10A NCAC 09 .0803 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/6/2025 Number Present: 50 Completed Date: 1/6/2025 Age: From 0 To 5 Total Minutes: 232 Time In: 08:53 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the Administrative Action Follow-up Visit. The last annual compliance visit was conducted on July 11, 2024. The center had a compliance history of 85% prior to today’s visit. I was greeted by the Director, Ms. Leah Steadman, and I explained the purpose of the visit The Administrative Action was observed posted. I completed a walkthrough of the facility. I observed the children in space 1 receiving care according to their individual needs. A violation was cited for an infant feeding plan. In space 2 I observed the children having circle time. The children in space 3 and space 4 were observed having supervised independent play. In space 5 I observed the children having a group learning activity, and I observed the children having free independent play. There were no children observed in space 6. Arrival times and attendance was observed in each space, and compliance was met. The The following was monitored using the Center Item Number Listing: Supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, ITS-SIDS, Storage of Hazardous Substances, Medications, Sanitation, Outdoor Play, and Criminal Record Check Requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Supervision: Children were observed adequately supervised in approved child care space. Discipline, nurture, or care of children: Nurturing tones were observed when staff spoke with the children. Staff/child ratio: Staff/child ratios were observed meeting compliance. Licensed capacity: Capacity requirements for license was compliant. Permit Restriction: Permit restrictions were met; Administrative Action was observed posted. CPR Training: All staff are current with CPR. First Aid Training: All staff are current with First Aid. ITS-SIDS: Infant staff are compliant with ITS-SIDS training. The safe sleep log was monitored and compliance was met. The safe sleep policy and the safe sleep poster were observed posted. Medications: There are no children with medication(s). Diapering creams and ointments were monitored. A violation was cited for expired ointments, and a violation was cited for permission to administer forms. There are no children with allergies. Criminal Record Check: All staff are current with criminal record checks. Adequate supervision was observed during the visit. Storage of Hazardous Substances: There were no hazardous materials improperly stored. Sanitation: The floor walls and ceilings were clean and in good repair; carpets appeared clean and in good repair. Outdoor play area: Was clean and in good repair. Due to the weather, outdoor play was not observed; the children were scheduled for indoor play. The inactive beehive was observed removed from the outdoor play area. Three (3) violations were cited. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. An infant feeding plan did not include the parent signature for child (M.K.) in space 1. .0902(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. There was an expired ointment in space 1 for children (E.O.) that expired May 2024; expired ointment in space 2 for (A.K.) that expired February 2021; in space 3 a cream expired for (O.P.) expired October 2024; in space 3 a cream expired for S.S. expired August 2024 and a sunscreen expired October 2024. .0803(12) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to administer form expired for over-the-counter medications: in space 1 (B.F.) did not have a signed permission to administer for a diaper cream; in space 1 (A.L.) did not have a signed permission to administer for a diaper cream; in space 2 (P.H.) had an expired permission (September 7, 2024) to administer; in space (M.R.) permission to administer expired August 8, 2024; in space 2 (R.D.) permission to administer expired November 13, 2024; in space 3 (A.N.) no permission dates on form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) -A Staff Meeting is scheduled for this evening, January 6, 2025. During the staff meeting, the Corrective Action Plan will be reviewed with staff, and the required checklist will be reviewed during future visits. 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 January 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The compliance letter is due January 21, 2025, because January 20, 2025, is a holiday. The following Technical Assistance (TA) was provided: -The written feeding plan must include the child's name, parent signature, and dated when received by the center (Child Care Rule 10A NCAC 09 .0902(a)). -Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization was withdrawn or after authorization had expired and/or medication discarded within 72 hours of completion of treatment or withdrawal of authorization (Child Care Rule 10A NCAC 09 .0803(12)). -A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. (Child Care Rule 10A NCAC 09 .0803(7). -During the visit, the outdoor play area was not in use due to inclement weather. Monitor the gumball tree that is shedding gumballs, because the gumballs are potential choking hazards. Refer to Sanitation Rule 15A NCAC 18A .2832(a): The child care center premises, including the outdoor learning environment, must be clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. -Email a copy of the Staff Meeting Agenda and Roster for the meeting scheduled for January 6, 2025. At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0902 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/6/2025 Number Present: 50 Completed Date: 1/6/2025 Age: From 0 To 5 Total Minutes: 232 Time In: 08:53 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the Administrative Action Follow-up Visit. The last annual compliance visit was conducted on July 11, 2024. The center had a compliance history of 85% prior to today’s visit. I was greeted by the Director, Ms. Leah Steadman, and I explained the purpose of the visit The Administrative Action was observed posted. I completed a walkthrough of the facility. I observed the children in space 1 receiving care according to their individual needs. A violation was cited for an infant feeding plan. In space 2 I observed the children having circle time. The children in space 3 and space 4 were observed having supervised independent play. In space 5 I observed the children having a group learning activity, and I observed the children having free independent play. There were no children observed in space 6. Arrival times and attendance was observed in each space, and compliance was met. The The following was monitored using the Center Item Number Listing: Supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, ITS-SIDS, Storage of Hazardous Substances, Medications, Sanitation, Outdoor Play, and Criminal Record Check Requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Supervision: Children were observed adequately supervised in approved child care space. Discipline, nurture, or care of children: Nurturing tones were observed when staff spoke with the children. Staff/child ratio: Staff/child ratios were observed meeting compliance. Licensed capacity: Capacity requirements for license was compliant. Permit Restriction: Permit restrictions were met; Administrative Action was observed posted. CPR Training: All staff are current with CPR. First Aid Training: All staff are current with First Aid. ITS-SIDS: Infant staff are compliant with ITS-SIDS training. The safe sleep log was monitored and compliance was met. The safe sleep policy and the safe sleep poster were observed posted. Medications: There are no children with medication(s). Diapering creams and ointments were monitored. A violation was cited for expired ointments, and a violation was cited for permission to administer forms. There are no children with allergies. Criminal Record Check: All staff are current with criminal record checks. Adequate supervision was observed during the visit. Storage of Hazardous Substances: There were no hazardous materials improperly stored. Sanitation: The floor walls and ceilings were clean and in good repair; carpets appeared clean and in good repair. Outdoor play area: Was clean and in good repair. Due to the weather, outdoor play was not observed; the children were scheduled for indoor play. The inactive beehive was observed removed from the outdoor play area. Three (3) violations were cited. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. An infant feeding plan did not include the parent signature for child (M.K.) in space 1. .0902(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. There was an expired ointment in space 1 for children (E.O.) that expired May 2024; expired ointment in space 2 for (A.K.) that expired February 2021; in space 3 a cream expired for (O.P.) expired October 2024; in space 3 a cream expired for S.S. expired August 2024 and a sunscreen expired October 2024. .0803(12) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to administer form expired for over-the-counter medications: in space 1 (B.F.) did not have a signed permission to administer for a diaper cream; in space 1 (A.L.) did not have a signed permission to administer for a diaper cream; in space 2 (P.H.) had an expired permission (September 7, 2024) to administer; in space (M.R.) permission to administer expired August 8, 2024; in space 2 (R.D.) permission to administer expired November 13, 2024; in space 3 (A.N.) no permission dates on form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) -A Staff Meeting is scheduled for this evening, January 6, 2025. During the staff meeting, the Corrective Action Plan will be reviewed with staff, and the required checklist will be reviewed during future visits. 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 January 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The compliance letter is due January 21, 2025, because January 20, 2025, is a holiday. The following Technical Assistance (TA) was provided: -The written feeding plan must include the child's name, parent signature, and dated when received by the center (Child Care Rule 10A NCAC 09 .0902(a)). -Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization was withdrawn or after authorization had expired and/or medication discarded within 72 hours of completion of treatment or withdrawal of authorization (Child Care Rule 10A NCAC 09 .0803(12)). -A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. (Child Care Rule 10A NCAC 09 .0803(7). -During the visit, the outdoor play area was not in use due to inclement weather. Monitor the gumball tree that is shedding gumballs, because the gumballs are potential choking hazards. Refer to Sanitation Rule 15A NCAC 18A .2832(a): The child care center premises, including the outdoor learning environment, must be clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. -Email a copy of the Staff Meeting Agenda and Roster for the meeting scheduled for January 6, 2025. At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/6/2025 Number Present: 50 Completed Date: 1/6/2025 Age: From 0 To 5 Total Minutes: 232 Time In: 08:53 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the Administrative Action Follow-up Visit. The last annual compliance visit was conducted on July 11, 2024. The center had a compliance history of 85% prior to today’s visit. I was greeted by the Director, Ms. Leah Steadman, and I explained the purpose of the visit The Administrative Action was observed posted. I completed a walkthrough of the facility. I observed the children in space 1 receiving care according to their individual needs. A violation was cited for an infant feeding plan. In space 2 I observed the children having circle time. The children in space 3 and space 4 were observed having supervised independent play. In space 5 I observed the children having a group learning activity, and I observed the children having free independent play. There were no children observed in space 6. Arrival times and attendance was observed in each space, and compliance was met. The The following was monitored using the Center Item Number Listing: Supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, ITS-SIDS, Storage of Hazardous Substances, Medications, Sanitation, Outdoor Play, and Criminal Record Check Requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Supervision: Children were observed adequately supervised in approved child care space. Discipline, nurture, or care of children: Nurturing tones were observed when staff spoke with the children. Staff/child ratio: Staff/child ratios were observed meeting compliance. Licensed capacity: Capacity requirements for license was compliant. Permit Restriction: Permit restrictions were met; Administrative Action was observed posted. CPR Training: All staff are current with CPR. First Aid Training: All staff are current with First Aid. ITS-SIDS: Infant staff are compliant with ITS-SIDS training. The safe sleep log was monitored and compliance was met. The safe sleep policy and the safe sleep poster were observed posted. Medications: There are no children with medication(s). Diapering creams and ointments were monitored. A violation was cited for expired ointments, and a violation was cited for permission to administer forms. There are no children with allergies. Criminal Record Check: All staff are current with criminal record checks. Adequate supervision was observed during the visit. Storage of Hazardous Substances: There were no hazardous materials improperly stored. Sanitation: The floor walls and ceilings were clean and in good repair; carpets appeared clean and in good repair. Outdoor play area: Was clean and in good repair. Due to the weather, outdoor play was not observed; the children were scheduled for indoor play. The inactive beehive was observed removed from the outdoor play area. Three (3) violations were cited. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. An infant feeding plan did not include the parent signature for child (M.K.) in space 1. .0902(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. There was an expired ointment in space 1 for children (E.O.) that expired May 2024; expired ointment in space 2 for (A.K.) that expired February 2021; in space 3 a cream expired for (O.P.) expired October 2024; in space 3 a cream expired for S.S. expired August 2024 and a sunscreen expired October 2024. .0803(12) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to administer form expired for over-the-counter medications: in space 1 (B.F.) did not have a signed permission to administer for a diaper cream; in space 1 (A.L.) did not have a signed permission to administer for a diaper cream; in space 2 (P.H.) had an expired permission (September 7, 2024) to administer; in space (M.R.) permission to administer expired August 8, 2024; in space 2 (R.D.) permission to administer expired November 13, 2024; in space 3 (A.N.) no permission dates on form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) -A Staff Meeting is scheduled for this evening, January 6, 2025. During the staff meeting, the Corrective Action Plan will be reviewed with staff, and the required checklist will be reviewed during future visits. 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 January 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The compliance letter is due January 21, 2025, because January 20, 2025, is a holiday. The following Technical Assistance (TA) was provided: -The written feeding plan must include the child's name, parent signature, and dated when received by the center (Child Care Rule 10A NCAC 09 .0902(a)). -Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization was withdrawn or after authorization had expired and/or medication discarded within 72 hours of completion of treatment or withdrawal of authorization (Child Care Rule 10A NCAC 09 .0803(12)). -A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. (Child Care Rule 10A NCAC 09 .0803(7). -During the visit, the outdoor play area was not in use due to inclement weather. Monitor the gumball tree that is shedding gumballs, because the gumballs are potential choking hazards. Refer to Sanitation Rule 15A NCAC 18A .2832(a): The child care center premises, including the outdoor learning environment, must be clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. -Email a copy of the Staff Meeting Agenda and Roster for the meeting scheduled for January 6, 2025. At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 1/6/2025 Number Present: 50 Completed Date: 1/6/2025 Age: From 0 To 5 Total Minutes: 232 Time In: 08:53 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the Administrative Action Follow-up Visit. The last annual compliance visit was conducted on July 11, 2024. The center had a compliance history of 85% prior to today’s visit. I was greeted by the Director, Ms. Leah Steadman, and I explained the purpose of the visit The Administrative Action was observed posted. I completed a walkthrough of the facility. I observed the children in space 1 receiving care according to their individual needs. A violation was cited for an infant feeding plan. In space 2 I observed the children having circle time. The children in space 3 and space 4 were observed having supervised independent play. In space 5 I observed the children having a group learning activity, and I observed the children having free independent play. There were no children observed in space 6. Arrival times and attendance was observed in each space, and compliance was met. The The following was monitored using the Center Item Number Listing: Supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, ITS-SIDS, Storage of Hazardous Substances, Medications, Sanitation, Outdoor Play, and Criminal Record Check Requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Supervision: Children were observed adequately supervised in approved child care space. Discipline, nurture, or care of children: Nurturing tones were observed when staff spoke with the children. Staff/child ratio: Staff/child ratios were observed meeting compliance. Licensed capacity: Capacity requirements for license was compliant. Permit Restriction: Permit restrictions were met; Administrative Action was observed posted. CPR Training: All staff are current with CPR. First Aid Training: All staff are current with First Aid. ITS-SIDS: Infant staff are compliant with ITS-SIDS training. The safe sleep log was monitored and compliance was met. The safe sleep policy and the safe sleep poster were observed posted. Medications: There are no children with medication(s). Diapering creams and ointments were monitored. A violation was cited for expired ointments, and a violation was cited for permission to administer forms. There are no children with allergies. Criminal Record Check: All staff are current with criminal record checks. Adequate supervision was observed during the visit. Storage of Hazardous Substances: There were no hazardous materials improperly stored. Sanitation: The floor walls and ceilings were clean and in good repair; carpets appeared clean and in good repair. Outdoor play area: Was clean and in good repair. Due to the weather, outdoor play was not observed; the children were scheduled for indoor play. The inactive beehive was observed removed from the outdoor play area. Three (3) violations were cited. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. An infant feeding plan did not include the parent signature for child (M.K.) in space 1. .0902(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. There was an expired ointment in space 1 for children (E.O.) that expired May 2024; expired ointment in space 2 for (A.K.) that expired February 2021; in space 3 a cream expired for (O.P.) expired October 2024; in space 3 a cream expired for S.S. expired August 2024 and a sunscreen expired October 2024. .0803(12) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission to administer form expired for over-the-counter medications: in space 1 (B.F.) did not have a signed permission to administer for a diaper cream; in space 1 (A.L.) did not have a signed permission to administer for a diaper cream; in space 2 (P.H.) had an expired permission (September 7, 2024) to administer; in space (M.R.) permission to administer expired August 8, 2024; in space 2 (R.D.) permission to administer expired November 13, 2024; in space 3 (A.N.) no permission dates on form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) -A Staff Meeting is scheduled for this evening, January 6, 2025. During the staff meeting, the Corrective Action Plan will be reviewed with staff, and the required checklist will be reviewed during future visits. 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 January 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The compliance letter is due January 21, 2025, because January 20, 2025, is a holiday. The following Technical Assistance (TA) was provided: -The written feeding plan must include the child's name, parent signature, and dated when received by the center (Child Care Rule 10A NCAC 09 .0902(a)). -Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization was withdrawn or after authorization had expired and/or medication discarded within 72 hours of completion of treatment or withdrawal of authorization (Child Care Rule 10A NCAC 09 .0803(12)). -A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. (Child Care Rule 10A NCAC 09 .0803(7). -During the visit, the outdoor play area was not in use due to inclement weather. Monitor the gumball tree that is shedding gumballs, because the gumballs are potential choking hazards. Refer to Sanitation Rule 15A NCAC 18A .2832(a): The child care center premises, including the outdoor learning environment, must be clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. -Email a copy of the Staff Meeting Agenda and Roster for the meeting scheduled for January 6, 2025. At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/13/2024 Number Present: 50 Completed Date: 11/13/2024 Age: From 0 To 4 Total Minutes: 245 Time In: 12:10 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of the unannounced follow-up visit was to monitor applicable child care rules and laws. I was greeted by the Director, Ms. Leah Steadman, and I explained the purpose of the visit. I completed an indoor and outdoor walkthrough of the facility with Ms. Steadman. In space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. The walls, ceiling, and floors were clean and in good repair. The children in space 2, space 3, space 4, and space 5, were observed napping. In each space, the walls, ceiling, and floors were clean and in good repair. After nap, I observed children eating snack. The snack item was listed on the menu: Goldfish and juice. I observed the lunch items: Whole wheat bun, hot-dogs, fries, oranges slices and milk; a violation was cited for a substituted item. The following were monitored during the visit: Supervision, Staff/Child Ratios, Adequate Approved, and Permit Restrictions. Supervision: The children were adequately supervised during the visit. Infant staff documented the safe sleep logs. Staff supervised sleeping children. Sanitation requirements were monitored and met compliance. Staff/Child Ratios: All child care spaces were in compliance with staff/child ratios. Adequate Approved Space: Children were in licensed approved child care space. Permit Restrictions: The facility met permit restrictions; compliance met. There are no children with medication. Ointments and creams were properly stored, and compliance was met. Children with allergies were posted; no children with allergies. Fire drills and lockdown/shelter-in-place logs were reviewed. A violation was cited for the October 2024 fire drill that was not recorded. The playground inspections were not up-to-date; a violation was cited. I did not observe and hazardous substances accessible to children; properly stored and compliance was met. Electrical outlets were covered; compliance was met. The outdoor play area was clean and in good repair. There are two (2) new staff that have been hired. New staff records were reviewed and compliance was met. Staff are current with criminal qualifying letters and letters are on file. Staff are current with CPR/First Aid. The last fire inspection was completed July 15, 2024; the sanitation inspection was completed on July 30, 2024, with a "Superior" rating and twelve (12) demerits. Three (3) violations were cited. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The director stated that turkey slices on whole wheat buns were served to the children in space 1; it was not records on the menu prior to the meal being served. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill record was incomplete for October 2024. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspection for October 2024 was not completed. .0605(q) The invoices from the groundskeeper that maintains the outdoor play area were reviewed during 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 November 27, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The compliance history score is eight-five (85) percent as of November 12, 2024. -Food substitution must be of comparable food value and recorded on the menu prior to the meal or snack being served; Child Care Rule 10A NCAC 09 .0901(b). -Fire drills must be practiced monthly and/or the drill record must be completed. Child care centers must conduct one fire drill each month at unexpected times and under varying conditions. Ms. Steadman stated that the fire drill was completed on October 30, 2024, and she said that she forgot to record the date; Child Care Rules 10A NCAC 09.0604(t); .0302(d)(5). -Playground inspections must be completed monthly by a staff person who has received playground safety training; Child Care Rules 10A NCAC .0302(d)(6) .0606(q) and .1102(e). -Complete a walkthrough of the outdoor space before children participate in outdoor play. Ms. Steadman stated that she completes a walkthrough of the outdoor space each morning, and she stated that a groundkeeper comes every week to ensure that the outdoor area is in good repair. For example, the leaves are raked in the outdoor play area weekly. The child care center premises, including the outdoor learning environment must be clean, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Refer to Child Care Rule 15A NCAC 18A .2832(a). -The safe sleep logs were documented, and it was emphasized to staff to continue to document and "visually check" sleeping infants, and document the sleep position; Child Care Rule 10A NCAC 09 .0606(g). At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0606 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/13/2024 Number Present: 50 Completed Date: 11/13/2024 Age: From 0 To 4 Total Minutes: 245 Time In: 12:10 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of the unannounced follow-up visit was to monitor applicable child care rules and laws. I was greeted by the Director, Ms. Leah Steadman, and I explained the purpose of the visit. I completed an indoor and outdoor walkthrough of the facility with Ms. Steadman. In space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. The walls, ceiling, and floors were clean and in good repair. The children in space 2, space 3, space 4, and space 5, were observed napping. In each space, the walls, ceiling, and floors were clean and in good repair. After nap, I observed children eating snack. The snack item was listed on the menu: Goldfish and juice. I observed the lunch items: Whole wheat bun, hot-dogs, fries, oranges slices and milk; a violation was cited for a substituted item. The following were monitored during the visit: Supervision, Staff/Child Ratios, Adequate Approved, and Permit Restrictions. Supervision: The children were adequately supervised during the visit. Infant staff documented the safe sleep logs. Staff supervised sleeping children. Sanitation requirements were monitored and met compliance. Staff/Child Ratios: All child care spaces were in compliance with staff/child ratios. Adequate Approved Space: Children were in licensed approved child care space. Permit Restrictions: The facility met permit restrictions; compliance met. There are no children with medication. Ointments and creams were properly stored, and compliance was met. Children with allergies were posted; no children with allergies. Fire drills and lockdown/shelter-in-place logs were reviewed. A violation was cited for the October 2024 fire drill that was not recorded. The playground inspections were not up-to-date; a violation was cited. I did not observe and hazardous substances accessible to children; properly stored and compliance was met. Electrical outlets were covered; compliance was met. The outdoor play area was clean and in good repair. There are two (2) new staff that have been hired. New staff records were reviewed and compliance was met. Staff are current with criminal qualifying letters and letters are on file. Staff are current with CPR/First Aid. The last fire inspection was completed July 15, 2024; the sanitation inspection was completed on July 30, 2024, with a "Superior" rating and twelve (12) demerits. Three (3) violations were cited. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The director stated that turkey slices on whole wheat buns were served to the children in space 1; it was not records on the menu prior to the meal being served. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill record was incomplete for October 2024. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspection for October 2024 was not completed. .0605(q) The invoices from the groundskeeper that maintains the outdoor play area were reviewed during 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 November 27, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The compliance history score is eight-five (85) percent as of November 12, 2024. -Food substitution must be of comparable food value and recorded on the menu prior to the meal or snack being served; Child Care Rule 10A NCAC 09 .0901(b). -Fire drills must be practiced monthly and/or the drill record must be completed. Child care centers must conduct one fire drill each month at unexpected times and under varying conditions. Ms. Steadman stated that the fire drill was completed on October 30, 2024, and she said that she forgot to record the date; Child Care Rules 10A NCAC 09.0604(t); .0302(d)(5). -Playground inspections must be completed monthly by a staff person who has received playground safety training; Child Care Rules 10A NCAC .0302(d)(6) .0606(q) and .1102(e). -Complete a walkthrough of the outdoor space before children participate in outdoor play. Ms. Steadman stated that she completes a walkthrough of the outdoor space each morning, and she stated that a groundkeeper comes every week to ensure that the outdoor area is in good repair. For example, the leaves are raked in the outdoor play area weekly. The child care center premises, including the outdoor learning environment must be clean, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Refer to Child Care Rule 15A NCAC 18A .2832(a). -The safe sleep logs were documented, and it was emphasized to staff to continue to document and "visually check" sleeping infants, and document the sleep position; Child Care Rule 10A NCAC 09 .0606(g). At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/13/2024 Number Present: 50 Completed Date: 11/13/2024 Age: From 0 To 4 Total Minutes: 245 Time In: 12:10 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of the unannounced follow-up visit was to monitor applicable child care rules and laws. I was greeted by the Director, Ms. Leah Steadman, and I explained the purpose of the visit. I completed an indoor and outdoor walkthrough of the facility with Ms. Steadman. In space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. The walls, ceiling, and floors were clean and in good repair. The children in space 2, space 3, space 4, and space 5, were observed napping. In each space, the walls, ceiling, and floors were clean and in good repair. After nap, I observed children eating snack. The snack item was listed on the menu: Goldfish and juice. I observed the lunch items: Whole wheat bun, hot-dogs, fries, oranges slices and milk; a violation was cited for a substituted item. The following were monitored during the visit: Supervision, Staff/Child Ratios, Adequate Approved, and Permit Restrictions. Supervision: The children were adequately supervised during the visit. Infant staff documented the safe sleep logs. Staff supervised sleeping children. Sanitation requirements were monitored and met compliance. Staff/Child Ratios: All child care spaces were in compliance with staff/child ratios. Adequate Approved Space: Children were in licensed approved child care space. Permit Restrictions: The facility met permit restrictions; compliance met. There are no children with medication. Ointments and creams were properly stored, and compliance was met. Children with allergies were posted; no children with allergies. Fire drills and lockdown/shelter-in-place logs were reviewed. A violation was cited for the October 2024 fire drill that was not recorded. The playground inspections were not up-to-date; a violation was cited. I did not observe and hazardous substances accessible to children; properly stored and compliance was met. Electrical outlets were covered; compliance was met. The outdoor play area was clean and in good repair. There are two (2) new staff that have been hired. New staff records were reviewed and compliance was met. Staff are current with criminal qualifying letters and letters are on file. Staff are current with CPR/First Aid. The last fire inspection was completed July 15, 2024; the sanitation inspection was completed on July 30, 2024, with a "Superior" rating and twelve (12) demerits. Three (3) violations were cited. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The director stated that turkey slices on whole wheat buns were served to the children in space 1; it was not records on the menu prior to the meal being served. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill record was incomplete for October 2024. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspection for October 2024 was not completed. .0605(q) The invoices from the groundskeeper that maintains the outdoor play area were reviewed during 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 November 27, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The compliance history score is eight-five (85) percent as of November 12, 2024. -Food substitution must be of comparable food value and recorded on the menu prior to the meal or snack being served; Child Care Rule 10A NCAC 09 .0901(b). -Fire drills must be practiced monthly and/or the drill record must be completed. Child care centers must conduct one fire drill each month at unexpected times and under varying conditions. Ms. Steadman stated that the fire drill was completed on October 30, 2024, and she said that she forgot to record the date; Child Care Rules 10A NCAC 09.0604(t); .0302(d)(5). -Playground inspections must be completed monthly by a staff person who has received playground safety training; Child Care Rules 10A NCAC .0302(d)(6) .0606(q) and .1102(e). -Complete a walkthrough of the outdoor space before children participate in outdoor play. Ms. Steadman stated that she completes a walkthrough of the outdoor space each morning, and she stated that a groundkeeper comes every week to ensure that the outdoor area is in good repair. For example, the leaves are raked in the outdoor play area weekly. The child care center premises, including the outdoor learning environment must be clean, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Refer to Child Care Rule 15A NCAC 18A .2832(a). -The safe sleep logs were documented, and it was emphasized to staff to continue to document and "visually check" sleeping infants, and document the sleep position; Child Care Rule 10A NCAC 09 .0606(g). At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0604 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/13/2024 Number Present: 50 Completed Date: 11/13/2024 Age: From 0 To 4 Total Minutes: 245 Time In: 12:10 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of the unannounced follow-up visit was to monitor applicable child care rules and laws. I was greeted by the Director, Ms. Leah Steadman, and I explained the purpose of the visit. I completed an indoor and outdoor walkthrough of the facility with Ms. Steadman. In space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. The walls, ceiling, and floors were clean and in good repair. The children in space 2, space 3, space 4, and space 5, were observed napping. In each space, the walls, ceiling, and floors were clean and in good repair. After nap, I observed children eating snack. The snack item was listed on the menu: Goldfish and juice. I observed the lunch items: Whole wheat bun, hot-dogs, fries, oranges slices and milk; a violation was cited for a substituted item. The following were monitored during the visit: Supervision, Staff/Child Ratios, Adequate Approved, and Permit Restrictions. Supervision: The children were adequately supervised during the visit. Infant staff documented the safe sleep logs. Staff supervised sleeping children. Sanitation requirements were monitored and met compliance. Staff/Child Ratios: All child care spaces were in compliance with staff/child ratios. Adequate Approved Space: Children were in licensed approved child care space. Permit Restrictions: The facility met permit restrictions; compliance met. There are no children with medication. Ointments and creams were properly stored, and compliance was met. Children with allergies were posted; no children with allergies. Fire drills and lockdown/shelter-in-place logs were reviewed. A violation was cited for the October 2024 fire drill that was not recorded. The playground inspections were not up-to-date; a violation was cited. I did not observe and hazardous substances accessible to children; properly stored and compliance was met. Electrical outlets were covered; compliance was met. The outdoor play area was clean and in good repair. There are two (2) new staff that have been hired. New staff records were reviewed and compliance was met. Staff are current with criminal qualifying letters and letters are on file. Staff are current with CPR/First Aid. The last fire inspection was completed July 15, 2024; the sanitation inspection was completed on July 30, 2024, with a "Superior" rating and twelve (12) demerits. Three (3) violations were cited. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The director stated that turkey slices on whole wheat buns were served to the children in space 1; it was not records on the menu prior to the meal being served. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill record was incomplete for October 2024. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspection for October 2024 was not completed. .0605(q) The invoices from the groundskeeper that maintains the outdoor play area were reviewed during 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 November 27, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The compliance history score is eight-five (85) percent as of November 12, 2024. -Food substitution must be of comparable food value and recorded on the menu prior to the meal or snack being served; Child Care Rule 10A NCAC 09 .0901(b). -Fire drills must be practiced monthly and/or the drill record must be completed. Child care centers must conduct one fire drill each month at unexpected times and under varying conditions. Ms. Steadman stated that the fire drill was completed on October 30, 2024, and she said that she forgot to record the date; Child Care Rules 10A NCAC 09.0604(t); .0302(d)(5). -Playground inspections must be completed monthly by a staff person who has received playground safety training; Child Care Rules 10A NCAC .0302(d)(6) .0606(q) and .1102(e). -Complete a walkthrough of the outdoor space before children participate in outdoor play. Ms. Steadman stated that she completes a walkthrough of the outdoor space each morning, and she stated that a groundkeeper comes every week to ensure that the outdoor area is in good repair. For example, the leaves are raked in the outdoor play area weekly. The child care center premises, including the outdoor learning environment must be clean, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Refer to Child Care Rule 15A NCAC 18A .2832(a). -The safe sleep logs were documented, and it was emphasized to staff to continue to document and "visually check" sleeping infants, and document the sleep position; Child Care Rule 10A NCAC 09 .0606(g). At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 11/13/2024 Number Present: 50 Completed Date: 11/13/2024 Age: From 0 To 4 Total Minutes: 245 Time In: 12:10 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of the unannounced follow-up visit was to monitor applicable child care rules and laws. I was greeted by the Director, Ms. Leah Steadman, and I explained the purpose of the visit. I completed an indoor and outdoor walkthrough of the facility with Ms. Steadman. In space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. The walls, ceiling, and floors were clean and in good repair. The children in space 2, space 3, space 4, and space 5, were observed napping. In each space, the walls, ceiling, and floors were clean and in good repair. After nap, I observed children eating snack. The snack item was listed on the menu: Goldfish and juice. I observed the lunch items: Whole wheat bun, hot-dogs, fries, oranges slices and milk; a violation was cited for a substituted item. The following were monitored during the visit: Supervision, Staff/Child Ratios, Adequate Approved, and Permit Restrictions. Supervision: The children were adequately supervised during the visit. Infant staff documented the safe sleep logs. Staff supervised sleeping children. Sanitation requirements were monitored and met compliance. Staff/Child Ratios: All child care spaces were in compliance with staff/child ratios. Adequate Approved Space: Children were in licensed approved child care space. Permit Restrictions: The facility met permit restrictions; compliance met. There are no children with medication. Ointments and creams were properly stored, and compliance was met. Children with allergies were posted; no children with allergies. Fire drills and lockdown/shelter-in-place logs were reviewed. A violation was cited for the October 2024 fire drill that was not recorded. The playground inspections were not up-to-date; a violation was cited. I did not observe and hazardous substances accessible to children; properly stored and compliance was met. Electrical outlets were covered; compliance was met. The outdoor play area was clean and in good repair. There are two (2) new staff that have been hired. New staff records were reviewed and compliance was met. Staff are current with criminal qualifying letters and letters are on file. Staff are current with CPR/First Aid. The last fire inspection was completed July 15, 2024; the sanitation inspection was completed on July 30, 2024, with a "Superior" rating and twelve (12) demerits. Three (3) violations were cited. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The director stated that turkey slices on whole wheat buns were served to the children in space 1; it was not records on the menu prior to the meal being served. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill record was incomplete for October 2024. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspection for October 2024 was not completed. .0605(q) The invoices from the groundskeeper that maintains the outdoor play area were reviewed during 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 November 27, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The compliance history score is eight-five (85) percent as of November 12, 2024. -Food substitution must be of comparable food value and recorded on the menu prior to the meal or snack being served; Child Care Rule 10A NCAC 09 .0901(b). -Fire drills must be practiced monthly and/or the drill record must be completed. Child care centers must conduct one fire drill each month at unexpected times and under varying conditions. Ms. Steadman stated that the fire drill was completed on October 30, 2024, and she said that she forgot to record the date; Child Care Rules 10A NCAC 09.0604(t); .0302(d)(5). -Playground inspections must be completed monthly by a staff person who has received playground safety training; Child Care Rules 10A NCAC .0302(d)(6) .0606(q) and .1102(e). -Complete a walkthrough of the outdoor space before children participate in outdoor play. Ms. Steadman stated that she completes a walkthrough of the outdoor space each morning, and she stated that a groundkeeper comes every week to ensure that the outdoor area is in good repair. For example, the leaves are raked in the outdoor play area weekly. The child care center premises, including the outdoor learning environment must be clean, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Refer to Child Care Rule 15A NCAC 18A .2832(a). -The safe sleep logs were documented, and it was emphasized to staff to continue to document and "visually check" sleeping infants, and document the sleep position; Child Care Rule 10A NCAC 09 .0606(g). At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0924-130L Visit Date: 9/18/2024 Number Present: 50 Completed Date: 9/18/2024 Age: From 0 To 5 Total Minutes: 262 Time In: 09:08 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Allegations were made to the Division of Child Development and Early Education (DCDEE) on September 9, 2024. The allegations are as follows: -There are concerns that children are being cared for in an unsafe environment -There are concerns that effective measures are not being taken to keep uncontained insects and vermin off the premises -There are concerns regarding sanitation guidelines. I was greeted by the Director, Ms. Leah Steadman, and I explained the purpose of the visit. A walkthrough of the indoor and outdoor premises was completed with Ms. Steadman. I observed In space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. Supervised "tummy-time" was observed. Bottles were observed properly labeled, and there was a working thermometer was observed in the refrigerator in space 1. Handwashing procedures and diapering procedures were observed posted, and there were available soap and paper towels for handwashing. Soapy water solution, disinfecting solution, and sanitizing solution along with testing strips were observed in space one. The ceiling and floors were observed in good repair; there were no holes in the ceiling or walls. The door in the infant room was chipped, and a violation was cited. In space 2, I observed the children having free independent play. I observed one (1) teacher cleaning and disinfecting the diaper changing station and I observed the teacher using proper handwashing procedures, after a diaper was changed. The ceilings and walls were clean and were in good repair; there were no holes in the ceiling or walls. I observed the children in space 3, preparing to go outside; teachers were completing the roster and name-to-face with the children. The ceilings and walls were clean and were in good repair; there were no holes in the ceiling or walls. There was a Speech Therapist, with Milestones, Ms. F. Barry, that worked independently with a child from space 3. Ms. Barry had a current Criminal Qualifying Letter on file with the center. In space 4, I observed the children having music and movement with Mr. T. Oates, from Mr. Rocky Music Enrichment; a current Criminal Qualifying Letter was on file with the center. The teachers were observed engaged and participated in the music activities with the children; appropriate supervision was provided. The ceilings and walls in space 4 were clean and were in good repair; there were no holes in the ceiling or walls. In space 5, I observed the children participating in musical chairs. Both teachers were engaged with the children, and adequate supervision was provided. The ceilings and walls were clean and were in good repair; there were no holes in the ceiling or walls. In space 6, the classroom for school-age children, there were no children present. The ceilings and walls were clean and were in good repair; there were no holes in the ceiling or walls. I observed the outdoor play area. The toys were in good repair, and the children were adequately supervised. The last Sanitation Inspection was conducted on July 30, 2024, with a "Superior" rating and twelve (12) demerits. The last fire inspection was conducted February 20, 2024 and the facility was approved for daytime care only. Staff spoke to the children with nurturing tones, and children were adequately supervised. The therapist and the musician providing music services had current qualifying letters on file. The outdoor shed was locked and the gates to the outdoor play area were secure while children played; teachers provided adequate supervision and the teachers were engaged with the children. There were no hazardous materials accessible to children, and there were no holes in the ceiling or walls. Based on observation of the center, the concern that children are being cared for in unsafe environment is UNSUBSTANTIATED. The center is taking preventative measures to ensure that there are no uncontained insects and vermin on the premises by having the premises exterminated. Based on the the allegations that effective measures are not being taken to keep uncontained insects and vermin off the premises was UNSUBSTANTIATED. There were sanitizing bottles and disinfecting bottles, and soapy water bottles along with testing strips to test the disinfectants and sanitizers. Proper handwashing and diapering procedures were observed. Tables in classrooms were observed clean and in good repair. Soap and paper towels were observed available at each sink, and soap and paper towels were observed in the bathrooms; the bathrooms were clean and in good repair. Based on observations during the visit and available materials, the allegation regarding sanitation guidelines was UNSUBSTANTIATED. One (1) violation was cited. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The door in space 1 had chipped peeling paint. 15A NCAC 18A .2825(a) -Copies of pest control invoices from June 1, 2024 and August 1, 2024 were reviewed during the visit. -Invoice for repairs made to the facility was reviewed. The invoices were dated August 26, 2024, and September 9, 2024. -An August 2024 Staff Memo was reviewed during the visit. The memo addressed items such as, lesson plans, material lists, paperwork, attendance, closing classrooms, and cleaning and etc. -A Newsletter was was provided to parents September 5, 2024, was reviewed. The newsletter including parent reminders, classroom updates for each class, Save the Dates, and the newsletter included to contact the director with any questions or concerns. -A visit report from August 27, 2024, was reviewed from a Environmental Health Services Sanitation Visit that was completed. According to the report, no pest was observed during the visit, disinfectant and sanitizer observed to be prepared properly and available during 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 October 1, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The door in the space 1 was chipped and needs repair. According to Ms. Steadman the door was previously covered with paper, however, the children were pulling the paper off the door and the paper was removed. She stated that she will request for the door to be repaired. All floors, walls, and ceilings must be kept clean and in good repair. Refer to Sanitation Rule 15A NCAC 18A .2825(a). -In space 3 and in the main hallway of the center, there were dead spiders contained in the light fixtures; dead spiders need to be removed from the light fixtures. Refer to 15A NCAC 18A.2832(a). -There is a tree root and stump that is not in an area where children run and play, but the area is located to the side of the play area. Mark the tree root and stump with paint, to prevent a possible tripping hazard. Refer to Child Care Rule 10A NCAC 09 .0601(a). -Secure the cable cord behind the storage building in the outdoor play area. The cable cord is affixed to the building, and the cable cord is in an area that the children do not play in the outdoor play area. Refer to Child Care Rule 10A NCAC 09 .0604(f). -Continue to follow handwashing and diapering procedures; after diapering continue to make sure that assistance is provided to children for handwashing. Refer to 15A NCAC 18A.2819(a) and 15A NCAC 18A .2819(a-c). At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0924-130L Visit Date: 9/18/2024 Number Present: 50 Completed Date: 9/18/2024 Age: From 0 To 5 Total Minutes: 262 Time In: 09:08 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Allegations were made to the Division of Child Development and Early Education (DCDEE) on September 9, 2024. The allegations are as follows: -There are concerns that children are being cared for in an unsafe environment -There are concerns that effective measures are not being taken to keep uncontained insects and vermin off the premises -There are concerns regarding sanitation guidelines. I was greeted by the Director, Ms. Leah Steadman, and I explained the purpose of the visit. A walkthrough of the indoor and outdoor premises was completed with Ms. Steadman. I observed In space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. Supervised "tummy-time" was observed. Bottles were observed properly labeled, and there was a working thermometer was observed in the refrigerator in space 1. Handwashing procedures and diapering procedures were observed posted, and there were available soap and paper towels for handwashing. Soapy water solution, disinfecting solution, and sanitizing solution along with testing strips were observed in space one. The ceiling and floors were observed in good repair; there were no holes in the ceiling or walls. The door in the infant room was chipped, and a violation was cited. In space 2, I observed the children having free independent play. I observed one (1) teacher cleaning and disinfecting the diaper changing station and I observed the teacher using proper handwashing procedures, after a diaper was changed. The ceilings and walls were clean and were in good repair; there were no holes in the ceiling or walls. I observed the children in space 3, preparing to go outside; teachers were completing the roster and name-to-face with the children. The ceilings and walls were clean and were in good repair; there were no holes in the ceiling or walls. There was a Speech Therapist, with Milestones, Ms. F. Barry, that worked independently with a child from space 3. Ms. Barry had a current Criminal Qualifying Letter on file with the center. In space 4, I observed the children having music and movement with Mr. T. Oates, from Mr. Rocky Music Enrichment; a current Criminal Qualifying Letter was on file with the center. The teachers were observed engaged and participated in the music activities with the children; appropriate supervision was provided. The ceilings and walls in space 4 were clean and were in good repair; there were no holes in the ceiling or walls. In space 5, I observed the children participating in musical chairs. Both teachers were engaged with the children, and adequate supervision was provided. The ceilings and walls were clean and were in good repair; there were no holes in the ceiling or walls. In space 6, the classroom for school-age children, there were no children present. The ceilings and walls were clean and were in good repair; there were no holes in the ceiling or walls. I observed the outdoor play area. The toys were in good repair, and the children were adequately supervised. The last Sanitation Inspection was conducted on July 30, 2024, with a "Superior" rating and twelve (12) demerits. The last fire inspection was conducted February 20, 2024 and the facility was approved for daytime care only. Staff spoke to the children with nurturing tones, and children were adequately supervised. The therapist and the musician providing music services had current qualifying letters on file. The outdoor shed was locked and the gates to the outdoor play area were secure while children played; teachers provided adequate supervision and the teachers were engaged with the children. There were no hazardous materials accessible to children, and there were no holes in the ceiling or walls. Based on observation of the center, the concern that children are being cared for in unsafe environment is UNSUBSTANTIATED. The center is taking preventative measures to ensure that there are no uncontained insects and vermin on the premises by having the premises exterminated. Based on the the allegations that effective measures are not being taken to keep uncontained insects and vermin off the premises was UNSUBSTANTIATED. There were sanitizing bottles and disinfecting bottles, and soapy water bottles along with testing strips to test the disinfectants and sanitizers. Proper handwashing and diapering procedures were observed. Tables in classrooms were observed clean and in good repair. Soap and paper towels were observed available at each sink, and soap and paper towels were observed in the bathrooms; the bathrooms were clean and in good repair. Based on observations during the visit and available materials, the allegation regarding sanitation guidelines was UNSUBSTANTIATED. One (1) violation was cited. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The door in space 1 had chipped peeling paint. 15A NCAC 18A .2825(a) -Copies of pest control invoices from June 1, 2024 and August 1, 2024 were reviewed during the visit. -Invoice for repairs made to the facility was reviewed. The invoices were dated August 26, 2024, and September 9, 2024. -An August 2024 Staff Memo was reviewed during the visit. The memo addressed items such as, lesson plans, material lists, paperwork, attendance, closing classrooms, and cleaning and etc. -A Newsletter was was provided to parents September 5, 2024, was reviewed. The newsletter including parent reminders, classroom updates for each class, Save the Dates, and the newsletter included to contact the director with any questions or concerns. -A visit report from August 27, 2024, was reviewed from a Environmental Health Services Sanitation Visit that was completed. According to the report, no pest was observed during the visit, disinfectant and sanitizer observed to be prepared properly and available during 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 October 1, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The door in the space 1 was chipped and needs repair. According to Ms. Steadman the door was previously covered with paper, however, the children were pulling the paper off the door and the paper was removed. She stated that she will request for the door to be repaired. All floors, walls, and ceilings must be kept clean and in good repair. Refer to Sanitation Rule 15A NCAC 18A .2825(a). -In space 3 and in the main hallway of the center, there were dead spiders contained in the light fixtures; dead spiders need to be removed from the light fixtures. Refer to 15A NCAC 18A.2832(a). -There is a tree root and stump that is not in an area where children run and play, but the area is located to the side of the play area. Mark the tree root and stump with paint, to prevent a possible tripping hazard. Refer to Child Care Rule 10A NCAC 09 .0601(a). -Secure the cable cord behind the storage building in the outdoor play area. The cable cord is affixed to the building, and the cable cord is in an area that the children do not play in the outdoor play area. Refer to Child Care Rule 10A NCAC 09 .0604(f). -Continue to follow handwashing and diapering procedures; after diapering continue to make sure that assistance is provided to children for handwashing. Refer to 15A NCAC 18A.2819(a) and 15A NCAC 18A .2819(a-c). At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0924-130L Visit Date: 9/18/2024 Number Present: 50 Completed Date: 9/18/2024 Age: From 0 To 5 Total Minutes: 262 Time In: 09:08 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Allegations were made to the Division of Child Development and Early Education (DCDEE) on September 9, 2024. The allegations are as follows: -There are concerns that children are being cared for in an unsafe environment -There are concerns that effective measures are not being taken to keep uncontained insects and vermin off the premises -There are concerns regarding sanitation guidelines. I was greeted by the Director, Ms. Leah Steadman, and I explained the purpose of the visit. A walkthrough of the indoor and outdoor premises was completed with Ms. Steadman. I observed In space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. Supervised "tummy-time" was observed. Bottles were observed properly labeled, and there was a working thermometer was observed in the refrigerator in space 1. Handwashing procedures and diapering procedures were observed posted, and there were available soap and paper towels for handwashing. Soapy water solution, disinfecting solution, and sanitizing solution along with testing strips were observed in space one. The ceiling and floors were observed in good repair; there were no holes in the ceiling or walls. The door in the infant room was chipped, and a violation was cited. In space 2, I observed the children having free independent play. I observed one (1) teacher cleaning and disinfecting the diaper changing station and I observed the teacher using proper handwashing procedures, after a diaper was changed. The ceilings and walls were clean and were in good repair; there were no holes in the ceiling or walls. I observed the children in space 3, preparing to go outside; teachers were completing the roster and name-to-face with the children. The ceilings and walls were clean and were in good repair; there were no holes in the ceiling or walls. There was a Speech Therapist, with Milestones, Ms. F. Barry, that worked independently with a child from space 3. Ms. Barry had a current Criminal Qualifying Letter on file with the center. In space 4, I observed the children having music and movement with Mr. T. Oates, from Mr. Rocky Music Enrichment; a current Criminal Qualifying Letter was on file with the center. The teachers were observed engaged and participated in the music activities with the children; appropriate supervision was provided. The ceilings and walls in space 4 were clean and were in good repair; there were no holes in the ceiling or walls. In space 5, I observed the children participating in musical chairs. Both teachers were engaged with the children, and adequate supervision was provided. The ceilings and walls were clean and were in good repair; there were no holes in the ceiling or walls. In space 6, the classroom for school-age children, there were no children present. The ceilings and walls were clean and were in good repair; there were no holes in the ceiling or walls. I observed the outdoor play area. The toys were in good repair, and the children were adequately supervised. The last Sanitation Inspection was conducted on July 30, 2024, with a "Superior" rating and twelve (12) demerits. The last fire inspection was conducted February 20, 2024 and the facility was approved for daytime care only. Staff spoke to the children with nurturing tones, and children were adequately supervised. The therapist and the musician providing music services had current qualifying letters on file. The outdoor shed was locked and the gates to the outdoor play area were secure while children played; teachers provided adequate supervision and the teachers were engaged with the children. There were no hazardous materials accessible to children, and there were no holes in the ceiling or walls. Based on observation of the center, the concern that children are being cared for in unsafe environment is UNSUBSTANTIATED. The center is taking preventative measures to ensure that there are no uncontained insects and vermin on the premises by having the premises exterminated. Based on the the allegations that effective measures are not being taken to keep uncontained insects and vermin off the premises was UNSUBSTANTIATED. There were sanitizing bottles and disinfecting bottles, and soapy water bottles along with testing strips to test the disinfectants and sanitizers. Proper handwashing and diapering procedures were observed. Tables in classrooms were observed clean and in good repair. Soap and paper towels were observed available at each sink, and soap and paper towels were observed in the bathrooms; the bathrooms were clean and in good repair. Based on observations during the visit and available materials, the allegation regarding sanitation guidelines was UNSUBSTANTIATED. One (1) violation was cited. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The door in space 1 had chipped peeling paint. 15A NCAC 18A .2825(a) -Copies of pest control invoices from June 1, 2024 and August 1, 2024 were reviewed during the visit. -Invoice for repairs made to the facility was reviewed. The invoices were dated August 26, 2024, and September 9, 2024. -An August 2024 Staff Memo was reviewed during the visit. The memo addressed items such as, lesson plans, material lists, paperwork, attendance, closing classrooms, and cleaning and etc. -A Newsletter was was provided to parents September 5, 2024, was reviewed. The newsletter including parent reminders, classroom updates for each class, Save the Dates, and the newsletter included to contact the director with any questions or concerns. -A visit report from August 27, 2024, was reviewed from a Environmental Health Services Sanitation Visit that was completed. According to the report, no pest was observed during the visit, disinfectant and sanitizer observed to be prepared properly and available during 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 October 1, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -The door in the space 1 was chipped and needs repair. According to Ms. Steadman the door was previously covered with paper, however, the children were pulling the paper off the door and the paper was removed. She stated that she will request for the door to be repaired. All floors, walls, and ceilings must be kept clean and in good repair. Refer to Sanitation Rule 15A NCAC 18A .2825(a). -In space 3 and in the main hallway of the center, there were dead spiders contained in the light fixtures; dead spiders need to be removed from the light fixtures. Refer to 15A NCAC 18A.2832(a). -There is a tree root and stump that is not in an area where children run and play, but the area is located to the side of the play area. Mark the tree root and stump with paint, to prevent a possible tripping hazard. Refer to Child Care Rule 10A NCAC 09 .0601(a). -Secure the cable cord behind the storage building in the outdoor play area. The cable cord is affixed to the building, and the cable cord is in an area that the children do not play in the outdoor play area. Refer to Child Care Rule 10A NCAC 09 .0604(f). -Continue to follow handwashing and diapering procedures; after diapering continue to make sure that assistance is provided to children for handwashing. Refer to 15A NCAC 18A.2819(a) and 15A NCAC 18A .2819(a-c). At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0824-279L Visit Date: 8/22/2024 Number Present: 62 Completed Date: 8/22/2024 Age: From 0 To 12 Total Minutes: 250 Time In: 08:35 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Allegations were made to the Division of Child Development and Early Education (DCDEE) on August 21, 2024. The allegations are as follows: The allegations are as follows: There are concerns that: -The indoor environment is not sanitary or safe. The center is dirty (floors, walls, equipment). There is mold inside classrooms. Adequate precautions are not taken to prevent the spread of illness such as cleaning and exclusion as required. -The outdoor environment is not safe. There is a hornet’s nest on the premises. The structure of the building is in disrepair. -The center does not have adequate control of insects. There is a lice outbreak. An indoor/outdoor walkthrough of the facility was completed with the Director, Ms. Leah Steadman. Lead Child Care Consultant, Amy Italiano, accompanied me during the visit. A violation was cited for supervision. After the walkthrough of the facility, the allegations were read to Ms. Steadman. The allegation that the indoor environment is not sanitary or safe. The concern the center is dirty (floors, walls equipment). This allegation is SUBSTANTED. It was observed that the walls had peeling paint and the end of the heating element was uncapped in space 1. In space 4 and 6 the window seals were dusty. There was a dirty wall in space 3. The concern with mold in the building will be evaluated by Mecklenburg County Environmental Health Services (EHS). The dirty spots could not be determined if mold; EHS will need to evaluate if it is mold, and EHS will need to evaluate if there is lead. Based on interviews with staff the allegation that adequate precautions are not taken to prevent the spread of illness such as cleaning and exclusion as required is found UNSUBSTANTIATED. Based on staff interviews the allegation that there are racoons in the wall is found UNSUBSTANTIATED. Staff reported that there were noises on the roof in October 2023, and an exterminator was called in and a mother racoon and 2 baby racoons were removed from inside the roof. The director has an invoice on file. The allegation that there is a hole in the wall in the room for infants and infants are pulling out pieces of the wall. This is UNSUBSTANTIATED. Infant staff reported that they are not holes in any of their walls. During today's observation we did not see any holes in the wall in any classrooms at the facility. Based on interviews with staff, the hornets nest does not appear to be active. Staff have not seen any hornets or bees. It has been reported to the church Trustees, and the Trustees are going to have it removed. The hornets nest is not located on the playground or where the children play. It is located on the side of the building. This allegation is UNSUBSTANTIATED. Based on the allegation that the center does not have adequate control of insects, and there is a lice outbreak, is UNSUBSTANTIATED, based on interviews with staff. It was reported that one child had lice, however the child was on vacation at the time the lice was reported to the facility. The facility followed the appropriate procedures for a lice outbreak. No other reports of lice were reported. Based on the allegation that meal portions are less that what is required is UNSUBSTANTIATED, based on staff interviews and observation of breakfast served in space 3. The Sanitation Inspection was completed July 30, 2024, with a "Superior" classification and two (2) demerits. The facility's lead and asbestos was tested in April 2024, and no results have been shared with Ms. Steadman. Eight (8) violations were cited. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Children were left unsupervised in the hallway bathroom from space 4; one (1) child from space 6 was left unsupervised. .1801(a)(1-5) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Space 1 peeling paint, chipped paint on door in space 2, dirty wall, chipped paint on door and dirty wall in space 3, dirty window seals space 4, dirty window blinds, peeling paint on door on door in space 6. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. A slat was missing on the fence in the outdoor play area on the right near the preschool play area. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Heater in space 1 with sharp edges (uncapped edges) and heating element (rusting/molding), in space 1; heating wall element is falling off the wall in space 6. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Wet boxes near the green outdoor storage building, and tarp on the playground for preschool children. 15A NCAC 18A .2832(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. Outlet uncovered in space 6. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. An air-conditioner cord was accessible to children in space 3. 10A NCAC 09 .0604(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher (S.W.) in space 3, had a Ginger Ale and a Coffee cup. .0901(i) -An unannounced follow-up visit will be conducted. -Two (2) staff that were not present during the visit be interviewed, regarding the concerns/allegations. 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 September 5, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -All floors, walls, and ceilings must be kept clean and in good repair. Refer to Sanitation Rule 15A NCAC 18A .2825 (a). -Electrical outlets must be covered. Refer to Child Care Rule 10A NCAC 09 .0604(c). -All cords must be inaccessible to infants and toddlers. Refer to Child Care Rule 10A NCAC 09 .0604(f). -All equipment and furnishings must be in good repair. Refer to Child Care Rule 10A NCAC 09 .0601(b); G.S. 110-91(6). -The child care center premises, including the outdoor learning environment must be clean, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Refer to Child Care Rule 15A NCAC 18A .2832(a). -A safe indoor and outdoor environment must be provided for children. Refer to Child Care Rule 10A NCAC 09 .0601(a). -Staff must model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Refer to Child Care Rule 10A NCAC 09 .0901(1). -Children must be adequately supervised at all times. Refer to Child Care Rule 10A NCAC 09 .1801(a)(1-5). -The dirty spots on the wall could not be determined as mold. Environmental Health will determine if it is mold; test for lead. At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0824-279L Visit Date: 8/22/2024 Number Present: 62 Completed Date: 8/22/2024 Age: From 0 To 12 Total Minutes: 250 Time In: 08:35 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Allegations were made to the Division of Child Development and Early Education (DCDEE) on August 21, 2024. The allegations are as follows: The allegations are as follows: There are concerns that: -The indoor environment is not sanitary or safe. The center is dirty (floors, walls, equipment). There is mold inside classrooms. Adequate precautions are not taken to prevent the spread of illness such as cleaning and exclusion as required. -The outdoor environment is not safe. There is a hornet’s nest on the premises. The structure of the building is in disrepair. -The center does not have adequate control of insects. There is a lice outbreak. An indoor/outdoor walkthrough of the facility was completed with the Director, Ms. Leah Steadman. Lead Child Care Consultant, Amy Italiano, accompanied me during the visit. A violation was cited for supervision. After the walkthrough of the facility, the allegations were read to Ms. Steadman. The allegation that the indoor environment is not sanitary or safe. The concern the center is dirty (floors, walls equipment). This allegation is SUBSTANTED. It was observed that the walls had peeling paint and the end of the heating element was uncapped in space 1. In space 4 and 6 the window seals were dusty. There was a dirty wall in space 3. The concern with mold in the building will be evaluated by Mecklenburg County Environmental Health Services (EHS). The dirty spots could not be determined if mold; EHS will need to evaluate if it is mold, and EHS will need to evaluate if there is lead. Based on interviews with staff the allegation that adequate precautions are not taken to prevent the spread of illness such as cleaning and exclusion as required is found UNSUBSTANTIATED. Based on staff interviews the allegation that there are racoons in the wall is found UNSUBSTANTIATED. Staff reported that there were noises on the roof in October 2023, and an exterminator was called in and a mother racoon and 2 baby racoons were removed from inside the roof. The director has an invoice on file. The allegation that there is a hole in the wall in the room for infants and infants are pulling out pieces of the wall. This is UNSUBSTANTIATED. Infant staff reported that they are not holes in any of their walls. During today's observation we did not see any holes in the wall in any classrooms at the facility. Based on interviews with staff, the hornets nest does not appear to be active. Staff have not seen any hornets or bees. It has been reported to the church Trustees, and the Trustees are going to have it removed. The hornets nest is not located on the playground or where the children play. It is located on the side of the building. This allegation is UNSUBSTANTIATED. Based on the allegation that the center does not have adequate control of insects, and there is a lice outbreak, is UNSUBSTANTIATED, based on interviews with staff. It was reported that one child had lice, however the child was on vacation at the time the lice was reported to the facility. The facility followed the appropriate procedures for a lice outbreak. No other reports of lice were reported. Based on the allegation that meal portions are less that what is required is UNSUBSTANTIATED, based on staff interviews and observation of breakfast served in space 3. The Sanitation Inspection was completed July 30, 2024, with a "Superior" classification and two (2) demerits. The facility's lead and asbestos was tested in April 2024, and no results have been shared with Ms. Steadman. Eight (8) violations were cited. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Children were left unsupervised in the hallway bathroom from space 4; one (1) child from space 6 was left unsupervised. .1801(a)(1-5) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Space 1 peeling paint, chipped paint on door in space 2, dirty wall, chipped paint on door and dirty wall in space 3, dirty window seals space 4, dirty window blinds, peeling paint on door on door in space 6. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. A slat was missing on the fence in the outdoor play area on the right near the preschool play area. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Heater in space 1 with sharp edges (uncapped edges) and heating element (rusting/molding), in space 1; heating wall element is falling off the wall in space 6. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Wet boxes near the green outdoor storage building, and tarp on the playground for preschool children. 15A NCAC 18A .2832(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. Outlet uncovered in space 6. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. An air-conditioner cord was accessible to children in space 3. 10A NCAC 09 .0604(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher (S.W.) in space 3, had a Ginger Ale and a Coffee cup. .0901(i) -An unannounced follow-up visit will be conducted. -Two (2) staff that were not present during the visit be interviewed, regarding the concerns/allegations. 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 September 5, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -All floors, walls, and ceilings must be kept clean and in good repair. Refer to Sanitation Rule 15A NCAC 18A .2825 (a). -Electrical outlets must be covered. Refer to Child Care Rule 10A NCAC 09 .0604(c). -All cords must be inaccessible to infants and toddlers. Refer to Child Care Rule 10A NCAC 09 .0604(f). -All equipment and furnishings must be in good repair. Refer to Child Care Rule 10A NCAC 09 .0601(b); G.S. 110-91(6). -The child care center premises, including the outdoor learning environment must be clean, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Refer to Child Care Rule 15A NCAC 18A .2832(a). -A safe indoor and outdoor environment must be provided for children. Refer to Child Care Rule 10A NCAC 09 .0601(a). -Staff must model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Refer to Child Care Rule 10A NCAC 09 .0901(1). -Children must be adequately supervised at all times. Refer to Child Care Rule 10A NCAC 09 .1801(a)(1-5). -The dirty spots on the wall could not be determined as mold. Environmental Health will determine if it is mold; test for lead. At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0824-279L Visit Date: 8/22/2024 Number Present: 62 Completed Date: 8/22/2024 Age: From 0 To 12 Total Minutes: 250 Time In: 08:35 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Allegations were made to the Division of Child Development and Early Education (DCDEE) on August 21, 2024. The allegations are as follows: The allegations are as follows: There are concerns that: -The indoor environment is not sanitary or safe. The center is dirty (floors, walls, equipment). There is mold inside classrooms. Adequate precautions are not taken to prevent the spread of illness such as cleaning and exclusion as required. -The outdoor environment is not safe. There is a hornet’s nest on the premises. The structure of the building is in disrepair. -The center does not have adequate control of insects. There is a lice outbreak. An indoor/outdoor walkthrough of the facility was completed with the Director, Ms. Leah Steadman. Lead Child Care Consultant, Amy Italiano, accompanied me during the visit. A violation was cited for supervision. After the walkthrough of the facility, the allegations were read to Ms. Steadman. The allegation that the indoor environment is not sanitary or safe. The concern the center is dirty (floors, walls equipment). This allegation is SUBSTANTED. It was observed that the walls had peeling paint and the end of the heating element was uncapped in space 1. In space 4 and 6 the window seals were dusty. There was a dirty wall in space 3. The concern with mold in the building will be evaluated by Mecklenburg County Environmental Health Services (EHS). The dirty spots could not be determined if mold; EHS will need to evaluate if it is mold, and EHS will need to evaluate if there is lead. Based on interviews with staff the allegation that adequate precautions are not taken to prevent the spread of illness such as cleaning and exclusion as required is found UNSUBSTANTIATED. Based on staff interviews the allegation that there are racoons in the wall is found UNSUBSTANTIATED. Staff reported that there were noises on the roof in October 2023, and an exterminator was called in and a mother racoon and 2 baby racoons were removed from inside the roof. The director has an invoice on file. The allegation that there is a hole in the wall in the room for infants and infants are pulling out pieces of the wall. This is UNSUBSTANTIATED. Infant staff reported that they are not holes in any of their walls. During today's observation we did not see any holes in the wall in any classrooms at the facility. Based on interviews with staff, the hornets nest does not appear to be active. Staff have not seen any hornets or bees. It has been reported to the church Trustees, and the Trustees are going to have it removed. The hornets nest is not located on the playground or where the children play. It is located on the side of the building. This allegation is UNSUBSTANTIATED. Based on the allegation that the center does not have adequate control of insects, and there is a lice outbreak, is UNSUBSTANTIATED, based on interviews with staff. It was reported that one child had lice, however the child was on vacation at the time the lice was reported to the facility. The facility followed the appropriate procedures for a lice outbreak. No other reports of lice were reported. Based on the allegation that meal portions are less that what is required is UNSUBSTANTIATED, based on staff interviews and observation of breakfast served in space 3. The Sanitation Inspection was completed July 30, 2024, with a "Superior" classification and two (2) demerits. The facility's lead and asbestos was tested in April 2024, and no results have been shared with Ms. Steadman. Eight (8) violations were cited. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Children were left unsupervised in the hallway bathroom from space 4; one (1) child from space 6 was left unsupervised. .1801(a)(1-5) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Space 1 peeling paint, chipped paint on door in space 2, dirty wall, chipped paint on door and dirty wall in space 3, dirty window seals space 4, dirty window blinds, peeling paint on door on door in space 6. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. A slat was missing on the fence in the outdoor play area on the right near the preschool play area. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Heater in space 1 with sharp edges (uncapped edges) and heating element (rusting/molding), in space 1; heating wall element is falling off the wall in space 6. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Wet boxes near the green outdoor storage building, and tarp on the playground for preschool children. 15A NCAC 18A .2832(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. Outlet uncovered in space 6. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. An air-conditioner cord was accessible to children in space 3. 10A NCAC 09 .0604(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher (S.W.) in space 3, had a Ginger Ale and a Coffee cup. .0901(i) -An unannounced follow-up visit will be conducted. -Two (2) staff that were not present during the visit be interviewed, regarding the concerns/allegations. 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 September 5, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -All floors, walls, and ceilings must be kept clean and in good repair. Refer to Sanitation Rule 15A NCAC 18A .2825 (a). -Electrical outlets must be covered. Refer to Child Care Rule 10A NCAC 09 .0604(c). -All cords must be inaccessible to infants and toddlers. Refer to Child Care Rule 10A NCAC 09 .0604(f). -All equipment and furnishings must be in good repair. Refer to Child Care Rule 10A NCAC 09 .0601(b); G.S. 110-91(6). -The child care center premises, including the outdoor learning environment must be clean, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Refer to Child Care Rule 15A NCAC 18A .2832(a). -A safe indoor and outdoor environment must be provided for children. Refer to Child Care Rule 10A NCAC 09 .0601(a). -Staff must model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Refer to Child Care Rule 10A NCAC 09 .0901(1). -Children must be adequately supervised at all times. Refer to Child Care Rule 10A NCAC 09 .1801(a)(1-5). -The dirty spots on the wall could not be determined as mold. Environmental Health will determine if it is mold; test for lead. At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0824-279L Visit Date: 8/22/2024 Number Present: 62 Completed Date: 8/22/2024 Age: From 0 To 12 Total Minutes: 250 Time In: 08:35 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Allegations were made to the Division of Child Development and Early Education (DCDEE) on August 21, 2024. The allegations are as follows: The allegations are as follows: There are concerns that: -The indoor environment is not sanitary or safe. The center is dirty (floors, walls, equipment). There is mold inside classrooms. Adequate precautions are not taken to prevent the spread of illness such as cleaning and exclusion as required. -The outdoor environment is not safe. There is a hornet’s nest on the premises. The structure of the building is in disrepair. -The center does not have adequate control of insects. There is a lice outbreak. An indoor/outdoor walkthrough of the facility was completed with the Director, Ms. Leah Steadman. Lead Child Care Consultant, Amy Italiano, accompanied me during the visit. A violation was cited for supervision. After the walkthrough of the facility, the allegations were read to Ms. Steadman. The allegation that the indoor environment is not sanitary or safe. The concern the center is dirty (floors, walls equipment). This allegation is SUBSTANTED. It was observed that the walls had peeling paint and the end of the heating element was uncapped in space 1. In space 4 and 6 the window seals were dusty. There was a dirty wall in space 3. The concern with mold in the building will be evaluated by Mecklenburg County Environmental Health Services (EHS). The dirty spots could not be determined if mold; EHS will need to evaluate if it is mold, and EHS will need to evaluate if there is lead. Based on interviews with staff the allegation that adequate precautions are not taken to prevent the spread of illness such as cleaning and exclusion as required is found UNSUBSTANTIATED. Based on staff interviews the allegation that there are racoons in the wall is found UNSUBSTANTIATED. Staff reported that there were noises on the roof in October 2023, and an exterminator was called in and a mother racoon and 2 baby racoons were removed from inside the roof. The director has an invoice on file. The allegation that there is a hole in the wall in the room for infants and infants are pulling out pieces of the wall. This is UNSUBSTANTIATED. Infant staff reported that they are not holes in any of their walls. During today's observation we did not see any holes in the wall in any classrooms at the facility. Based on interviews with staff, the hornets nest does not appear to be active. Staff have not seen any hornets or bees. It has been reported to the church Trustees, and the Trustees are going to have it removed. The hornets nest is not located on the playground or where the children play. It is located on the side of the building. This allegation is UNSUBSTANTIATED. Based on the allegation that the center does not have adequate control of insects, and there is a lice outbreak, is UNSUBSTANTIATED, based on interviews with staff. It was reported that one child had lice, however the child was on vacation at the time the lice was reported to the facility. The facility followed the appropriate procedures for a lice outbreak. No other reports of lice were reported. Based on the allegation that meal portions are less that what is required is UNSUBSTANTIATED, based on staff interviews and observation of breakfast served in space 3. The Sanitation Inspection was completed July 30, 2024, with a "Superior" classification and two (2) demerits. The facility's lead and asbestos was tested in April 2024, and no results have been shared with Ms. Steadman. Eight (8) violations were cited. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Children were left unsupervised in the hallway bathroom from space 4; one (1) child from space 6 was left unsupervised. .1801(a)(1-5) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Space 1 peeling paint, chipped paint on door in space 2, dirty wall, chipped paint on door and dirty wall in space 3, dirty window seals space 4, dirty window blinds, peeling paint on door on door in space 6. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. A slat was missing on the fence in the outdoor play area on the right near the preschool play area. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Heater in space 1 with sharp edges (uncapped edges) and heating element (rusting/molding), in space 1; heating wall element is falling off the wall in space 6. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Wet boxes near the green outdoor storage building, and tarp on the playground for preschool children. 15A NCAC 18A .2832(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. Outlet uncovered in space 6. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. An air-conditioner cord was accessible to children in space 3. 10A NCAC 09 .0604(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher (S.W.) in space 3, had a Ginger Ale and a Coffee cup. .0901(i) -An unannounced follow-up visit will be conducted. -Two (2) staff that were not present during the visit be interviewed, regarding the concerns/allegations. 