10A NCAC 09 .0102 · Violation

Name of Operation: CLEMMONS MORAVIAN CHILD CARE Facility ID: 3455147 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 4/1/2025 Number Present: 98 Completed Date: 4/1/2025 Age: From 0 To 5 Total Minutes: 380 Time In: 09:00 AM Time Out: 03:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, Childcare Consultant, with Aleyna Ray, Administrator. Your program currently operates with a Five Star license. Restrictions include daytime care, and meets enhanced ratios. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on March 31, 2025, and Clemmons Moravian Child Care Center was listed as current and active. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive staff interactions with children during the visit. I observed children in free play, art activities, and routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. They are currently installing new cabinets and countertops in classrooms one at a time. The fellowship hall was approved for temporary classroom use. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses The Creative Curriculum. The last annual compliance visit was conducted on 4/18/2024. A sanitation inspection was completed 1/8/2025 with an approved classification. The last fire inspection was conducted on 9/23/2024. Program records and required postings were monitored. A fire drill was conducted on 3/12/2025. A shelter-in-place drill was documented on 3/5/2025. An outdoor inspection was documented on 3/3/2025. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. They are currently not participating in aquatic policy activities but do have an aquatic policy. The following violations were cited during today’s visit: Violation Number Comment Rule 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In Space 1, there were six(6) mats not in good repair. 15A NCAC 18A .2821(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Power tools were in Space 2 due to renovations but were not locked. .0604(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Thirteen(13) paper rolls with plastic covering were accessible. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The sleep position was not checked for one enrolled infant for two nap times in March 2025. .0606(g) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member had an expired qualification letter 8/5/2024. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member did not have a current qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 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. In Space 4, there was one staff's member can of Pepsi visible to children in the classroom. .0901(i) 9995 15A NCAC 18A .2832 (b) Sand toys, water tables, and other unfiltered items that can collect standing water in the outdoor learning environment shall be emptied and stored to prevent the collection of standing water. The cover on the sandbox in the preschool playground had three large of puddles standing water not emptied prior to use. Child Care Programs are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before April 15, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: jennifer.davis@dhhs.nc.gov If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: •You must notify your consultant 30 days prior to changing the ownership status of your facility. • Hazardous items including power tools should be locked and inaccessible to children. • While visually checking sleeping infants, the sleep position should be documented at each check. • Plastic bags that need to be made inaccessible to children under three years of age. • Staff medical reports and TB tests should be completed prior to working. • CBC qualification letters expire after five hours. Current letters should be printed an on file. The staff member that had an expired letter applied for a new one during the visit today. • Playgrounds should be checked prior to use and any standing water on equipment should be removed. Additional Information: -We went over connecting staff on the facility roster on the ABCMS unit and NCID assistance. -The administrator stated that they had the mock ITERS-3 and ECERS-3 observation conducted. - Public Comment Period Closes April 4, 2025 The Child Care Commission intends to adopt the rules cited as 10A NCAC 09 .3201-.3226 and amend the rules cited as 10A NCAC 09 .0102, .2902, .2905, .3002, .3009, and .3010. Read the proposed rules: 10A NCAC 09 .0102, .2902, .2905, .3002, .3009, .3010, .3201-.3226 Proposed Amendments and Adoptions Read the Office of State Budget Management Approved Fiscal Impact Analysis PUBLIC COMMENT PERIOD ENDS: APRIL 4, 2025 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant (336 ) 317-5041 Jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .3201 · Violation

Name of Operation: CLEMMONS MORAVIAN CHILD CARE Facility ID: 3455147 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 4/1/2025 Number Present: 98 Completed Date: 4/1/2025 Age: From 0 To 5 Total Minutes: 380 Time In: 09:00 AM Time Out: 03:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, Childcare Consultant, with Aleyna Ray, Administrator. Your program currently operates with a Five Star license. Restrictions include daytime care, and meets enhanced ratios. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on March 31, 2025, and Clemmons Moravian Child Care Center was listed as current and active. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive staff interactions with children during the visit. I observed children in free play, art activities, and routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. They are currently installing new cabinets and countertops in classrooms one at a time. The fellowship hall was approved for temporary classroom use. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses The Creative Curriculum. The last annual compliance visit was conducted on 4/18/2024. A sanitation inspection was completed 1/8/2025 with an approved classification. The last fire inspection was conducted on 9/23/2024. Program records and required postings were monitored. A fire drill was conducted on 3/12/2025. A shelter-in-place drill was documented on 3/5/2025. An outdoor inspection was documented on 3/3/2025. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. They are currently not participating in aquatic policy activities but do have an aquatic policy. The following violations were cited during today’s visit: Violation Number Comment Rule 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In Space 1, there were six(6) mats not in good repair. 15A NCAC 18A .2821(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Power tools were in Space 2 due to renovations but were not locked. .0604(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Thirteen(13) paper rolls with plastic covering were accessible. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The sleep position was not checked for one enrolled infant for two nap times in March 2025. .0606(g) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member had an expired qualification letter 8/5/2024. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member did not have a current qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 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. In Space 4, there was one staff's member can of Pepsi visible to children in the classroom. .0901(i) 9995 15A NCAC 18A .2832 (b) Sand toys, water tables, and other unfiltered items that can collect standing water in the outdoor learning environment shall be emptied and stored to prevent the collection of standing water. The cover on the sandbox in the preschool playground had three large of puddles standing water not emptied prior to use. Child Care Programs are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before April 15, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: jennifer.davis@dhhs.nc.gov If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: •You must notify your consultant 30 days prior to changing the ownership status of your facility. • Hazardous items including power tools should be locked and inaccessible to children. • While visually checking sleeping infants, the sleep position should be documented at each check. • Plastic bags that need to be made inaccessible to children under three years of age. • Staff medical reports and TB tests should be completed prior to working. • CBC qualification letters expire after five hours. Current letters should be printed an on file. The staff member that had an expired letter applied for a new one during the visit today. • Playgrounds should be checked prior to use and any standing water on equipment should be removed. Additional Information: -We went over connecting staff on the facility roster on the ABCMS unit and NCID assistance. -The administrator stated that they had the mock ITERS-3 and ECERS-3 observation conducted. - Public Comment Period Closes April 4, 2025 The Child Care Commission intends to adopt the rules cited as 10A NCAC 09 .3201-.3226 and amend the rules cited as 10A NCAC 09 .0102, .2902, .2905, .3002, .3009, and .3010. Read the proposed rules: 10A NCAC 09 .0102, .2902, .2905, .3002, .3009, .3010, .3201-.3226 Proposed Amendments and Adoptions Read the Office of State Budget Management Approved Fiscal Impact Analysis PUBLIC COMMENT PERIOD ENDS: APRIL 4, 2025 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant (336 ) 317-5041 Jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CLEMMONS MORAVIAN CHILD CARE Facility ID: 3455147 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 4/1/2025 Number Present: 98 Completed Date: 4/1/2025 Age: From 0 To 5 Total Minutes: 380 Time In: 09:00 AM Time Out: 03:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, Childcare Consultant, with Aleyna Ray, Administrator. Your program currently operates with a Five Star license. Restrictions include daytime care, and meets enhanced ratios. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on March 31, 2025, and Clemmons Moravian Child Care Center was listed as current and active. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive staff interactions with children during the visit. I observed children in free play, art activities, and routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. They are currently installing new cabinets and countertops in classrooms one at a time. The fellowship hall was approved for temporary classroom use. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses The Creative Curriculum. The last annual compliance visit was conducted on 4/18/2024. A sanitation inspection was completed 1/8/2025 with an approved classification. The last fire inspection was conducted on 9/23/2024. Program records and required postings were monitored. A fire drill was conducted on 3/12/2025. A shelter-in-place drill was documented on 3/5/2025. An outdoor inspection was documented on 3/3/2025. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. They are currently not participating in aquatic policy activities but do have an aquatic policy. The following violations were cited during today’s visit: Violation Number Comment Rule 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In Space 1, there were six(6) mats not in good repair. 15A NCAC 18A .2821(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Power tools were in Space 2 due to renovations but were not locked. .0604(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Thirteen(13) paper rolls with plastic covering were accessible. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The sleep position was not checked for one enrolled infant for two nap times in March 2025. .0606(g) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member had an expired qualification letter 8/5/2024. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member did not have a current qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 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. In Space 4, there was one staff's member can of Pepsi visible to children in the classroom. .0901(i) 9995 15A NCAC 18A .2832 (b) Sand toys, water tables, and other unfiltered items that can collect standing water in the outdoor learning environment shall be emptied and stored to prevent the collection of standing water. The cover on the sandbox in the preschool playground had three large of puddles standing water not emptied prior to use. Child Care Programs are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before April 15, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: jennifer.davis@dhhs.nc.gov If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: •You must notify your consultant 30 days prior to changing the ownership status of your facility. • Hazardous items including power tools should be locked and inaccessible to children. • While visually checking sleeping infants, the sleep position should be documented at each check. • Plastic bags that need to be made inaccessible to children under three years of age. • Staff medical reports and TB tests should be completed prior to working. • CBC qualification letters expire after five hours. Current letters should be printed an on file. The staff member that had an expired letter applied for a new one during the visit today. • Playgrounds should be checked prior to use and any standing water on equipment should be removed. Additional Information: -We went over connecting staff on the facility roster on the ABCMS unit and NCID assistance. -The administrator stated that they had the mock ITERS-3 and ECERS-3 observation conducted. - Public Comment Period Closes April 4, 2025 The Child Care Commission intends to adopt the rules cited as 10A NCAC 09 .3201-.3226 and amend the rules cited as 10A NCAC 09 .0102, .2902, .2905, .3002, .3009, and .3010. Read the proposed rules: 10A NCAC 09 .0102, .2902, .2905, .3002, .3009, .3010, .3201-.3226 Proposed Amendments and Adoptions Read the Office of State Budget Management Approved Fiscal Impact Analysis PUBLIC COMMENT PERIOD ENDS: APRIL 4, 2025 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant (336 ) 317-5041 Jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CLEMMONS MORAVIAN CHILD CARE Facility ID: 3455147 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 4/1/2025 Number Present: 98 Completed Date: 4/1/2025 Age: From 0 To 5 Total Minutes: 380 Time In: 09:00 AM Time Out: 03:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, Childcare Consultant, with Aleyna Ray, Administrator. Your program currently operates with a Five Star license. Restrictions include daytime care, and meets enhanced ratios. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on March 31, 2025, and Clemmons Moravian Child Care Center was listed as current and active. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive staff interactions with children during the visit. I observed children in free play, art activities, and routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. They are currently installing new cabinets and countertops in classrooms one at a time. The fellowship hall was approved for temporary classroom use. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses The Creative Curriculum. The last annual compliance visit was conducted on 4/18/2024. A sanitation inspection was completed 1/8/2025 with an approved classification. The last fire inspection was conducted on 9/23/2024. Program records and required postings were monitored. A fire drill was conducted on 3/12/2025. A shelter-in-place drill was documented on 3/5/2025. An outdoor inspection was documented on 3/3/2025. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. They are currently not participating in aquatic policy activities but do have an aquatic policy. The following violations were cited during today’s visit: Violation Number Comment Rule 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In Space 1, there were six(6) mats not in good repair. 15A NCAC 18A .2821(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Power tools were in Space 2 due to renovations but were not locked. .0604(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Thirteen(13) paper rolls with plastic covering were accessible. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The sleep position was not checked for one enrolled infant for two nap times in March 2025. .0606(g) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member had an expired qualification letter 8/5/2024. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member did not have a current qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 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. In Space 4, there was one staff's member can of Pepsi visible to children in the classroom. .0901(i) 9995 15A NCAC 18A .2832 (b) Sand toys, water tables, and other unfiltered items that can collect standing water in the outdoor learning environment shall be emptied and stored to prevent the collection of standing water. The cover on the sandbox in the preschool playground had three large of puddles standing water not emptied prior to use. Child Care Programs are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before April 15, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: jennifer.davis@dhhs.nc.gov If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: •You must notify your consultant 30 days prior to changing the ownership status of your facility. • Hazardous items including power tools should be locked and inaccessible to children. • While visually checking sleeping infants, the sleep position should be documented at each check. • Plastic bags that need to be made inaccessible to children under three years of age. • Staff medical reports and TB tests should be completed prior to working. • CBC qualification letters expire after five hours. Current letters should be printed an on file. The staff member that had an expired letter applied for a new one during the visit today. • Playgrounds should be checked prior to use and any standing water on equipment should be removed. Additional Information: -We went over connecting staff on the facility roster on the ABCMS unit and NCID assistance. -The administrator stated that they had the mock ITERS-3 and ECERS-3 observation conducted. - Public Comment Period Closes April 4, 2025 The Child Care Commission intends to adopt the rules cited as 10A NCAC 09 .3201-.3226 and amend the rules cited as 10A NCAC 09 .0102, .2902, .2905, .3002, .3009, and .3010. Read the proposed rules: 10A NCAC 09 .0102, .2902, .2905, .3002, .3009, .3010, .3201-.3226 Proposed Amendments and Adoptions Read the Office of State Budget Management Approved