GS 110-106 · Violation

Name of Operation: EARLY LEARNING CENTER OF FIRST METHODIST CHURCH Facility ID: 80000416 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 6/12/2025 Number Present: 46 Completed Date: 6/12/2025 Age: From 0 To 5 Total Minutes: 317 Time In: 09:28 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 unannounced visit was to monitor applicable child care requirements during an Annual Compliance Visit. Your compliance history score prior to today’s visit was 85%. You, Amy Brown, Program Director, assisted me with today’s visit. Your facility, owned by First Methodist Church of China Grove, was current and active with the NC Secretary of State as viewed on the NC Secretary of State website. This facility operates with a GS 110-106 Notice of Compliance and is licensed for seventy children on first shift, ages 0-5. The following restrictions are listed: daytime care only and meets 35 sq. ft. per child indoor space. I observed the Safe Procedures for Arrival & Departure, current menu, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans posted as required. I completed the "Annual Compliance Monitoring Checklist for Centers" during today's visit. Today children were adequately supervised, staff-child ratios were maintained, adequate approved space was in use and permit restrictions were maintained during today’s visit. A walk-through of the indoor and outdoor spaces was completed. The children were observed engaged in free choice activities indoors and outdoors, during the lunch routine, and rest time. On the outdoor learning environment used by children two to five years of age, I observed three new non-mobile composite play structures, a free-standing flower musical instrument, and new bonded rubber mulch surfacing. I reviewed the manufacturer specifications for the playground structures stating that the Tea Cup Spinner and Playground Model: PS3-71492 meet the safety standards for children 2-12 years of age. I also reviewed the manufacturer specifications for the Spring Rider and Musical Flower stating that they meet safety standards for children 2-5 years of age. I checked the structures for entrapments, pinch points, entanglements, and measured openings. The mulch has been replaced with Bonded Rubber Mulch by Rubber Designs and installed by Next Level Recreation of the Carolinas. I monitored the documentation stating that the surfacing meets ASTM F-1292 standards. The surfacing met all fall zone requirements. This playground is approved for use by children ages 2-5 years of age. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on April 10, 2025 with zero (0) demerits and a superior classification. A fire inspection was conducted on May 21, 2025. All medications and accompanying documentation were monitored. You stated that this program does not provide transportation. There have been six new staff members hired since the last visit. I monitored the new staff files and a portion of the existing staff files. There are 57 children enrolled and I monitored a portion of the children’s records. The following violation was observed during today’s visit. Violation Number Comment Rule 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member hired 4/14/2025 had 12 hours of orientation documented within the first six weeks. A staff member hired 4/28/2025 had 6 hours of orientation documented within the first six weeks. .1101(a) Technical Assistance: • New employees must complete a minimum of 16 clock hours of on-site orientation within the first six weeks of employment. Today we discussed having staff members complete orientation in the office area where you can ensure tasks are being completed. I suggested that you complete the Documentation of Staff Orientation as each task is completed to ensure that hours are documented accurately. Consultation: • DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 6/26/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-106 · Violation

Name of Operation: EARLY LEARNING CENTER OF FIRST METHODIST CHURCH Facility ID: 80000416 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: 0625-010L Visit Date: 6/9/2025 Number Present: 47 Completed Date: 6/9/2025 Age: From 0 To 5 Total Minutes: 275 Time In: 11:00 AM Time Out: 03:35 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 investigate a report received in the Raleigh office. There are concerns regarding positive staff/child interactions and inappropriate discipline. You, Amy Brown, Director, assisted me with today’s visit. This facility operates with a GS 110-106 Notice of Compliance. Permit restrictions, staff/child ratio, supervision, capacity, group size and space were monitored. You stated that there are 47 children present between age zero through five years of age and there are 55 children enrolled. I conducted a walkthrough of each classroom. The children were observed transitioning from outdoor to indoor activities, preparing for lunch, eating lunch, and during rest time. I interviewed four staff members, reviewed the discipline policy, and reviewed written statements. Allegation – Positive Staff/Child Interactions: During the walkthrough of the facility today, I observed positive interactions between staff members and children. Staff members were observed to get down on children’s level and participate in activities with them. They were observed to treat children with respect, using a nurturing and welcoming tone as they spoke. Information gathered during staff interviews indicated that staff members can become overwhelmed in the classroom when dealing with challenging behaviors, but there were no specific incidents of staff members not interacting with children in a positive manner reported. Based on observations and information gathered during staff interviews, there is insufficient evidence and the allegation could not be confirmed and