Open Arms Christian Child Development Center

G.S. 110-91 · Violation

Name of Operation: OPEN ARMS CHRISTIAN CHILD DEVELOPMENT CENTER Facility ID: 51000626 Consultant: LEIGH MCKENZIE-LEE Operation Type: Center Case Number: 0626-386L Visit Date: 7/7/2026 Number Present: 72 Completed Date: 7/7/2026 Age: From 0 To 5 Total Minutes: 255 Time In: 10:00 AM Time Out: 02:15 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 allegations of non-compliance related to rough handling of a child and incident reports. These allegations were received by DCDEE on 6-29-26. Patricia Robinson, Child Care Consultant, accompanied me on today's visit. During the visit, the allegations were shared with you. You were given an opportunity to ask questions and provide information. In addition, I also spoke with three staff members pertaining to the allegations. Based on the information in the report, the concerns were related to one of the classrooms for one year old children (space 1). This classroom was monitored during the visit. Based on the information provided and on observations made, the following was determined: You verified that on 3-24-26, a one year old child was handled roughly by a staff member while playing on the playground. You stated that based on the information the staff member shared with you, the child began crying while the group of children was still outside. You stated that the child continued to cry once back inside, regardless of the staff member's attempted to console her, and she was complaining about her arm; thus the staff member contacted her parent. You stated that video footage of the incident was available to review and that you and one other staff member reviewed the footage to determine if anything happened to the child's arm while outside. You stated that based on your observations of the footage, the staff member picked the child up by her hands and lifted the child off the ground while playing with her. You stated that you noted that the child was favoring one arm after interacting with the staff member. I spoke with the other staff member who viewed the footage with you. She stated that she also observed the staff member lift the child off the ground by her hands while trying to console her as the child was upset about a toy. She stated that once the staff member let go of the child's hands, she noted that the child's arm appeared to go limp from the shoulder down. She also stated that the child began crying while still on the playground. The staff member who lifted the child by her hands is no longer employed at the facility; therefore we were not able to speak with her regarding the incident. While there was a discrepancy regarding why the staff member lifted the child, I determined that the incident was not related to discipline. Based on the information provided, the allegation regarding handling a child in a rough manner was confirmed and a violation was documented related to nurture, care and treatment of children. You initially stated that an incident report was completed for the injury. The child's file, as well as your incident log, were reviewed and an incident report was not available. You stated that it was possible that the report was completed, but the parent of the child might have taken the report when he picked the child up from care on the date of the incident. You also stated that the parent did not provide written documentation of medical treatment sought for the injury. Two staff members verified that they were aware that the child was seen by a medical professional and diagnosed with nursemaid's elbow. At the time of the visit, an incident report was not available for review. In addition, a report was not submitted to DCDEE within seven days of the incident as required for injuries for which medical care was sought. Therefore, the allegation pertaining to incident reports was confirmed and a violation was documented. Nine children, including five one year old children and four two year old children, were present at the time of the visit in space 1 with two staff members. No other classrooms were monitored during the visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On 3-24-26, a staff member picked a one year old child up by her hands, resulting in an injury to her elbow. G.S. 110-91(10) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident report was not complete and submitted to DCDEE as required for an injury to a one year old child's elbow on 3-24-26 which required medical attention. .0802(f) During the visit, we discussed the importance of handling children in an appropriate manner, including how children should be lifted. We also discussed how play can sometime be too rough for small children, leading to injuries. This type of play is not permitted in a licensed child care center and should not occur. I recommended that you review proper ways of lifting children and appropriate versus inappropriate physical play with young children with all staff members. I also suggested that you provide training on both topics to new staff members during orientation. Lastly, I suggested that you conduct observations of the staff members to determine if staff member's are handling children in a rough manner or participating in play that may be to rough for young children. We reviewed the requirements pertaining to incident reports, including when reports must be completed and when a report must be submitted to DCDEE. A follow up visit may be conducted in the near future to monitor compliance with child care requirements. ****Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules.**** Please send me a written statement describing how and when the above violations were corrected. The written statement must be received no later than 7-21-26. The time frame for submission of a compliance letter is established to allow time for you complete the letter and submit to me and is not intended as time for correction of the violations. All violations must be corrected immediately or as soon as possible. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9301 or at leigh.mckenzie-lee@dhhs.nc.gov if I can be of assistance. You may also contact Licensing Supervisor Teraesa Leak at 919-971-7765 or at teraesa.leak@dhhs.nc.gov if you need assistance. 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 .0304 · Violation

Name of Operation: OPEN ARMS CHRISTIAN CHILD DEVELOPMENT CENTER Facility ID: 51000626 Consultant: LEIGH MCKENZIE-LEE Operation Type: Center Case Number: Visit Date: 11/6/2024 Number Present: 66 Completed Date: 11/6/2024 Age: From 0 To 5 Total Minutes: 155 Time In: 10:10 AM Time Out: 12:45 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 of applicable child care requirements during a routine unannounced visit. I monitored the indoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, activity plans, daily schedules, staff/child ratios, emergency medical care plan, emergency telephone numbers and a summary of child care law were posted. Five new staff members were hired since the 5-1-24 annual compliance visit. Files for these staff members were reviewed. The storage of medication and hazardous products was also monitored for compliance. A fire drill was documented as conducted on 11-1-24 at 10:00 am with an evacuation time of 3 minutes. An outdoor inspection was documented as conducted on 11-6-24. A shelter in place drill was documented as conducted on 8-14-24 at 9:30 am. An approved fire inspection was completed on 10-2-23. A sanitation inspection was completed on 11-4-24 with three demerits and a superior classification. A five star child care center license with five points in education, seven points in program standards and one quality point was issued to you on 9-19-17. Based on information provided and on observations made, you continue to meet the requirements previously met to obtain such a license. During the visit, we discussed that the hold harmless status with our rated license re-assessments has been extended through June, 2024. Please contact me if you have questions or would like to voluntarily apply for a rated license re-assessment. 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. A fire inspection was last completed on 10-2-23. 10A NCAC 09 .0304(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of Nystatin was stored in an unlocked top cabinet in space 8. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic grocery bags were stored in unlocked drawer in space 7 where one year old children were present. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not available for one staff member with a hire date of 10-11-24. The medical report provided by a staff member hired on 5-16-24 was completed on 3-7-23, which was more than twelve months at the time of hire. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. TB test results provided by a staff member hired on 5-16-24 were completed on 3-7-23, which was more than twelve months at the time of hire. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. A criminal background check was not completed prior to employment for one staff member with a hire date of 10-11-24. A qualification letter was issued for this staff member on 10-14-24. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A First Aid training was not completed within ninety days of hire by one staff member with a hire date of 6-10-24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A CPR training was not completed within ninety days of hire by one staff member with a hire date of 6-10-24. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Verification of the required training hours was not available for one staff member with a hire 10-11-24. .1101(a)(b) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on file for one staff member with a hire date of 10-11-24. The letter was not issued until 10-14-24. G.S. 110-90.2(b) & (d) & .2703(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for one child in space 2 was completed on 8-2-23; the plan was not updated annually as required. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Verification of review of the policy was not available for one staff member with a hire date of 10-11-24. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Authorization for a medicine to treat a chronic medical condition for a child in space 2 was dated for twelve months, rather then the six months allowed. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) ****Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules.**** Please send me a written statement describing how and when the above violation was corrected. The written statement must be received no later than 11-20-24. The time frame for submission of a compliance letter is established to allow time for you complete the letter and submit to me and is not intended as time for correction of the violations. All violations must be corrected immediately or as soon as possible. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9301 or at leigh.mckenzie-lee@dhhs.nc.gov if I can be of assistance. Please use my local mailing address for submitting items directly to me: PO Box 1537, Smithfield, NC 27577. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: OPEN ARMS CHRISTIAN CHILD DEVELOPMENT CENTER Facility ID: 51000626 Consultant: LEIGH MCKENZIE-LEE Operation Type: Center Case Number: Visit Date: 11/6/2024 Number Present: 66 Completed Date: 11/6/2024 Age: From 0 To 5 Total Minutes: 155 Time In: 10:10 AM Time Out: 12:45 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 of applicable child care requirements during a routine unannounced visit. I monitored the indoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, activity plans, daily schedules, staff/child ratios, emergency medical care plan, emergency telephone numbers and a summary of child care law were posted. Five new staff members were hired since the 5-1-24 annual compliance visit. Files for these staff members were reviewed. The storage of medication and hazardous products was also monitored for compliance. A fire drill was documented as conducted on 11-1-24 at 10:00 am with an evacuation time of 3 minutes. An outdoor inspection was documented as conducted on 11-6-24. A shelter in place drill was documented as conducted on 8-14-24 at 9:30 am. An approved fire inspection was completed on 10-2-23. A sanitation inspection was completed on 11-4-24 with three demerits and a superior classification. A five star child care center license with five points in education, seven points in program standards and one quality point was issued to you on 9-19-17. Based on information provided and on observations made, you continue to meet the requirements previously met to obtain such a license. During the visit, we discussed that the hold harmless status with our rated license re-assessments has been extended through June, 2024. Please contact me if you have questions or would like to voluntarily apply for a rated license re-assessment. 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. A fire inspection was last completed on 10-2-23. 10A NCAC 09 .0304(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of Nystatin was stored in an unlocked top cabinet in space 8. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic grocery bags were stored in unlocked drawer in space 7 where one year old children were present. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not available for one staff member with a hire date of 10-11-24. The medical report provided by a staff member hired on 5-16-24 was completed on 3-7-23, which was more than twelve months at the time of hire. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. TB test results provided by a staff member hired on 5-16-24 were completed on 3-7-23, which was more than twelve months at the time of hire. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. A criminal background check was not completed prior to employment for one staff member with a hire date of 10-11-24. A qualification letter was issued for this staff member on 10-14-24. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A First Aid training was not completed within ninety days of hire by one staff member with a hire date of 6-10-24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A CPR training was not completed within ninety days of hire by one staff member with a hire date of 6-10-24. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Verification of the required training hours was not available for one staff member with a hire 10-11-24. .1101(a)(b) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on file for one staff member with a hire date of 10-11-24. The letter was not issued until 10-14-24. G.S. 110-90.2(b) & (d) & .2703(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for one child in space 2 was completed on 8-2-23; the plan was not updated annually as required. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Verification of review of the policy was not available for one staff member with a hire date of 10-11-24. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Authorization for a medicine to treat a chronic medical condition for a child in space 2 was dated for twelve months, rather then the six months allowed. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) ****Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules.**** Please send me a written statement describing how and when the above violation was corrected. The written statement must be received no later than 11-20-24. The time frame for submission of a compliance letter is established to allow time for you complete the letter and submit to me and is not intended as time for correction of the violations. All violations must be corrected immediately or as soon as possible. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9301 or at leigh.mckenzie-lee@dhhs.nc.gov if I can be of assistance. Please use my local mailing address for submitting items directly to me: PO Box 1537, Smithfield, NC 27577. 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: OPEN ARMS CHRISTIAN CHILD DEVELOPMENT CENTER Facility ID: 51000626 Consultant: LEIGH MCKENZIE-LEE Operation Type: Center Case Number: Visit Date: 11/6/2024 Number Present: 66 Completed Date: 11/6/2024 Age: From 0 To 5 Total Minutes: 155 Time In: 10:10 AM Time Out: 12:45 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 of applicable child care requirements during a routine unannounced visit. I monitored the indoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, activity plans, daily schedules, staff/child ratios, emergency medical care plan, emergency telephone numbers and a summary of child care law were posted. Five new staff members were hired since the 5-1-24 annual compliance visit. Files for these staff members were reviewed. The storage of medication and hazardous products was also monitored for compliance. A fire drill was documented as conducted on 11-1-24 at 10:00 am with an evacuation time of 3 minutes. An outdoor inspection was documented as conducted on 11-6-24. A shelter in place drill was documented as conducted on 8-14-24 at 9:30 am. An approved fire inspection was completed on 10-2-23. A sanitation inspection was completed on 11-4-24 with three demerits and a superior classification. A five star child care center license with five points in education, seven points in program standards and one quality point was issued to you on 9-19-17. Based on information provided and on observations made, you continue to meet the requirements previously met to obtain such a license. During the visit, we discussed that the hold harmless status with our rated license re-assessments has been extended through June, 2024. Please contact me if you have questions or would like to voluntarily apply for a rated license re-assessment. 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. A fire inspection was last completed on 10-2-23. 10A NCAC 09 .0304(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube of Nystatin was stored in an unlocked top cabinet in space 8. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic grocery bags were stored in unlocked drawer in space 7 where one year old children were present. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not available for one staff member with a hire date of 10-11-24. The medical report provided by a staff member hired on 5-16-24 was completed on 3-7-23, which was more than twelve months at the time of hire. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. TB test results provided by a staff member hired on 5-16-24 were completed on 3-7-23, which was more than twelve months at the time of hire. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. A criminal background check was not completed prior to employment for one staff member with a hire date of 10-11-24. A qualification letter was issued for this staff member on 10-14-24. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A First Aid training was not completed within ninety days of hire by one staff member with a hire date of 6-10-24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A CPR training was not completed within ninety days of hire by one staff member with a hire date of 6-10-24. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Verification of the required training hours was not available for one staff member with a hire 10-11-24. .1101(a)(b) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on file for one staff member with a hire date of 10-11-24. The letter was not issued until 10-14-24. G.S. 110-90.2(b) & (d) & .2703(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for one child in space 2 was completed on 8-2-23; the plan was not updated annually as required. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Verification of review of the policy was not available for one staff member with a hire date of 10-11-24. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Authorization for a medicine to treat a chronic medical condition for a child in space 2 was dated for twelve months, rather then the six months allowed. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) ****Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules.**** Please send me a written statement describing how and when the above violation was corrected. The written statement must be received no later than 11-20-24. The time frame for submission of a compliance letter is established to allow time for you complete the letter and submit to me and is not intended as time for correction of the violations. All violations must be corrected immediately or as soon as possible. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9301 or at leigh.mckenzie-lee@dhhs.nc.gov if I can be of assistance. Please use my local mailing address for submitting items directly to me: PO Box 1537, Smithfield, NC 27577. 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: OPEN ARMS CHRISTIAN CHILD DEVELOPMENT CENTER Facility ID: 51000626 Consultant: LEIGH MCKENZIE-LEE Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 59 Completed Date: 6/18/2024 Age: From 0 To 5 Total Minutes: 120 Time In: 09:45 AM Time Out: 11:45 AM 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 with the Corrective Action Plan included in the Written Warning issued by the Division of Child Development and Early Education on May 16, 2024. A copy of the action was observed posted in the lobby of the facility. I monitored the indoor environments for compliance with child care requirements. Staff/child ratios, supervision, capacity and use of space were monitored for compliance. The children were observed during free play, circle time and participating in vacation bible school. I monitored progress on completion of the stipulations in the Correction Action Plan as follows: Stipulation # 1 - Two violations pertaining to use of unapproved space and general safety were documented during the visit. Stipulation # 1 will be monitored during all visits conducted throughout the duration of the administrative action. Stipulation # 2 - You contacted The Partnership for Children of Johnston County within the required timeframe and scheduled the training for June 26, 2024. Please ensure that the required documentation is submitted to me by July 1, 2024 Stipulation # 2 will be fully met upon completion of the training and submission of the required documentation. Stipulation # 3 - Based on the date that the training is scheduled for, the polices and procedures for this stipulation must be submitted by July 10, 2024. Stipulation # 3 has not been met. Stipulation # 4 - I will notify you in writing once the policies and procedures for stipulation # 3 are approved. At that time, you will have one week to conduct a staff meeting to review these policies and procedures. Within three business days after the meeting, you must submit the documentation outlined in the stipulation to me. Please notify me by email once the meeting has been scheduled. Stipulation # 4 has not been met. Violation Number Comment Rule 209 Children used space that was not approved. The children from spaces 4 and 5 were present in two unapproved classrooms that were used for VBS. GS 110-91(1)&(4-5) 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 in space 6 by the sink was not covered or in use. 10A NCAC 09 .0604(c) At the time of today's visit, the church was holding their vacation bible school (VBS). The five year old children from spaces 4 and 5 were participating in VBS. The children from space 4 were present in a space labeled as classroom 2 participating in a craft activity. The children from space 5 were in a space labeled as classroom 3 participating in a marine biology activity. These two spaces are not approved for use by children that are enrolled in the licensed child care program; therefore, a violation for use of unapproved space was documented. As I explained to you during the visit, the multipurpose space on that hallway, along with the three classrooms that were previously included in the license are approved for use by the children enrolled in the licensed program. The children from spaces 4 and 5 cannot be present in the spaces that have not been approved for use. I observed the classroom teachers from spaces 4 and 5 with the children, along with several other adults. You stated that the classroom teachers are present with the children throughout the duration of the time they are participating in VBS, which is 9:00 am to 12:00 pm. You explained that the other adults are either church, not child care center, employees or VBS volunteers. These individuals do not require a CBC qualification letter or other documentation as long as the teachers do not leave them alone with the children. Therefore, I did not request to see files for each of the other adults. We discussed the importance of ensuring that a staff member from the child care program, who meets all requirements, is present with the children at all times. You must also ensure that staff/child ratios and group size are maintained for these children at all times while participating in VBS. During the visit, we reviewed your compliance history including the violations listed above. Your compliance history for the timeframe of 12-19-22 to 6-18-24 is 77%. Child care requirements stipulate that you must have a minimum compliance history of 75% to maintain a star rated license. If you compliance history drops below 75%, a provisional license may be issued. ****Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules.**** Please send me a written statement describing how and when the above violation was corrected. The written statement must be received no later than 7-2-24. The time frame for submission of a compliance letter is established to allow time for you complete the letter and submit to me and is not intended as time for correction of the violations. All violations must be corrected immediately or as soon as possible. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9301 or at leigh.mckenzie-lee@dhhs.nc.gov if I can be of assistance. 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: OPEN ARMS CHRISTIAN CHILD DEVELOPMENT CENTER Facility ID: 51000626 Consultant: LEIGH MCKENZIE-LEE Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 59 Completed Date: 6/18/2024 Age: From 0 To 5 Total Minutes: 120 Time In: 09:45 AM Time Out: 11:45 AM 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 with the Corrective Action Plan included in the Written Warning issued by the Division of Child Development and Early Education on May 16, 2024. A copy of the action was observed posted in the lobby of the facility. I monitored the indoor environments for compliance with child care requirements. Staff/child ratios, supervision, capacity and use of space were monitored for compliance. The children were observed during free play, circle time and participating in vacation bible school. I monitored progress on completion of the stipulations in the Correction Action Plan as follows: Stipulation # 1 - Two violations pertaining to use of unapproved space and general safety were documented during the visit. Stipulation # 1 will be monitored during all visits conducted throughout the duration of the administrative action. Stipulation # 2 - You contacted The Partnership for Children of Johnston County within the required timeframe and scheduled the training for June 26, 2024. Please ensure that the required documentation is submitted to me by July 1, 2024 Stipulation # 2 will be fully met upon completion of the training and submission of the required documentation. Stipulation # 3 - Based on the date that the training is scheduled for, the polices and procedures for this stipulation must be submitted by July 10, 2024. Stipulation # 3 has not been met. Stipulation # 4 - I will notify you in writing once the policies and procedures for stipulation # 3 are approved. At that time, you will have one week to conduct a staff meeting to review these policies and procedures. Within three business days after the meeting, you must submit the documentation outlined in the stipulation to me. Please notify me by email once the meeting has been scheduled. Stipulation # 4 has not been met. Violation Number Comment Rule 209 Children used space that was not approved. The children from spaces 4 and 5 were present in two unapproved classrooms that were used for VBS. GS 110-91(1)&(4-5) 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 in space 6 by the sink was not covered or in use. 10A NCAC 09 .0604(c) At the time of today's visit, the church was holding their vacation bible school (VBS). The five year old children from spaces 4 and 5 were participating in VBS. The children from space 4 were present in a space labeled as classroom 2 participating in a craft activity. The children from space 5 were in a space labeled as classroom 3 participating in a marine biology activity. These two spaces are not approved for use by children that are enrolled in the licensed child care program; therefore, a violation for use of unapproved space was documented. As I explained to you during the visit, the multipurpose space on that hallway, along with the three classrooms that were previously included in the license are approved for use by the children enrolled in the licensed program. The children from spaces 4 and 5 cannot be present in the spaces that have not been approved for use. I observed the classroom teachers from spaces 4 and 5 with the children, along with several other adults. You stated that the classroom teachers are present with the children throughout the duration of the time they are participating in VBS, which is 9:00 am to 12:00 pm. You explained that the other adults are either church, not child care center, employees or VBS volunteers. These individuals do not require a CBC qualification letter or other documentation as long as the teachers do not leave them alone with the children. Therefore, I did not request to see files for each of the other adults. We discussed the importance of ensuring that a staff member from the child care program, who meets all requirements, is present with the children at all times. You must also ensure that staff/child ratios and group size are maintained for these children at all times while participating in VBS. During the visit, we reviewed your compliance history including the violations listed above. Your compliance history for the timeframe of 12-19-22 to 6-18-24 is 77%. Child care requirements stipulate that you must have a minimum compliance history of 75% to maintain a star rated license. If you compliance history drops below 75%, a provisional license may be issued. ****Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules.**** Please send me a written statement describing how and when the above violation was corrected. The written statement must be received no later than 7-2-24. The time frame for submission of a compliance letter is established to allow time for you complete the letter and submit to me and is not intended as time for correction of the violations. All violations must be corrected immediately or as soon as possible. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9301 or at leigh.mckenzie-lee@dhhs.nc.gov if I can be of assistance. 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: OPEN ARMS CHRISTIAN CHILD DEVELOPMENT CENTER Facility ID: 51000626 Consultant: LEIGH MCKENZIE-LEE Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 78 Completed Date: 5/1/2024 Age: From 0 To 5 Total Minutes: 250 Time In: 09:20 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance of applicable child care requirements during your annual compliance visit. I monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, activity plan, daily schedule, staff/child ratios, emergency medical care plan, emergency telephone numbers and a summary of NC Child Care Law were all posted at the time of the visit. The storage of medication and hazardous products was also monitored for compliance. Files for all new staff members and a percentage of existing staff members were reviewed and the information on the Staff and Training worksheets was verified. A sample of children's records were reviewed and the worksheet was completed. The last fire drill was documented as conducted on 4-1-24 at 10:40 am with an evacuation time of two minutes and ten seconds. The last outdoor inspection was documented as conducted on 4-1-24. A shelter in place drill was documented as conducted on 4-25-24 at 9:30 am. An approved fire inspection was completed on 10-2-23. A sanitation inspection was last completed on 40-24-24 that resulted in a provisional classification. An inspection that resulted in the issuance of a provisional classification was also completed on 10-3-23. As we discussed, two inspections that result in a provisional classification can lead to the issuance of an administrative action. The children were observed in free play and circle time activities. Lunch, which was served during the visit, consisted of meatballs, garden peas, applesauce and milk. A five star license with five points in education, seven points in program standards and one quality point was issued to you on 9-19-17. As you were previously notified, the facility is in cohort 1 of the rated license re-assessment plan. The planning year for the facility ends June 30, 2024. Your rated license must be re-assessed between July 1, 2024 and June 30, 2025. If you would like to remain eligible for more than two points in program standards, Environment Rating Scales must be completed during this timeframe. Please contact me once you are ready for the assessment request to be submitted and I will email the application paperwork to you. The Partnership for Children is available to assist you and the classroom staff members with preparation for these assessments. You can reach them at 919-202-0002. Please ensure that all staff have updated their education information in the WORKS system to ensure the most current information is used for determining your education point level. Kareema King, Child Care Consultant, is available to answer questions pertaining to WORKS by phone or during a technical assistance visit. You may contact Ms. King at 919-417-3784. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. A bread or grain was not served during lunch. 10A NCAC 09 .0901(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The thermometer in the refrigerator in space 8 indicated that the temperature was 50 degrees F. 15A NCAC 18A .2806(j)(2) 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. Two outlets in the office and one outlet in space 7 were not covered or in use. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two large containers of Mr. Clean and Great Value Disinfecting Wipes were stored in the office, which was unlocked with the door open, at the time of my arrival. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Lotrimin was stored in a basket in an unlocked top cabinet in space 1. 15A NCAC 18A .2820(d) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Verification of completion of the required hours was not available for one staff member with a hire date of 2-19-24. .1101(a) 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 not noted on the verification for receipt of the discipline policy in four of the children's files reviewed. .1804(b) 1329 Application for enrollment did not include all required information. The application was not fully completed in two of the children's files reviewed. .0801(a)(1-7) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Verification of receipt of the policy was not available in one of the children's files reviewed. .0604(j) 9999 A violation was found for which there is no item number. A staff member's purse was stored on the floor in the office. In space 7, a staff members bag was hanging inside the closet door, not out of reach of children. While the door to this closet was locked, the key was stored in the lock. This is a violation of a requirement in 15A NCAC 18A .2820(f) which states 'Employee purses and other personal effects shall be kept out of reach of children.' During today's visit, violations were documented for failure to properly store hazardous products, medication and staff belongings. These types of violations have a greater impact on your compliance history as they directly impact the safety of the children while in your care. Additionally, failure to properly store medication and hazardous products may lead to a provisional sanitation classification, as was the case during the 4-24-24 inspection. I would encourage you to post information on proper storage guidelines in each classroom, as well as the office, staff restrooms and the kitchen. As discussed during the visit, two provisional sanitation inspections in a twelve month period of time may result in the issuance of an administrative action. As we also discussed during the 3-12-24 visit, confirmed allegations and/or violations during a complaint visit may also lead to an action. A written warning was issued to the facility on 6-15-23 and was closed on 12-21-23. All of this will be taken into consideration when determining if another action will be issued and if so, the type of action. During the visit, we reviewed your compliance history including the violations listed above. Your compliance history for the timeframe of 11-2-22 to 5-1-24 is 76%. Child care requirements stipulate that you must have a minimum compliance history of 75% to maintain a star rated license. If you compliance history drops below 75%, a provisional license may be issued. ****Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules.**** Please send me a written statement describing how and when the above violation was corrected. The written statement must be received no later than 5-15-24. The time frame for submission of a compliance letter is established to allow time for you complete the letter and submit to me and is not intended as time for correction of the violations. All violations must be corrected immediately or as soon as possible. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9301 or at leigh.mckenzie-lee@dhhs.nc.gov if I can be of assistance. Please use my local mailing address for submitting items directly to me: PO Box 1537, Smithfield, NC 27577. 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: OPEN ARMS CHRISTIAN CHILD DEVELOPMENT CENTER Facility ID: 51000626 Consultant: LEIGH MCKENZIE-LEE Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 78 Completed Date: 5/1/2024 Age: From 0 To 5 Total Minutes: 250 Time In: 09:20 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance of applicable child care requirements during your annual compliance visit. I monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, activity plan, daily schedule, staff/child ratios, emergency medical care plan, emergency telephone numbers and a summary of NC Child Care Law were all posted at the time of the visit. The storage of medication and hazardous products was also monitored for compliance. Files for all new staff members and a percentage of existing staff members were reviewed and the information on the Staff and Training worksheets was verified. A sample of children's records were reviewed and the worksheet was completed. The last fire drill was documented as conducted on 4-1-24 at 10:40 am with an evacuation time of two minutes and ten seconds. The last outdoor inspection was documented as conducted on 4-1-24. A shelter in place drill was documented as conducted on 4-25-24 at 9:30 am. An approved fire inspection was completed on 10-2-23. A sanitation inspection was last completed on 40-24-24 that resulted in a provisional classification. An inspection that resulted in the issuance of a provisional classification was also completed on 10-3-23. As we discussed, two inspections that result in a provisional classification can lead to the issuance of an administrative action. The children were observed in free play and circle time activities. Lunch, which was served during the visit, consisted of meatballs, garden peas, applesauce and milk. A five star license with five points in education, seven points in program standards and one quality point was issued to you on 9-19-17. As you were previously notified, the facility is in cohort 1 of the rated license re-assessment plan. The planning year for the facility ends June 30, 2024. Your rated license must be re-assessed between July 1, 2024 and June 30, 2025. If you would like to remain eligible for more than two points in program standards, Environment Rating Scales must be completed during this timeframe. Please contact me once you are ready for the assessment request to be submitted and I will email the application paperwork to you. The Partnership for Children is available to assist you and the classroom staff members with preparation for these assessments. You can reach them at 919-202-0002. Please ensure that all staff have updated their education information in the WORKS system to ensure the most current information is used for determining your education point level. Kareema King, Child Care Consultant, is available to answer questions pertaining to WORKS by phone or during a technical assistance visit. You may contact Ms. King at 919-417-3784. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. A bread or grain was not served during lunch. 10A NCAC 09 .0901(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The thermometer in the refrigerator in space 8 indicated that the temperature was 50 degrees F. 15A NCAC 18A .2806(j)(2) 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. Two outlets in the office and one outlet in space 7 were not covered or in use. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two large containers of Mr. Clean and Great Value Disinfecting Wipes were stored in the office, which was unlocked with the door open, at the time of my arrival. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Lotrimin was stored in a basket in an unlocked top cabinet in space 1. 15A NCAC 18A .2820(d) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Verification of completion of the required hours was not available for one staff member with a hire date of 2-19-24. .1101(a) 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 not noted on the verification for receipt of the discipline policy in four of the children's files reviewed. .1804(b) 1329 Application for enrollment did not include all required information. The application was not fully completed in two of the children's files reviewed. .0801(a)(1-7) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Verification of receipt of the policy was not available in one of the children's files reviewed. .0604(j) 9999 A violation was found for which there is no item number. A staff member's purse was stored on the floor in the office. In space 7, a staff members bag was hanging inside the closet door, not out of reach of children. While the door to this closet was locked, the key was stored in the lock. This is a violation of a requirement in 15A NCAC 18A .2820(f) which states 'Employee purses and other personal effects shall be kept out of reach of children.' During today's visit, violations were documented for failure to properly store hazardous products, medication and staff belongings. These types of violations have a greater impact on your compliance history as they directly impact the safety of the children while in your care. Additionally, failure to properly store medication and hazardous products may lead to a provisional sanitation classification, as was the case during the 4-24-24 inspection. I would encourage you to post information on proper storage guidelines in each classroom, as well as the office, staff restrooms and the kitchen. As discussed during the visit, two provisional sanitation inspections in a twelve month period of time may result in the issuance of an administrative action. As we also discussed during the 3-12-24 visit, confirmed allegations and/or violations during a complaint visit may also lead to an action. A written warning was issued to the facility on 6-15-23 and was closed on 12-21-23. All of this will be taken into consideration when determining if another action will be issued and if so, the type of action. During the visit, we reviewed your compliance history including the violations listed above. Your compliance history for the timeframe of 11-2-22 to 5-1-24 is 76%. Child care requirements stipulate that you must have a minimum compliance history of 75% to maintain a star rated license. If you compliance history drops below 75%, a provisional license may be issued. ****Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules.**** Please send me a written statement describing how and when the above violation was corrected. The written statement must be received no later than 5-15-24. The time frame for submission of a compliance letter is established to allow time for you complete the letter and submit to me and is not intended as time for correction of the violations. All violations must be corrected immediately or as soon as possible. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9301 or at leigh.mckenzie-lee@dhhs.nc.gov if I can be of assistance. Please use my local mailing address for submitting items directly to me: PO Box 1537, Smithfield, NC 27577. 