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 September 5, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -All floors, walls, and ceilings must be kept clean and in good repair. Refer to Sanitation Rule 15A NCAC 18A .2825 (a). -Electrical outlets must be covered. Refer to Child Care Rule 10A NCAC 09 .0604(c). -All cords must be inaccessible to infants and toddlers. Refer to Child Care Rule 10A NCAC 09 .0604(f). -All equipment and furnishings must be in good repair. Refer to Child Care Rule 10A NCAC 09 .0601(b); G.S. 110-91(6). -The child care center premises, including the outdoor learning environment must be clean, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Refer to Child Care Rule 15A NCAC 18A .2832(a). -A safe indoor and outdoor environment must be provided for children. Refer to Child Care Rule 10A NCAC 09 .0601(a). -Staff must model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Refer to Child Care Rule 10A NCAC 09 .0901(1). -Children must be adequately supervised at all times. Refer to Child Care Rule 10A NCAC 09 .1801(a)(1-5). -The dirty spots on the wall could not be determined as mold. Environmental Health will determine if it is mold; test for lead. At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0824-279L Visit Date: 8/22/2024 Number Present: 62 Completed Date: 8/22/2024 Age: From 0 To 12 Total Minutes: 250 Time In: 08:35 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Allegations were made to the Division of Child Development and Early Education (DCDEE) on August 21, 2024. The allegations are as follows: The allegations are as follows: There are concerns that: -The indoor environment is not sanitary or safe. The center is dirty (floors, walls, equipment). There is mold inside classrooms. Adequate precautions are not taken to prevent the spread of illness such as cleaning and exclusion as required. -The outdoor environment is not safe. There is a hornet’s nest on the premises. The structure of the building is in disrepair. -The center does not have adequate control of insects. There is a lice outbreak. An indoor/outdoor walkthrough of the facility was completed with the Director, Ms. Leah Steadman. Lead Child Care Consultant, Amy Italiano, accompanied me during the visit. A violation was cited for supervision. After the walkthrough of the facility, the allegations were read to Ms. Steadman. The allegation that the indoor environment is not sanitary or safe. The concern the center is dirty (floors, walls equipment). This allegation is SUBSTANTED. It was observed that the walls had peeling paint and the end of the heating element was uncapped in space 1. In space 4 and 6 the window seals were dusty. There was a dirty wall in space 3. The concern with mold in the building will be evaluated by Mecklenburg County Environmental Health Services (EHS). The dirty spots could not be determined if mold; EHS will need to evaluate if it is mold, and EHS will need to evaluate if there is lead. Based on interviews with staff the allegation that adequate precautions are not taken to prevent the spread of illness such as cleaning and exclusion as required is found UNSUBSTANTIATED. Based on staff interviews the allegation that there are racoons in the wall is found UNSUBSTANTIATED. Staff reported that there were noises on the roof in October 2023, and an exterminator was called in and a mother racoon and 2 baby racoons were removed from inside the roof. The director has an invoice on file. The allegation that there is a hole in the wall in the room for infants and infants are pulling out pieces of the wall. This is UNSUBSTANTIATED. Infant staff reported that they are not holes in any of their walls. During today's observation we did not see any holes in the wall in any classrooms at the facility. Based on interviews with staff, the hornets nest does not appear to be active. Staff have not seen any hornets or bees. It has been reported to the church Trustees, and the Trustees are going to have it removed. The hornets nest is not located on the playground or where the children play. It is located on the side of the building. This allegation is UNSUBSTANTIATED. Based on the allegation that the center does not have adequate control of insects, and there is a lice outbreak, is UNSUBSTANTIATED, based on interviews with staff. It was reported that one child had lice, however the child was on vacation at the time the lice was reported to the facility. The facility followed the appropriate procedures for a lice outbreak. No other reports of lice were reported. Based on the allegation that meal portions are less that what is required is UNSUBSTANTIATED, based on staff interviews and observation of breakfast served in space 3. The Sanitation Inspection was completed July 30, 2024, with a "Superior" classification and two (2) demerits. The facility's lead and asbestos was tested in April 2024, and no results have been shared with Ms. Steadman. Eight (8) violations were cited. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Children were left unsupervised in the hallway bathroom from space 4; one (1) child from space 6 was left unsupervised. .1801(a)(1-5) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Space 1 peeling paint, chipped paint on door in space 2, dirty wall, chipped paint on door and dirty wall in space 3, dirty window seals space 4, dirty window blinds, peeling paint on door on door in space 6. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. A slat was missing on the fence in the outdoor play area on the right near the preschool play area. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Heater in space 1 with sharp edges (uncapped edges) and heating element (rusting/molding), in space 1; heating wall element is falling off the wall in space 6. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Wet boxes near the green outdoor storage building, and tarp on the playground for preschool children. 15A NCAC 18A .2832(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. Outlet uncovered in space 6. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. An air-conditioner cord was accessible to children in space 3. 10A NCAC 09 .0604(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher (S.W.) in space 3, had a Ginger Ale and a Coffee cup. .0901(i) -An unannounced follow-up visit will be conducted. -Two (2) staff that were not present during the visit be interviewed, regarding the concerns/allegations. 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 September 5, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -All floors, walls, and ceilings must be kept clean and in good repair. Refer to Sanitation Rule 15A NCAC 18A .2825 (a). -Electrical outlets must be covered. Refer to Child Care Rule 10A NCAC 09 .0604(c). -All cords must be inaccessible to infants and toddlers. Refer to Child Care Rule 10A NCAC 09 .0604(f). -All equipment and furnishings must be in good repair. Refer to Child Care Rule 10A NCAC 09 .0601(b); G.S. 110-91(6). -The child care center premises, including the outdoor learning environment must be clean, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Refer to Child Care Rule 15A NCAC 18A .2832(a). -A safe indoor and outdoor environment must be provided for children. Refer to Child Care Rule 10A NCAC 09 .0601(a). -Staff must model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Refer to Child Care Rule 10A NCAC 09 .0901(1). -Children must be adequately supervised at all times. Refer to Child Care Rule 10A NCAC 09 .1801(a)(1-5). -The dirty spots on the wall could not be determined as mold. Environmental Health will determine if it is mold; test for lead. At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0824-279L Visit Date: 8/22/2024 Number Present: 62 Completed Date: 8/22/2024 Age: From 0 To 12 Total Minutes: 250 Time In: 08:35 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Allegations were made to the Division of Child Development and Early Education (DCDEE) on August 21, 2024. The allegations are as follows: The allegations are as follows: There are concerns that: -The indoor environment is not sanitary or safe. The center is dirty (floors, walls, equipment). There is mold inside classrooms. Adequate precautions are not taken to prevent the spread of illness such as cleaning and exclusion as required. -The outdoor environment is not safe. There is a hornet’s nest on the premises. The structure of the building is in disrepair. -The center does not have adequate control of insects. There is a lice outbreak. An indoor/outdoor walkthrough of the facility was completed with the Director, Ms. Leah Steadman. Lead Child Care Consultant, Amy Italiano, accompanied me during the visit. A violation was cited for supervision. After the walkthrough of the facility, the allegations were read to Ms. Steadman. The allegation that the indoor environment is not sanitary or safe. The concern the center is dirty (floors, walls equipment). This allegation is SUBSTANTED. It was observed that the walls had peeling paint and the end of the heating element was uncapped in space 1. In space 4 and 6 the window seals were dusty. There was a dirty wall in space 3. The concern with mold in the building will be evaluated by Mecklenburg County Environmental Health Services (EHS). The dirty spots could not be determined if mold; EHS will need to evaluate if it is mold, and EHS will need to evaluate if there is lead. Based on interviews with staff the allegation that adequate precautions are not taken to prevent the spread of illness such as cleaning and exclusion as required is found UNSUBSTANTIATED. Based on staff interviews the allegation that there are racoons in the wall is found UNSUBSTANTIATED. Staff reported that there were noises on the roof in October 2023, and an exterminator was called in and a mother racoon and 2 baby racoons were removed from inside the roof. The director has an invoice on file. The allegation that there is a hole in the wall in the room for infants and infants are pulling out pieces of the wall. This is UNSUBSTANTIATED. Infant staff reported that they are not holes in any of their walls. During today's observation we did not see any holes in the wall in any classrooms at the facility. Based on interviews with staff, the hornets nest does not appear to be active. Staff have not seen any hornets or bees. It has been reported to the church Trustees, and the Trustees are going to have it removed. The hornets nest is not located on the playground or where the children play. It is located on the side of the building. This allegation is UNSUBSTANTIATED. Based on the allegation that the center does not have adequate control of insects, and there is a lice outbreak, is UNSUBSTANTIATED, based on interviews with staff. It was reported that one child had lice, however the child was on vacation at the time the lice was reported to the facility. The facility followed the appropriate procedures for a lice outbreak. No other reports of lice were reported. Based on the allegation that meal portions are less that what is required is UNSUBSTANTIATED, based on staff interviews and observation of breakfast served in space 3. The Sanitation Inspection was completed July 30, 2024, with a "Superior" classification and two (2) demerits. The facility's lead and asbestos was tested in April 2024, and no results have been shared with Ms. Steadman. Eight (8) violations were cited. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Children were left unsupervised in the hallway bathroom from space 4; one (1) child from space 6 was left unsupervised. .1801(a)(1-5) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Space 1 peeling paint, chipped paint on door in space 2, dirty wall, chipped paint on door and dirty wall in space 3, dirty window seals space 4, dirty window blinds, peeling paint on door on door in space 6. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. A slat was missing on the fence in the outdoor play area on the right near the preschool play area. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Heater in space 1 with sharp edges (uncapped edges) and heating element (rusting/molding), in space 1; heating wall element is falling off the wall in space 6. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Wet boxes near the green outdoor storage building, and tarp on the playground for preschool children. 15A NCAC 18A .2832(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. Outlet uncovered in space 6. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. An air-conditioner cord was accessible to children in space 3. 10A NCAC 09 .0604(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher (S.W.) in space 3, had a Ginger Ale and a Coffee cup. .0901(i) -An unannounced follow-up visit will be conducted. -Two (2) staff that were not present during the visit be interviewed, regarding the concerns/allegations. 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 September 5, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -All floors, walls, and ceilings must be kept clean and in good repair. Refer to Sanitation Rule 15A NCAC 18A .2825 (a). -Electrical outlets must be covered. Refer to Child Care Rule 10A NCAC 09 .0604(c). -All cords must be inaccessible to infants and toddlers. Refer to Child Care Rule 10A NCAC 09 .0604(f). -All equipment and furnishings must be in good repair. Refer to Child Care Rule 10A NCAC 09 .0601(b); G.S. 110-91(6). -The child care center premises, including the outdoor learning environment must be clean, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Refer to Child Care Rule 15A NCAC 18A .2832(a). -A safe indoor and outdoor environment must be provided for children. Refer to Child Care Rule 10A NCAC 09 .0601(a). -Staff must model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Refer to Child Care Rule 10A NCAC 09 .0901(1). -Children must be adequately supervised at all times. Refer to Child Care Rule 10A NCAC 09 .1801(a)(1-5). -The dirty spots on the wall could not be determined as mold. Environmental Health will determine if it is mold; test for lead. At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0824-279L Visit Date: 8/22/2024 Number Present: 62 Completed Date: 8/22/2024 Age: From 0 To 12 Total Minutes: 250 Time In: 08:35 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Allegations were made to the Division of Child Development and Early Education (DCDEE) on August 21, 2024. The allegations are as follows: The allegations are as follows: There are concerns that: -The indoor environment is not sanitary or safe. The center is dirty (floors, walls, equipment). There is mold inside classrooms. Adequate precautions are not taken to prevent the spread of illness such as cleaning and exclusion as required. -The outdoor environment is not safe. There is a hornet’s nest on the premises. The structure of the building is in disrepair. -The center does not have adequate control of insects. There is a lice outbreak. An indoor/outdoor walkthrough of the facility was completed with the Director, Ms. Leah Steadman. Lead Child Care Consultant, Amy Italiano, accompanied me during the visit. A violation was cited for supervision. After the walkthrough of the facility, the allegations were read to Ms. Steadman. The allegation that the indoor environment is not sanitary or safe. The concern the center is dirty (floors, walls equipment). This allegation is SUBSTANTED. It was observed that the walls had peeling paint and the end of the heating element was uncapped in space 1. In space 4 and 6 the window seals were dusty. There was a dirty wall in space 3. The concern with mold in the building will be evaluated by Mecklenburg County Environmental Health Services (EHS). The dirty spots could not be determined if mold; EHS will need to evaluate if it is mold, and EHS will need to evaluate if there is lead. Based on interviews with staff the allegation that adequate precautions are not taken to prevent the spread of illness such as cleaning and exclusion as required is found UNSUBSTANTIATED. Based on staff interviews the allegation that there are racoons in the wall is found UNSUBSTANTIATED. Staff reported that there were noises on the roof in October 2023, and an exterminator was called in and a mother racoon and 2 baby racoons were removed from inside the roof. The director has an invoice on file. The allegation that there is a hole in the wall in the room for infants and infants are pulling out pieces of the wall. This is UNSUBSTANTIATED. Infant staff reported that they are not holes in any of their walls. During today's observation we did not see any holes in the wall in any classrooms at the facility. Based on interviews with staff, the hornets nest does not appear to be active. Staff have not seen any hornets or bees. It has been reported to the church Trustees, and the Trustees are going to have it removed. The hornets nest is not located on the playground or where the children play. It is located on the side of the building. This allegation is UNSUBSTANTIATED. Based on the allegation that the center does not have adequate control of insects, and there is a lice outbreak, is UNSUBSTANTIATED, based on interviews with staff. It was reported that one child had lice, however the child was on vacation at the time the lice was reported to the facility. The facility followed the appropriate procedures for a lice outbreak. No other reports of lice were reported. Based on the allegation that meal portions are less that what is required is UNSUBSTANTIATED, based on staff interviews and observation of breakfast served in space 3. The Sanitation Inspection was completed July 30, 2024, with a "Superior" classification and two (2) demerits. The facility's lead and asbestos was tested in April 2024, and no results have been shared with Ms. Steadman. Eight (8) violations were cited. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Children were left unsupervised in the hallway bathroom from space 4; one (1) child from space 6 was left unsupervised. .1801(a)(1-5) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Space 1 peeling paint, chipped paint on door in space 2, dirty wall, chipped paint on door and dirty wall in space 3, dirty window seals space 4, dirty window blinds, peeling paint on door on door in space 6. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. A slat was missing on the fence in the outdoor play area on the right near the preschool play area. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Heater in space 1 with sharp edges (uncapped edges) and heating element (rusting/molding), in space 1; heating wall element is falling off the wall in space 6. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Wet boxes near the green outdoor storage building, and tarp on the playground for preschool children. 15A NCAC 18A .2832(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. Outlet uncovered in space 6. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. An air-conditioner cord was accessible to children in space 3. 10A NCAC 09 .0604(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher (S.W.) in space 3, had a Ginger Ale and a Coffee cup. .0901(i) -An unannounced follow-up visit will be conducted. -Two (2) staff that were not present during the visit be interviewed, regarding the concerns/allegations. 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 September 5, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -All floors, walls, and ceilings must be kept clean and in good repair. Refer to Sanitation Rule 15A NCAC 18A .2825 (a). -Electrical outlets must be covered. Refer to Child Care Rule 10A NCAC 09 .0604(c). -All cords must be inaccessible to infants and toddlers. Refer to Child Care Rule 10A NCAC 09 .0604(f). -All equipment and furnishings must be in good repair. Refer to Child Care Rule 10A NCAC 09 .0601(b); G.S. 110-91(6). -The child care center premises, including the outdoor learning environment must be clean, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Refer to Child Care Rule 15A NCAC 18A .2832(a). -A safe indoor and outdoor environment must be provided for children. Refer to Child Care Rule 10A NCAC 09 .0601(a). -Staff must model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Refer to Child Care Rule 10A NCAC 09 .0901(1). -Children must be adequately supervised at all times. Refer to Child Care Rule 10A NCAC 09 .1801(a)(1-5). -The dirty spots on the wall could not be determined as mold. Environmental Health will determine if it is mold; test for lead. At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0824-279L Visit Date: 8/22/2024 Number Present: 62 Completed Date: 8/22/2024 Age: From 0 To 12 Total Minutes: 250 Time In: 08:35 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Allegations were made to the Division of Child Development and Early Education (DCDEE) on August 21, 2024. The allegations are as follows: The allegations are as follows: There are concerns that: -The indoor environment is not sanitary or safe. The center is dirty (floors, walls, equipment). There is mold inside classrooms. Adequate precautions are not taken to prevent the spread of illness such as cleaning and exclusion as required. -The outdoor environment is not safe. There is a hornet’s nest on the premises. The structure of the building is in disrepair. -The center does not have adequate control of insects. There is a lice outbreak. An indoor/outdoor walkthrough of the facility was completed with the Director, Ms. Leah Steadman. Lead Child Care Consultant, Amy Italiano, accompanied me during the visit. A violation was cited for supervision. After the walkthrough of the facility, the allegations were read to Ms. Steadman. The allegation that the indoor environment is not sanitary or safe. The concern the center is dirty (floors, walls equipment). This allegation is SUBSTANTED. It was observed that the walls had peeling paint and the end of the heating element was uncapped in space 1. In space 4 and 6 the window seals were dusty. There was a dirty wall in space 3. The concern with mold in the building will be evaluated by Mecklenburg County Environmental Health Services (EHS). The dirty spots could not be determined if mold; EHS will need to evaluate if it is mold, and EHS will need to evaluate if there is lead. Based on interviews with staff the allegation that adequate precautions are not taken to prevent the spread of illness such as cleaning and exclusion as required is found UNSUBSTANTIATED. Based on staff interviews the allegation that there are racoons in the wall is found UNSUBSTANTIATED. Staff reported that there were noises on the roof in October 2023, and an exterminator was called in and a mother racoon and 2 baby racoons were removed from inside the roof. The director has an invoice on file. The allegation that there is a hole in the wall in the room for infants and infants are pulling out pieces of the wall. This is UNSUBSTANTIATED. Infant staff reported that they are not holes in any of their walls. During today's observation we did not see any holes in the wall in any classrooms at the facility. Based on interviews with staff, the hornets nest does not appear to be active. Staff have not seen any hornets or bees. It has been reported to the church Trustees, and the Trustees are going to have it removed. The hornets nest is not located on the playground or where the children play. It is located on the side of the building. This allegation is UNSUBSTANTIATED. Based on the allegation that the center does not have adequate control of insects, and there is a lice outbreak, is UNSUBSTANTIATED, based on interviews with staff. It was reported that one child had lice, however the child was on vacation at the time the lice was reported to the facility. The facility followed the appropriate procedures for a lice outbreak. No other reports of lice were reported. Based on the allegation that meal portions are less that what is required is UNSUBSTANTIATED, based on staff interviews and observation of breakfast served in space 3. The Sanitation Inspection was completed July 30, 2024, with a "Superior" classification and two (2) demerits. The facility's lead and asbestos was tested in April 2024, and no results have been shared with Ms. Steadman. Eight (8) violations were cited. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Children were left unsupervised in the hallway bathroom from space 4; one (1) child from space 6 was left unsupervised. .1801(a)(1-5) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Space 1 peeling paint, chipped paint on door in space 2, dirty wall, chipped paint on door and dirty wall in space 3, dirty window seals space 4, dirty window blinds, peeling paint on door on door in space 6. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. A slat was missing on the fence in the outdoor play area on the right near the preschool play area. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Heater in space 1 with sharp edges (uncapped edges) and heating element (rusting/molding), in space 1; heating wall element is falling off the wall in space 6. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Wet boxes near the green outdoor storage building, and tarp on the playground for preschool children. 15A NCAC 18A .2832(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. Outlet uncovered in space 6. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. An air-conditioner cord was accessible to children in space 3. 10A NCAC 09 .0604(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher (S.W.) in space 3, had a Ginger Ale and a Coffee cup. .0901(i) -An unannounced follow-up visit will be conducted. -Two (2) staff that were not present during the visit be interviewed, regarding the concerns/allegations. 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 September 5, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -All floors, walls, and ceilings must be kept clean and in good repair. Refer to Sanitation Rule 15A NCAC 18A .2825 (a). -Electrical outlets must be covered. Refer to Child Care Rule 10A NCAC 09 .0604(c). -All cords must be inaccessible to infants and toddlers. Refer to Child Care Rule 10A NCAC 09 .0604(f). -All equipment and furnishings must be in good repair. Refer to Child Care Rule 10A NCAC 09 .0601(b); G.S. 110-91(6). -The child care center premises, including the outdoor learning environment must be clean, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Refer to Child Care Rule 15A NCAC 18A .2832(a). -A safe indoor and outdoor environment must be provided for children. Refer to Child Care Rule 10A NCAC 09 .0601(a). -Staff must model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Refer to Child Care Rule 10A NCAC 09 .0901(1). -Children must be adequately supervised at all times. Refer to Child Care Rule 10A NCAC 09 .1801(a)(1-5). -The dirty spots on the wall could not be determined as mold. Environmental Health will determine if it is mold; test for lead. At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0824-279L Visit Date: 8/22/2024 Number Present: 62 Completed Date: 8/22/2024 Age: From 0 To 12 Total Minutes: 250 Time In: 08:35 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Allegations were made to the Division of Child Development and Early Education (DCDEE) on August 21, 2024. The allegations are as follows: The allegations are as follows: There are concerns that: -The indoor environment is not sanitary or safe. The center is dirty (floors, walls, equipment). There is mold inside classrooms. Adequate precautions are not taken to prevent the spread of illness such as cleaning and exclusion as required. -The outdoor environment is not safe. There is a hornet’s nest on the premises. The structure of the building is in disrepair. -The center does not have adequate control of insects. There is a lice outbreak. An indoor/outdoor walkthrough of the facility was completed with the Director, Ms. Leah Steadman. Lead Child Care Consultant, Amy Italiano, accompanied me during the visit. A violation was cited for supervision. After the walkthrough of the facility, the allegations were read to Ms. Steadman. The allegation that the indoor environment is not sanitary or safe. The concern the center is dirty (floors, walls equipment). This allegation is SUBSTANTED. It was observed that the walls had peeling paint and the end of the heating element was uncapped in space 1. In space 4 and 6 the window seals were dusty. There was a dirty wall in space 3. The concern with mold in the building will be evaluated by Mecklenburg County Environmental Health Services (EHS). The dirty spots could not be determined if mold; EHS will need to evaluate if it is mold, and EHS will need to evaluate if there is lead. Based on interviews with staff the allegation that adequate precautions are not taken to prevent the spread of illness such as cleaning and exclusion as required is found UNSUBSTANTIATED. Based on staff interviews the allegation that there are racoons in the wall is found UNSUBSTANTIATED. Staff reported that there were noises on the roof in October 2023, and an exterminator was called in and a mother racoon and 2 baby racoons were removed from inside the roof. The director has an invoice on file. The allegation that there is a hole in the wall in the room for infants and infants are pulling out pieces of the wall. This is UNSUBSTANTIATED. Infant staff reported that they are not holes in any of their walls. During today's observation we did not see any holes in the wall in any classrooms at the facility. Based on interviews with staff, the hornets nest does not appear to be active. Staff have not seen any hornets or bees. It has been reported to the church Trustees, and the Trustees are going to have it removed. The hornets nest is not located on the playground or where the children play. It is located on the side of the building. This allegation is UNSUBSTANTIATED. Based on the allegation that the center does not have adequate control of insects, and there is a lice outbreak, is UNSUBSTANTIATED, based on interviews with staff. It was reported that one child had lice, however the child was on vacation at the time the lice was reported to the facility. The facility followed the appropriate procedures for a lice outbreak. No other reports of lice were reported. Based on the allegation that meal portions are less that what is required is UNSUBSTANTIATED, based on staff interviews and observation of breakfast served in space 3. The Sanitation Inspection was completed July 30, 2024, with a "Superior" classification and two (2) demerits. The facility's lead and asbestos was tested in April 2024, and no results have been shared with Ms. Steadman. Eight (8) violations were cited. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Children were left unsupervised in the hallway bathroom from space 4; one (1) child from space 6 was left unsupervised. .1801(a)(1-5) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Space 1 peeling paint, chipped paint on door in space 2, dirty wall, chipped paint on door and dirty wall in space 3, dirty window seals space 4, dirty window blinds, peeling paint on door on door in space 6. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. A slat was missing on the fence in the outdoor play area on the right near the preschool play area. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Heater in space 1 with sharp edges (uncapped edges) and heating element (rusting/molding), in space 1; heating wall element is falling off the wall in space 6. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Wet boxes near the green outdoor storage building, and tarp on the playground for preschool children. 15A NCAC 18A .2832(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. Outlet uncovered in space 6. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. An air-conditioner cord was accessible to children in space 3. 