is unsubstantiated. Allegation – Inappropriate Discipline: During the walkthrough of the facility today, staff members were observed interacting with children in a positive manner. They were observed redirecting children to appropriate activities, and using calm, nurturing tones. You stated that it was brought to your attention upon returning from vacation today that an incident occurred on June 3, 2025, during rest time. Based on staff interviews and written statements, a five-year-old child disclosed to two staff members that they were held down during rest time to force them to stay on their cot. One staff member stated that they witnessed the accused staff member removing her hands from the child’s shoulders upon entering the classroom during rest time after hearing her speak to the child two times about not laying down. You stated that you also recently terminated an employee due to her spanking a five-year-old child that was related to her on two occasions, which was brought to your attention by another staff member. A staff member stated that while in the classroom for children four and five years of age, she witnessed the co-teacher pull the child up by his arm and hit his bottom and leg due to the child not listening. The staff member witnessed the co-teacher spank the five-year-old child related to her on a second occasion when the class was walking inside from the playground due to the child not following directions. Based on staff interviews and written statements, the allegation could be confirmed, therefore is substantiated. The following violation was cited during today’s visit. Violation Number Comment Rule 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. The director stated that a staff member spanked a five-year-old child related to them on two occasions (once in the classroom and once during the transition from the outdoor to indoor learning environment). These two incidents were witnessed and reported by another staff member. Two staff members stated a five-year-old child disclosed that they were held down by their shoulders during rest time on June 3, 2025. One staff member witnessed the staff member removing her hands from the child's shoulders upon entering the classroom during rest time on June 3, 2025. .1803(a)(1) Technical Assistance: • Today we discussed that having family members as teachers in a classroom where children are related to them may cause a conflict. When hiring family members of children enrolled, it is important that they understand the facility’s discipline policy applies to all children, even when related to the child. • I suggested that you hold a staff meeting to review the facility’s discipline policy with all staff members and have them sign that they have reviewed and understand the policy. • We discussed that staff members may benefit from a Safe Handling training. This training covers the safe handling of children in child care to promote child and educator wellbeing. This training is offered by Kimberly Cruz, Child Care Health Consultant. You can contact her to arrange this training by phone at: 704-216-8806 or by email at: Kimberly.Cruz@rowancountync.gov • Today we discussed that teachers may call the Challenging Behavior Helpline to speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom at 1-888-600-1685, option 1. I suggested that you post this information in each classroom so that teachers have the number readily available if needed. Due to the nature of the violation, an Administrative Action may be recommended according to Child Care Rule .2200. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 6/23/2025. Your compliance documentation must include the following: Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: EARLY LEARNING CENTER OF FIRST METHODIST CHURCH Facility ID: 80000416 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/2/2025 Number Present: 48 Completed Date: 1/2/2025 Age: From 0 To 5 Total Minutes: 203 Time In: 09:17 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance for applicable child care requirements during a Routine Unannounced visit. You, Amy Brown, Director, assisted me with the visit. This facility operates with a GS 110-106 Notice of Compliance and is licensed for seventy children on first shift, ages 0-5. The following restrictions are listed: daytime care only and meets 35 sq. ft. per child indoor space. Your facility, owned by First Methodist Church of China Grove was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I observed the NC Child Care Summary of the Law, current menu, Sanitation placard, Emergency Medical Care Plan, staff-child ratio worksheet, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Children were adequately supervised, staff-child ratios were maintained, adequate approved space was in use and permit restrictions were maintained during today’s visit. A walk-through of the indoor and outdoor spaces was completed. The children were engaged in free choice activities indoors and teacher-directed activities. All medications and accompanying documentation were monitored. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on December 12, 2024, with two (2) demerits and a superior classification. A fire inspection was conducted on May 23, 2024. There have been two new staff members hired since the last visit. I monitored their files. Current CPR and First Aid certifications, ITS-SIDS, Criminal Background Checks, and Recognizing and Responding to Suspicions of Child Abuse and Neglect for all staff were verified today. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed during today’s visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In Space 1/2, the Medication Administration Permission Form did not include the amount of topical diaper ointment to be administered. In Space 6, the Medication Administration Permission Form did not include the amount of topical diaper ointment to be administered. 