equipment until it could be repaired or fully removed. The center’s printed EPR plan and Ready to Go File were monitored. The plan was reviewed and updated annually. The staff and training worksheet were printed and provided during the visit. One new staff member was hired since the last AC visit completed in September of 2024. The new staff file member, A. Nystrom’s file was monitored for compliance. The existing staff were monitored to ensure the center’s maintaining of current safety certifications. The last sanitation inspection was completed February 5, 2025, with eight (8) demerits cited and a Superior classification issued. The last annual fire inspection was completed on September 17, 2024. It was highly recommended to begin your annual inspection process four to six weeks prior to expiration. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. A center allergy list was not monitored posted. .0901(g) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Water bottles sent from home were not labeled or dated. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). One toddler under fifteen months was monitored in space #119 without a posted infant feeding schedule. 10A NCAC 09 .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. A power surge protector was monitored with uncovered electrical outlets in space #119. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were monitored in space #119 and accessible to children under the age of three years. .0604(q) 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 volunteer did not have a TB results or screening on file prior to working. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One volunteer staff member did not have a HQ on file prior to beginning employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. .0701(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The outdoor learning environments required at least six inches in protective surfacing. The monitored environment was monitored with approximately two inches of protective surfacing and approximately four inches of dirt. .0605(k)(1-4) Technical Assistance Provided and General Discussion: 1. Today’s visit could not be finalized in the DCDEE Regulatory system due to internet and MiFi issues. The visit summary was reviewed with Ms. Olmstead and violations cited were reviewed prior to my departure. The final summary will be emailed to Ms. Olmstead by tomorrow morning. 2. 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 3. 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (e) Children riding bicycles must wear safety helmets. Children were monitored riding tricycles. We discussed researching the manufacturers’ instructions or warnings to discern if the children should be wearing helmets. It was recommended as best practice for children to wear helmets when using any equipment with wheels. A violation was not cited due to children not riding bicycles. 4. It was recommended to utilize landscaping borders to help maintain mulch in the outdoor learning environment. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Monday, July 14, 2025. You may email me with your letter of correction. Mail written documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@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: ST. JOHN'S BAPTIST CHURCH WEEKDAY SCHOOL Facility ID: 60003619 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 6/30/2025 Number Present: 28 Completed Date: 6/30/2025 Age: From 0 To 6 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 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 for compliance with applicable child care requirements during a Routine Unannounced Visit. The GS. 110 Religiously sponsored licensed center continued to operate with meeting daytime care only. Ms. Lydia Olmsted, on site administrator, was present and working in the facility. Today, was the first day of operating summer camp. The child care item number listing dated November 2024 was used to identify and determine non-compliance. The following sections were monitored for compliance: A1, B1, C4, C5, C6, E1, E2, F3, G1, G3, G4 and G5. A walk through of spaces # 1-6, the outdoor learning environment was monitored for compliance. The center does not provide transportation to children. Ms. Olmsted stated no children had any medication thus far for summer camp. Children were monitored engaged in outdoor play, eating lunch and preparing to nap on cots with linen. There was one toddler in space #119 without a current feeding schedule. The schedule was obtained from the classroom next door and posted in the space the child will be served. There were a couple of books in poor repair that were pulled from the bookshelf during the visit in space #119. A couple of unused electrical outlets in a power surge in space #119 were monitored not covered. There were several plastic bags accessible to children under the age of three in space #115. All observed plastic bags were removed by Ms. Lydia during the visit. There were a couple of children’s water bottles that were not labeled or dated. Ms. Olmsted labeled any water bottles not meeting requirements during the visit. There was not an allergy list posted in space #115. It was recommended to relocate one emergency crib to closer to the exit door in space #119. There was a volunteer present and working in space#119 (B. Celek), who did not have the required paperwork on file. The DCDEE Volunteer checklist was emailed to Ms. Olmsted during the visit. Children were observed riding tricycle bikes while engaged in daily outdoor play. No helmets were observed. We discussed best practices and the current child care rule which only states children riding bicycles were required to wear helmets. The outdoor learning environment was monitored without meeting required six inches of protective surfacing (mulch). We discussed the ABCMS portal and the required process. A DCDEE roster report was run prior to the visit. The roster report was compared to the center’s staff and training worksheets. There was one staff member not linked in the ABCMS to the center. Ms. Olmsted stated the staff member A. Young had technological difficulty completing the required process. The staff member was off today, and I requested Ms. Olmsted to take a screen shot of the system so I could email it to the DCDEE CBC unit for assistance. Ms. Olmsted attempted but was locked out of the system. No violation will be cited due to the list being current except for one staff member facing technological difficulties. If the staff can’t finalize the required process by the end of the week, Ms. Olmsted must communicate with me. Monthly outdoor inspections, incident log, monthly fire drills and quarterly safety drills were monitored completed and current. The outdoor playground inspections had many issues noted on the inspection reports. The church utilizes volunteer support for child care center projects and child care facility repairs. We discussed developing long-term plans for repairs with the volunteer members. If any outdoor equipment is in poor repair or does not meet child care rules, the equipment must either be repaired or removed. We discussed making any equipment in poor repair inaccessible to children by using construction yellow tape and taping off the equipment until it could be repaired or fully removed. The center’s printed EPR plan and Ready to Go File were monitored. The plan was reviewed and updated annually. The staff and training worksheet were printed and provided during the visit. One new staff member was hired since the last AC visit completed in September of 2024. The new staff file member, A. Nystrom’s file was monitored for compliance. The existing staff were monitored to ensure the center’s maintaining of current safety certifications. The last sanitation inspection was completed February 5, 2025, with eight (8) demerits cited and a Superior classification issued. The last annual fire inspection was completed on September 17, 2024. It was highly recommended to begin your annual inspection process four to six weeks prior to expiration. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. A center allergy list was not monitored posted. .0901(g) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Water bottles sent from home were not labeled or dated. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). One toddler under fifteen months was monitored in space #119 without a posted infant feeding schedule. 10A NCAC 09 .0902(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. A power surge protector was monitored with uncovered electrical outlets in space #119. 10A NCAC 09 .0604(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were monitored in space #119 and accessible to children under the age of three years. .0604(q) 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 volunteer did not have a TB results or screening on file prior to working. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One volunteer staff member did not have a HQ on file prior to beginning employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. .0701(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The outdoor learning environments required at least six inches in protective surfacing. The monitored environment was monitored with approximately two inches of protective surfacing and approximately four inches of dirt. .0605(k)(1-4) Technical Assistance Provided and General Discussion: 1. Today’s visit could not be finalized in the DCDEE Regulatory system due to internet and MiFi issues. The visit summary was reviewed with Ms. Olmstead and violations cited were reviewed prior to my departure. The final summary will be emailed to Ms. Olmstead by tomorrow morning. 2. 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 3. 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (e) Children riding bicycles must wear safety helmets. Children were monitored riding tricycles. We discussed researching the manufacturers’ instructions or warnings to discern if the children should be wearing helmets. It was recommended as best practice for children to wear helmets when using any equipment with wheels. A violation was not cited due to children not riding bicycles. 4. It was recommended to utilize landscaping borders to help maintain mulch in the outdoor learning environment. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Monday, July 14, 2025. You may email me with your letter of correction. Mail written documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: ST. JOHN'S BAPTIST CHURCH WEEKDAY SCHOOL Facility ID: 60003619 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 38 Completed Date: 9/12/2024 Age: From 0 To 5 Total Minutes: 320 Time In: 09:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during the Annual Compliance Visit. The center administrator, Ms. Olmsted, was absent. The assistant administrator, Ms. Hartzell assisted me during the visit. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated March 2024 were used to document compliance. Spaces #1-6 and an outdoor learning environment were monitored for compliance. Children were monitored eating lunch, engaged in daily outdoor time and napping. Glue sticks were monitored accessible to children under the age of three. There were uncovered outlets, and one power strip not covered or made inaccessible to children. There were books monitored with either torn pages or spines. There was a prescribed medication (inhaler) in space #2 without a prescription label, permission to administer and medical action plan. There was an inhaler and spacer of child no longer enrolled. The medication was not discarded or returned to the child’s parent within 72 hours. The child disenrolled in July 2024. Infant safe sleep checks were not documented as required in spaces #5 and #6. One infant was sleeping upon our arrival in space #6. The infant was on their stomach and then awoke. It was around noon and the staff stated the child had been sleeping for approximately ten minutes. There was not any documentation showing the staff checked on the sleeping infant every 10 to 15 minutes during the sleep period prior to our arrival to the classroom. In both spaces #5 and #6 there were two noise machines in each of the classrooms. In space #5, one machine was on and was less than seven feet from the infant’s crib. The staff were asked to return the machines to the parents and request that they discuss the machines with center administration. Ms. Hartzell agreed this recommended process would help to foster discussion and policy development. There were not any manufacturer’s instructions available to review. Additional information regarding noise machines was emailed after the visit to help the center develop written policy. Lunches and bottled water are sent from home. The center has parents “Opt Out” of meals. There were a couple of water bottles and at least two lunches monitored where there was not a date listed on either bottle or lunch. All classrooms need materials and multiples of three of the same toys for children three years of age and younger. Five children’s files were monitored for compliance. Documentation did not track the child’s date of enrollment on the discipline parent acknowledgements page. There was not an Emergency Medical Care Plan posted in a prominent place for staff or parents to see. It was recommended to post the completed plan in each approved space. However, child care rules only require the completed form to be posted in a prominent place. The center’s printed EPR plan was dated September 2016. The current consultant or health consultant was not listed. The center did not have an EPR Ready to Go File available. A checklist will be emailed to the administrator after the visit. It was recommended to the assistant administrator to obtain EPR training to help with becoming more familiar with child care requirements. The plan must be completed in the DCDEE portal and reviewed annually in the portal before reviewing the EPR plan with all staff. IF there are no changes annually, the administrator may print off page #28. The printed page will show the administrator was in the portal plan that year and track the date. If there are any changes to the EPR plan made in the portal, annually, then the revised plan must be printed and filed with the center’s RTGF. There were child incidents that occurred in the first part of 2024 that were not logged onto the center’s incident log. Completed incident reports were not filed in the applicable child’s file. It was recommended to maintain a binder with log and file or begin a new log annually. Staff and Training worksheets were not updated or made available during the visit. A RU visit was completed in June of 2024. The filed worksheets were monitored from the file. There was one existing staff file monitored for compliance (A. Mon). There were two new hires, and their staff files were monitored for compliance (A. Vinton and C. Navarro). Two new staff did not have a completed TB test showing negative results on file. Please update the staff and training worksheets and email them to me no later than next Wednesday, September 18, 2024. Documentation for quarterly safety drills and monthly fire drills were discussed and monitored. The outdoor learning environment was monitored for compliance. We discussed some chipped paint around some outside windows near the infant/toddler playground area. There also appears to be some rain/water damage and wood deterioration around the windows that should be addressed by the church. The last sanitation inspection was conducted September 3, 2024, with five (5) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed on September 26, 2023. It was highly recommended to begin the annual inspection process 4-6 weeks prior to expiration. The annual fire inspection is due to expire in about two weeks. It was unknown if the administrator began the process to complete the annual fire inspection process. 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. Outdoor windows frames and sills next to infant/toddler playground are in disrepair. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. There were books in poor condition in a couple of classrooms. .0601(d) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were electrical outlets and power strips not in use not covered or made inaccessible to children in spaces #1/128 and #6/121. 10A NCAC 09 .0604(c) 832 There was no written emergency medical care (EMC) plan. There was not a EMC plan. 10A NCAC 09 .0802(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #2/#130 a child's inhaler was only maintained with a spacer. The original container was not maintained with the prescribed medication. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child's prescribed medication in space #2/130 was not discarded or returned to the parent after the child disenrolled in July 2024. .0803(12) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident reports were not maintained in the applicable child's file. .0802 (e) 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. Materials with small parts were accessible to children under three years of age in space #1/128, and #3/115. Glue sticks were in the classrooms and accessible to children under three years of age. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Caregivers did not document checking on a sleeping infant in space#5/119 and #6/121. .0606(g) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. An infant was placed to sleep in their stomach in space #6/121. The infant could not turn over on their own. .0606(a)(1)(A-B) 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. Two staff did not have TB results on file prior to beginning work. .0701(a) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parents' acknowledgments page did not list the child's date of enrollment. .1804(b) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. None of the required components related to RTGF were current. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was not current since 2016. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There was not written permission every six months to administer life altering medication to a child. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance Provided and General Discussion: 1. It was highly recommended to utilize the DCDEE checklist. Using the checklists will help with compliance of paperwork. 2. It was recommended to update the parent acknowledgements page to include the child’s date of enrollment. By adding the date of enrollment, the page would then meet child care requirements related to the children’s discipline rules. 3. We discussed the use of white noise machines in infant and toddler classrooms. The center does not have a policy, and parents did not discuss their use with the center administration. Parents brought the machines to the classrooms and asked the teacher to use them. If the center decides to approve the use of noise machines, the staff must follow the written instructions. Written instructions from the manufacturer must be maintained on file and available for review. The American Pediatrics Association stated the machines should be at least seven feet away. Today, machines were monitored less than 7 feet away or attached to a hook directly next to two cribs. 4. We discussed the center’s water testing and which sink(s) drinking water could be obtained from. Due to church logistics the kitchen faucet was the only sink tested and approved thus far. The staff have been using Britta filtered water and maintaining it in each classroom refrigerator. We discussed if possibly the church kitchen galley-faucet area around the corner from the administrator’s office could be approved for use. I encouraged the administrator to discuss this with their sanitation inspector first. 5. It was recommended to contact the Community Health Nurses to help with the center medications and required forms. Contact information will be provided by email. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Wednesday, September 25, 2024. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@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: ratio. Open / not marked corrected.

10A NCAC 09 .0802 · Violation

Name of Operation: ST. JOHN'S BAPTIST CHURCH WEEKDAY SCHOOL Facility ID: 60003619 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 38 Completed Date: 9/12/2024 Age: From 0 To 5 Total Minutes: 320 Time In: 09:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during the Annual Compliance Visit. The center administrator, Ms. Olmsted, was absent. The assistant administrator, Ms. Hartzell assisted me during the visit. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated March 2024 were used to document compliance. Spaces #1-6 and an outdoor learning environment were monitored for compliance. Children were monitored eating lunch, engaged in daily outdoor time and napping. Glue sticks were monitored accessible to children under the age of three. There were uncovered outlets, and one power strip not covered or made inaccessible to children. There were books monitored with either torn pages or spines. There was a prescribed medication (inhaler) in space #2 without a prescription label, permission to administer and medical action plan. There was an inhaler and spacer of child no longer enrolled. The medication was not discarded or returned to the child’s parent within 72 hours. The child disenrolled in July 2024. Infant safe sleep checks were not documented as required in spaces #5 and #6. One infant was sleeping upon our arrival in space #6. The infant was on their stomach and then awoke. It was around noon and the staff stated the child had been sleeping for approximately ten minutes. There was not any documentation showing the staff checked on the sleeping infant every 10 to 15 minutes during the sleep period prior to our arrival to the classroom. In both spaces #5 and #6 there were two noise machines in each of the classrooms. In space #5, one machine was on and was less than seven feet from the infant’s crib. The staff were asked to return the machines to the parents and request that they discuss the machines with center administration. Ms. Hartzell agreed this recommended process would help to foster discussion and policy development. There were not any manufacturer’s instructions available to review. Additional information regarding noise machines was emailed after the visit to help the center develop written policy. Lunches and bottled water are sent from home. The center has parents “Opt Out” of meals. There were a couple of water bottles and at least two lunches monitored where there was not a date listed on either bottle or lunch. All classrooms need materials and multiples of three of the same toys for children three years of age and younger. Five children’s files were monitored for compliance. Documentation did not track the child’s date of enrollment on the discipline parent acknowledgements page. There was not an Emergency Medical Care Plan posted in a prominent place for staff or parents to see. It was recommended to post the completed plan in each approved space. However, child care rules only require the completed form to be posted in a prominent place. The center’s printed EPR plan was dated September 2016. The current consultant or health consultant was not listed. The center did not have an EPR Ready to Go File available. A checklist will be emailed to the administrator after the visit. It was recommended to the assistant administrator to obtain EPR training to help with becoming more familiar with child care requirements. The plan must be completed in the DCDEE portal and reviewed annually in the portal before reviewing the EPR plan with all staff. IF there are no changes annually, the administrator may print off page #28. The printed page will show the administrator was in the portal plan that year and track the date. If there are any changes to the EPR plan made in the portal, annually, then the revised plan must be printed