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: OPEN ARMS CHRISTIAN CHILD DEVELOPMENT CENTER Facility ID: 51000626 Consultant: LEIGH MCKENZIE-LEE Operation Type: Center Case Number: 0324-004L Visit Date: 3/12/2024 Number Present: 85 Completed Date: 3/12/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 10:25 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced was to investigate allegations of non-compliance with child care requirements received by DCDEE on 3-1-24. The allegations were as follows: There is a concern of inadequate supervision in the classroom for four-year-old children. There is a concern related to staff qualifications and training. There is a concern related to daily activity plans in the classroom for four-year-old children. The allegations were reviewed with you. I reviewed activity plans for the week of the visit, as well as the month of February, 2024. I reviewed staff files for the staff that work in the identified classroom and reviewed files for four children enrolled in the classroom. Based on the information provided and observations made, the following was determined: You stated that you were not aware of any incidents of non-compliance with supervision requirements in this classroom. When asked, you stated that there have been a couple of situations between children in the classroom that led to incident reports due to bruises or marks left on a child by another child. You referred to these as "typical injuries, such as pushing and scratching." However, you stated that in each of these situations, the staff members were aware of the behaviors, thus it was determined that the staff were adequately supervising the children at the time. You provided me with a binder containing statements from staff members who have worked or are currently working in this classroom. These statements document behaviors of a male child in the classroom, going back to 11-7-23. From this date through 2-15-22, the staff members documented behaviors, including kicking, pinching, hitting, throwing toys at staff members, punching staff members, snatching toys from other children, pushing over chairs and making "gun" hands at the staff members and other children. In addition, the staff members documented the following statements made by this child in the classroom: "I'm going to kill you." "I hate my teachers." "I hate you." "I'm going to kick you in the face." "I punched her in the stomach." Lastly, the staff member's documented that this child accuses the other children of lying about his behaviors, even when they observed him do what the other children said. When questioned about the behaviors in the classroom, you stated that there had not been incidents outside of the normal rough play in the classroom. You stated that one male child in the room frequently plays rough with the other children, but stated that "he's just a boy." After reviewing the documentation completed by the various staff members in this classroom, I expressed concern regarding these behaviors and inquired about steps taken to address this in the classroom. You stated that you spoke with a parent of the male child regarding the behaviors and have placed extra staff in the classroom when possible. I inquired about concerns expressed by other parents and you stated that parents have expressed concerns and that you talked with those parents regarding their concerns. You stated that one parent reported that her child did not feel safe coming to school. When asked about moving children who were routinely involved in these incidents, or the male child, to another classroom, you stated that based on enrollment and that none of the parents in the other classroom for four year old children wanted their child moved, this was not possible. You stated that the previous lead teacher in the classroom resigned and that a new lead teacher was placed in the classroom. I spoke with this staff member and he stated that he was aware of the concerning behaviors in the classroom. He stated that since he was placed in the classroom, these behaviors have improved. He stated that the children all play well together now. Based on the information provided, I determined that the staff members in the classroom were aware of the behaviors listed above as they were able to document the children involved, things that were said and any resulting injury to the children. Therefore, the allegation pertaining to supervision was not confirmed and a related violation was not documented. However, based on the documented behaviors and lack of action taken by the administrator to address the challenging behaviors exhibited in the classroom, a violation pertaining to the safety of the environment was documented. While reviewing files for the staff members in the classroom, including the current lead teacher and non-lead afternoon teacher, as well as the previous lead teachers, I observed verification a current criminal background check qualification letter and orientation, and reviewed verification of education levels for all three staff members. Based on the information reviewed, the allegation pertaining to staff members' qualifications and training was not confirmed and a related violation was not documented. At the time of the visit, a current activity plan was not available in space 5. Later in the visit, you provided me with this plan and the activity plans for February, 2024 to review. The plans met child care requirements. Since a plan was not available in the classroom the allegation pertaining to activity plans was confirmed and a violation was documented. Space 5 was monitored during the visit as it was the classroom referenced in the report. Twelve children were enrolled in the classroom, including six four year old children and six five year old children. All children were present at the time of the visit with one staff member. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not available in space 5. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. A male child in space 5 exhibited challenging and disruptive behaviors that led to injury to other children in the classroom. The administrator failed to address these behaviors, which created an unsafe environment for the children. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A Magic Eraser was was in a tope, unlocked cabinet in space 5, not in locked storage as required. .2820(b) 9999 A violation was found for which there is no item number. A staff member's backpack was observed on the floor in space 5, not out of the reach of the children. This is a violation of a requirement in 15A NCAC 18A .2820(f) which states 'Employee purses and other personal effects shall be kept out of reach of children.' During the visit, we discussed several option available to child care centers and families to assist with challenging behaviors: - I recommended that you or the assistant administrator spend time in space 5 observing the children. You may note that there is a pattern to the behaviors, including the time of day the behaviors occur or the activities the children are participating in at the time. You may choose to revise the daily schedule for an earlier outdoor time if the behaviors seem to be linked to children who need to expend energy, or you may choose to shorten circle time activities if children seem to be loosing interest. Another example of a change may be to move lunch time so that nap or quiet time for this group can occur earlier if behaviors seem to be linked to children being overtired. I suggested that whoever conducts the observations keep detailed records of what is going on in the classroom, the time of day, any challenging behaviors observed and the children involved. - The introduction of social and emotional concepts in the classroom can assist children with identifying their feelings and ways to work through these feelings. Young children often times do not know how to respond to negative feelings, such as anger, disappointment, anxiety and sadness. There are a multitude of curriculum and resources available for introducing social and emotional concepts into the classroom. In some children, these negative feelings can lead to challenging behaviors in the classroom. - The Partnership for Children in Johnston County can provide serves to your center through their Inclusion Specialist. This specialist would come to the center to conduct observations in the rooms. Once an adequate amount of information has been obtained, the Specialist would make recommendations regarding the environment in the classroom. Some examples would be adjustments to daily schedule and/or room arrangement. - The Partnership for Children in Johnston County also provides training on Dealing with Challenging Behaviors. I recommended having the staff in this classroom attend the training. You may also choose to request that a training be conducted on site at your center so that all staff can attend. The knowledge gained through this training would be an asset to all staff. You can contact the Partnership by phone at 919-202-0002. - The Child Care Resource and Referral Network has a Behavioral Health Specialist, Ann Carter, who could also assist in the development of strategies for dealing with challenging behaviors and can offer training to your staff members. Ms. Carter can be reached at ann@chathamkids.org. - The Johnston County Schools Preschool Department offers screenings to families at no cost for children age three and older. This enables the school system to identify any services children need as they approach the age for starting kindergarten. When children age three and over in your program exhibit challenging behaviors over an extended time frame, you may choose to refer them to the Preschool Department for an evaluation and to begin any services that will help prepare them for school. The Johnston County Schools Preschool Department can be reached at 919-934-1697. ****Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules.**** Please send me a written statement describing how and when the above violation was corrected. The written statement must be received no later than 3-26-24. Please include any steps taken regarding challenging behaviors in the facility and any policies the center has on dealing with these types of behaviors. The time frame for submission of a compliance letter is established to allow time for you complete the letter and submit to me and is not intended as time for correction of the violations. All violations must be corrected immediately or as soon as possible. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9301 or at leigh.mckenzie-lee@dhhs.nc.gov if I can be of assistance. Please use my local mailing address for submitting items directly to me: PO Box 1537, Smithfield, NC 27577. 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: OPEN ARMS CHRISTIAN CHILD DEVELOPMENT CENTER Facility ID: 51000626 Consultant: LEIGH MCKENZIE-LEE Operation Type: Center Case Number: 0324-004L Visit Date: 3/12/2024 Number Present: 85 Completed Date: 3/12/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 10:25 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced was to investigate allegations of non-compliance with child care requirements received by DCDEE on 3-1-24. The allegations were as follows: There is a concern of inadequate supervision in the classroom for four-year-old children. There is a concern related to staff qualifications and training. There is a concern related to daily activity plans in the classroom for four-year-old children. The allegations were reviewed with you. I reviewed activity plans for the week of the visit, as well as the month of February, 2024. I reviewed staff files for the staff that work in the identified classroom and reviewed files for four children enrolled in the classroom. Based on the information provided and observations made, the following was determined: You stated that you were not aware of any incidents of non-compliance with supervision requirements in this classroom. When asked, you stated that there have been a couple of situations between children in the classroom that led to incident reports due to bruises or marks left on a child by another child. You referred to these as "typical injuries, such as pushing and scratching." However, you stated that in each of these situations, the staff members were aware of the behaviors, thus it was determined that the staff were adequately supervising the children at the time. You provided me with a binder containing statements from staff members who have worked or are currently working in this classroom. These statements document behaviors of a male child in the classroom, going back to 11-7-23. From this date through 2-15-22, the staff members documented behaviors, including kicking, pinching, hitting, throwing toys at staff members, punching staff members, snatching toys from other children, pushing over chairs and making "gun" hands at the staff members and other children. In addition, the staff members documented the following statements made by this child in the classroom: "I'm going to kill you." "I hate my teachers." "I hate you." "I'm going to kick you in the face." "I punched her in the stomach." Lastly, the staff member's documented that this child accuses the other children of lying about his behaviors, even when they observed him do what the other children said. When questioned about the behaviors in the classroom, you stated that there had not been incidents outside of the normal rough play in the classroom. You stated that one male child in the room frequently plays rough with the other children, but stated that "he's just a boy." After reviewing the documentation completed by the various staff members in this classroom, I expressed concern regarding these behaviors and inquired about steps taken to address this in the classroom. You stated that you spoke with a parent of the male child regarding the behaviors and have placed extra staff in the classroom when possible. I inquired about concerns expressed by other parents and you stated that parents have expressed concerns and that you talked with those parents regarding their concerns. You stated that one parent reported that her child did not feel safe coming to school. When asked about moving children who were routinely involved in these incidents, or the male child, to another classroom, you stated that based on enrollment and that none of the parents in the other classroom for four year old children wanted their child moved, this was not possible. You stated that the previous lead teacher in the classroom resigned and that a new lead teacher was placed in the classroom. I spoke with this staff member and he stated that he was aware of the concerning behaviors in the classroom. He stated that since he was placed in the classroom, these behaviors have improved. He stated that the children all play well together now. Based on the information provided, I determined that the staff members in the classroom were aware of the behaviors listed above as they were able to document the children involved, things that were said and any resulting injury to the children. Therefore, the allegation pertaining to supervision was not confirmed and a related violation was not documented. However, based on the documented behaviors and lack of action taken by the administrator to address the challenging behaviors exhibited in the classroom, a violation pertaining to the safety of the environment was documented. While reviewing files for the staff members in the classroom, including the current lead teacher and non-lead afternoon teacher, as well as the previous lead teachers, I observed verification a current criminal background check qualification letter and orientation, and reviewed verification of education levels for all three staff members. Based on the information reviewed, the allegation pertaining to staff members' qualifications and training was not confirmed and a related violation was not documented. At the time of the visit, a current activity plan was not available in space 5. Later in the visit, you provided me with this plan and the activity plans for February, 2024 to review. The plans met child care requirements. Since a plan was not available in the classroom the allegation pertaining to activity plans was confirmed and a violation was documented. Space 5 was monitored during the visit as it was the classroom referenced in the report. Twelve children were enrolled in the classroom, including six four year old children and six five year old children. All children were present at the time of the visit with one staff member. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not available in space 5. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. A male child in space 5 exhibited challenging and disruptive behaviors that led to injury to other children in the classroom. The administrator failed to address these behaviors, which created an unsafe environment for the children. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A Magic Eraser was was in a tope, unlocked cabinet in space 5, not in locked storage as required. .2820(b) 9999 A violation was found for which there is no item number. A staff member's backpack was observed on the floor in space 5, not out of the reach of the children. This is a violation of a requirement in 15A NCAC 18A .2820(f) which states 'Employee purses and other personal effects shall be kept out of reach of children.' During the visit, we discussed several option available to child care centers and families to assist with challenging behaviors: - I recommended that you or the assistant administrator spend time in space 5 observing the children. You may note that there is a pattern to the behaviors, including the time of day the behaviors occur or the activities the children are participating in at the time. You may choose to revise the daily schedule for an earlier outdoor time if the behaviors seem to be linked to children who need to expend energy, or you may choose to shorten circle time activities if children seem to be loosing interest. Another example of a change may be to move lunch time so that nap or quiet time for this group can occur earlier if behaviors seem to be linked to children being overtired. I suggested that whoever conducts the observations keep detailed records of what is going on in the classroom, the time of day, any challenging behaviors observed and the children involved. - The introduction of social and emotional concepts in the classroom can assist children with identifying their feelings and ways to work through these feelings. Young children often times do not know how to respond to negative feelings, such as anger, disappointment, anxiety and sadness. There are a multitude of curriculum and resources available for introducing social and emotional concepts into the classroom. In some children, these negative feelings can lead to challenging behaviors in the classroom. - The Partnership for Children in Johnston County can provide serves to your center through their Inclusion Specialist. This specialist would come to the center to conduct observations in the rooms. Once an adequate amount of information has been obtained, the Specialist would make recommendations regarding the environment in the classroom. Some examples would be adjustments to daily schedule and/or room arrangement. - The Partnership for Children in Johnston County also provides training on Dealing with Challenging Behaviors. I recommended having the staff in this classroom attend the training. You may also choose to request that a training be conducted on site at your center so that all staff can attend. The knowledge gained through this training would be an asset to all staff. You can contact the Partnership by phone at 919-202-0002. - The Child Care Resource and Referral Network has a Behavioral Health Specialist, Ann Carter, who could also assist in the development of strategies for dealing with challenging behaviors and can offer training to your staff members. Ms. Carter can be reached at ann@chathamkids.org. - The Johnston County Schools Preschool Department offers screenings to families at no cost for children age three and older. This enables the school system to identify any services children need as they approach the age for starting kindergarten. When children age three and over in your program exhibit challenging behaviors over an extended time frame, you may choose to refer them to the Preschool Department for an evaluation and to begin any services that will help prepare them for school. The Johnston County Schools Preschool Department can be reached at 919-934-1697. ****Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules.**** Please send me a written statement describing how and when the above violation was corrected. The written statement must be received no later than 3-26-24. Please include any steps taken regarding challenging behaviors in the facility and any policies the center has on dealing with these types of behaviors. The time frame for submission of a compliance letter is established to allow time for you complete the letter and submit to me and is not intended as time for correction of the violations. All violations must be corrected immediately or as soon as possible. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9301 or at leigh.mckenzie-lee@dhhs.nc.gov if I can be of assistance. Please use my local mailing address for submitting items directly to me: PO Box 1537, Smithfield, NC 27577. 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: OPEN ARMS CHRISTIAN CHILD DEVELOPMENT CENTER Facility ID: 51000626 Consultant: LEIGH MCKENZIE-LEE Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 70 Completed Date: 9/26/2023 Age: From 0 To 5 Total Minutes: 65 Time In: 11:50 AM Time Out: 12:55 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 with the Corrective Action Plan included in the Written Warning issued by the Division of Child Development and Early Education on June 15, 2023. A copy of the action was observed posted in the lobby of the facility. I monitored the indoor environments for compliance with child care requirements. Staff/child ratios, supervision, capacity and use of space were monitored for compliance. The children were observed during naptime, free play, circle time and participating in chapel in their classroom. I monitored progress on completion of the stipulations in the Correction Action Plan as follows: Stipulation # 1 - Four violations were documented during the visit. Stipulation # 1 will be monitored during all visits conducted throughout the duration of the administrative action. Stipulation # 2 - A rules review was conducted on 8-10-23. All staff members were in attendance. Stipulation # 2 has been met. Stipulation # 3 - The written plan was submitted on 7-10-23 and approved on 8-15-23. Verbal notification was provided during the visit. This documentation serves as written notification. Stipulation # 3 has been met. Stipulation # 4 - The training is scheduled for 8-31-23. Due to inclement weather and a virus outbreak at the center, the training was rescheduled for 10-17-23. Please ensure that the required documentation is submitted to me within three days of the training. Stipulation # 4 will continue to be monitored for compliance until met. Stipulation # 5 - The written policies and procedures for this stipulation were received on the 7-10-23 due date. Revisions were necessary. Your revised policies and procedures were submitted on 7-19-23 and were approved on 8-15-23. Verbal notification was provided during the visit. This documentation serves as written notification. Stipulation # 5 has been met. Stipulation # 6 - The written plan for this stipulation were received on the 7-19-23, which was after the initial due date. The plan was approved on 8-15-23. Verbal notification was provided during the visit. This documentation serves as written notification. Stipulation # 6 has been met. Stipulation # 7 - A staff meeting was held on 8-21-23, which was with in the required timeframe. The required documentation was submitted on 8-22-23, also with in the required timeframe. Stipulation #7 has been met. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A non-aerosol spray bottle of Stinky Bowel Spray was stored in a top, unlocked cabinet in space 7. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Nystatin was stored in a top, unlocked cabinet in space 7. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Written permission was not available for a prescription medication for a child in space 7. 10A NCAC 09 .0803(1)(a & b) 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. Permission for an emergency medication for a child in space 6 expired on 8-6-23. A new permission form was not completed by the parent. .0803(12) 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. Two cups of Dunkin Doughnuts iced coffee and an open can of Pepsi were observed in the cabinet in space 7. .0901(i) During the visit, we discussed the importance of properly storing medication and hazardous products, including the difference between items that must be in locked storage and those that can be stored out of reach of the children. We also discussed the importance of tracking medication permission slip end dates, expiration dates on medications and updating of medical action plans. I recommended that you create a spreadsheet that lists all emergency medications, expiration dates of permission slips and the medication, and the date that medical action plans must be updated. Please contact me if you have questions pertaining to hazardous product and medication storage, or medication administration. ****Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules.**** Please send me a written statement describing how and when the above violations were corrected. The written statement must be received no later than 10-10-23. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9301 or at leigh.mckenzie-lee@dhhs.nc.gov if I can be of assistance. Please use my local mailing address for submitting items directly to me: PO Box 1537, Smithfield, NC 27577. 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 .0801 · Violation

Name of Operation: OPEN ARMS CHRISTIAN CHILD DEVELOPMENT CENTER Facility ID: 51000626 Consultant: LEIGH MCKENZIE-LEE Operation Type: Center Case Number: Visit Date: 7/19/2023 Number Present: 65 Completed Date: 7/19/2023 Age: From 0 To 5 Total Minutes: 200 Time In: 10:00 AM Time Out: 01:20 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 with the Corrective Action Plan included in the Written Warning issued by the Division of Child Development and Early Education on June 15, 2023. A copy of the action was observed posted in the lobby of the facility. I monitored the indoor environments for compliance with child care requirements. Staff/child ratios, supervision, capacity and use of space were monitored for compliance. The children were observed during naptime, free play, circle time and participating in chapel in their classroom. I monitored progress on completion of the stipulations in the Correction Action Plan as follows: Stipulation # 1 - The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2(b) regarding criminal background checks • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .1803(b) regarding discipline • Child Care Rule 10A NCAC 09 .2818 regarding enhanced group size Supervision, discipline and group size requirements were monitored and determined to be in compliance during the visit. Two violations pertaining to criminal background checks and three violations pertaining to medication were documented during the visit. Stipulation # 1 will be monitored during all visits conducted throughout the duration of the administrative action. Stipulation # 2 - You contacted Ms. Remington within the required timeframe and scheduled the rules review for 8-10-23. Please ensure that the required documentation is submitted to me by 8-13-23. Stipulation # 2 will continue to be monitored for compliance until met. Stipulation # 3 - Based on the date that the rules review is scheduled for, 8-10-23, this plan must be submitted by 8-24-23. Stipulation # 3 will continue to be monitored for compliance until met. Stipulation # 4 - You stated that you have not yet contacted the Partnership for Children to request that the required training be scheduled. This was should have been completed within two weeks of receipt of the action, or by 7-3-23. You contacted Ms. Englehart during the visit, but were not able to schedule the training prior to the conclusion of the visit. Once you have a date scheduled, please email me the information and ensure that the required documentation is submitted to me within three days of the training. Stipulation # 4 will continue to be monitored for compliance until met. Stipulation # 5 - The written policies and procedures for this stipulation were received on the 7-10-23 due date. As we discussed during the visit, bullet # 4 was not addressed. Please revise these policies and procedures to include this item and resubmit to me by 7-26-23. Stipulation # 5 will continue to be monitored for compliance until met. ** I received your revised policies and procedures during the visit. I will review this information following the visit and contact you if additional revisions are necessary. Stipulation # 6 - The written plan for this stipulation was due by 7-10-23. As of today, this plan has not been submitted. Please ensure that you submit this plan to me by 7-21-23. Stipulation # 6 will continue to be monitored for compliance until met. ** I received your plan during the visit. I will review this information following the visit and contact you if revisions are necessary. Stipulation # 7 - A staff meeting must be conducted within one week after you receive approval for the policies, procedures and plans outlined in stipulations 3, 5 and 6. Please ensure that you track this due date closely and submit the required documentation to me within three days of the meeting. Please note that failure to comply with the Corrective Action included in the Written Warning may lead to the issuance of a more stringent action. Please ensure that you track and meet all deadlines outlined above. Please contact me if you have questions pertaining to the Corrective Action Plan or the administrative action process. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An Epi-Pen was not in the box with the prescription label. .0803(2)(a) 847 Parent's medication authorization did not include required information. Permission to administer emergency medication was not available for one child. Permission for emergency medication for another child expired in February, 2023. 10A NCAC 09 .0803(4)(6-9) 1041 Prior to employment a Criminal Background Check was not completed. A Criminal Background Check was not completed prior to employment for one staff member with a hire date of 7-6-23. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not available for one staff member with a hire date of 7-6-23. G.S. 110-90.2(b) & (d) & .2703(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A medical action plan was not available for two children, one with a food allergy and one with asthma. .0801(b) 9999 A violation was found for which there is no item number. The kitchen door was not closed or locked. This is a violation of a requirement in 15A NCAC 18A .2808(f), which states: Children attending child care centers shall not be in the kitchen except when participating in a supervised activity. On 7-7-23, you contacted me by email and asked if a letter from the SBI indicating a clean background check could be accepted in lieu of a qualification letter. I replied and explained the following: All staff members must have a current qualification letter issued by the DCDEE Criminal Background Check Unit to work in the center. You cannot accept a background check through any other source. If it is taking longer than normal, have the staff members contact the CBC Unit by phone at (919) 814-6401 or email DHHS.CBC.Unit@dhhs.nc.gov. You replied by email stating "Thank you so much! I kind of knew the answer but wanted to make sure! Thank you for your time." During the visit, I observed a statement from the SBI in the file for Sadia Gray but no qualification letter issued by DCDEE. I reviewed our database and verified that an application was received for Ms. Gray on 6-14-23, but that as of today, no letter has been issued for her. I explained that Ms. Gray must leave the facility immediately and that she cannot return to work in the center until a current qualification letter is provided to you. You explained this to Ms. Gray and she left the facility immediately. You verified that Ms. Gray was the staff member you emailed me about. As I stated during the visit, I was very clear in my emailed response to you that a qualification letter issued by DCDEE must be on file. When I inquired about why she was permitted to work without a letter, you stated that at that time, the program was understaffed and you needed an additional staff member to maintain ratios. As we discussed, being understaffed does not allow for non-compliance with child care requirements. If you do not have sufficient staff members to provide coverage at all times for staff/child ratio requirements, you may have to consider suspending enrollment of new children, asking parents to drop off later or pick up earlier or disenroll children. Please contact me if you have questions pertaining to maintaining compliance while understaffed. During the visit, we discussed emergency medications, permission to administer medication, prescription medications and medical action plans. Please monitor all emergency medications in the facility and ensure that the medication is in it's original container, that the medication has not expired and that permission to administer the medication is on file and still current. In addition, please ensure that all children with emergency medications have a Medical Action Plan that has been completed within the last year. During the visit, I recommended that you implement a tracking system for dates pertaining to Medical Action Plans and emergency medications. We also discussed that children who require emergency medications should not be in care with out the medication. Please refer to section 10A NCAC 09 .0803 for additional information about administering medications and to 10A NCAC 09 .0801(b)(1-4) for additional information about Medical Action Plans. ****Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules.**** Please send me a written statement describing how and when the above violations were corrected. The written statement must be received no later than 8-2-23. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9301 or at leigh.mckenzie-lee@dhhs.nc.gov if I can be of assistance. Please use my local mailing address for submitting items directly to me: PO Box 1537, Smithfield, NC 27577. 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: OPEN ARMS CHRISTIAN CHILD DEVELOPMENT CENTER Facility ID: 51000626 Consultant: LEIGH MCKENZIE-LEE Operation Type: Center Case Number: Visit Date: 7/19/2023 Number Present: 65 Completed Date: 7/19/2023 Age: From 0 To 5 Total Minutes: 200 Time In: 10:00 AM Time Out: 01:20 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 with the Corrective Action Plan included in the Written Warning issued by the Division of Child Development and Early Education on June 15, 2023. A copy of the action was observed posted in the lobby of the facility. I monitored the indoor environments for compliance with child care requirements. Staff/child ratios, supervision, capacity and use of space were monitored for compliance. The children were observed during naptime, free play, circle time and participating in chapel in their classroom. I monitored progress on completion of the stipulations in the Correction Action Plan as follows: Stipulation # 1 - The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2(b) regarding criminal background checks • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .1803(b) regarding discipline • Child Care Rule 10A NCAC 09 .2818 regarding enhanced group size Supervision, discipline and group size requirements were monitored and determined to be in compliance during the visit. Two violations pertaining to criminal background checks and three violations pertaining to medication were documented during the visit. Stipulation # 1 will be monitored during all visits conducted throughout the duration of the administrative action. Stipulation # 2 - You contacted Ms. Remington within the required timeframe and scheduled the rules review for 8-10-23. Please ensure that the required documentation is submitted to me by 8-13-23. Stipulation # 2 will continue to be monitored for compliance until met. Stipulation # 3 - Based on the date that the rules review is scheduled for, 8-10-23, this plan must be submitted by 8-24-23. Stipulation # 3 will continue to be monitored for compliance until met. Stipulation # 4 - You stated that you have not yet contacted the Partnership for Children to request that the required training be scheduled. This was should have been completed within two weeks of receipt of the action, or by 7-3-23. You contacted Ms. Englehart during the visit, but were not able to schedule the training prior to the conclusion of the visit. Once you have a date scheduled, please email me the information and ensure that the required documentation is submitted to me within three days of the training. Stipulation # 4 will continue to be monitored for compliance until met. Stipulation # 5 - The written policies and procedures for this stipulation were received on the 7-10-23 due date. As we discussed during the visit, bullet # 4 was not addressed. Please revise these policies and procedures to include this item and resubmit to me by 7-26-23. Stipulation # 5 will continue to be monitored for compliance until met. ** I received your revised policies and procedures during the visit. I will review this information following the visit and contact you if additional revisions are necessary. Stipulation # 6 - The written plan for this stipulation was due by 7-10-23. As of today, this plan has not been submitted. Please ensure that you submit this plan to me by 7-21-23. Stipulation # 6 will continue to be monitored for compliance until met. ** I received your plan during the visit. I will review this information following the visit and contact you if revisions are necessary. Stipulation # 7 - A staff meeting must be conducted within one week after you receive approval for the policies, procedures and plans outlined in stipulations 3, 5 and 6. Please ensure that you track this due date closely and submit the required documentation to me within three days of the meeting. Please note that failure to comply with the Corrective Action included in the Written Warning may lead to the issuance of a more stringent action. Please ensure that you track and meet all deadlines outlined above. Please contact me if you have questions pertaining to the Corrective Action Plan or the administrative action process. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An Epi-Pen was not in the box with the prescription label. .0803(2)(a) 847 Parent's medication authorization did not include required information. Permission to administer emergency medication was not available for one child. Permission for emergency medication for another child expired in February, 2023. 10A NCAC 09 .0803(4)(6-9) 1041 Prior to employment a Criminal Background Check was not completed. A Criminal Background Check was not completed prior to employment for one staff member with a hire date of 7-6-23. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not available for one staff member with a hire date of 7-6-23. G.S. 110-90.2(b) & (d) & .2703(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A medical action plan was not available for two children, one with a food allergy and one with asthma. .0801(b) 9999 A violation was found for which there is no item number. The kitchen door was not closed or locked. This is a violation of a requirement in 15A NCAC 18A .2808(f), which states: Children attending child care centers shall not be in the kitchen except when participating in a supervised activity. On 7-7-23, you contacted me by email and asked if a letter from the SBI indicating a clean background check could be accepted in lieu of a qualification letter. I replied and explained the following: All staff members must have a current qualification letter issued by the DCDEE Criminal Background Check Unit to work in the center. You cannot accept a background check through any other source. If it is taking longer than normal, have the staff members contact the CBC Unit by phone at (919) 814-6401 or email DHHS.CBC.Unit@dhhs.nc.gov. You replied by email stating "Thank you so much! I kind of knew the answer but wanted to make sure! Thank you for your time." During the visit, I observed a statement from the SBI in the file for Sadia Gray but no qualification letter issued by DCDEE. I reviewed our database and verified that an application was received for Ms. Gray on 6-14-23, but that as of today, no letter has been issued for her. I explained that Ms. Gray must leave the facility immediately and that she cannot return to work in the center until a current qualification letter is provided to you. You explained this to Ms. Gray and she left the facility immediately. You verified that Ms. Gray was the staff member you emailed me about. As I stated during the visit, I was very clear in my emailed response to you that a qualification letter issued by DCDEE must be on file. When I inquired about why she was permitted to work without a letter, you stated that at that time, the program was understaffed and you needed an additional staff member to maintain ratios. As we discussed, being understaffed does not allow for non-compliance with child care requirements. If you do not have sufficient staff members to provide coverage at all times for staff/child ratio requirements, you may have to consider suspending enrollment of new children, asking parents to drop off later or pick up earlier or disenroll children. Please contact me if you have questions pertaining to maintaining compliance while understaffed. During the visit, we discussed emergency medications, permission to administer medication, prescription medications and medical action plans. Please monitor all emergency medications in the facility and ensure that the medication is in it's original container, that the medication has not expired and that permission to administer the medication is on file and still current. In addition, please ensure that all children with emergency medications have a Medical Action Plan that has been completed within the last year. During the visit, I recommended that you implement a tracking system for dates pertaining to Medical Action Plans and emergency medications. We also discussed that children who require emergency medications should not be in care with out the medication. Please refer to section 10A NCAC 09 .0803 for additional information about administering medications and to 10A NCAC 09 .0801(b)(1-4) for additional information about Medical Action Plans. ****Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules.**** Please send me a written statement describing how and when the above violations were corrected. The written statement must be received no later than 8-2-23. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9301 or at leigh.mckenzie-lee@dhhs.nc.gov if I can be of assistance. Please use my local mailing address for submitting items directly to me: PO Box 1537, Smithfield, NC 27577. 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: OPEN ARMS CHRISTIAN CHILD DEVELOPMENT CENTER Facility ID: 51000626 Consultant: LEIGH MCKENZIE-LEE Operation Type: Center Case Number: Visit Date: 7/19/2023 Number Present: 65 Completed Date: 7/19/2023 Age: From 0 To 5 Total Minutes: 200 Time In: 10:00 AM Time Out: 01:20 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 with the Corrective Action Plan included in the Written Warning issued by the Division of Child Development and Early Education on June 15, 2023. A copy of the action was observed posted in the lobby of the facility. I monitored the indoor environments for compliance with child care requirements. Staff/child ratios, supervision, capacity and use of space were monitored for compliance. The children were observed during naptime, free play, circle time and participating in chapel in their classroom. I monitored progress on completion of the stipulations in the Correction Action Plan as follows: Stipulation # 1 - The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2(b) regarding criminal background checks • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .1803(b) regarding discipline • Child Care Rule 10A NCAC 09 .2818 regarding enhanced group size Supervision, discipline and group size requirements were monitored and determined to be in compliance during the visit. Two violations pertaining to criminal background checks and three violations pertaining to medication were documented during the visit. Stipulation # 1 will be monitored during all visits conducted throughout the duration of the administrative action. Stipulation # 2 - You contacted Ms. Remington within the required timeframe and scheduled the rules review for 8-10-23. Please ensure that the required documentation is submitted to me by 8-13-23. Stipulation # 2 will continue to be monitored for compliance until met. Stipulation # 3 - Based on the date that the rules review is scheduled for, 8-10-23, this plan must be submitted by 8-24-23. Stipulation # 3 will continue to be monitored for compliance until met. Stipulation # 4 - You stated that you have not yet contacted the Partnership for Children to request that the required training be scheduled. This was should have been completed within two weeks of receipt of the action, or by 7-3-23. You contacted Ms. Englehart during the visit, but were not able to schedule the training prior to the conclusion of the visit. Once you have a date scheduled, please email me the information and ensure that the required documentation is submitted to me within three days of the training. Stipulation # 4 will continue to be monitored for compliance until met. Stipulation # 5 - The written policies and procedures for this stipulation were received on the 7-10-23 due date. As we discussed during the visit, bullet # 4 was not addressed. Please revise these policies and procedures to include this item and resubmit to me by 7-26-23. Stipulation # 5 will continue to be monitored for compliance until met. ** I received your revised policies and procedures during the visit. I will review this information following the visit and contact you if additional revisions are necessary. Stipulation # 6 - The written plan for this stipulation was due by 7-10-23. As of today, this plan has not been submitted. Please ensure that you submit this plan to me by 7-21-23. Stipulation # 6 will continue to be monitored for compliance until met. ** I received your plan during the visit. I will review this information following the visit and contact you if revisions are necessary. Stipulation # 7 - A staff meeting must be conducted within one week after you receive approval for the policies, procedures and plans outlined in stipulations 3, 5 and 6. Please ensure that you track this due date closely and submit the required documentation to me within three days of the meeting. Please note that failure to comply with the Corrective Action included in the Written Warning may lead to the issuance of a more stringent action. Please ensure that you track and meet all deadlines outlined above. Please contact me if you have questions pertaining to the Corrective Action Plan or the administrative action process. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An Epi-Pen was not in the box with the prescription label. .0803(2)(a) 847 Parent's medication authorization did not include required information. Permission to administer emergency medication was not available for one child. Permission for emergency medication for another child expired in February, 2023. 10A NCAC 09 .0803(4)(6-9) 1041 Prior to employment a Criminal Background Check was not completed. A Criminal Background Check was not completed prior to employment for one staff member with a hire date of 7-6-23. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not available for one staff member with a hire date of 7-6-23. G.S. 110-90.2(b) & (d) & .2703(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A medical action plan was not available for two children, one with a food allergy and one with asthma. .0801(b) 9999 A violation was found for which there is no item number. The kitchen door was not closed or locked. This is a violation of a requirement in 15A NCAC 18A .2808(f), which states: Children attending child care centers shall not be in the kitchen except when participating in a supervised activity. On 7-7-23, you contacted me by email and asked if a letter from the SBI indicating a clean background check could be accepted in lieu of a qualification letter. I replied and explained the following: All staff members must have a current qualification letter issued by the DCDEE Criminal Background Check Unit to work in the center. You cannot accept a background check through any other source. If it is taking longer than normal, have the staff members contact the CBC Unit by phone at (919) 814-6401 or email DHHS.CBC.Unit@dhhs.nc.gov. You replied by email stating "Thank you so much! I kind of knew the answer but wanted to make sure! Thank you for your time." During the visit, I observed a statement from the SBI in the file for Sadia Gray but no qualification letter issued by DCDEE. I reviewed our database and verified that an application was received for Ms. Gray on 6-14-23, but that as of today, no letter has been issued for her. I explained that Ms. Gray must leave the facility immediately and that she cannot return to work in the center until a current qualification letter is provided to you. You explained this to Ms. Gray and she left the facility immediately. You verified that Ms. Gray was the staff member you emailed me about. As I stated during the visit, I was very clear in my emailed response to you that a qualification letter issued by DCDEE must be on file. When I inquired about why she was permitted to work without a letter, you stated that at that time, the program was understaffed and you needed an additional staff member to maintain ratios. As we discussed, being understaffed does not allow for non-compliance with child care requirements. If you do not have sufficient staff members to provide coverage at all times for staff/child ratio requirements, you may have to consider suspending enrollment of new children, asking parents to drop off later or pick up earlier or disenroll children. Please contact me if you have questions pertaining to maintaining compliance while understaffed. During the visit, we discussed emergency medications, permission to administer medication, prescription medications and medical action plans. Please monitor all emergency medications in the facility and ensure that the medication is in it's original container, that the medication has not expired and that permission to administer the medication is on file and still current. In addition, please ensure that all children with emergency medications have a Medical Action Plan that has been completed within the last year. During the visit, I recommended that you implement a tracking system for dates pertaining to Medical Action Plans and emergency medications. We also discussed that children who require emergency medications should not be in care with out the medication. Please refer to section 10A NCAC 09 .0803 for additional information about administering medications and to 10A NCAC 09 .0801(b)(1-4) for additional information about Medical Action Plans. ****Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules.**** Please send me a written statement describing how and when the above violations were corrected. The written statement must be received no later than 8-2-23. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9301 or at leigh.mckenzie-lee@dhhs.nc.gov if I can be of assistance. Please use my local mailing address for submitting items directly to me: PO Box 1537, Smithfield, NC 27577. 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 .1803 · Violation

Name of Operation: OPEN ARMS CHRISTIAN CHILD DEVELOPMENT CENTER Facility ID: 51000626 Consultant: LEIGH MCKENZIE-LEE Operation Type: Center Case Number: Visit Date: 7/19/2023 Number Present: 65 Completed Date: 7/19/2023 Age: From 0 To 5 Total Minutes: 200 Time In: 10:00 AM Time Out: 01:20 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 with the Corrective Action Plan included in the Written Warning issued by the Division of Child Development and Early Education on June 15, 2023. A copy of the action was observed posted in the lobby of the facility. I monitored the indoor environments for compliance with child care requirements. Staff/child ratios, supervision, capacity and use of space were monitored for compliance. The children were observed during naptime, free play, circle time and participating in chapel in their classroom. I monitored progress on completion of the stipulations in the Correction Action Plan as follows: Stipulation # 1 - The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2(b) regarding criminal background checks • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .1803(b) regarding discipline • Child Care Rule 10A NCAC 09 .2818 regarding enhanced group size Supervision, discipline and group size requirements were monitored and determined to be in compliance during the visit. Two violations pertaining to criminal background checks and three violations pertaining to medication were documented during the visit. Stipulation # 1 will be monitored during all visits conducted throughout the duration of the administrative action. Stipulation # 2 - You contacted Ms. Remington within the required timeframe and scheduled the rules review for 8-10-23. Please ensure that the required documentation is submitted to me by 8-13-23. Stipulation # 2 will continue to be monitored for compliance until met. Stipulation # 3 - Based on the date that the rules review is scheduled for, 8-10-23, this plan must be submitted by 8-24-23. Stipulation # 3 will continue to be monitored for compliance until met. Stipulation # 4 - You stated that you have not yet contacted the Partnership for Children to request that the required training be scheduled. This was should have been completed within two weeks of receipt of the action, or by 7-3-23. You contacted Ms. Englehart during the visit, but were not able to schedule the training prior to the conclusion of the visit. Once you have a date scheduled, please email me the information and ensure that the required documentation is submitted to me within three days of the training. Stipulation # 4 will continue to be monitored for compliance until met. Stipulation # 5 - The written policies and procedures for this stipulation were received on the 7-10-23 due date. As we discussed during the visit, bullet # 4 was not addressed. Please revise these policies and procedures to include this item and resubmit to me by 7-26-23. Stipulation # 5 will continue to be monitored for compliance until met. ** I received your revised policies and procedures during the visit. I will review this information following the visit and contact you if additional revisions are necessary. Stipulation # 6 - The written plan for this stipulation was due by 7-10-23. As of today, this plan has not been submitted. Please ensure that you submit this plan to me by 7-21-23. Stipulation # 6 will continue to be monitored for compliance until met. ** I received your plan during the visit. I will review this information following the visit and contact you if revisions are necessary. Stipulation # 7 - A staff meeting must be conducted within one week after you receive approval for the policies, procedures and plans outlined in stipulations 3, 5 and 6. Please ensure that you track this due date closely and submit the required documentation to me within three days of the meeting. Please note that failure to comply with the Corrective Action included in the Written Warning may lead to the issuance of a more stringent action. Please ensure that you track and meet all deadlines outlined above. Please contact me if you have questions pertaining to the Corrective Action Plan or the administrative action process. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An Epi-Pen was not in the box with the prescription label. .0803(2)(a) 847 Parent's medication authorization did not include required information. Permission to administer emergency medication was not available for one child. Permission for emergency medication for another child expired in February, 2023. 10A NCAC 09 .0803(4)(6-9) 1041 Prior to employment a Criminal Background Check was not completed. A Criminal Background Check was not completed prior to employment for one staff member with a hire date of 7-6-23. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not available for one staff member with a hire date of 7-6-23. G.S. 110-90.2(b) & (d) & .2703(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A medical action plan was not available for two children, one with a food allergy and one with asthma. .0801(b) 9999 A violation was found for which there is no item number. The kitchen door was not closed or locked. This is a violation of a requirement in 15A NCAC 18A .2808(f), which states: Children attending child care centers shall not be in the kitchen except when participating in a supervised activity. On 7-7-23, you contacted me by email and asked if a letter from the SBI indicating a clean background check could be accepted in lieu of a qualification letter. I replied and explained the following: All staff members must have a current qualification letter issued by the DCDEE Criminal Background Check Unit to work in the center. You cannot accept a background check through any other source. If it is taking longer than normal, have the staff members contact the CBC Unit by phone at (919) 814-6401 or email DHHS.CBC.Unit@dhhs.nc.gov. You replied by email stating "Thank you so much! I kind of knew the answer but wanted to make sure! Thank you for your time." During the visit, I observed a statement from the SBI in the file for Sadia Gray but no qualification letter issued by DCDEE. I reviewed our database and verified that an application was received for Ms. Gray on 6-14-23, but that as of today, no letter has been issued for her. I explained that Ms. Gray must leave the facility immediately and that she cannot return to work in the center until a current qualification letter is provided to you. You explained this to Ms. Gray and she left the facility immediately. You verified that Ms. Gray was the staff member you emailed me about. As I stated during the visit, I was very clear in my emailed response to you that a qualification letter issued by DCDEE must be on file. When I inquired about why she was permitted to work without a letter, you stated that at that time, the program was understaffed and you needed an additional staff member to maintain ratios. As we discussed, being understaffed does not allow for non-compliance with child care requirements. If you do not have sufficient staff members to provide coverage at all times for staff/child ratio requirements, you may have to consider suspending enrollment of new children, asking parents to drop off later or pick up earlier or disenroll children. Please contact me if you have questions pertaining to maintaining compliance while understaffed. During the visit, we discussed emergency medications, permission to administer medication, prescription medications and medical action plans. Please monitor all emergency medications in the facility and ensure that the medication is in it's original container, that the medication has not expired and that permission to administer the medication is on file and still current. In addition, please ensure that all children with emergency medications have a Medical Action Plan that has been completed within the last year. During the visit, I recommended that you implement a tracking system for dates pertaining to Medical Action Plans and emergency medications. We also discussed that children who require emergency medications should not be in care with out the medication. Please refer to section 10A NCAC 09 .0803 for additional information about administering medications and to 10A NCAC 09 .0801(b)(1-4) for additional information about Medical Action Plans. ****Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules.**** Please send me a written statement describing how and when the above violations were corrected. The written statement must be received no later than 8-2-23. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9301 or at leigh.mckenzie-lee@dhhs.nc.gov if I can be of assistance. Please use my local mailing address for submitting items directly to me: PO Box 1537, Smithfield, NC 27577. 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 .2818 · Violation