10A NCAC 09 .0803(4)(6-9) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 12/4/2024 did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy maintained in their file. .0608(d)(1-4) Technical Assistance: - To ensure the health and safety of children, staff members should thoroughly review the Medication Administration Permission Form to verify all required information is included prior to accepting medications. - The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be signed by staff members prior to caring for children ages 0 to 5. The acknowledgement statement should include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment. To ensure all paperwork is received and maintained in staff files, I recommend using the Staff File Checklist. Placing it on the front of each folder can help verify that all required documentation is completed and filed. Consultation: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Today I verified that all staff members have been added to your facility in ABCMS. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/16/2025, stating how each violation was corrected and how compliance will be maintained in the future. Please mail or email me a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: EARLY LEARNING CENTER OF FIRST METHODIST CHURCH Facility ID: 80000416 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/2/2025 Number Present: 48 Completed Date: 1/2/2025 Age: From 0 To 5 Total Minutes: 203 Time In: 09:17 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance for applicable child care requirements during a Routine Unannounced visit. You, Amy Brown, Director, assisted me with the visit. This facility operates with a GS 110-106 Notice of Compliance and is licensed for seventy children on first shift, ages 0-5. The following restrictions are listed: daytime care only and meets 35 sq. ft. per child indoor space. Your facility, owned by First Methodist Church of China Grove was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I observed the NC Child Care Summary of the Law, current menu, Sanitation placard, Emergency Medical Care Plan, staff-child ratio worksheet, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Children were adequately supervised, staff-child ratios were maintained, adequate approved space was in use and permit restrictions were maintained during today’s visit. A walk-through of the indoor and outdoor spaces was completed. The children were engaged in free choice activities indoors and teacher-directed activities. All medications and accompanying documentation were monitored. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on December 12, 2024, with two (2) demerits and a superior classification. A fire inspection was conducted on May 23, 2024. There have been two new staff members hired since the last visit. I monitored their files. Current CPR and First Aid certifications, ITS-SIDS, Criminal Background Checks, and Recognizing and Responding to Suspicions of Child Abuse and Neglect for all staff were verified today. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed during today’s visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In Space 1/2, the Medication Administration Permission Form did not include the amount of topical diaper ointment to be administered. In Space 6, the Medication Administration Permission Form did not include the amount of topical diaper ointment to be administered. 10A NCAC 09 .0803(4)(6-9) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 12/4/2024 did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy maintained in their file. .0608(d)(1-4) Technical Assistance: - To ensure the health and safety of children, staff members should thoroughly review the Medication Administration Permission Form to verify all required information is included prior to accepting medications. - The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be signed by staff members prior to caring for children ages 0 to 5. The acknowledgement statement should include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment. To ensure all paperwork is received and maintained in staff files, I recommend using the Staff File Checklist. Placing it on the front of each folder can help verify that all required documentation is completed and filed. Consultation: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Today I verified that all staff members have been added to your facility in ABCMS. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/16/2025, stating how each violation was corrected and how compliance will be maintained in the future. Please mail or email me a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: EARLY LEARNING CENTER OF FIRST METHODIST CHURCH Facility ID: 80000416 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/2/2025 Number Present: 48 Completed Date: 1/2/2025 Age: From 0 To 5 Total Minutes: 203 Time In: 09:17 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance for applicable child care requirements during a Routine Unannounced visit. You, Amy Brown, Director, assisted me with the visit. This facility operates with a GS 110-106 Notice of Compliance and is licensed for seventy children on first shift, ages 0-5. The following restrictions are listed: daytime care only and meets 35 sq. ft. per child indoor space. Your facility, owned by First Methodist Church of China Grove was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I observed the NC Child Care Summary of the Law, current menu, Sanitation placard, Emergency Medical Care Plan, staff-child ratio worksheet, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Children were adequately supervised, staff-child ratios were maintained, adequate approved space was in use and permit restrictions were maintained during today’s visit. A walk-through of the indoor and outdoor spaces was completed. The children were engaged in free choice activities indoors and teacher-directed activities. All medications and accompanying documentation were monitored. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on December 12, 2024, with two (2) demerits and a superior classification. A fire inspection was conducted on May 23, 2024. There have been two new staff members hired since the last visit. I monitored their files. Current CPR and First Aid certifications, ITS-SIDS, Criminal Background Checks, and Recognizing and Responding to Suspicions of Child Abuse and Neglect for all staff were verified today. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed during today’s visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In Space 1/2, the Medication Administration Permission Form did not include the amount of topical diaper ointment to be administered. In Space 6, the Medication Administration Permission Form did not include the amount of topical diaper ointment to be administered. 10A NCAC 09 .0803(4)(6-9) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 12/4/2024 did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy maintained in their file. .0608(d)(1-4) Technical Assistance: - To ensure the health and safety of children, staff members should thoroughly review the Medication Administration Permission Form to verify all required information is included prior to accepting medications. - The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be signed by staff members prior to caring for children ages 0 to 5. The acknowledgement statement should include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment. To ensure all paperwork is received and maintained in staff files, I recommend using the Staff File Checklist. Placing it on the front of each folder can help verify that all required documentation is completed and filed. Consultation: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Today I verified that all staff members have been added to your facility in ABCMS. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/16/2025, stating how each violation was corrected and how compliance will be maintained in the future. Please mail or email me a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-106 · Violation

Name of Operation: EARLY LEARNING CENTER OF FIRST METHODIST CHURCH Facility ID: 80000416 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/2/2025 Number Present: 48 Completed Date: 1/2/2025 Age: From 0 To 5 Total Minutes: 203 Time In: 09:17 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance for applicable child care requirements during a Routine Unannounced visit. You, Amy Brown, Director, assisted me with the visit. This facility operates with a GS 110-106 Notice of Compliance and is licensed for seventy children on first shift, ages 0-5. The following restrictions are listed: daytime care only and meets 35 sq. ft. per child indoor space. Your facility, owned by First Methodist Church of China Grove was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I observed the NC Child Care Summary of the Law, current menu, Sanitation placard, Emergency Medical Care Plan, staff-child ratio worksheet, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Children were adequately supervised, staff-child ratios were maintained, adequate approved space was in use and permit restrictions were maintained during today’s visit. A walk-through of the indoor and outdoor spaces was completed. The children were engaged in free choice activities indoors and teacher-directed activities. All medications and accompanying documentation were monitored. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on December 12, 2024, with two (2) demerits and a superior classification. A fire inspection was conducted on May 23, 2024. There have been two new staff members hired since the last visit. I monitored their files. Current CPR and First Aid certifications, ITS-SIDS, Criminal Background Checks, and Recognizing and Responding to Suspicions of Child Abuse and Neglect for all staff were verified today. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed during today’s visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In Space 1/2, the Medication Administration Permission Form did not include the amount of topical diaper ointment to be administered. In Space 6, the Medication Administration Permission Form did not include the amount of topical diaper ointment to be administered. 10A NCAC 09 .0803(4)(6-9) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 12/4/2024 did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy maintained in their file. .0608(d)(1-4) Technical Assistance: - To ensure the health and safety of children, staff members should thoroughly review the Medication Administration Permission Form to verify all required information is included prior to accepting medications. - The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be signed by staff members prior to caring for children ages 0 to 5. The acknowledgement statement should include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment. To ensure all paperwork is received and maintained in staff files, I recommend using the Staff File Checklist. Placing it on the front of each folder can help verify that all required documentation is completed and filed. Consultation: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Today I verified that all staff members have been added to your facility in ABCMS. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/16/2025, stating how each violation was corrected and how compliance will be maintained in the future. Please mail or email me a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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