and filed with the center’s RTGF. There were child incidents that occurred in the first part of 2024 that were not logged onto the center’s incident log. Completed incident reports were not filed in the applicable child’s file. It was recommended to maintain a binder with log and file or begin a new log annually. Staff and Training worksheets were not updated or made available during the visit. A RU visit was completed in June of 2024. The filed worksheets were monitored from the file. There was one existing staff file monitored for compliance (A. Mon). There were two new hires, and their staff files were monitored for compliance (A. Vinton and C. Navarro). Two new staff did not have a completed TB test showing negative results on file. Please update the staff and training worksheets and email them to me no later than next Wednesday, September 18, 2024. Documentation for quarterly safety drills and monthly fire drills were discussed and monitored. The outdoor learning environment was monitored for compliance. We discussed some chipped paint around some outside windows near the infant/toddler playground area. There also appears to be some rain/water damage and wood deterioration around the windows that should be addressed by the church. The last sanitation inspection was conducted September 3, 2024, with five (5) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed on September 26, 2023. It was highly recommended to begin the annual inspection process 4-6 weeks prior to expiration. The annual fire inspection is due to expire in about two weeks. It was unknown if the administrator began the process to complete the annual fire inspection process. 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. Outdoor windows frames and sills next to infant/toddler playground are in disrepair. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. There were books in poor condition in a couple of classrooms. .0601(d) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were electrical outlets and power strips not in use not covered or made inaccessible to children in spaces #1/128 and #6/121. 10A NCAC 09 .0604(c) 832 There was no written emergency medical care (EMC) plan. There was not a EMC plan. 10A NCAC 09 .0802(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #2/#130 a child's inhaler was only maintained with a spacer. The original container was not maintained with the prescribed medication. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child's prescribed medication in space #2/130 was not discarded or returned to the parent after the child disenrolled in July 2024. .0803(12) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident reports were not maintained in the applicable child's file. .0802 (e) 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. Materials with small parts were accessible to children under three years of age in space #1/128, and #3/115. Glue sticks were in the classrooms and accessible to children under three years of age. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Caregivers did not document checking on a sleeping infant in space#5/119 and #6/121. .0606(g) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. An infant was placed to sleep in their stomach in space #6/121. The infant could not turn over on their own. .0606(a)(1)(A-B) 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. Two staff did not have TB results on file prior to beginning work. .0701(a) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parents' acknowledgments page did not list the child's date of enrollment. .1804(b) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. None of the required components related to RTGF were current. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was not current since 2016. .0607(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There was not written permission every six months to administer life altering medication to a child. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance Provided and General Discussion: 1. It was highly recommended to utilize the DCDEE checklist. Using the checklists will help with compliance of paperwork. 2. It was recommended to update the parent acknowledgements page to include the child’s date of enrollment. By adding the date of enrollment, the page would then meet child care requirements related to the children’s discipline rules. 3. We discussed the use of white noise machines in infant and toddler classrooms. The center does not have a policy, and parents did not discuss their use with the center administration. Parents brought the machines to the classrooms and asked the teacher to use them. If the center decides to approve the use of noise machines, the staff must follow the written instructions. Written instructions from the manufacturer must be maintained on file and available for review. The American Pediatrics Association stated the machines should be at least seven feet away. Today, machines were monitored less than 7 feet away or attached to a hook directly next to two cribs. 4. We discussed the center’s water testing and which sink(s) drinking water could be obtained from. Due to church logistics the kitchen faucet was the only sink tested and approved thus far. The staff have been using Britta filtered water and maintaining it in each classroom refrigerator. We discussed if possibly the church kitchen galley-faucet area around the corner from the administrator’s office could be approved for use. I encouraged the administrator to discuss this with their sanitation inspector first. 5. It was recommended to contact the Community Health Nurses to help with the center medications and required forms. Contact information will be provided by email. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Wednesday, September 25, 2024. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@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

GS 110-106 · Violation

Name of Operation: ST. JOHN'S BAPTIST CHURCH WEEKDAY SCHOOL Facility ID: 60003619 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 6/27/2024 Number Present: 0 Completed Date: 6/27/2024 Age: From 0 To 0 Total Minutes: 175 Time In: 10:35 AM Time Out: 01:30 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 for applicable child care requirements during the routine unannounced visit. The facility continues to operate with a GS 110-106 Religiously sponsored Notice of Compliance center. The Notice of Compliance was issued November 4, 2014. The center administrator continues to be Ms. Lydia Olmsted. The center continues to operate meeting minimum requirements and staff to child ratios. Upon arrival, I was greeted by Kristina Hartzell, Assistant Director. I stated the reason for the visit. Ms. Hartzell stated the center administrator, Ms. Lydia Olmsted, was out of town and offered to assist me with the visit. Ms. Hartzell escorted me to the office, reviewed the staff and training worksheets, located needed files and accessed the program records I needed to review today. I was able to speak with Ms. Olmsted on the phone. She will return to the center July 1, 2024. The facility’s 18-month compliance history before today’s visit was 88%. The facility license and NC Summary of the Child Care Law date January, 2021 was prominently posted. The following items were monitored: first aid, CPR, special training, criminal background checks, BSAC, emergency medical care plan, adequate/approved space, program records, license posted and permit restrictions. There were no children present. The center was closed for a break before beginning summer camp Monday, July 1, 2024. The following items were not able to be monitored today: supervision, staff/child ratio, administering of medication, storage of hazardous products, storage of medication, general safety, discipline. Another routine unannounced visit will be scheduled when children are present to monitor these items. The Staff and Training Worksheets were reviewed to confirm staff were current with CPR, First Aid, BSAC training, and