Fiscal Impact Analysis PUBLIC COMMENT PERIOD ENDS: APRIL 4, 2025 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant (336 ) 317-5041 Jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CLEMMONS MORAVIAN CHILD CARE Facility ID: 3455147 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 95 Completed Date: 11/19/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:05 AM Time Out: 12:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Jennifer Davis, childcare consultant, with Aleyna Ray, administrator. Your program currently operates with a Five-Star license effective 5/27/2022. Restrictions include daytime care only and meets enhanced ratios. The NC Secretary of State website was reviewed on 11/19/2024 and Clemmons Moravian Child Care Center was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaged in free play and routine care. Four new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items was monitored today. A playground inspection was recorded 11/1/2024. A fire drill was recorded 11/14/2024. A shelter in place drill for the facility was recorded 11/4/2024. The most recent fire inspection was on September 23, 2024. I observed a sanitation inspection was last conducted on 12/22/2023 earning a Superior classification. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In Space 1 and Space 2, the walls had chipping paint. 15A NCAC 18A .2825(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the bathroom for twos there were three plastic bags accessible. In Space 3, there were wipes in a bagged container accessible to children under three. .0604(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member had an expired qualification letter since April 2024. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for one staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One emergency medication had an expired permission. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 3, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to jennifer.davis@dhhs.nc.gov. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: - Prescription medication permission forms are good for six months. - Plastic bags including wipes in bags should not be accessible to children under three years of age. - Criminal background qualification letters are good for five years. Additional Information/Consultation: - You must notify your consultant 30 days prior to changing the ownership status of your facility. -The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant (336) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: CLEMMONS MORAVIAN CHILD CARE Facility ID: 3455147 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 95 Completed Date: 11/19/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:05 AM Time Out: 12:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Jennifer Davis, childcare consultant, with Aleyna Ray, administrator. Your program currently operates with a Five-Star license effective 5/27/2022. Restrictions include daytime care only and meets enhanced ratios. The NC Secretary of State website was reviewed on 11/19/2024 and Clemmons Moravian Child Care Center was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaged in free play and routine care. Four new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items was monitored today. A playground inspection was recorded 11/1/2024. A fire drill was recorded 11/14/2024. A shelter in place drill for the facility was recorded 11/4/2024. The most recent fire inspection was on September 23, 2024. I observed a sanitation inspection was last conducted on 12/22/2023 earning a Superior classification. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In Space 1 and Space 2, the walls had chipping paint. 15A NCAC 18A .2825(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the bathroom for twos there were three plastic bags accessible. In Space 3, there were wipes in a bagged container accessible to children under three. .0604(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member had an expired qualification letter since April 2024. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for one staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One emergency medication had an expired permission. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 3, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to jennifer.davis@dhhs.nc.gov. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: - Prescription medication permission forms are good for six months. - Plastic bags including wipes in bags should not be accessible to children under three years of age. - Criminal background qualification letters are good for five years. Additional Information/Consultation: - You must notify your consultant 30 days prior to changing the ownership status of your facility. -The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant (336) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: CLEMMONS MORAVIAN CHILD CARE Facility ID: 3455147 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 105 Completed Date: 4/18/2024 Age: From 0 To 5 Total Minutes: 305 Time In: 09:00 AM Time Out: 02:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, Childcare Consultant, with Aleyna Ray, Administrator. Your program currently operates with a Five Star license. Restrictions include daytime care, and meets enhanced ratios. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on April 17, 2024, and Clemmons Moravian Child Care Center was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children in free play, art activities, and routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses The Creative Curriculum. The last annual compliance visit was conducted on 5/4/2023. A sanitation inspection was completed 12/27/2023 with a Superior classification. The last fire inspection was conducted on 8/3/2023 Program records and required postings were monitored. A fire drill was conducted on 4/5/2024. A shelter-in-place drill was documented on 2/27/2024. An outdoor inspection was documented on 4/2/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. They are currently not participating in aquatic policy activities but do have an aquatic policy. The following violations were cited during today’s visit: Violation Number Comment Rule 603 All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean and in good repair. One rug in the infant room had torn binding and needs to be repaired or replaced. 