10A NCAC 09 .0604(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher (S.W.) in space 3, had a Ginger Ale and a Coffee cup. .0901(i) -An unannounced follow-up visit will be conducted. -Two (2) staff that were not present during the visit be interviewed, regarding the concerns/allegations. 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 September 5, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -All floors, walls, and ceilings must be kept clean and in good repair. Refer to Sanitation Rule 15A NCAC 18A .2825 (a). -Electrical outlets must be covered. Refer to Child Care Rule 10A NCAC 09 .0604(c). -All cords must be inaccessible to infants and toddlers. Refer to Child Care Rule 10A NCAC 09 .0604(f). -All equipment and furnishings must be in good repair. Refer to Child Care Rule 10A NCAC 09 .0601(b); G.S. 110-91(6). -The child care center premises, including the outdoor learning environment must be clean, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Refer to Child Care Rule 15A NCAC 18A .2832(a). -A safe indoor and outdoor environment must be provided for children. Refer to Child Care Rule 10A NCAC 09 .0601(a). -Staff must model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Refer to Child Care Rule 10A NCAC 09 .0901(1). -Children must be adequately supervised at all times. Refer to Child Care Rule 10A NCAC 09 .1801(a)(1-5). -The dirty spots on the wall could not be determined as mold. Environmental Health will determine if it is mold; test for lead. At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0824-279L Visit Date: 8/22/2024 Number Present: 62 Completed Date: 8/22/2024 Age: From 0 To 12 Total Minutes: 250 Time In: 08:35 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Allegations were made to the Division of Child Development and Early Education (DCDEE) on August 21, 2024. The allegations are as follows: The allegations are as follows: There are concerns that: -The indoor environment is not sanitary or safe. The center is dirty (floors, walls, equipment). There is mold inside classrooms. Adequate precautions are not taken to prevent the spread of illness such as cleaning and exclusion as required. -The outdoor environment is not safe. There is a hornet’s nest on the premises. The structure of the building is in disrepair. -The center does not have adequate control of insects. There is a lice outbreak. An indoor/outdoor walkthrough of the facility was completed with the Director, Ms. Leah Steadman. Lead Child Care Consultant, Amy Italiano, accompanied me during the visit. A violation was cited for supervision. After the walkthrough of the facility, the allegations were read to Ms. Steadman. The allegation that the indoor environment is not sanitary or safe. The concern the center is dirty (floors, walls equipment). This allegation is SUBSTANTED. It was observed that the walls had peeling paint and the end of the heating element was uncapped in space 1. In space 4 and 6 the window seals were dusty. There was a dirty wall in space 3. The concern with mold in the building will be evaluated by Mecklenburg County Environmental Health Services (EHS). The dirty spots could not be determined if mold; EHS will need to evaluate if it is mold, and EHS will need to evaluate if there is lead. Based on interviews with staff the allegation that adequate precautions are not taken to prevent the spread of illness such as cleaning and exclusion as required is found UNSUBSTANTIATED. Based on staff interviews the allegation that there are racoons in the wall is found UNSUBSTANTIATED. Staff reported that there were noises on the roof in October 2023, and an exterminator was called in and a mother racoon and 2 baby racoons were removed from inside the roof. The director has an invoice on file. The allegation that there is a hole in the wall in the room for infants and infants are pulling out pieces of the wall. This is UNSUBSTANTIATED. Infant staff reported that they are not holes in any of their walls. During today's observation we did not see any holes in the wall in any classrooms at the facility. Based on interviews with staff, the hornets nest does not appear to be active. Staff have not seen any hornets or bees. It has been reported to the church Trustees, and the Trustees are going to have it removed. The hornets nest is not located on the playground or where the children play. It is located on the side of the building. This allegation is UNSUBSTANTIATED. Based on the allegation that the center does not have adequate control of insects, and there is a lice outbreak, is UNSUBSTANTIATED, based on interviews with staff. It was reported that one child had lice, however the child was on vacation at the time the lice was reported to the facility. The facility followed the appropriate procedures for a lice outbreak. No other reports of lice were reported. Based on the allegation that meal portions are less that what is required is UNSUBSTANTIATED, based on staff interviews and observation of breakfast served in space 3. The Sanitation Inspection was completed July 30, 2024, with a "Superior" classification and two (2) demerits. The facility's lead and asbestos was tested in April 2024, and no results have been shared with Ms. Steadman. Eight (8) violations were cited. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Children were left unsupervised in the hallway bathroom from space 4; one (1) child from space 6 was left unsupervised. .1801(a)(1-5) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Space 1 peeling paint, chipped paint on door in space 2, dirty wall, chipped paint on door and dirty wall in space 3, dirty window seals space 4, dirty window blinds, peeling paint on door on door in space 6. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. A slat was missing on the fence in the outdoor play area on the right near the preschool play area. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Heater in space 1 with sharp edges (uncapped edges) and heating element (rusting/molding), in space 1; heating wall element is falling off the wall in space 6. 10A NCAC 09 .0601(a) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Wet boxes near the green outdoor storage building, and tarp on the playground for preschool children. 15A NCAC 18A .2832(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. Outlet uncovered in space 6. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. An air-conditioner cord was accessible to children in space 3. 10A NCAC 09 .0604(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher (S.W.) in space 3, had a Ginger Ale and a Coffee cup. .0901(i) -An unannounced follow-up visit will be conducted. -Two (2) staff that were not present during the visit be interviewed, regarding the concerns/allegations. 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 September 5, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -All floors, walls, and ceilings must be kept clean and in good repair. Refer to Sanitation Rule 15A NCAC 18A .2825 (a). -Electrical outlets must be covered. Refer to Child Care Rule 10A NCAC 09 .0604(c). -All cords must be inaccessible to infants and toddlers. Refer to Child Care Rule 10A NCAC 09 .0604(f). -All equipment and furnishings must be in good repair. Refer to Child Care Rule 10A NCAC 09 .0601(b); G.S. 110-91(6). -The child care center premises, including the outdoor learning environment must be clean, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Refer to Child Care Rule 15A NCAC 18A .2832(a). -A safe indoor and outdoor environment must be provided for children. Refer to Child Care Rule 10A NCAC 09 .0601(a). -Staff must model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Refer to Child Care Rule 10A NCAC 09 .0901(1). -Children must be adequately supervised at all times. Refer to Child Care Rule 10A NCAC 09 .1801(a)(1-5). -The dirty spots on the wall could not be determined as mold. Environmental Health will determine if it is mold; test for lead. At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/17/2024 Number Present: 69 Completed Date: 7/17/2024 Age: From 0 To 12 Total Minutes: 105 Time In: 12:15 PM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Unannounced The purpose of today’s other/announced visit was to review transportation requirements and emergency medication. I was greeted by the Director Ms. Steadman, and I explained the purpose of the visit. A walk through of the facility was completed with Ms. Steadman. In space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. There were children present, and I observed the children sleeping during nap time in space 2, space 3, and space 4. Children in space 5 returned from a field trip. After there return, I observed the children eating lunch. The following lunch items were served and noted on the menu: Meatballs on a whole wheat hoagie, green beans, mixed fruit, and milk. The children in space 6 were observed completing a group reading activity. Two buses were monitored, the Church bus and the Child Development Center's bus. The following transportation requirements were reviewed: -Child Safety Restraints and Seat Belts -Vehicle Safety Inspection and Liability Insurance -First Aid Kit in Vehicle; secured Fire extinguisher -Emergency Information on Children -Current Driver's License -Staff/Child Ratios Maintained During Transportation Compliance was met for the transportation items for buses that were reviewed. Medication: A child's medication was reviewed during the visit, due to the medication was not available on July 11, 2024, because the child was on a field trip with the facility. A violation was cited for permission to administer medication, and a violation was cited for medication that was not returned. Two (2) violations were cited. Violation Number Comment Rule 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. There were three (3) left over medication (a nasal spray and two (2) inhalers) for children there are no longer enrolled. .0803(12) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child (L.P.) did not have the Permission to Administer Medication Administer form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 31, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Refer to 10A NCAC 09 .1723 Transportation Requirements: To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21; (4) ensure that vehicles used to transport children in snowy, icy, and other hazardous weather conditions are equipped with snow tires, or chains; (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (7) load and unload children from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards; (8) ensure that all children regardless of age or location in the vehicle shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat; (9) be at least 21 years old, and have a valid driver's license of the type required under the North Carolina Motor Vehicle Law for the vehicle being driven, or comparable license from the state in which the driver resides, and no convictions of Driving While Impaired (DWI), or any other impaired driving offense, within the last three years; (10) ensure that each child is seated in a manufacturer's designated area. No child shall ride in the load carrying area or floor of a vehicle; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; and (14) have a functioning cellular telephone or other functioning two-way voice communication device with them for use in an emergency. The transportation provider shall not use cellular telephones or other functioning two-way communication devices except in the case of an emergency and only when the vehicle is parked in a safe location; and (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. -The Permission to Administer Medication form must be completed for children that have medication. Refer to Child Care Rule 10A NCAC 09 .0803(6)(a-i);.0803(7)(a-g);.0803(8)(a-d). -Medication for children that are no longer enrolled must be returned to the parent within seventy-two (72) hours. Refer to Child Care Rule 10A NCAC 09 .0803(12). At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1721 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/17/2024 Number Present: 69 Completed Date: 7/17/2024 Age: From 0 To 12 Total Minutes: 105 Time In: 12:15 PM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Unannounced The purpose of today’s other/announced visit was to review transportation requirements and emergency medication. I was greeted by the Director Ms. Steadman, and I explained the purpose of the visit. A walk through of the facility was completed with Ms. Steadman. In space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. There were children present, and I observed the children sleeping during nap time in space 2, space 3, and space 4. Children in space 5 returned from a field trip. After there return, I observed the children eating lunch. The following lunch items were served and noted on the menu: Meatballs on a whole wheat hoagie, green beans, mixed fruit, and milk. The children in space 6 were observed completing a group reading activity. Two buses were monitored, the Church bus and the Child Development Center's bus. The following transportation requirements were reviewed: -Child Safety Restraints and Seat Belts -Vehicle Safety Inspection and Liability Insurance -First Aid Kit in Vehicle; secured Fire extinguisher -Emergency Information on Children -Current Driver's License -Staff/Child Ratios Maintained During Transportation Compliance was met for the transportation items for buses that were reviewed. Medication: A child's medication was reviewed during the visit, due to the medication was not available on July 11, 2024, because the child was on a field trip with the facility. A violation was cited for permission to administer medication, and a violation was cited for medication that was not returned. Two (2) violations were cited. Violation Number Comment Rule 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. There were three (3) left over medication (a nasal spray and two (2) inhalers) for children there are no longer enrolled. .0803(12) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child (L.P.) did not have the Permission to Administer Medication Administer form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 31, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Refer to 10A NCAC 09 .1723 Transportation Requirements: To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21; (4) ensure that vehicles used to transport children in snowy, icy, and other hazardous weather conditions are equipped with snow tires, or chains; (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (7) load and unload children from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards; (8) ensure that all children regardless of age or location in the vehicle shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat; (9) be at least 21 years old, and have a valid driver's license of the type required under the North Carolina Motor Vehicle Law for the vehicle being driven, or comparable license from the state in which the driver resides, and no convictions of Driving While Impaired (DWI), or any other impaired driving offense, within the last three years; (10) ensure that each child is seated in a manufacturer's designated area. No child shall ride in the load carrying area or floor of a vehicle; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; and (14) have a functioning cellular telephone or other functioning two-way voice communication device with them for use in an emergency. The transportation provider shall not use cellular telephones or other functioning two-way communication devices except in the case of an emergency and only when the vehicle is parked in a safe location; and (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. -The Permission to Administer Medication form must be completed for children that have medication. Refer to Child Care Rule 10A NCAC 09 .0803(6)(a-i);.0803(7)(a-g);.0803(8)(a-d). -Medication for children that are no longer enrolled must be returned to the parent within seventy-two (72) hours. Refer to Child Care Rule 10A NCAC 09 .0803(12). At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1723 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/17/2024 Number Present: 69 Completed Date: 7/17/2024 Age: From 0 To 12 Total Minutes: 105 Time In: 12:15 PM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Unannounced The purpose of today’s other/announced visit was to review transportation requirements and emergency medication. I was greeted by the Director Ms. Steadman, and I explained the purpose of the visit. A walk through of the facility was completed with Ms. Steadman. In space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. There were children present, and I observed the children sleeping during nap time in space 2, space 3, and space 4. Children in space 5 returned from a field trip. After there return, I observed the children eating lunch. The following lunch items were served and noted on the menu: Meatballs on a whole wheat hoagie, green beans, mixed fruit, and milk. The children in space 6 were observed completing a group reading activity. Two buses were monitored, the Church bus and the Child Development Center's bus. The following transportation requirements were reviewed: -Child Safety Restraints and Seat Belts -Vehicle Safety Inspection and Liability Insurance -First Aid Kit in Vehicle; secured Fire extinguisher -Emergency Information on Children -Current Driver's License -Staff/Child Ratios Maintained During Transportation Compliance was met for the transportation items for buses that were reviewed. Medication: A child's medication was reviewed during the visit, due to the medication was not available on July 11, 2024, because the child was on a field trip with the facility. A violation was cited for permission to administer medication, and a violation was cited for medication that was not returned. Two (2) violations were cited. Violation Number Comment Rule 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. There were three (3) left over medication (a nasal spray and two (2) inhalers) for children there are no longer enrolled. .0803(12) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child (L.P.) did not have the Permission to Administer Medication Administer form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 31, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Refer to 10A NCAC 09 .1723 Transportation Requirements: To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21; (4) ensure that vehicles used to transport children in snowy, icy, and other hazardous weather conditions are equipped with snow tires, or chains; (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (7) load and unload children from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards; (8) ensure that all children regardless of age or location in the vehicle shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat; (9) be at least 21 years old, and have a valid driver's license of the type required under the North Carolina Motor Vehicle Law for the vehicle being driven, or comparable license from the state in which the driver resides, and no convictions of Driving While Impaired (DWI), or any other impaired driving offense, within the last three years; (10) ensure that each child is seated in a manufacturer's designated area. No child shall ride in the load carrying area or floor of a vehicle; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; and (14) have a functioning cellular telephone or other functioning two-way voice communication device with them for use in an emergency. The transportation provider shall not use cellular telephones or other functioning two-way communication devices except in the case of an emergency and only when the vehicle is parked in a safe location; and (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. -The Permission to Administer Medication form must be completed for children that have medication. Refer to Child Care Rule 10A NCAC 09 .0803(6)(a-i);.0803(7)(a-g);.0803(8)(a-d). -Medication for children that are no longer enrolled must be returned to the parent within seventy-two (72) hours. Refer to Child Care Rule 10A NCAC 09 .0803(12). At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/17/2024 Number Present: 69 Completed Date: 7/17/2024 Age: From 0 To 12 Total Minutes: 105 Time In: 12:15 PM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Unannounced The purpose of today’s other/announced visit was to review transportation requirements and emergency medication. I was greeted by the Director Ms. Steadman, and I explained the purpose of the visit. A walk through of the facility was completed with Ms. Steadman. In space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. There were children present, and I observed the children sleeping during nap time in space 2, space 3, and space 4. Children in space 5 returned from a field trip. After there return, I observed the children eating lunch. The following lunch items were served and noted on the menu: Meatballs on a whole wheat hoagie, green beans, mixed fruit, and milk. The children in space 6 were observed completing a group reading activity. Two buses were monitored, the Church bus and the Child Development Center's bus. The following transportation requirements were reviewed: -Child Safety Restraints and Seat Belts -Vehicle Safety Inspection and Liability Insurance -First Aid Kit in Vehicle; secured Fire extinguisher -Emergency Information on Children -Current Driver's License -Staff/Child Ratios Maintained During Transportation Compliance was met for the transportation items for buses that were reviewed. Medication: A child's medication was reviewed during the visit, due to the medication was not available on July 11, 2024, because the child was on a field trip with the facility. A violation was cited for permission to administer medication, and a violation was cited for medication that was not returned. Two (2) violations were cited. Violation Number Comment Rule 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. There were three (3) left over medication (a nasal spray and two (2) inhalers) for children there are no longer enrolled. .0803(12) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child (L.P.) did not have the Permission to Administer Medication Administer form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 31, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Refer to 10A NCAC 09 .1723 Transportation Requirements: To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21; (4) ensure that vehicles used to transport children in snowy, icy, and other hazardous weather conditions are equipped with snow tires, or chains; (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (7) load and unload children from curbside or in a safe, off-street area, out of the flow of traffic, so that they are protected from all traffic hazards; (8) ensure that all children regardless of age or location in the vehicle shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat; (9) be at least 21 years old, and have a valid driver's license of the type required under the North Carolina Motor Vehicle Law for the vehicle being driven, or comparable license from the state in which the driver resides, and no convictions of Driving While Impaired (DWI), or any other impaired driving offense, within the last three years; (10) ensure that each child is seated in a manufacturer's designated area. No child shall ride in the load carrying area or floor of a vehicle; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; and (14) have a functioning cellular telephone or other functioning two-way voice communication device with them for use in an emergency. The transportation provider shall not use cellular telephones or other functioning two-way communication devices except in the case of an emergency and only when the vehicle is parked in a safe location; and (15) conduct off-premise activities as follows: (a) before the operator walks children off premises for play or outings, the parent of each child shall give written permission for the child to participate in such activities; (b) parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis; and (c) each time the children are taken off premises, the operator shall take identifying information about each child including the child's name, photograph, emergency contact information, a copy of the emergency medical care information form required by 10A NCAC 09 .1721(a)(3) of this Section. -The Permission to Administer Medication form must be completed for children that have medication. Refer to Child Care Rule 10A NCAC 09 .0803(6)(a-i);.0803(7)(a-g);.0803(8)(a-d). -Medication for children that are no longer enrolled must be returned to the parent within seventy-two (72) hours. Refer to Child Care Rule 10A NCAC 09 .0803(12). At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 51 Completed Date: 7/11/2024 Age: From 0 To 5 Total Minutes: 332 Time In: 09:13 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Director, Ms. Steadman, and I explained the purpose of the visit. I completed an indoor and outdoor walkthrough of the facility with Ms. Steadman. Your program currently operates with a five-star license, issued October 24, 2017. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum, as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted July 19, 2023. The sanitation inspection was completed January 5, 2024 with a “Superior” classification and two (2) demerits. The last fire inspection was conducted February 20, 2024 and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was reviewed; the plan was last updated June 18, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty nine (89) percent as of July 10, 2024. The NC Secretary of State website was reviewed on July 11, 2024, and St. Mark's Incorporated was listed as current-active. In space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. In space 2., I observed toddler children having outdoor supervised play, and in space 3., I observed older toddler children having supervised outdoor play. I observed a Speech Therapist, Ms. Frances Barry, with Milestone working independently with a child from space 3. Ms. Barry had a current criminal qualifying letter on file. Children in space 4., were observed having supervised independent play. In space 5., preschool-age children were observed having supervised outdoor play. Nurturing tones were heard when staff spoke with children. Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in- Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster. All required posted items met compliance. Nine (9) children’s files were selected and reviewed. A violation was cited for: discipline policy; a signature on the Prevention of Shaken Baby Syndrome; and for an authorization for emergency medical care plan not signed by a child's parent. The staff and training worksheet was used to review staff files. One (1) new staff file was reviewed, ten (10) percent of old staff files were reviewed, and a Substitute Caregiver's file was reviewed. Staff files met compliance. There are no children with medication. Children's diapering creams, ointments, and sunscreens were monitored. A violation was cited for expired creams/ointments, and an a violation was cited for permission to administer forms. The outdoor area and equipment were clean and found in good repair. The gate to the outdoor play area was open and a violation was cited. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted); the vehicle has a current vehicle insurance. Six (6) violations were cited during today’s visit. Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate was not closed while children from space 4. were in the outdoor area .0605(i) 843 A drug or medicine was administered after its expiration date. Sunscreens were expired for M.B. and A.K. in space 2. 10A NCAC 09 .0803(1)(d) 1317 Authorization for emergency medical care information was not signed by child's parent. .0802(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The enrollment date was missing on the discipline policy for child A.H. .1804(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There were no permission forms for child D.P. and W.P. in space 1; incomplete form for child M.R. in space 2, and incomplete forms for C.S. and A.N. in space 3; .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. There was no Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for child A.L. .0608(b)(1-6) Reminders: 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 25, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -An "Other" visit will be conducted to complete the monitoring for the facility's transportation. The following Technical Assistance (TA) was provided: -Parent’s statement must include the child’s name and date of enrollment and the date the parent signed the statement. Refer to Child Care Rule 10A NCAC 09 .1804(b). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement and have all the required information. Refer to Child Care Rule 10A NCAC .0608(b)(-6). -Authorization for emergency medical care information must be signed by child's parent. Refer to Child Care Rule 10A NCAC 09 .0802(d). -Gates to the fenced outdoor play area must remain closed while children occupy the area. Refer to Child Care Rule 10A NCAC 09 .0605(i). -Medication authorization, giving the caregiver standing authorization did must meet the specifications in rule, such as the name of the ointment/cream and parent signature. Refer to Child Care Rule 10A NCAC .0803(7)(a-g). -A teacher in space 4 inquired about foam block. The teacher was advised that foam should be inaccessible for children under age three (3). Refer to Child Care Rule 10A NCAC 09 .0604(q). -No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child after its expiration date. -All North Carolina licensed child care centers and family child care homes must enroll and complete the enrollment surveys for lead-based paint and asbestos of the Clean Classrooms for Carolina Kids™ program by May 1, 2024. -The Clean Water for Carolina Kids™ program expanded to the Clean Classrooms for Carolina Kids™ program to help address the legislatively mandated effort to address lead and asbestos hazards where North Carolina children learn and play. Training is provided to help child care facilities complete the registration process, and the enrollment surveys can be completed in approximately 15 minutes per section. -The program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. Ms. Steadman stated that the facility's lead and asbestos was tested in April 2024. -To Get Started: Facilities should register for the required pre-enrollment webinar at https://bit.ly/3CK- webinar. The webinar will provide information about lead and asbestos hazards, state requirements, personnel and facility information needed for the program, commonly asked questions, and tips for success. -Infant staff to continue to document sleeping infants. Refer to Child Care Rule 10A NCAC 09 .0606 (g). At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 51 Completed Date: 7/11/2024 Age: From 0 To 5 Total Minutes: 332 Time In: 09:13 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Director, Ms. Steadman, and I explained the purpose of the visit. I completed an indoor and outdoor walkthrough of the facility with Ms. Steadman. Your program currently operates with a five-star license, issued October 24, 2017. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum, as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted July 19, 2023. The sanitation inspection was completed January 5, 2024 with a “Superior” classification and two (2) demerits. The last fire inspection was conducted February 20, 2024 and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was reviewed; the plan was last updated June 18, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty nine (89) percent as of July 10, 2024. The NC Secretary of State website was reviewed on July 11, 2024, and St. Mark's Incorporated was listed as current-active. In space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. In space 2., I observed toddler children having outdoor supervised play, and in space 3., I observed older toddler children having supervised outdoor play. I observed a Speech Therapist, Ms. Frances Barry, with Milestone working independently with a child from space 3. Ms. Barry had a current criminal qualifying letter on file. Children in space 4., were observed having supervised independent play. In space 5., preschool-age children were observed having supervised outdoor play. Nurturing tones were heard when staff spoke with children. Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in- Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster. All required posted items met compliance. Nine (9) children’s files were selected and reviewed. A violation was cited for: discipline policy; a signature on the Prevention of Shaken Baby Syndrome; and for an authorization for emergency medical care plan not signed by a child's parent. The staff and training worksheet was used to review staff files. One (1) new staff file was reviewed, ten (10) percent of old staff files were reviewed, and a Substitute Caregiver's file was reviewed. Staff files met compliance. There are no children with medication. Children's diapering creams, ointments, and sunscreens were monitored. A violation was cited for expired creams/ointments, and an a violation was cited for permission to administer forms. The outdoor area and equipment were clean and found in good repair. The gate to the outdoor play area was open and a violation was cited. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted); the vehicle has a current vehicle insurance. Six (6) violations were cited during today’s visit. Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate was not closed while children from space 4. were in the outdoor area .0605(i) 843 A drug or medicine was administered after its expiration date. Sunscreens were expired for M.B. and A.K. in space 2. 10A NCAC 09 .0803(1)(d) 1317 Authorization for emergency medical care information was not signed by child's parent. .0802(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The enrollment date was missing on the discipline policy for child A.H. .1804(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There were no permission forms for child D.P. and W.P. in space 1; incomplete form for child M.R. in space 2, and incomplete forms for C.S. and A.N. in space 3; .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. There was no Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for child A.L. .0608(b)(1-6) Reminders: 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 25, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -An "Other" visit will be conducted to complete the monitoring for the facility's transportation. The following Technical Assistance (TA) was provided: -Parent’s statement must include the child’s name and date of enrollment and the date the parent signed the statement. Refer to Child Care Rule 10A NCAC 09 .1804(b). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement and have all the required information. Refer to Child Care Rule 10A NCAC .0608(b)(-6). -Authorization for emergency medical care information must be signed by child's parent. Refer to Child Care Rule 10A NCAC 09 .0802(d). -Gates to the fenced outdoor play area must remain closed while children occupy the area. Refer to Child Care Rule 10A NCAC 09 .0605(i). -Medication authorization, giving the caregiver standing authorization did must meet the specifications in rule, such as the name of the ointment/cream and parent signature. Refer to Child Care Rule 10A NCAC .0803(7)(a-g). -A teacher in space 4 inquired about foam block. The teacher was advised that foam should be inaccessible for children under age three (3). Refer to Child Care Rule 10A NCAC 09 .0604(q). -No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child after its expiration date. -All North Carolina licensed child care centers and family child care homes must enroll and complete the enrollment surveys for lead-based paint and asbestos of the Clean Classrooms for Carolina Kids™ program by May 1, 2024. -The Clean Water for Carolina Kids™ program expanded to the Clean Classrooms for Carolina Kids™ program to help address the legislatively mandated effort to address lead and asbestos hazards where North Carolina children learn and play. Training is provided to help child care facilities complete the registration process, and the enrollment surveys can be completed in approximately 15 minutes per section. -The program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. Ms. Steadman stated that the facility's lead and asbestos was tested in April 2024. -To Get Started: Facilities should register for the required pre-enrollment webinar at https://bit.ly/3CK- webinar. The webinar will provide information about lead and asbestos hazards, state requirements, personnel and facility information needed for the program, commonly asked questions, and tips for success. -Infant staff to continue to document sleeping infants. Refer to Child Care Rule 10A NCAC 09 .0606 (g). At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 51 Completed Date: 7/11/2024 Age: From 0 To 5 Total Minutes: 332 Time In: 09:13 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Director, Ms. Steadman, and I explained the purpose of the visit. I completed an indoor and outdoor walkthrough of the facility with Ms. Steadman. Your program currently operates with a five-star license, issued October 24, 2017. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum, as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted July 19, 2023. The sanitation inspection was completed January 5, 2024 with a “Superior” classification and two (2) demerits. The last fire inspection was conducted February 20, 2024 and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was reviewed; the plan was last updated June 18, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty nine (89) percent as of July 10, 2024. The NC Secretary of State website was reviewed on July 11, 2024, and St. Mark's Incorporated was listed as current-active. In space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. In space 2., I observed toddler children having outdoor supervised play, and in space 3., I observed older toddler children having supervised outdoor play. I observed a Speech Therapist, Ms. Frances Barry, with Milestone working independently with a child from space 3. Ms. Barry had a current criminal qualifying letter on file. Children in space 4., were observed having supervised independent play. In space 5., preschool-age children were observed having supervised outdoor play. Nurturing tones were heard when staff spoke with children. Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in- Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster. All required posted items met compliance. Nine (9) children’s files were selected and reviewed. A violation was cited for: discipline policy; a signature on the Prevention of Shaken Baby Syndrome; and for an authorization for emergency medical care plan not signed by a child's parent. The staff and training worksheet was used to review staff files. One (1) new staff file was reviewed, ten (10) percent of old staff files were reviewed, and a Substitute Caregiver's file was reviewed. Staff files met compliance. There are no children with medication. Children's diapering creams, ointments, and sunscreens were monitored. A violation was cited for expired creams/ointments, and an a violation was cited for permission to administer forms. The outdoor area and equipment were clean and found in good repair. The gate to the outdoor play area was open and a violation was cited. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted); the vehicle has a current vehicle insurance. Six (6) violations were cited during today’s visit. Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate was not closed while children from space 4. were in the outdoor area .0605(i) 843 A drug or medicine was administered after its expiration date. Sunscreens were expired for M.B. and A.K. in space 2. 10A NCAC 09 .0803(1)(d) 1317 Authorization for emergency medical care information was not signed by child's parent. .0802(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The enrollment date was missing on the discipline policy for child A.H. .1804(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There were no permission forms for child D.P. and W.P. in space 1; incomplete form for child M.R. in space 2, and incomplete forms for C.S. and A.N. in space 3; .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. There was no Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for child A.L. .0608(b)(1-6) Reminders: 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 25, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -An "Other" visit will be conducted to complete the monitoring for the facility's transportation. The following Technical Assistance (TA) was provided: -Parent’s statement must include the child’s name and date of enrollment and the date the parent signed the statement. Refer to Child Care Rule 10A NCAC 09 .1804(b). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement and have all the required information. Refer to Child Care Rule 10A NCAC .0608(b)(-6). -Authorization for emergency medical care information must be signed by child's parent. Refer to Child Care Rule 10A NCAC 09 .0802(d). -Gates to the fenced outdoor play area must remain closed while children occupy the area. Refer to Child Care Rule 10A NCAC 09 .0605(i). -Medication authorization, giving the caregiver standing authorization did must meet the specifications in rule, such as the name of the ointment/cream and parent signature. Refer to Child Care Rule 10A NCAC .0803(7)(a-g). -A teacher in space 4 inquired about foam block. The teacher was advised that foam should be inaccessible for children under age three (3). Refer to Child Care Rule 10A NCAC 09 .0604(q). -No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child after its expiration date. -All North Carolina licensed child care centers and family child care homes must enroll and complete the enrollment surveys for lead-based paint and asbestos of the Clean Classrooms for Carolina Kids™ program by May 1, 2024. -The Clean Water for Carolina Kids™ program expanded to the Clean Classrooms for Carolina Kids™ program to help address the legislatively mandated effort to address lead and asbestos hazards where North Carolina children learn and play. Training is provided to help child care facilities complete the registration process, and the enrollment surveys can be completed in approximately 15 minutes per section. -The program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. Ms. Steadman stated that the facility's lead and asbestos was tested in April 2024. -To Get Started: Facilities should register for the required pre-enrollment webinar at https://bit.ly/3CK- webinar. The webinar will provide information about lead and asbestos hazards, state requirements, personnel and facility information needed for the program, commonly asked questions, and tips for success. -Infant staff to continue to document sleeping infants. Refer to Child Care Rule 10A NCAC 09 .0606 (g). At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 51 Completed Date: 7/11/2024 Age: From 0 To 5 Total Minutes: 332 Time In: 09:13 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Director, Ms. Steadman, and I explained the purpose of the visit. I completed an indoor and outdoor walkthrough of the facility with Ms. Steadman. Your program currently operates with a five-star license, issued October 24, 2017. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum, as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted July 19, 2023. The sanitation inspection was completed January 5, 2024 with a “Superior” classification and two (2) demerits. The last fire inspection was conducted February 20, 2024 and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was reviewed; the plan was last updated June 18, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty nine (89) percent as of July 10, 2024. The NC Secretary of State website was reviewed on July 11, 2024, and St. Mark's Incorporated was listed as current-active. In space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. In space 2., I observed toddler children having outdoor supervised play, and in space 3., I observed older toddler children having supervised outdoor play. I observed a Speech Therapist, Ms. Frances Barry, with Milestone working independently with a child from space 3. Ms. Barry had a current criminal qualifying letter on file. Children in space 4., were observed having supervised independent play. In space 5., preschool-age children were observed having supervised outdoor play. Nurturing tones were heard when staff spoke with children. Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in- Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster. All required posted items met compliance. Nine (9) children’s files were selected and reviewed. A violation was cited for: discipline policy; a signature on the Prevention of Shaken Baby Syndrome; and for an authorization for emergency medical care plan not signed by a child's parent. The staff and training worksheet was used to review staff files. One (1) new staff file was reviewed, ten (10) percent of old staff files were reviewed, and a Substitute Caregiver's file was reviewed. Staff files met compliance. There are no children with medication. Children's diapering creams, ointments, and sunscreens were monitored. A violation was cited for expired creams/ointments, and an a violation was cited for permission to administer forms. The outdoor area and equipment were clean and found in good repair. The gate to the outdoor play area was open and a violation was cited. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted); the vehicle has a current vehicle insurance. Six (6) violations were cited during today’s visit. Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate was not closed while children from space 4. were in the outdoor area .0605(i) 843 A drug or medicine was administered after its expiration date. Sunscreens were expired for M.B. and A.K. in space 2. 10A NCAC 09 .0803(1)(d) 1317 Authorization for emergency medical care information was not signed by child's parent. .0802(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The enrollment date was missing on the discipline policy for child A.H. .1804(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There were no permission forms for child D.P. and W.P. in space 1; incomplete form for child M.R. in space 2, and incomplete forms for C.S. and A.N. in space 3; .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. There was no Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for child A.L. .0608(b)(1-6) Reminders: 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 25, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -An "Other" visit will be conducted to complete the monitoring for the facility's transportation. The following Technical Assistance (TA) was provided: -Parent’s statement must include the child’s name and date of enrollment and the date the parent signed the statement. Refer to Child Care Rule 10A NCAC 09 .1804(b). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement and have all the required information. Refer to Child Care Rule 10A NCAC .0608(b)(-6). -Authorization for emergency medical care information must be signed by child's parent. Refer to Child Care Rule 10A NCAC 09 .0802(d). -Gates to the fenced outdoor play area must remain closed while children occupy the area. Refer to Child Care Rule 10A NCAC 09 .0605(i). -Medication authorization, giving the caregiver standing authorization did must meet the specifications in rule, such as the name of the ointment/cream and parent signature. Refer to Child Care Rule 10A NCAC .0803(7)(a-g). -A teacher in space 4 inquired about foam block. The teacher was advised that foam should be inaccessible for children under age three (3). Refer to Child Care Rule 10A NCAC 09 .0604(q). -No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child after its expiration date. -All North Carolina licensed child care centers and family child care homes must enroll and complete the enrollment surveys for lead-based paint and asbestos of the Clean Classrooms for Carolina Kids™ program by May 1, 2024. -The Clean Water for Carolina Kids™ program expanded to the Clean Classrooms for Carolina Kids™ program to help address the legislatively mandated effort to address lead and asbestos hazards where North Carolina children learn and play. Training is provided to help child care facilities complete the registration process, and the enrollment surveys can be completed in approximately 15 minutes per section. -The program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. Ms. Steadman stated that the facility's lead and asbestos was tested in April 2024. -To Get Started: Facilities should register for the required pre-enrollment webinar at https://bit.ly/3CK- webinar. The webinar will provide information about lead and asbestos hazards, state requirements, personnel and facility information needed for the program, commonly asked questions, and tips for success. -Infant staff to continue to document sleeping infants. Refer to Child Care Rule 10A NCAC 09 .0606 (g). At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 51 Completed Date: 7/11/2024 Age: From 0 To 5 Total Minutes: 332 Time In: 09:13 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Director, Ms. Steadman, and I explained the purpose of the visit. I completed an indoor and outdoor walkthrough of the facility with Ms. Steadman. Your program currently operates with a five-star license, issued October 24, 2017. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum, as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted July 19, 2023. The sanitation inspection was completed January 5, 2024 with a “Superior” classification and two (2) demerits. The last fire inspection was conducted February 20, 2024 and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was reviewed; the plan was last updated June 18, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty nine (89) percent as of July 10, 2024. The NC Secretary of State website was reviewed on July 11, 2024, and St. Mark's Incorporated was listed as current-active. In space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. In space 2., I observed toddler children having outdoor supervised play, and in space 3., I observed older toddler children having supervised outdoor play. I observed a Speech Therapist, Ms. Frances Barry, with Milestone working independently with a child from space 3. Ms. Barry had a current criminal qualifying letter on file. Children in space 4., were observed having supervised independent play. In space 5., preschool-age children were observed having supervised outdoor play. Nurturing tones were heard when staff spoke with children. Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in- Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster. All required posted items met compliance. Nine (9) children’s files were selected and reviewed. A violation was cited for: discipline policy; a signature on the Prevention of Shaken Baby Syndrome; and for an authorization for emergency medical care plan not signed by a child's parent. The staff and training worksheet was used to review staff files. One (1) new staff file was reviewed, ten (10) percent of old staff files were reviewed, and a Substitute Caregiver's file was reviewed. Staff files met compliance. There are no children with medication. Children's diapering creams, ointments, and sunscreens were monitored. A violation was cited for expired creams/ointments, and an a violation was cited for permission to administer forms. The outdoor area and equipment were clean and found in good repair. The gate to the outdoor play area was open and a violation was cited. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted); the vehicle has a current vehicle insurance. Six (6) violations were cited during today’s visit. Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate was not closed while children from space 4. were in the outdoor area .0605(i) 843 A drug or medicine was administered after its expiration date. Sunscreens were expired for M.B. and A.K. in space 2. 10A NCAC 09 .0803(1)(d) 1317 Authorization for emergency medical care information was not signed by child's parent. .0802(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The enrollment date was missing on the discipline policy for child A.H. .1804(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There were no permission forms for child D.P. and W.P. in space 1; incomplete form for child M.R. in space 2, and incomplete forms for C.S. and A.N. in space 3; .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. There was no Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for child A.L. .0608(b)(1-6) Reminders: 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 25, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -An "Other" visit will be conducted to complete the monitoring for the facility's transportation. The following Technical Assistance (TA) was provided: -Parent’s statement must include the child’s name and date of enrollment and the date the parent signed the statement. Refer to Child Care Rule 10A NCAC 09 .1804(b). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement and have all the required information. Refer to Child Care Rule 10A NCAC .0608(b)(-6). -Authorization for emergency medical care information must be signed by child's parent. Refer to Child Care Rule 10A NCAC 09 .0802(d). -Gates to the fenced outdoor play area must remain closed while children occupy the area. Refer to Child Care Rule 10A NCAC 09 .0605(i). -Medication authorization, giving the caregiver standing authorization did must meet the specifications in rule, such as the name of the ointment/cream and parent signature. Refer to Child Care Rule 10A NCAC .0803(7)(a-g). -A teacher in space 4 inquired about foam block. The teacher was advised that foam should be inaccessible for children under age three (3). Refer to Child Care Rule 10A NCAC 09 .0604(q). -No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child after its expiration date. -All North Carolina licensed child care centers and family child care homes must enroll and complete the enrollment surveys for lead-based paint and asbestos of the Clean Classrooms for Carolina Kids™ program by May 1, 2024. -The Clean Water for Carolina Kids™ program expanded to the Clean Classrooms for Carolina Kids™ program to help address the legislatively mandated effort to address lead and asbestos hazards where North Carolina children learn and play. Training is provided to help child care facilities complete the registration process, and the enrollment surveys can be completed in approximately 15 minutes per section. -The program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. Ms. Steadman stated that the facility's lead and asbestos was tested in April 2024. -To Get Started: Facilities should register for the required pre-enrollment webinar at https://bit.ly/3CK- webinar. The webinar will provide information about lead and asbestos hazards, state requirements, personnel and facility information needed for the program, commonly asked questions, and tips for success. -Infant staff to continue to document sleeping infants. Refer to Child Care Rule 10A NCAC 09 .0606 (g). At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1725 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 51 Completed Date: 7/11/2024 Age: From 0 To 5 Total Minutes: 332 Time In: 09:13 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Director, Ms. Steadman, and I explained the purpose of the visit. I completed an indoor and outdoor walkthrough of the facility with Ms. Steadman. Your program currently operates with a five-star license, issued October 24, 2017. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum, as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted July 19, 2023. The sanitation inspection was completed January 5, 2024 with a “Superior” classification and two (2) demerits. The last fire inspection was conducted February 20, 2024 and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was reviewed; the plan was last updated June 18, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty nine (89) percent as of July 10, 2024. The NC Secretary of State website was reviewed on July 11, 2024, and St. Mark's Incorporated was listed as current-active. In space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. In space 2., I observed toddler children having outdoor supervised play, and in space 3., I observed older toddler children having supervised outdoor play. I observed a Speech Therapist, Ms. Frances Barry, with Milestone working independently with a child from space 3. Ms. Barry had a current criminal qualifying letter on file. Children in space 4., were observed having supervised independent play. In space 5., preschool-age children were observed having supervised outdoor play. Nurturing tones were heard when staff spoke with children. Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in- Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster. All required posted items met compliance. Nine (9) children’s files were selected and reviewed. A violation was cited for: discipline policy; a signature on the Prevention of Shaken Baby Syndrome; and for an authorization for emergency medical care plan not signed by a child's parent. The staff and training worksheet was used to review staff files. One (1) new staff file was reviewed, ten (10) percent of old staff files were reviewed, and a Substitute Caregiver's file was reviewed. Staff files met compliance. There are no children with medication. Children's diapering creams, ointments, and sunscreens were monitored. A violation was cited for expired creams/ointments, and an a violation was cited for permission to administer forms. The outdoor area and equipment were clean and found in good repair. The gate to the outdoor play area was open and a violation was cited. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted); the vehicle has a current vehicle insurance. Six (6) violations were cited during today’s visit. Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate was not closed while children from space 4. were in the outdoor area .0605(i) 843 A drug or medicine was administered after its expiration date. Sunscreens were expired for M.B. and A.K. in space 2. 10A NCAC 09 .0803(1)(d) 1317 Authorization for emergency medical care information was not signed by child's parent. .0802(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The enrollment date was missing on the discipline policy for child A.H. .1804(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There were no permission forms for child D.P. and W.P. in space 1; incomplete form for child M.R. in space 2, and incomplete forms for C.S. and A.N. in space 3; .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. There was no Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for child A.L. .0608(b)(1-6) Reminders: 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 25, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -An "Other" visit will be conducted to complete the monitoring for the facility's transportation. The following Technical Assistance (TA) was provided: -Parent’s statement must include the child’s name and date of enrollment and the date the parent signed the statement. Refer to Child Care Rule 10A NCAC 09 .1804(b). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement and have all the required information. Refer to Child Care Rule 10A NCAC .0608(b)(-6). -Authorization for emergency medical care information must be signed by child's parent. Refer to Child Care Rule 10A NCAC 09 .0802(d). -Gates to the fenced outdoor play area must remain closed while children occupy the area. Refer to Child Care Rule 10A NCAC 09 .0605(i). -Medication authorization, giving the caregiver standing authorization did must meet the specifications in rule, such as the name of the ointment/cream and parent signature. Refer to Child Care Rule 10A NCAC .0803(7)(a-g). -A teacher in space 4 inquired about foam block. The teacher was advised that foam should be inaccessible for children under age three (3). Refer to Child Care Rule 10A NCAC 09 .0604(q). -No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child after its expiration date. -All North Carolina licensed child care centers and family child care homes must enroll and complete the enrollment surveys for lead-based paint and asbestos of the Clean Classrooms for Carolina Kids™ program by May 1, 2024. -The Clean Water for Carolina Kids™ program expanded to the Clean Classrooms for Carolina Kids™ program to help address the legislatively mandated effort to address lead and asbestos hazards where North Carolina children learn and play. Training is provided to help child care facilities complete the registration process, and the enrollment surveys can be completed in approximately 15 minutes per section. -The program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. Ms. Steadman stated that the facility's lead and asbestos was tested in April 2024. -To Get Started: Facilities should register for the required pre-enrollment webinar at https://bit.ly/3CK- webinar. The webinar will provide information about lead and asbestos hazards, state requirements, personnel and facility information needed for the program, commonly asked questions, and tips for success. -Infant staff to continue to document sleeping infants. Refer to Child Care Rule 10A NCAC 09 .0606 (g). At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1804 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 51 Completed Date: 7/11/2024 Age: From 0 To 5 Total Minutes: 332 Time In: 09:13 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Director, Ms. Steadman, and I explained the purpose of the visit. I completed an indoor and outdoor walkthrough of the facility with Ms. Steadman. Your program currently operates with a five-star license, issued October 24, 2017. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum, as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted July 19, 2023. The sanitation inspection was completed January 5, 2024 with a “Superior” classification and two (2) demerits. The last fire inspection was conducted February 20, 2024 and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was reviewed; the plan was last updated June 18, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty nine (89) percent as of July 10, 2024. The NC Secretary of State website was reviewed on July 11, 2024, and St. Mark's Incorporated was listed as current-active. In space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. In space 2., I observed toddler children having outdoor supervised play, and in space 3., I observed older toddler children having supervised outdoor play. I observed a Speech Therapist, Ms. Frances Barry, with Milestone working independently with a child from space 3. Ms. Barry had a current criminal qualifying letter on file. Children in space 4., were observed having supervised independent play. In space 5., preschool-age children were observed having supervised outdoor play. Nurturing tones were heard when staff spoke with children. Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in- Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster. All required posted items met compliance. Nine (9) children’s files were selected and reviewed. A violation was cited for: discipline policy; a signature on the Prevention of Shaken Baby Syndrome; and for an authorization for emergency medical care plan not signed by a child's parent. The staff and training worksheet was used to review staff files. One (1) new staff file was reviewed, ten (10) percent of old staff files were reviewed, and a Substitute Caregiver's file was reviewed. Staff files met compliance. There are no children with medication. Children's diapering creams, ointments, and sunscreens were monitored. A violation was cited for expired creams/ointments, and an a violation was cited for permission to administer forms. The outdoor area and equipment were clean and found in good repair. The gate to the outdoor play area was open and a violation was cited. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted); the vehicle has a current vehicle insurance. Six (6) violations were cited during today’s visit. Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate was not closed while children from space 4. were in the outdoor area .0605(i) 843 A drug or medicine was administered after its expiration date. Sunscreens were expired for M.B. and A.K. in space 2. 10A NCAC 09 .0803(1)(d) 1317 Authorization for emergency medical care information was not signed by child's parent. .0802(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The enrollment date was missing on the discipline policy for child A.H. .1804(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There were no permission forms for child D.P. and W.P. in space 1; incomplete form for child M.R. in space 2, and incomplete forms for C.S. and A.N. in space 3; .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. There was no Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for child A.L. .0608(b)(1-6) Reminders: 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 25, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -An "Other" visit will be conducted to complete the monitoring for the facility's transportation. The following Technical Assistance (TA) was provided: -Parent’s statement must include the child’s name and date of enrollment and the date the parent signed the statement. Refer to Child Care Rule 10A NCAC 09 .1804(b). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement and have all the required information. Refer to Child Care Rule 10A NCAC .0608(b)(-6). -Authorization for emergency medical care information must be signed by child's parent. Refer to Child Care Rule 10A NCAC 09 .0802(d). -Gates to the fenced outdoor play area must remain closed while children occupy the area. Refer to Child Care Rule 10A NCAC 09 .0605(i). -Medication authorization, giving the caregiver standing authorization did must meet the specifications in rule, such as the name of the ointment/cream and parent signature. Refer to Child Care Rule 10A NCAC .0803(7)(a-g). -A teacher in space 4 inquired about foam block. The teacher was advised that foam should be inaccessible for children under age three (3). Refer to Child Care Rule 10A NCAC 09 .0604(q). -No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child after its expiration date. -All North Carolina licensed child care centers and family child care homes must enroll and complete the enrollment surveys for lead-based paint and asbestos of the Clean Classrooms for Carolina Kids™ program by May 1, 2024. -The Clean Water for Carolina Kids™ program expanded to the Clean Classrooms for Carolina Kids™ program to help address the legislatively mandated effort to address lead and asbestos hazards where North Carolina children learn and play. Training is provided to help child care facilities complete the registration process, and the enrollment surveys can be completed in approximately 15 minutes per section. -The program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. Ms. Steadman stated that the facility's lead and asbestos was tested in April 2024. -To Get Started: Facilities should register for the required pre-enrollment webinar at https://bit.ly/3CK- webinar. The webinar will provide information about lead and asbestos hazards, state requirements, personnel and facility information needed for the program, commonly asked questions, and tips for success. -Infant staff to continue to document sleeping infants. Refer to Child Care Rule 10A NCAC 09 .0606 (g). At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 51 Completed Date: 7/11/2024 Age: From 0 To 5 Total Minutes: 332 Time In: 09:13 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Director, Ms. Steadman, and I explained the purpose of the visit. I completed an indoor and outdoor walkthrough of the facility with Ms. Steadman. Your program currently operates with a five-star license, issued October 24, 2017. Your program was also monitored for compliance with implementing an approved curriculum, Creative Curriculum, as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted July 19, 2023. The sanitation inspection was completed January 5, 2024 with a “Superior” classification and two (2) demerits. The last fire inspection was conducted February 20, 2024 and your facility was approved for daytime care only. The Emergency Preparedness and Response Plan (EPR) was reviewed; the plan was last updated June 18, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty nine (89) percent as of July 10, 2024. The NC Secretary of State website was reviewed on July 11, 2024, and St. Mark's Incorporated was listed as current-active. In space 1., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. In space 2., I observed toddler children having outdoor supervised play, and in space 3., I observed older toddler children having supervised outdoor play. I observed a Speech Therapist, Ms. Frances Barry, with Milestone working independently with a child from space 3. Ms. Barry had a current criminal qualifying letter on file. Children in space 4., were observed having supervised independent play. In space 5., preschool-age children were observed having supervised outdoor play. Nurturing tones were heard when staff spoke with children. Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in- Place and/or Lockdown Drills, Playground Inspection Forms, Emergency Medical Care Plan, and the Safe Sleep Policy/Safe Sleep Poster. All required posted items met compliance. Nine (9) children’s files were selected and reviewed. A violation was cited for: discipline policy; a signature on the Prevention of Shaken Baby Syndrome; and for an authorization for emergency medical care plan not signed by a child's parent. The staff and training worksheet was used to review staff files. One (1) new staff file was reviewed, ten (10) percent of old staff files were reviewed, and a Substitute Caregiver's file was reviewed. Staff files met compliance. There are no children with medication. Children's diapering creams, ointments, and sunscreens were monitored. A violation was cited for expired creams/ointments, and an a violation was cited for permission to administer forms. The outdoor area and equipment were clean and found in good repair. The gate to the outdoor play area was open and a violation was cited. The center does provide transportation and the following was observed for compliance: Safe pick-up and Delivery statement (Posted); the vehicle has a current vehicle insurance. Six (6) violations were cited during today’s visit. Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate was not closed while children from space 4. were in the outdoor area .0605(i) 843 A drug or medicine was administered after its expiration date. Sunscreens were expired for M.B. and A.K. in space 2. 10A NCAC 09 .0803(1)(d) 1317 Authorization for emergency medical care information was not signed by child's parent. .0802(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The enrollment date was missing on the discipline policy for child A.H. .1804(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. There were no permission forms for child D.P. and W.P. in space 1; incomplete form for child M.R. in space 2, and incomplete forms for C.S. and A.N. in space 3; .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. There was no Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for child A.L. .0608(b)(1-6) Reminders: 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 25, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -An "Other" visit will be conducted to complete the monitoring for the facility's transportation. The following Technical Assistance (TA) was provided: -Parent’s statement must include the child’s name and date of enrollment and the date the parent signed the statement. Refer to Child Care Rule 10A NCAC 09 .1804(b). -A child's file must have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement and have all the required information. Refer to Child Care Rule 10A NCAC .0608(b)(-6). -Authorization for emergency medical care information must be signed by child's parent. Refer to Child Care Rule 10A NCAC 09 .0802(d). -Gates to the fenced outdoor play area must remain closed while children occupy the area. Refer to Child Care Rule 10A NCAC 09 .0605(i). -Medication authorization, giving the caregiver standing authorization did must meet the specifications in rule, such as the name of the ointment/cream and parent signature. Refer to Child Care Rule 10A NCAC .0803(7)(a-g). -A teacher in space 4 inquired about foam block. The teacher was advised that foam should be inaccessible for children under age three (3). Refer to Child Care Rule 10A NCAC 09 .0604(q). -No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child after its expiration date. -All North Carolina licensed child care centers and family child care homes must enroll and complete the enrollment surveys for lead-based paint and asbestos of the Clean Classrooms for Carolina Kids™ program by May 1, 2024. -The Clean Water for Carolina Kids™ program expanded to the Clean Classrooms for Carolina Kids™ program to help address the legislatively mandated effort to address lead and asbestos hazards where North Carolina children learn and play. Training is provided to help child care facilities complete the registration process, and the enrollment surveys can be completed in approximately 15 minutes per section. -The program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. Ms. Steadman stated that the facility's lead and asbestos was tested in April 2024. -To Get Started: Facilities should register for the required pre-enrollment webinar at https://bit.ly/3CK- webinar. The webinar will provide information about lead and asbestos hazards, state requirements, personnel and facility information needed for the program, commonly asked questions, and tips for success. -Infant staff to continue to document sleeping infants. Refer to Child Care Rule 10A NCAC 09 .0606 (g). At the completion of the visit, this visit summary was reviewed and signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 2/12/2024 Number Present: 53 Completed Date: 2/12/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 09:15 AM Time Out: 12:25 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 applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Director, Ms. Leah Steadman and I explained the purpose of the visit. The facility had a Five-Star License issued October 24, 2017, and an eighteen-month compliance history score of 91% prior to today’s visit. I completed a walk through of the center. In space 1., I observed staff attending to individual needs of the children. The feeding plans were not signed, and a violation was cited. I observed children in space 2., having circle time. During circle, the teacher completed an activity listed on the activity plan; the children found pink items. In space 3., I observed the children having free play. I observed the children in space 4., completing a Valentine's Day Project that was listed on the activity plan. I observed the children in space 5., participating in centers. The children in space 5., moved to space 6., the classroom for school-age children. The school-age children were not present, due to school in session. No new staff have been hired since the Annual Compliance Visit, July 19, 2023. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the Master Child Care Center Item Number Listing: Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has current CPR. First Aid: Each staff has current First Aid. Special Training: Staff are continuing to complete ongoing training hours. CBC Qualification: Each staff member was current with CBC qualification. ITS-SIDS: Staff are current with ITS-SIDS training. The infant sleep records were reviewed and compliance was met. The Safe Sleep Policy was posted, and a Safe Sleep Poster was posted; compliance was met. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: Medications are administered and compliance was met. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Medications were properly stored. General Safety: There were no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were not observed in licensed approved space, and a violation was cited. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill and emergency drill was complete and up to date, and the quarterly drill (shelter-in-place) was not complete and up to date; a violation was cited. The Playground Inspections were complete and up to date. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed January 5, 2024, with a superior rating and two (2) demerits. The last Fire Inspection was completed and approved February 7, 2023. Five (5) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was not scheduled within 12 months of the previous inspection, February 7, 2023. 10A NCAC 09 .0304(a) 209 Children used space that was not approved. The children in space 5., were in the Fellowship Hall. GS 110-91(1)&(4-5) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The signature was not complete for children seven (7) children: (A.G.), (C.C.), (C.S.), (C.C.), (K.B.), & (N.T.) (S.F). .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. An outlet cover was not covered in space 3. 10A NCAC 09 .0604(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were not practiced every three (3) months. They were practiced, January 10, 2023, April 18, 2023, July 17, 2023, October 23, 2023, and a drill was not practiced in January 2024. .0604(u);.0302(d)(8) An Administrative Action may be issued for children in unapproved space. 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 February 26, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -Your facility has been assigned to Cohort 1: Prep year 7/1/23-6/30/24, Reassessment year 7/1/24-6/30/25. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. The following Technical Assistance (TA) was provided: -The children in space 5., moved to the fellowship hall, due to space 5., was too hot. (heating system to be repaired); if circulating fan is used to cool space, make sure that the fan is inaccessible to children. Child care space(s) must be approved prior to use. Refer to G.S.110-91(1) & (4-5): (4) Building. – Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, subject to adoption by the Commission specifically for child care facilities, including facilities operated in a private residence. These standards shall be consistent with the provisions of this Article. A local building code enforcement officer shall approve any proposed alternate material, design, or method of construction, provided the building code enforcement officer finds that the alternate, for the purpose intended, is at least the equivalent of that prescribed in the technical building codes in quality, strength, effectiveness, fire resistance, durability, or safety. A local building code enforcement officer shall require that sufficient evidence or proof be submitted to substantiate any claim made regarding the alternate. The Child Care Commission may request changes to the Building Code to suit the special needs of preschool children. Satisfactorily written reports from representatives of building inspection agencies shall be required prior to the issuance of a license and whenever renovations are made to a child care center, or when the operator requests licensure of space not previously approved for child care. -Infant Feeding Plans were not signed by parents. The written feeding plans must include the child's name, parent signature, and the date when received by the center. Refer to Child Care Rule 10A NCAC 09 .0902(a). -Outlet covers must be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Refer to Child Care Rule 10A NCA 09 .0604 (c). -A shelter-in-place or lockdown drills , as defined in 10A NCAC 09.0102 must be conducted at least every three (3) months. A record must be kept that includes the date of each drill, time of day, the length of time to teach the designated location and the signature of the person conducting the drill; refer to Child Care Rule .0604(u). -Ms. Steadman has attempted to contact the assigned fire inspector for a fire inspection; a copy of the email was provided on February 2, 2024. If there are any questions regarding the fire inspectors please feel free to contact the Charlotte Fire Marshal’s Office; via email charlottefmo@charlottenc.gov or office number at 704-336-2101. At the completion of the visit, this visit summary was reviewed and signed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 2/12/2024 Number Present: 53 Completed Date: 2/12/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 09:15 AM Time Out: 12:25 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 applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Director, Ms. Leah Steadman and I explained the purpose of the visit. The facility had a Five-Star License issued October 24, 2017, and an eighteen-month compliance history score of 91% prior to today’s visit. I completed a walk through of the center. In space 1., I observed staff attending to individual needs of the children. The feeding plans were not signed, and a violation was cited. I observed children in space 2., having circle time. During circle, the teacher completed an activity listed on the activity plan; the children found pink items. In space 3., I observed the children having free play. I observed the children in space 4., completing a Valentine's Day Project that was listed on the activity plan. I observed the children in space 5., participating in centers. The children in space 5., moved to space 6., the classroom for school-age children. The school-age children were not present, due to school in session. No new staff have been hired since the Annual Compliance Visit, July 19, 2023. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the Master Child Care Center Item Number Listing: Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has current CPR. First Aid: Each staff has current First Aid. Special Training: Staff are continuing to complete ongoing training hours. CBC Qualification: Each staff member was current with CBC qualification. ITS-SIDS: Staff are current with ITS-SIDS training. The infant sleep records were reviewed and compliance was met. The Safe Sleep Policy was posted, and a Safe Sleep Poster was posted; compliance was met. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: Medications are administered and compliance was met. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Medications were properly stored. General Safety: There were no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were not observed in licensed approved space, and a violation was cited. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill and emergency drill was complete and up to date, and the quarterly drill (shelter-in-place) was not complete and up to date; a violation was cited. The Playground Inspections were complete and up to date. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed January 5, 2024, with a superior rating and two (2) demerits. The last Fire Inspection was completed and approved February 7, 2023. Five (5) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was not scheduled within 12 months of the previous inspection, February 7, 2023. 10A NCAC 09 .0304(a) 209 Children used space that was not approved. The children in space 5., were in the Fellowship Hall. GS 110-91(1)&(4-5) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The signature was not complete for children seven (7) children: (A.G.), (C.C.), (C.S.), (C.C.), (K.B.), & (N.T.) (S.F). .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. An outlet cover was not covered in space 3. 10A NCAC 09 .0604(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were not practiced every three (3) months. They were practiced, January 10, 2023, April 18, 2023, July 17, 2023, October 23, 2023, and a drill was not practiced in January 2024. .0604(u);.0302(d)(8) An Administrative Action may be issued for children in unapproved space. 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 February 26, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -Your facility has been assigned to Cohort 1: Prep year 7/1/23-6/30/24, Reassessment year 7/1/24-6/30/25. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. The following Technical Assistance (TA) was provided: -The children in space 5., moved to the fellowship hall, due to space 5., was too hot. (heating system to be repaired); if circulating fan is used to cool space, make sure that the fan is inaccessible to children. Child care space(s) must be approved prior to use. Refer to G.S.110-91(1) & (4-5): (4) Building. – Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, subject to adoption by the Commission specifically for child care facilities, including facilities operated in a private residence. These standards shall be consistent with the provisions of this Article. A local building code enforcement officer shall approve any proposed alternate material, design, or method of construction, provided the building code enforcement officer finds that the alternate, for the purpose intended, is at least the equivalent of that prescribed in the technical building codes in quality, strength, effectiveness, fire resistance, durability, or safety. A local building code enforcement officer shall require that sufficient evidence or proof be submitted to substantiate any claim made regarding the alternate. The Child Care Commission may request changes to the Building Code to suit the special needs of preschool children. Satisfactorily written reports from representatives of building inspection agencies shall be required prior to the issuance of a license and whenever renovations are made to a child care center, or when the operator requests licensure of space not previously approved for child care. -Infant Feeding Plans were not signed by parents. The written feeding plans must include the child's name, parent signature, and the date when received by the center. Refer to Child Care Rule 10A NCAC 09 .0902(a). -Outlet covers must be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Refer to Child Care Rule 10A NCA 09 .0604 (c). -A shelter-in-place or lockdown drills , as defined in 10A NCAC 09.0102 must be conducted at least every three (3) months. A record must be kept that includes the date of each drill, time of day, the length of time to teach the designated location and the signature of the person conducting the drill; refer to Child Care Rule .0604(u). -Ms. Steadman has attempted to contact the assigned fire inspector for a fire inspection; a copy of the email was provided on February 2, 2024. If there are any questions regarding the fire inspectors please feel free to contact the Charlotte Fire Marshal’s Office; via email charlottefmo@charlottenc.gov or office number at 704-336-2101. At the completion of the visit, this visit summary was reviewed and signed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 2/12/2024 Number Present: 53 Completed Date: 2/12/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 09:15 AM Time Out: 12:25 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 applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Director, Ms. Leah Steadman and I explained the purpose of the visit. The facility had a Five-Star License issued October 24, 2017, and an eighteen-month compliance history score of 91% prior to today’s visit. I completed a walk through of the center. In space 1., I observed staff attending to individual needs of the children. The feeding plans were not signed, and a violation was cited. I observed children in space 2., having circle time. During circle, the teacher completed an activity listed on the activity plan; the children found pink items. In space 3., I observed the children having free play. I observed the children in space 4., completing a Valentine's Day Project that was listed on the activity plan. I observed the children in space 5., participating in centers. The children in space 5., moved to space 6., the classroom for school-age children. The school-age children were not present, due to school in session. No new staff have been hired since the Annual Compliance Visit, July 19, 2023. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the Master Child Care Center Item Number Listing: Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has current CPR. First Aid: Each staff has current First Aid. Special Training: Staff are continuing to complete ongoing training hours. CBC Qualification: Each staff member was current with CBC qualification. ITS-SIDS: Staff are current with ITS-SIDS training. The infant sleep records were reviewed and compliance was met. The Safe Sleep Policy was posted, and a Safe Sleep Poster was posted; compliance was met. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: Medications are administered and compliance was met. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Medications were properly stored. General Safety: There were no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were not observed in licensed approved space, and a violation was cited. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill and emergency drill was complete and up to date, and the quarterly drill (shelter-in-place) was not complete and up to date; a violation was cited. The Playground Inspections were complete and up to date. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed January 5, 2024, with a superior rating and two (2) demerits. The last Fire Inspection was completed and approved February 7, 2023. Five (5) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was not scheduled within 12 months of the previous inspection, February 7, 2023. 10A NCAC 09 .0304(a) 209 Children used space that was not approved. The children in space 5., were in the Fellowship Hall. GS 110-91(1)&(4-5) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The signature was not complete for children seven (7) children: (A.G.), (C.C.), (C.S.), (C.C.), (K.B.), & (N.T.) (S.F). .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. An outlet cover was not covered in space 3. 10A NCAC 09 .0604(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were not practiced every three (3) months. They were practiced, January 10, 2023, April 18, 2023, July 17, 2023, October 23, 2023, and a drill was not practiced in January 2024. .0604(u);.0302(d)(8) An Administrative Action may be issued for children in unapproved space. 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 February 26, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -Your facility has been assigned to Cohort 1: Prep year 7/1/23-6/30/24, Reassessment year 7/1/24-6/30/25. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. The following Technical Assistance (TA) was provided: -The children in space 5., moved to the fellowship hall, due to space 5., was too hot. (heating system to be repaired); if circulating fan is used to cool space, make sure that the fan is inaccessible to children. Child care space(s) must be approved prior to use. Refer to G.S.110-91(1) & (4-5): (4) Building. – Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, subject to adoption by the Commission specifically for child care facilities, including facilities operated in a private residence. These standards shall be consistent with the provisions of this Article. A local building code enforcement officer shall approve any proposed alternate material, design, or method of construction, provided the building code enforcement officer finds that the alternate, for the purpose intended, is at least the equivalent of that prescribed in the technical building codes in quality, strength, effectiveness, fire resistance, durability, or safety. A local building code enforcement officer shall require that sufficient evidence or proof be submitted to substantiate any claim made regarding the alternate. The Child Care Commission may request changes to the Building Code to suit the special needs of preschool children. Satisfactorily written reports from representatives of building inspection agencies shall be required prior to the issuance of a license and whenever renovations are made to a child care center, or when the operator requests licensure of space not previously approved for child care. -Infant Feeding Plans were not signed by parents. The written feeding plans must include the child's name, parent signature, and the date when received by the center. Refer to Child Care Rule 10A NCAC 09 .0902(a). -Outlet covers must be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Refer to Child Care Rule 10A NCA 09 .0604 (c). -A shelter-in-place or lockdown drills , as defined in 10A NCAC 09.0102 must be conducted at least every three (3) months. A record must be kept that includes the date of each drill, time of day, the length of time to teach the designated location and the signature of the person conducting the drill; refer to Child Care Rule .0604(u). -Ms. Steadman has attempted to contact the assigned fire inspector for a fire inspection; a copy of the email was provided on February 2, 2024. If there are any questions regarding the fire inspectors please feel free to contact the Charlotte Fire Marshal’s Office; via email charlottefmo@charlottenc.gov or office number at 704-336-2101. At the completion of the visit, this visit summary was reviewed and signed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0102 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 2/12/2024 Number Present: 53 Completed Date: 2/12/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 09:15 AM Time Out: 12:25 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 applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Director, Ms. Leah Steadman and I explained the purpose of the visit. The facility had a Five-Star License issued October 24, 2017, and an eighteen-month compliance history score of 91% prior to today’s visit. I completed a walk through of the center. In space 1., I observed staff attending to individual needs of the children. The feeding plans were not signed, and a violation was cited. I observed children in space 2., having circle time. During circle, the teacher completed an activity listed on the activity plan; the children found pink items. In space 3., I observed the children having free play. I observed the children in space 4., completing a Valentine's Day Project that was listed on the activity plan. I observed the children in space 5., participating in centers. The children in space 5., moved to space 6., the classroom for school-age children. The school-age children were not present, due to school in session. No new staff have been hired since the Annual Compliance Visit, July 19, 2023. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the Master Child Care Center Item Number Listing: Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has current CPR. First Aid: Each staff has current First Aid. Special Training: Staff are continuing to complete ongoing training hours. CBC Qualification: Each staff member was current with CBC qualification. ITS-SIDS: Staff are current with ITS-SIDS training. The infant sleep records were reviewed and compliance was met. The Safe Sleep Policy was posted, and a Safe Sleep Poster was posted; compliance was met. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: Medications are administered and compliance was met. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Medications were properly stored. General Safety: There were no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were not observed in licensed approved space, and a violation was cited. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill and emergency drill was complete and up to date, and the quarterly drill (shelter-in-place) was not complete and up to date; a violation was cited. The Playground Inspections were complete and up to date. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed January 5, 2024, with a superior rating and two (2) demerits. The last Fire Inspection was completed and approved February 7, 2023. Five (5) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was not scheduled within 12 months of the previous inspection, February 7, 2023. 10A NCAC 09 .0304(a) 209 Children used space that was not approved. The children in space 5., were in the Fellowship Hall. GS 110-91(1)&(4-5) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The signature was not complete for children seven (7) children: (A.G.), (C.C.), (C.S.), (C.C.), (K.B.), & (N.T.) (S.F). .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. An outlet cover was not covered in space 3. 10A NCAC 09 .0604(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were not practiced every three (3) months. They were practiced, January 10, 2023, April 18, 2023, July 17, 2023, October 23, 2023, and a drill was not practiced in January 2024. .0604(u);.0302(d)(8) An Administrative Action may be issued for children in unapproved space. 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 February 26, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -Your facility has been assigned to Cohort 1: Prep year 7/1/23-6/30/24, Reassessment year 7/1/24-6/30/25. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. The following Technical Assistance (TA) was provided: -The children in space 5., moved to the fellowship hall, due to space 5., was too hot. (heating system to be repaired); if circulating fan is used to cool space, make sure that the fan is inaccessible to children. Child care space(s) must be approved prior to use. Refer to G.S.110-91(1) & (4-5): (4) Building. – Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, subject to adoption by the Commission specifically for child care facilities, including facilities operated in a private residence. These standards shall be consistent with the provisions of this Article. A local building code enforcement officer shall approve any proposed alternate material, design, or method of construction, provided the building code enforcement officer finds that the alternate, for the purpose intended, is at least the equivalent of that prescribed in the technical building codes in quality, strength, effectiveness, fire resistance, durability, or safety. A local building code enforcement officer shall require that sufficient evidence or proof be submitted to substantiate any claim made regarding the alternate. The Child Care Commission may request changes to the Building Code to suit the special needs of preschool children. Satisfactorily written reports from representatives of building inspection agencies shall be required prior to the issuance of a license and whenever renovations are made to a child care center, or when the operator requests licensure of space not previously approved for child care. -Infant Feeding Plans were not signed by parents. The written feeding plans must include the child's name, parent signature, and the date when received by the center. Refer to Child Care Rule 10A NCAC 09 .0902(a). -Outlet covers must be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Refer to Child Care Rule 10A NCA 09 .0604 (c). -A shelter-in-place or lockdown drills , as defined in 10A NCAC 09.0102 must be conducted at least every three (3) months. A record must be kept that includes the date of each drill, time of day, the length of time to teach the designated location and the signature of the person conducting the drill; refer to Child Care Rule .0604(u). -Ms. Steadman has attempted to contact the assigned fire inspector for a fire inspection; a copy of the email was provided on February 2, 2024. If there are any questions regarding the fire inspectors please feel free to contact the Charlotte Fire Marshal’s Office; via email charlottefmo@charlottenc.gov or office number at 704-336-2101. At the completion of the visit, this visit summary was reviewed and signed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S.110-91 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 2/12/2024 Number Present: 53 Completed Date: 2/12/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 09:15 AM Time Out: 12:25 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 applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Director, Ms. Leah Steadman and I explained the purpose of the visit. The facility had a Five-Star License issued October 24, 2017, and an eighteen-month compliance history score of 91% prior to today’s visit. I completed a walk through of the center. In space 1., I observed staff attending to individual needs of the children. The feeding plans were not signed, and a violation was cited. I observed children in space 2., having circle time. During circle, the teacher completed an activity listed on the activity plan; the children found pink items. In space 3., I observed the children having free play. I observed the children in space 4., completing a Valentine's Day Project that was listed on the activity plan. I observed the children in space 5., participating in centers. The children in space 5., moved to space 6., the classroom for school-age children. The school-age children were not present, due to school in session. No new staff have been hired since the Annual Compliance Visit, July 19, 2023. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the Master Child Care Center Item Number Listing: Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has current CPR. First Aid: Each staff has current First Aid. Special Training: Staff are continuing to complete ongoing training hours. CBC Qualification: Each staff member was current with CBC qualification. ITS-SIDS: Staff are current with ITS-SIDS training. The infant sleep records were reviewed and compliance was met. The Safe Sleep Policy was posted, and a Safe Sleep Poster was posted; compliance was met. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: Medications are administered and compliance was met. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Medications were properly stored. General Safety: There were no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were not observed in licensed approved space, and a violation was cited. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill and emergency drill was complete and up to date, and the quarterly drill (shelter-in-place) was not complete and up to date; a violation was cited. The Playground Inspections were complete and up to date. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed January 5, 2024, with a superior rating and two (2) demerits. The last Fire Inspection was completed and approved February 7, 2023. Five (5) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was not scheduled within 12 months of the previous inspection, February 7, 2023. 10A NCAC 09 .0304(a) 209 Children used space that was not approved. The children in space 5., were in the Fellowship Hall. GS 110-91(1)&(4-5) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The signature was not complete for children seven (7) children: (A.G.), (C.C.), (C.S.), (C.C.), (K.B.), & (N.T.) (S.F). .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. An outlet cover was not covered in space 3. 10A NCAC 09 .0604(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were not practiced every three (3) months. They were practiced, January 10, 2023, April 18, 2023, July 17, 2023, October 23, 2023, and a drill was not practiced in January 2024. .0604(u);.0302(d)(8) An Administrative Action may be issued for children in unapproved space. 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 February 26, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -Your facility has been assigned to Cohort 1: Prep year 7/1/23-6/30/24, Reassessment year 7/1/24-6/30/25. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. The following Technical Assistance (TA) was provided: -The children in space 5., moved to the fellowship hall, due to space 5., was too hot. (heating system to be repaired); if circulating fan is used to cool space, make sure that the fan is inaccessible to children. Child care space(s) must be approved prior to use. Refer to G.S.110-91(1) & (4-5): (4) Building. – Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, subject to adoption by the Commission specifically for child care facilities, including facilities operated in a private residence. These standards shall be consistent with the provisions of this Article. A local building code enforcement officer shall approve any proposed alternate material, design, or method of construction, provided the building code enforcement officer finds that the alternate, for the purpose intended, is at least the equivalent of that prescribed in the technical building codes in quality, strength, effectiveness, fire resistance, durability, or safety. A local building code enforcement officer shall require that sufficient evidence or proof be submitted to substantiate any claim made regarding the alternate. The Child Care Commission may request changes to the Building Code to suit the special needs of preschool children. Satisfactorily written reports from representatives of building inspection agencies shall be required prior to the issuance of a license and whenever renovations are made to a child care center, or when the operator requests licensure of space not previously approved for child care. -Infant Feeding Plans were not signed by parents. The written feeding plans must include the child's name, parent signature, and the date when received by the center. Refer to Child Care Rule 10A NCAC 09 .0902(a). -Outlet covers must be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Refer to Child Care Rule 10A NCA 09 .0604 (c). -A shelter-in-place or lockdown drills , as defined in 10A NCAC 09.0102 must be conducted at least every three (3) months. A record must be kept that includes the date of each drill, time of day, the length of time to teach the designated location and the signature of the person conducting the drill; refer to Child Care Rule .0604(u). -Ms. Steadman has attempted to contact the assigned fire inspector for a fire inspection; a copy of the email was provided on February 2, 2024. If there are any questions regarding the fire inspectors please feel free to contact the Charlotte Fire Marshal’s Office; via email charlottefmo@charlottenc.gov or office number at 704-336-2101. At the completion of the visit, this visit summary was reviewed and signed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 2/12/2024 Number Present: 53 Completed Date: 2/12/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 09:15 AM Time Out: 12:25 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 applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Director, Ms. Leah Steadman and I explained the purpose of the visit. The facility had a Five-Star License issued October 24, 2017, and an eighteen-month compliance history score of 91% prior to today’s visit. I completed a walk through of the center. In space 1., I observed staff attending to individual needs of the children. The feeding plans were not signed, and a violation was cited. I observed children in space 2., having circle time. During circle, the teacher completed an activity listed on the activity plan; the children found pink items. In space 3., I observed the children having free play. I observed the children in space 4., completing a Valentine's Day Project that was listed on the activity plan. I observed the children in space 5., participating in centers. The children in space 5., moved to space 6., the classroom for school-age children. The school-age children were not present, due to school in session. No new staff have been hired since the Annual Compliance Visit, July 19, 2023. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the Master Child Care Center Item Number Listing: Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has current CPR. First Aid: Each staff has current First Aid. Special Training: Staff are continuing to complete ongoing training hours. CBC Qualification: Each staff member was current with CBC qualification. ITS-SIDS: Staff are current with ITS-SIDS training. The infant sleep records were reviewed and compliance was met. The Safe Sleep Policy was posted, and a Safe Sleep Poster was posted; compliance was met. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: Medications are administered and compliance was met. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Medications were properly stored. General Safety: There were no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were not observed in licensed approved space, and a violation was cited. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill and emergency drill was complete and up to date, and the quarterly drill (shelter-in-place) was not complete and up to date; a violation was cited. The Playground Inspections were complete and up to date. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed January 5, 2024, with a superior rating and two (2) demerits. The last Fire Inspection was completed and approved February 7, 2023. Five (5) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was not scheduled within 12 months of the previous inspection, February 7, 2023. 10A NCAC 09 .0304(a) 209 Children used space that was not approved. The children in space 5., were in the Fellowship Hall. GS 110-91(1)&(4-5) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The signature was not complete for children seven (7) children: (A.G.), (C.C.), (C.S.), (C.C.), (K.B.), & (N.T.) (S.F). .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. An outlet cover was not covered in space 3. 10A NCAC 09 .0604(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were not practiced every three (3) months. They were practiced, January 10, 2023, April 18, 2023, July 17, 2023, October 23, 2023, and a drill was not practiced in January 2024. .0604(u);.0302(d)(8) An Administrative Action may be issued for children in unapproved space. 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 February 26, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -Your facility has been assigned to Cohort 1: Prep year 7/1/23-6/30/24, Reassessment year 7/1/24-6/30/25. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. The following Technical Assistance (TA) was provided: -The children in space 5., moved to the fellowship hall, due to space 5., was too hot. (heating system to be repaired); if circulating fan is used to cool space, make sure that the fan is inaccessible to children. Child care space(s) must be approved prior to use. Refer to G.S.110-91(1) & (4-5): (4) Building. – Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, subject to adoption by the Commission specifically for child care facilities, including facilities operated in a private residence. These standards shall be consistent with the provisions of this Article. A local building code enforcement officer shall approve any proposed alternate material, design, or method of construction, provided the building code enforcement officer finds that the alternate, for the purpose intended, is at least the equivalent of that prescribed in the technical building codes in quality, strength, effectiveness, fire resistance, durability, or safety. A local building code enforcement officer shall require that sufficient evidence or proof be submitted to substantiate any claim made regarding the alternate. The Child Care Commission may request changes to the Building Code to suit the special needs of preschool children. Satisfactorily written reports from representatives of building inspection agencies shall be required prior to the issuance of a license and whenever renovations are made to a child care center, or when the operator requests licensure of space not previously approved for child care. -Infant Feeding Plans were not signed by parents. The written feeding plans must include the child's name, parent signature, and the date when received by the center. Refer to Child Care Rule 10A NCAC 09 .0902(a). -Outlet covers must be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Refer to Child Care Rule 10A NCA 09 .0604 (c). -A shelter-in-place or lockdown drills , as defined in 10A NCAC 09.0102 must be conducted at least every three (3) months. A record must be kept that includes the date of each drill, time of day, the length of time to teach the designated location and the signature of the person conducting the drill; refer to Child Care Rule .0604(u). -Ms. Steadman has attempted to contact the assigned fire inspector for a fire inspection; a copy of the email was provided on February 2, 2024. If there are any questions regarding the fire inspectors please feel free to contact the Charlotte Fire Marshal’s Office; via email charlottefmo@charlottenc.gov or office number at 704-336-2101. At the completion of the visit, this visit summary was reviewed and signed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 2/12/2024 Number Present: 53 Completed Date: 2/12/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 09:15 AM Time Out: 12:25 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 applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Director, Ms. Leah Steadman and I explained the purpose of the visit. The facility had a Five-Star License issued October 24, 2017, and an eighteen-month compliance history score of 91% prior to today’s visit. I completed a walk through of the center. In space 1., I observed staff attending to individual needs of the children. The feeding plans were not signed, and a violation was cited. I observed children in space 2., having circle time. During circle, the teacher completed an activity listed on the activity plan; the children found pink items. In space 3., I observed the children having free play. I observed the children in space 4., completing a Valentine's Day Project that was listed on the activity plan. I observed the children in space 5., participating in centers. The children in space 5., moved to space 6., the classroom for school-age children. The school-age children were not present, due to school in session. No new staff have been hired since the Annual Compliance Visit, July 19, 2023. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the Master Child Care Center Item Number Listing: Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has current CPR. First Aid: Each staff has current First Aid. Special Training: Staff are continuing to complete ongoing training hours. CBC Qualification: Each staff member was current with CBC qualification. ITS-SIDS: Staff are current with ITS-SIDS training. The infant sleep records were reviewed and compliance was met. The Safe Sleep Policy was posted, and a Safe Sleep Poster was posted; compliance was met. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: Medications are administered and compliance was met. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Medications were properly stored. General Safety: There were no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were not observed in licensed approved space, and a violation was cited. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill and emergency drill was complete and up to date, and the quarterly drill (shelter-in-place) was not complete and up to date; a violation was cited. The Playground Inspections were complete and up to date. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed January 5, 2024, with a superior rating and two (2) demerits. The last Fire Inspection was completed and approved February 7, 2023. Five (5) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was not scheduled within 12 months of the previous inspection, February 7, 2023. 10A NCAC 09 .0304(a) 209 Children used space that was not approved. The children in space 5., were in the Fellowship Hall. GS 110-91(1)&(4-5) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. The signature was not complete for children seven (7) children: (A.G.), (C.C.), (C.S.), (C.C.), (K.B.), & (N.T.) (S.F). .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. An outlet cover was not covered in space 3. 10A NCAC 09 .0604(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were not practiced every three (3) months. They were practiced, January 10, 2023, April 18, 2023, July 17, 2023, October 23, 2023, and a drill was not practiced in January 2024. .0604(u);.0302(d)(8) An Administrative Action may be issued for children in unapproved space. 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 February 26, 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 will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -House Bill 103: Effective July 11, 2022, individuals have five (5) years to renew their criminal record check instead of every three (3) years. -On June 12th, Governor Cooper signed Senate Bill 291, extending the Child Care Hold Harmless legislation until June 30, 2024, and requiring the North Carolina Child Care Commission to make recommendations for modernizing the state’s Quality Rating and Improvement System. -Your facility has been assigned to Cohort 1: Prep year 7/1/23-6/30/24, Reassessment year 7/1/24-6/30/25. Please refer to the link for additional information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. The following Technical Assistance (TA) was provided: -The children in space 5., moved to the fellowship hall, due to space 5., was too hot. (heating system to be repaired); if circulating fan is used to cool space, make sure that the fan is inaccessible to children. Child care space(s) must be approved prior to use. Refer to G.S.110-91(1) & (4-5): (4) Building. – Each child care facility shall be located in a building which meets the appropriate requirements of the North Carolina Building Code under standards which shall be developed by the Building Code Council, subject to adoption by the Commission specifically for child care facilities, including facilities operated in a private residence. These standards shall be consistent with the provisions of this Article. A local building code enforcement officer shall approve any proposed alternate material, design, or method of construction, provided the building code enforcement officer finds that the alternate, for the purpose intended, is at least the equivalent of that prescribed in the technical building codes in quality, strength, effectiveness, fire resistance, durability, or safety. A local building code enforcement officer shall require that sufficient evidence or proof be submitted to substantiate any claim made regarding the alternate. The Child Care Commission may request changes to the Building Code to suit the special needs of preschool children. Satisfactorily written reports from representatives of building inspection agencies shall be required prior to the issuance of a license and whenever renovations are made to a child care center, or when the operator requests licensure of space not previously approved for child care. -Infant Feeding Plans were not signed by parents. The written feeding plans must include the child's name, parent signature, and the date when received by the center. Refer to Child Care Rule 10A NCAC 09 .0902(a). -Outlet covers must be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Refer to Child Care Rule 10A NCA 09 .0604 (c). -A shelter-in-place or lockdown drills , as defined in 10A NCAC 09.0102 must be conducted at least every three (3) months. A record must be kept that includes the date of each drill, time of day, the length of time to teach the designated location and the signature of the person conducting the drill; refer to Child Care Rule .0604(u). -Ms. Steadman has attempted to contact the assigned fire inspector for a fire inspection; a copy of the email was provided on February 2, 2024. If there are any questions regarding the fire inspectors please feel free to contact the Charlotte Fire Marshal’s Office; via email charlottefmo@charlottenc.gov or office number at 704-336-2101. At the completion of the visit, this visit summary was reviewed and signed, and a copy was emailed to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: ST. MARKS CHILD DEVELOPMENT CENTER Facility ID: 6052334 Consultant: DENISE WATSON Operation Type: Center Case Number: Visit Date: 7/19/2023 Number Present: 70 Completed Date: 7/19/2023 Age: From 0 To 10 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit is to monitor all applicable child care requirements during an Annual Compliance visit. The last Annual Compliance visit was made on 08/03/22. The current 5 star license was issued on 10/24/17. The September 2022 version of Child Care Center Master Item Number Listing, DCD-0357 and a checklist was used to complete monitoring today. This facility has a compliance history of 95% as of today. A walk through of the facility was completed. Six (6) classrooms were monitored on today for: Sign in/out, allergy list, medical action plans (if applicable), menu, schedule, activity plan, and staff/child ratio chart. Children were observed having indoor free play and having routine needs met. There were ample toys and activities available. The following was observed posted: current license, Summary of Law, Safe Arrival and Departure procedures, Menu, Emergency Care Plan, and no smoking signage. A Sanitation inspection was conducted on 09/02/2022 . A Fire inspection was conducted on 02/07/2023. Monthly Fire Drills, Playground Inspections, and EPR Drills were monitored. A sample of staff files were monitored today for Criminal Qualifying Letters, Medical Statement, TB Test, Health Questionnaire/Emergency Information, Annual on0going Training Hours, and Special Trainings. A sample of children's files (including two substitutes) were monitored for Application, Emergency Care authorization, Summary of Law, Medical/Immunization, Discipline Statement, No smoking statement, Safe Sleep Policy, Infant Feeding Schedule and Shaken Baby Syndrome Policy (if applicable). Transportation and field trip requirements were monitored during today's visit. The following violations were cited during today's visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratios applicable to a classroom, were not posted in the infant room. .0713(a)(10), (c) & (f)(3); .2818(e) 847 Parent's medication authorization did not include required information. One (1)diaper cream brand was not listed on the authorization form of a child in the toddler room. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) diaper cream authorizations in the toddler room had expired. .0803(12) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. An application did not have a medical action plan attached for a child with asthma in the toddler room. .0801(b) Compliance -Violations cited today must be corrected immediately. Please send me a letter documenting how violations cited today were corrected by August 2, 2023. Failure to maintain compliance with all applicable requirements may result in an Administrative Action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Failure to correct the violations and/or submit the compliance letter to me by the due date listed above may result in an unannounced follow-up visit being conducted to ensure corrections were made. Please continue to check the DCDEE website weekly for updates. Please do not hesitate to contact me if you have any questions or concerns. Denise Watson P.O. Box 241561 Charlotte N.C. 28224 (704) 564-1092 denise.watson@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.