criminal background qualifying letters. There was one new staff employed and one staff terminated since the last Annual Compliance Visit, September 18, 2023. Three violations were cited. The last fire inspection was conducted September 26, 2023. The last sanitation inspection was conducted on January 11, 2024, with 5 demerits and a Superior rating. The Emergency Drill Log and Report was reviewed today. The last fire drill was conducted May 31, 2024 and the last shelter-in-place drill was conducted March 21, 20224. One violation was cited. The monthly playground inspections were reviewed and found meeting compliance. The following violations were cited today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. In space 117 the oldest child attending was 8 years old. The permit restriction for age is 0-6 years old. GS 110-91; GS 110-106 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill for June was not conducted. .0604(t); .0302(d)(5) 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 assistant director and one new staff member hired 1/4/24 did not have certificate of completion in employee file. .1102(f) 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 staff member hired 1/4/24 did not have a signed acknowledgment in her employee file. .0608(d)(1-4) 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 new staff member hired 1/4/24 did not have a certificate showing completion of training in the staff file. .1102(g) Corrective Action Plan: 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 July 11, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte, NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. Technical Assistance Provided and General Discussion: Ms. Olmsted sent an email Thursday, June 13, 2024 to me and Mara Brinton, Child Care Consultant, which stated the weekday program operated from early September through early June each year and was now closed. The email stated a summer camp would open July 1, 2024 in partnership with the YMCA-Summer Literacy Infusion program. Ms. Hartzell called Ms. Olmsted and I spoke with her to verify that the camp was operated by and conducted in the same licensed space utilized by St. John’s Baptist Church Weekday School. She verified that the camp is in the same space and will operate from 8:30 am – 2:30 pm from July 1 – August 2nd, 2024. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov. Ms. Hartzell signed a written Visit Summary before the completion of the visit. She needed to leave at 12 pm to care for her children. I discussed with Ms. Hartzell that I will email the visit summary to Ms. Olmsted today. I will contact Ms. Olmsted to schedule a time the week of July 1, 2024 to come review the Visit Summary with her. Thank you for your time today. If you have questions or concerns, please contact me at 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: ST. JOHN'S BAPTIST CHURCH WEEKDAY SCHOOL Facility ID: 60003619 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 6/27/2024 Number Present: 0 Completed Date: 6/27/2024 Age: From 0 To 0 Total Minutes: 175 Time In: 10:35 AM Time Out: 01:30 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 for applicable child care requirements during the routine unannounced visit. The facility continues to operate with a GS 110-106 Religiously sponsored Notice of Compliance center. The Notice of Compliance was issued November 4, 2014. The center administrator continues to be Ms. Lydia Olmsted. The center continues to operate meeting minimum requirements and staff to child ratios. Upon arrival, I was greeted by Kristina Hartzell, Assistant Director. I stated the reason for the visit. Ms. Hartzell stated the center administrator, Ms. Lydia Olmsted, was out of town and offered to assist me with the visit. Ms. Hartzell escorted me to the office, reviewed the staff and training worksheets, located needed files and accessed the program records I needed to review today. I was able to speak with Ms. Olmsted on the phone. She will return to the center July 1, 2024. The facility’s 18-month compliance history before today’s visit was 88%. The facility license and NC Summary of the Child Care Law date January, 2021 was prominently posted. The following items were monitored: first aid, CPR, special training, criminal background checks, BSAC, emergency medical care plan, adequate/approved space, program records, license posted and permit restrictions. There were no children present. The center was closed for a break before beginning summer camp Monday, July 1, 2024. The following items were not able to be monitored today: supervision, staff/child ratio, administering of medication, storage of hazardous products, storage of medication, general safety, discipline. Another routine unannounced visit will be scheduled when children are present to monitor these items. The Staff and Training Worksheets were reviewed to confirm staff were current with CPR, First Aid, BSAC training, and criminal background qualifying letters. There was one new staff employed and one staff terminated since the last Annual Compliance Visit, September 18, 2023. Three violations were cited. The last fire inspection was conducted September 26, 2023. The last sanitation inspection was conducted on January 11, 2024, with 5 demerits and a Superior rating. The Emergency Drill Log and Report was reviewed today. The last fire drill was conducted May 31, 2024 and the last shelter-in-place drill was conducted March 21, 20224. One violation was cited. The monthly playground inspections were reviewed and found meeting compliance. The following violations were cited today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. In space 117 the oldest child attending was 8 years old. The permit restriction for age is 0-6 years old. GS 110-91; GS 110-106 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill for June was not conducted. .0604(t); .0302(d)(5) 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 assistant director and one new staff member hired 1/4/24 did not have certificate of completion in employee file. .1102(f) 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 staff member hired 1/4/24 did not have a signed acknowledgment in her employee file. .0608(d)(1-4) 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 new staff member hired 1/4/24 did not have a certificate showing completion of training in the staff file. .1102(g) Corrective Action Plan: 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 July 11, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte, NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. Technical Assistance Provided and General Discussion: Ms. Olmsted sent an email Thursday, June 13, 2024 to me and Mara Brinton, Child Care Consultant, which stated the weekday program operated from early September through early June each year and was now closed. The email stated a summer camp would open July 1, 2024 in partnership with the YMCA-Summer Literacy Infusion program. Ms. Hartzell called Ms. Olmsted and I spoke with her to verify that the camp was operated by and conducted in the same licensed space utilized by St. John’s Baptist Church Weekday School. She verified that the camp is in the same space and will operate from 8:30 am – 2:30 pm from July 1 – August 2nd, 2024. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov. Ms. Hartzell signed a written Visit Summary before the completion of the visit. She needed to leave at 12 pm to care for her children. I discussed with Ms. Hartzell that I will email the visit summary to Ms. Olmsted today. I will contact Ms. Olmsted to schedule a time the week of July 1, 2024 to come review the Visit Summary with her. Thank you for your time today. If you have questions or concerns, please contact me at 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ST. JOHN'S BAPTIST CHURCH WEEKDAY SCHOOL Facility ID: 60003619 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 6/27/2024 Number Present: 0 Completed Date: 6/27/2024 Age: From 0 To 0 Total Minutes: 175 Time In: 10:35 AM Time Out: 01:30 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 for applicable child care requirements during the routine unannounced visit. The facility continues to operate with a GS 110-106 Religiously sponsored Notice of Compliance center. The Notice of Compliance was issued November 4, 2014. The center administrator continues to be Ms. Lydia Olmsted. The center continues to operate meeting minimum requirements and staff to child ratios. Upon arrival, I was greeted by Kristina Hartzell, Assistant Director. I stated the reason for the visit. Ms. Hartzell stated the center administrator, Ms. Lydia Olmsted, was out of town and offered to assist me with the visit. Ms. Hartzell escorted me to the office, reviewed the staff and training worksheets, located needed files and accessed the program records I needed to review today. I was able to speak with Ms. Olmsted on the phone. She will return to the center July 1, 2024. The facility’s 18-month compliance history before today’s visit was 88%. The facility license and NC Summary of the Child Care Law date January, 2021 was prominently posted. The following items were monitored: first aid, CPR, special training, criminal background checks, BSAC, emergency medical care plan, adequate/approved space, program records, license posted and permit restrictions. There were no children present. The center was closed for a break before beginning summer camp Monday, July 1, 2024. The following items were not able to be monitored today: supervision, staff/child ratio, administering of medication, storage of hazardous products, storage of medication, general safety, discipline. Another routine unannounced visit will be scheduled when children are present to monitor these items. The Staff and Training Worksheets were reviewed to confirm staff were current with CPR, First Aid, BSAC training, and criminal background qualifying letters. There was one new staff employed and one staff terminated since the last Annual Compliance Visit, September 18, 2023. Three violations were cited. The last fire inspection was conducted September 26, 2023. The last sanitation inspection was conducted on January 11, 2024, with 5 demerits and a Superior rating. The Emergency Drill Log and Report was reviewed today. The last fire drill was conducted May 31, 2024 and the last shelter-in-place drill was conducted March 21, 20224. One violation was cited. The monthly playground inspections were reviewed and found meeting compliance. The following violations were cited today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. In space 117 the oldest child attending was 8 years old. The permit restriction for age is 0-6 years old. GS 110-91; GS 110-106 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill for June was not conducted. .0604(t); .0302(d)(5) 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 assistant director and one new staff member hired 1/4/24 did not have certificate of completion in employee file. .1102(f) 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 staff member hired 1/4/24 did not have a signed acknowledgment in her employee file. .0608(d)(1-4) 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 new staff member hired 1/4/24 did not have a certificate showing completion of training in the staff file. .1102(g) Corrective Action Plan: 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 July 11, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte, NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. Technical Assistance Provided and General Discussion: Ms. Olmsted sent an email Thursday, June 13, 2024 to me and Mara Brinton, Child Care Consultant, which stated the weekday program operated from early September through early June each year and was now closed. The email stated a summer camp would open July 1, 2024 in partnership with the YMCA-Summer Literacy Infusion program. Ms. Hartzell called Ms. Olmsted and I spoke with her to verify that the camp was operated by and conducted in the same licensed space utilized by St. John’s Baptist Church Weekday School. She verified that the camp is in the same space and will operate from 8:30 am – 2:30 pm from July 1 – August 2nd, 2024. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov. Ms. Hartzell signed a written Visit Summary before the completion of the visit. She needed to leave at 12 pm to care for her children. I discussed with Ms. Hartzell that I will email the visit summary to Ms. Olmsted today. I will contact Ms. Olmsted to schedule a time the week of July 1, 2024 to come review the Visit Summary with her. Thank you for your time today. If you have questions or concerns, please contact me at 980-748-6270 or by email at Lisa.Eddins-Smith@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: ST. JOHN'S BAPTIST CHURCH WEEKDAY SCHOOL Facility ID: 60003619 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 9/18/2023 Number Present: 40 Completed Date: 9/18/2023 Age: From 0 To 5 Total Minutes: 210 Time In: 11:00 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 for compliance with applicable child care requirements during the Annual Compliance Visit. Upon arrival at the GS 110-106 Religiously sponsored Notice of Compliance center. I was greeted by a church staff person over the intercom. She buzzed me inside but then told me she let me in by accident. The center administrator, Ms. Lydia, came to the front entrance and escorted me to child care side of the building. The Notice of Compliance was issued November 4, 2014. The center administrator continues to be Ms. Lydia Olmsted. The center continues to operate meeting minimum requirements and staff to child ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. A walk through of the center was completed with Ms. Lydia. The following spaces # 128, 130, 115, 117, 119, 121, 123 and one outdoor learning environment was monitored for compliance. The program continues not to provide transportation or lunch. Parents complete the DCDEE “Opt Out” forms during the enrollment period. Lunch was provided by parents, sent from home, and refrigerated in college size refrigerators in each classroom at the center until served at meal time. Children were monitored, engaged in large group activities, eating lunch, hand washing, tummy time, and daily outdoor play. Two children in spaces #128 and #115 were monitored without a current medical action plan. One child in space #128 did not have a current permission slip to administer a life altering medication to a child. The permission slip is valid for only six months. It was recommended to review all medications and the current permission slips on file to know each pending expiration date for permission to administer the medication. There was one classroom (#128) monitored with plastic items accessible or within reach to children under the age of three years. We discussed the use of sleep sacks and ensuring to read the labels to ensure the size is applicable to the infant’s current age and size. Four children’s files were monitored for compliance and found to meet child care requirements. Staff and Training worksheets were presented during the visit. The worksheets were electronically stored. There were two new staff hires since the last routine unannounced visit, dated February 2023. Their files were monitored for compliance. Ms. A. Young was hired September 6, 2023, without a staff medical or TB results or screening. The TB results were on file by September 13, 2023. Ms. Young’s Shaken Baby and Head Trauma policy was not reviewed or signed until September 18, 2023, two weeks after hiring instead of completion before Ms. Young interacted with children in a classroom. Quarterly safety drills and monthly fire drills were monitored documented and current. Monthly outdoor inspections were monitored documented and current. The center’s EPR plan and RTGF were monitored for compliance with an annual review conducted with staff last completed August 2023. The outdoor learning environment was monitored for compliance. An outdoor storage unit was monitored with a door missing and the roof collapsing in ward. Children were not permitted to access the deteriorated unit. We discussed the importance of the church to either repair it or remove it from the children’s outdoor environment. Documentation for quarterly safety drills and monthly fire drills were monitored for compliance and found to meet child care requirements. It was recommended to conduct a monthly fire drill in the light rain and at the end of nap time. The last sanitation inspection was conducted July 27, 2023, with seven (7) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed September 26, 2023. The annual fire inspection date was updated in the visit summary after the visit date due to computer issues. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. An outdoor storage unit was monitored missing a door and roof collapsed. The outdoor unit was maintained inside of the children's outdoor learning environment. G.S. 110-91(6); .0601(b) 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 #128 plastic bags were monitored stored accessible to children under the age three years of age. .0604(q) 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 staff medical report was not on file prior to employment for one employee hired September 6, 2023. 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. One staff person was hired, September 6, 2023, and began working with children before TB results or screening were on file. The results were on file by September 13, 2023. .0701(a) 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. A medical action plan was monitored no longer current in space #128. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff person hired September 5, 2023, did not have a signed Shaken Baby and Abusive Head Trauma Policy on file until September 13, 2023. .0608(d)(1-4) Technical Assistance Provided and General Discussion: 1. It was recommended to reach out to the assigned EH inspector and ask if children’s lunches can be maintained in college size refrigerators at the center or are they required to be maintained in a full-size refrigerator until served. There are new sanitation rules and offered training occurring in the community. Additional information is also available on the EH website. 2. The visit summary was not finalized due to computer issues. The cited violations were reviewed with Ms. Olmsted prior to my departure. Ms. Olmsted was informed six (6) violations were cited. 3. Due to environmental health items of concern were documented (plastic bags accessible to children under age three) it is important for the administrator to have a checklist or tracking tool to show how administration monitored classrooms to ensure children’s safety and compliance with meeting child care rules. The administrator and staff stated not knowing it was an issue/concern. I recommended the EH checklist to be used by Ms. Olmsted, weekly. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Monday, October 2, 2023. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@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: ratio. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: ST. JOHN'S BAPTIST CHURCH WEEKDAY SCHOOL Facility ID: 60003619 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 9/18/2023 Number Present: 40 Completed Date: 9/18/2023 Age: From 0 To 5 Total Minutes: 210 Time In: 11:00 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 for compliance with applicable child care requirements during the Annual Compliance Visit. Upon arrival at the GS 110-106 Religiously sponsored Notice of Compliance center. I was greeted by a church staff person over the intercom. She buzzed me inside but then told me she let me in by accident. The center administrator, Ms. Lydia, came to the front entrance and escorted me to child care side of the building. The Notice of Compliance was issued November 4, 2014. The center administrator continues to be Ms. Lydia Olmsted. The center continues to operate meeting minimum requirements and staff to child ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. A walk through of the center was completed with Ms. Lydia. The following spaces # 128, 130, 115, 117, 119, 121, 123 and one outdoor learning environment was monitored for compliance. The program continues not to provide transportation or lunch. Parents complete the DCDEE “Opt Out” forms during the enrollment period. Lunch was provided by parents, sent from home, and refrigerated in college size refrigerators in each classroom at the center until served at meal time. Children were monitored, engaged in large group activities, eating lunch, hand washing, tummy time, and daily outdoor play. Two children in spaces #128 and #115 were monitored without a current medical action plan. One child in space #128 did not have a current permission slip to administer a life altering medication to a child. The permission slip is valid for only six months. It was recommended to review all medications and the current permission slips on file to know each pending expiration date for permission to administer the medication. There was one classroom (#128) monitored with plastic items accessible or within reach to children under the age of three years. We discussed the use of sleep sacks and ensuring to read the labels to ensure the size is applicable to the infant’s current age and size. Four children’s files were monitored for compliance and found to meet child care requirements. Staff and Training worksheets were presented during the visit. The worksheets were electronically stored. There were two new staff hires since the last routine unannounced visit, dated February 2023. Their files were monitored for compliance. Ms. A. Young was hired September 6, 2023, without a staff medical or TB results or screening. The TB results were on file by September 13, 2023. Ms. Young’s Shaken Baby and Head Trauma policy was not reviewed or signed until September 18, 2023, two weeks after hiring instead of completion before Ms. Young interacted with children in a classroom. Quarterly safety drills and monthly fire drills were monitored documented and current. Monthly outdoor inspections were monitored documented and current. The center’s EPR plan and RTGF were monitored for compliance with an annual review conducted with staff last completed August 2023. The outdoor learning environment was monitored for compliance. An outdoor storage unit was monitored with a door missing and the roof collapsing in ward. Children were not permitted to access the deteriorated unit. We discussed the importance of the church to either repair it or remove it from the children’s outdoor environment. Documentation for quarterly safety drills and monthly fire drills were monitored for compliance and found to meet child care requirements. It was recommended to conduct a monthly fire drill in the light rain and at the end of nap time. The last sanitation inspection was conducted July 27, 2023, with seven (7) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed September 26, 2023. The annual fire inspection date was updated in the visit summary after the visit date due to computer issues. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. An outdoor storage unit was monitored missing a door and roof collapsed. The outdoor unit was maintained inside of the children's outdoor learning environment. G.S. 110-91(6); .0601(b) 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 #128 plastic bags were monitored stored accessible to children under the age three years of age. .0604(q) 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 staff medical report was not on file prior to employment for one employee hired September 6, 2023. 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. One staff person was hired, September 6, 2023, and began working with children before TB results or screening were on file. The results were on file by September 13, 2023. .0701(a) 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. A medical action plan was monitored no longer current in space #128. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff person hired September 5, 2023, did not have a signed Shaken Baby and Abusive Head Trauma Policy on file until September 13, 2023. .0608(d)(1-4) Technical Assistance Provided and General Discussion: 1. It was recommended to reach out to the assigned EH inspector and ask if children’s lunches can be maintained in college size refrigerators at the center or are they required to be maintained in a full-size refrigerator until served. There are new sanitation rules and offered training occurring in the community. Additional information is also available on the EH website. 2. The visit summary was not finalized due to computer issues. The cited violations were reviewed with Ms. Olmsted prior to my departure. Ms. Olmsted was informed six (6) violations were cited. 3. Due to environmental health items of concern were documented (plastic bags accessible to children under age three) it is important for the administrator to have a checklist or tracking tool to show how administration monitored classrooms to ensure children’s safety and compliance with meeting child care rules. The administrator and staff stated not knowing it was an issue/concern. I recommended the EH checklist to be used by Ms. Olmsted, weekly. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Monday, October 2, 2023. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@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

GS 110-106 · Violation

Name of Operation: ST. JOHN'S BAPTIST CHURCH WEEKDAY SCHOOL Facility ID: 60003619 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 9/18/2023 Number Present: 40 Completed Date: 9/18/2023 Age: From 0 To 5 Total Minutes: 210 Time In: 11:00 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 for compliance with applicable child care requirements during the Annual Compliance Visit. Upon arrival at the GS 110-106 Religiously sponsored Notice of Compliance center. I was greeted by a church staff person over the intercom. She buzzed me inside but then told me she let me in by accident. The center administrator, Ms. Lydia, came to the front entrance and escorted me to child care side of the building. The Notice of Compliance was issued November 4, 2014. The center administrator continues to be Ms. Lydia Olmsted. The center continues to operate meeting minimum requirements and staff to child ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. A walk through of the center was completed with Ms. Lydia. The following spaces # 128, 130, 115, 117, 119, 121, 123 and one outdoor learning environment was monitored for compliance. The program continues not to provide transportation or lunch. Parents complete the DCDEE “Opt Out” forms during the enrollment period. Lunch was provided by parents, sent from home, and refrigerated in college size refrigerators in each classroom at the center until served at meal time. Children were monitored, engaged in large group activities, eating lunch, hand washing, tummy time, and daily outdoor play. Two children in spaces #128 and #115 were monitored without a current medical action plan. One child in space #128 did not have a current permission slip to administer a life altering medication to a child. The permission slip is valid for only six months. It was recommended to review all medications and the current permission slips on file to know each pending expiration date for permission to administer the medication. There was one classroom (#128) monitored with plastic items accessible or within reach to children under the age of three years. We discussed the use of sleep sacks and ensuring to read the labels to ensure the size is applicable to the infant’s current age and size. Four children’s files were monitored for compliance and found to meet child care requirements. Staff and Training worksheets were presented during the visit. The worksheets were electronically stored. There were two new staff hires since the last routine unannounced visit, dated February 2023. Their files were monitored for compliance. Ms. A. Young was hired September 6, 2023, without a staff medical or TB results or screening. The TB results were on file by September 13, 2023. Ms. Young’s Shaken Baby and Head Trauma policy was not reviewed or signed until September 18, 2023, two weeks after hiring instead of completion before Ms. Young interacted with children in a classroom. Quarterly safety drills and monthly fire drills were monitored documented and current. Monthly outdoor inspections were monitored documented and current. The center’s EPR plan and RTGF were monitored for compliance with an annual review conducted with staff last completed August 2023. The outdoor learning environment was monitored for compliance. An outdoor storage unit was monitored with a door missing and the roof collapsing in ward. Children were not permitted to access the deteriorated unit. We discussed the importance of the church to either repair it or remove it from the children’s outdoor environment. Documentation for quarterly safety drills and monthly fire drills were monitored for compliance and found to meet child care requirements. It was recommended to conduct a monthly fire drill in the light rain and at the end of nap time. The last sanitation inspection was conducted July 27, 2023, with seven (7) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed September 26, 2023. The annual fire inspection date was updated in the visit summary after the visit date due to computer issues. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. An outdoor storage unit was monitored missing a door and roof collapsed. The outdoor unit was maintained inside of the children's outdoor learning environment. G.S. 110-91(6); .0601(b) 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 #128 plastic bags were monitored stored accessible to children under the age three years of age. .0604(q) 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 staff medical report was not on file prior to employment for one employee hired September 6, 2023. 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. One staff person was hired, September 6, 2023, and began working with children before TB results or screening were on file. The results were on file by September 13, 2023. .0701(a) 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. A medical action plan was monitored no longer current in space #128. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff person hired September 5, 2023, did not have a signed Shaken Baby and Abusive Head Trauma Policy on file until September 13, 2023. .0608(d)(1-4) Technical Assistance Provided and General Discussion: 1. It was recommended to reach out to the assigned EH inspector and ask if children’s lunches can be maintained in college size refrigerators at the center or are they required to be maintained in a full-size refrigerator until served. There are new sanitation rules and offered training occurring in the community. Additional information is also available on the EH website. 2. The visit summary was not finalized due to computer issues. The cited violations were reviewed with Ms. Olmsted prior to my departure. Ms. Olmsted was informed six (6) violations were cited. 3. Due to environmental health items of concern were documented (plastic bags accessible to children under age three) it is important for the administrator to have a checklist or tracking tool to show how administration monitored classrooms to ensure children’s safety and compliance with meeting child care rules. The administrator and staff stated not knowing it was an issue/concern. I recommended the EH checklist to be used by Ms. Olmsted, weekly. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Monday, October 2, 2023. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. 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. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@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