Name of Operation: OPEN ARMS CHRISTIAN CHILD DEVELOPMENT CENTER Facility ID: 51000626 Consultant: LEIGH MCKENZIE-LEE Operation Type: Center Case Number: Visit Date: 7/19/2023 Number Present: 65 Completed Date: 7/19/2023 Age: From 0 To 5 Total Minutes: 200 Time In: 10:00 AM Time Out: 01:20 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 with the Corrective Action Plan included in the Written Warning issued by the Division of Child Development and Early Education on June 15, 2023. A copy of the action was observed posted in the lobby of the facility. I monitored the indoor environments for compliance with child care requirements. Staff/child ratios, supervision, capacity and use of space were monitored for compliance. The children were observed during naptime, free play, circle time and participating in chapel in their classroom. I monitored progress on completion of the stipulations in the Correction Action Plan as follows: Stipulation # 1 - The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2(b) regarding criminal background checks • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .1803(b) regarding discipline • Child Care Rule 10A NCAC 09 .2818 regarding enhanced group size Supervision, discipline and group size requirements were monitored and determined to be in compliance during the visit. Two violations pertaining to criminal background checks and three violations pertaining to medication were documented during the visit. Stipulation # 1 will be monitored during all visits conducted throughout the duration of the administrative action. Stipulation # 2 - You contacted Ms. Remington within the required timeframe and scheduled the rules review for 8-10-23. Please ensure that the required documentation is submitted to me by 8-13-23. Stipulation # 2 will continue to be monitored for compliance until met. Stipulation # 3 - Based on the date that the rules review is scheduled for, 8-10-23, this plan must be submitted by 8-24-23. Stipulation # 3 will continue to be monitored for compliance until met. Stipulation # 4 - You stated that you have not yet contacted the Partnership for Children to request that the required training be scheduled. This was should have been completed within two weeks of receipt of the action, or by 7-3-23. You contacted Ms. Englehart during the visit, but were not able to schedule the training prior to the conclusion of the visit. Once you have a date scheduled, please email me the information and ensure that the required documentation is submitted to me within three days of the training. Stipulation # 4 will continue to be monitored for compliance until met. Stipulation # 5 - The written policies and procedures for this stipulation were received on the 7-10-23 due date. As we discussed during the visit, bullet # 4 was not addressed. Please revise these policies and procedures to include this item and resubmit to me by 7-26-23. Stipulation # 5 will continue to be monitored for compliance until met. ** I received your revised policies and procedures during the visit. I will review this information following the visit and contact you if additional revisions are necessary. Stipulation # 6 - The written plan for this stipulation was due by 7-10-23. As of today, this plan has not been submitted. Please ensure that you submit this plan to me by 7-21-23. Stipulation # 6 will continue to be monitored for compliance until met. ** I received your plan during the visit. I will review this information following the visit and contact you if revisions are necessary. Stipulation # 7 - A staff meeting must be conducted within one week after you receive approval for the policies, procedures and plans outlined in stipulations 3, 5 and 6. Please ensure that you track this due date closely and submit the required documentation to me within three days of the meeting. Please note that failure to comply with the Corrective Action included in the Written Warning may lead to the issuance of a more stringent action. Please ensure that you track and meet all deadlines outlined above. Please contact me if you have questions pertaining to the Corrective Action Plan or the administrative action process. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An Epi-Pen was not in the box with the prescription label. .0803(2)(a) 847 Parent's medication authorization did not include required information. Permission to administer emergency medication was not available for one child. Permission for emergency medication for another child expired in February, 2023. 10A NCAC 09 .0803(4)(6-9) 1041 Prior to employment a Criminal Background Check was not completed. A Criminal Background Check was not completed prior to employment for one staff member with a hire date of 7-6-23. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not available for one staff member with a hire date of 7-6-23. G.S. 110-90.2(b) & (d) & .2703(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A medical action plan was not available for two children, one with a food allergy and one with asthma. .0801(b) 9999 A violation was found for which there is no item number. The kitchen door was not closed or locked. This is a violation of a requirement in 15A NCAC 18A .2808(f), which states: Children attending child care centers shall not be in the kitchen except when participating in a supervised activity. On 7-7-23, you contacted me by email and asked if a letter from the SBI indicating a clean background check could be accepted in lieu of a qualification letter. I replied and explained the following: All staff members must have a current qualification letter issued by the DCDEE Criminal Background Check Unit to work in the center. You cannot accept a background check through any other source. If it is taking longer than normal, have the staff members contact the CBC Unit by phone at (919) 814-6401 or email DHHS.CBC.Unit@dhhs.nc.gov. You replied by email stating "Thank you so much! I kind of knew the answer but wanted to make sure! Thank you for your time." During the visit, I observed a statement from the SBI in the file for Sadia Gray but no qualification letter issued by DCDEE. I reviewed our database and verified that an application was received for Ms. Gray on 6-14-23, but that as of today, no letter has been issued for her. I explained that Ms. Gray must leave the facility immediately and that she cannot return to work in the center until a current qualification letter is provided to you. You explained this to Ms. Gray and she left the facility immediately. You verified that Ms. Gray was the staff member you emailed me about. As I stated during the visit, I was very clear in my emailed response to you that a qualification letter issued by DCDEE must be on file. When I inquired about why she was permitted to work without a letter, you stated that at that time, the program was understaffed and you needed an additional staff member to maintain ratios. As we discussed, being understaffed does not allow for non-compliance with child care requirements. If you do not have sufficient staff members to provide coverage at all times for staff/child ratio requirements, you may have to consider suspending enrollment of new children, asking parents to drop off later or pick up earlier or disenroll children. Please contact me if you have questions pertaining to maintaining compliance while understaffed. During the visit, we discussed emergency medications, permission to administer medication, prescription medications and medical action plans. Please monitor all emergency medications in the facility and ensure that the medication is in it's original container, that the medication has not expired and that permission to administer the medication is on file and still current. In addition, please ensure that all children with emergency medications have a Medical Action Plan that has been completed within the last year. During the visit, I recommended that you implement a tracking system for dates pertaining to Medical Action Plans and emergency medications. We also discussed that children who require emergency medications should not be in care with out the medication. Please refer to section 10A NCAC 09 .0803 for additional information about administering medications and to 10A NCAC 09 .0801(b)(1-4) for additional information about Medical Action Plans. ****Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules.**** Please send me a written statement describing how and when the above violations were corrected. The written statement must be received no later than 8-2-23. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9301 or at leigh.mckenzie-lee@dhhs.nc.gov if I can be of assistance. Please use my local mailing address for submitting items directly to me: PO Box 1537, Smithfield, NC 27577. 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: OPEN ARMS CHRISTIAN CHILD DEVELOPMENT CENTER Facility ID: 51000626 Consultant: LEIGH MCKENZIE-LEE Operation Type: Center Case Number: Visit Date: 7/19/2023 Number Present: 65 Completed Date: 7/19/2023 Age: From 0 To 5 Total Minutes: 200 Time In: 10:00 AM Time Out: 01:20 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 with the Corrective Action Plan included in the Written Warning issued by the Division of Child Development and Early Education on June 15, 2023. A copy of the action was observed posted in the lobby of the facility. I monitored the indoor environments for compliance with child care requirements. Staff/child ratios, supervision, capacity and use of space were monitored for compliance. The children were observed during naptime, free play, circle time and participating in chapel in their classroom. I monitored progress on completion of the stipulations in the Correction Action Plan as follows: Stipulation # 1 - The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-90.2(b) regarding criminal background checks • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision • Child Care Rule 10A NCAC 09 .1803(b) regarding discipline • Child Care Rule 10A NCAC 09 .2818 regarding enhanced group size Supervision, discipline and group size requirements were monitored and determined to be in compliance during the visit. Two violations pertaining to criminal background checks and three violations pertaining to medication were documented during the visit. Stipulation # 1 will be monitored during all visits conducted throughout the duration of the administrative action. Stipulation # 2 - You contacted Ms. Remington within the required timeframe and scheduled the rules review for 8-10-23. Please ensure that the required documentation is submitted to me by 8-13-23. Stipulation # 2 will continue to be monitored for compliance until met. Stipulation # 3 - Based on the date that the rules review is scheduled for, 8-10-23, this plan must be submitted by 8-24-23. Stipulation # 3 will continue to be monitored for compliance until met. Stipulation # 4 - You stated that you have not yet contacted the Partnership for Children to request that the required training be scheduled. This was should have been completed within two weeks of receipt of the action, or by 7-3-23. You contacted Ms. Englehart during the visit, but were not able to schedule the training prior to the conclusion of the visit. Once you have a date scheduled, please email me the information and ensure that the required documentation is submitted to me within three days of the training. Stipulation # 4 will continue to be monitored for compliance until met. Stipulation # 5 - The written policies and procedures for this stipulation were received on the 7-10-23 due date. As we discussed during the visit, bullet # 4 was not addressed. Please revise these policies and procedures to include this item and resubmit to me by 7-26-23. Stipulation # 5 will continue to be monitored for compliance until met. ** I received your revised policies and procedures during the visit. I will review this information following the visit and contact you if additional revisions are necessary. Stipulation # 6 - The written plan for this stipulation was due by 7-10-23. As of today, this plan has not been submitted. Please ensure that you submit this plan to me by 7-21-23. Stipulation # 6 will continue to be monitored for compliance until met. ** I received your plan during the visit. I will review this information following the visit and contact you if revisions are necessary. Stipulation # 7 - A staff meeting must be conducted within one week after you receive approval for the policies, procedures and plans outlined in stipulations 3, 5 and 6. Please ensure that you track this due date closely and submit the required documentation to me within three days of the meeting. Please note that failure to comply with the Corrective Action included in the Written Warning may lead to the issuance of a more stringent action. Please ensure that you track and meet all deadlines outlined above. Please contact me if you have questions pertaining to the Corrective Action Plan or the administrative action process. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An Epi-Pen was not in the box with the prescription label. .0803(2)(a) 847 Parent's medication authorization did not include required information. Permission to administer emergency medication was not available for one child. Permission for emergency medication for another child expired in February, 2023. 10A NCAC 09 .0803(4)(6-9) 1041 Prior to employment a Criminal Background Check was not completed. A Criminal Background Check was not completed prior to employment for one staff member with a hire date of 7-6-23. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not available for one staff member with a hire date of 7-6-23. G.S. 110-90.2(b) & (d) & .2703(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A medical action plan was not available for two children, one with a food allergy and one with asthma. .0801(b) 9999 A violation was found for which there is no item number. The kitchen door was not closed or locked. This is a violation of a requirement in 15A NCAC 18A .2808(f), which states: Children attending child care centers shall not be in the kitchen except when participating in a supervised activity. On 7-7-23, you contacted me by email and asked if a letter from the SBI indicating a clean background check could be accepted in lieu of a qualification letter. I replied and explained the following: All staff members must have a current qualification letter issued by the DCDEE Criminal Background Check Unit to work in the center. You cannot accept a background check through any other source. If it is taking longer than normal, have the staff members contact the CBC Unit by phone at (919) 814-6401 or email DHHS.CBC.Unit@dhhs.nc.gov. You replied by email stating "Thank you so much! I kind of knew the answer but wanted to make sure! Thank you for your time." During the visit, I observed a statement from the SBI in the file for Sadia Gray but no qualification letter issued by DCDEE. I reviewed our database and verified that an application was received for Ms. Gray on 6-14-23, but that as of today, no letter has been issued for her. I explained that Ms. Gray must leave the facility immediately and that she cannot return to work in the center until a current qualification letter is provided to you. You explained this to Ms. Gray and she left the facility immediately. You verified that Ms. Gray was the staff member you emailed me about. As I stated during the visit, I was very clear in my emailed response to you that a qualification letter issued by DCDEE must be on file. When I inquired about why she was permitted to work without a letter, you stated that at that time, the program was understaffed and you needed an additional staff member to maintain ratios. As we discussed, being understaffed does not allow for non-compliance with child care requirements. If you do not have sufficient staff members to provide coverage at all times for staff/child ratio requirements, you may have to consider suspending enrollment of new children, asking parents to drop off later or pick up earlier or disenroll children. Please contact me if you have questions pertaining to maintaining compliance while understaffed. During the visit, we discussed emergency medications, permission to administer medication, prescription medications and medical action plans. Please monitor all emergency medications in the facility and ensure that the medication is in it's original container, that the medication has not expired and that permission to administer the medication is on file and still current. In addition, please ensure that all children with emergency medications have a Medical Action Plan that has been completed within the last year. During the visit, I recommended that you implement a tracking system for dates pertaining to Medical Action Plans and emergency medications. We also discussed that children who require emergency medications should not be in care with out the medication. Please refer to section 10A NCAC 09 .0803 for additional information about administering medications and to 10A NCAC 09 .0801(b)(1-4) for additional information about Medical Action Plans. ****Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules.**** Please send me a written statement describing how and when the above violations were corrected. The written statement must be received no later than 8-2-23. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9301 or at leigh.mckenzie-lee@dhhs.nc.gov if I can be of assistance. Please use my local mailing address for submitting items directly to me: PO Box 1537, Smithfield, NC 27577. 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