15A NCAC 18A .2824(a)&(b) 807 A safe indoor and outdoor environment was not provided for the children. On playground B, there was one large rock that was a tripping hazard that was removed during the visit. On Playground B, there was one musical flower that had an exposed footing that needs to be covered. On Playground C, there were three(3) musical flowers that had exposed footings that need to be covered. On Playground C, there were three(3) bolts around the sandbox that need to be hammered down. In Space 5, there was one ice pack and towelettes with warning labels in a first aid kit in an unlocked drawer. These were removed and made inaccessible during the visit. In Space 1, there were ten(10) plastic bags in drawers that were accessible. These were removed and made inaccessible during the visit. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space 1b, diaper ointments and creams with warning labels were stored under the diapering table with a plastic child lock instead of the required locks. 15A NCAC 18A .2820(d) 853 Incident logs were not completed and maintained as required. All incidents were not maintained on log as required. .0802(g)(1-6) 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. Two new staff had medical reports on file but they did not have the required information. 10A NCAC 09 .0701(a) Child Care Programs are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before May 2, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: jennifer.davis@dhhs.nc.gov If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: •You must notify your consultant 30 days prior to changing the ownership status of your facility. • Hazardous items with two warning labels need to be in locked storage with combination, key or magnetic locks. If items have one warning label, they need to be at least 5 feet up/inaccessible. • Exposed footings need to be covered on playground equipment. Landscape bolts that become loosened and are protruding need to be hammered down. Any equipment, rugs or flooring that are not in good repair need to removed and repaired/replaced. • Plastic bags that need to be made inaccessible to children under three years of age. • Staff medical reports need to be on the DCDEE form so that all required information is included. Ms. Ray stated she had completed the enrollment for the lead/asbestos testing. She stated she was waiting on the results. She has completed the webinar and water samples. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant (336 ) 317-5041 Jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: CLEMMONS MORAVIAN CHILD CARE Facility ID: 3455147 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 105 Completed Date: 4/18/2024 Age: From 0 To 5 Total Minutes: 305 Time In: 09:00 AM Time Out: 02:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, Childcare Consultant, with Aleyna Ray, Administrator. Your program currently operates with a Five Star license. Restrictions include daytime care, and meets enhanced ratios. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on April 17, 2024, and Clemmons Moravian Child Care Center was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children in free play, art activities, and routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses The Creative Curriculum. The last annual compliance visit was conducted on 5/4/2023. A sanitation inspection was completed 12/27/2023 with a Superior classification. The last fire inspection was conducted on 8/3/2023 Program records and required postings were monitored. A fire drill was conducted on 4/5/2024. A shelter-in-place drill was documented on 2/27/2024. An outdoor inspection was documented on 4/2/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. They are currently not participating in aquatic policy activities but do have an aquatic policy. The following violations were cited during today’s visit: Violation Number Comment Rule 603 All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean and in good repair. One rug in the infant room had torn binding and needs to be repaired or replaced. 15A NCAC 18A .2824(a)&(b) 807 A safe indoor and outdoor environment was not provided for the children. On playground B, there was one large rock that was a tripping hazard that was removed during the visit. On Playground B, there was one musical flower that had an exposed footing that needs to be covered. On Playground C, there were three(3) musical flowers that had exposed footings that need to be covered. On Playground C, there were three(3) bolts around the sandbox that need to be hammered down. In Space 5, there was one ice pack and towelettes with warning labels in a first aid kit in an unlocked drawer. These were removed and made inaccessible during the visit. In Space 1, there were ten(10) plastic bags in drawers that were accessible. These were removed and made inaccessible during the visit. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space 1b, diaper ointments and creams with warning labels were stored under the diapering table with a plastic child lock instead of the required locks. 15A NCAC 18A .2820(d) 853 Incident logs were not completed and maintained as required. All incidents were not maintained on log as required. .0802(g)(1-6) 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. Two new staff had medical reports on file but they did not have the required information. 10A NCAC 09 .0701(a) Child Care Programs are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before May 2, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: jennifer.davis@dhhs.nc.gov If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: •You must notify your consultant 30 days prior to changing the ownership status of your facility. • Hazardous items with two warning labels need to be in locked storage with combination, key or magnetic locks. If items have one warning label, they need to be at least 5 feet up/inaccessible. • Exposed footings need to be covered on playground equipment. Landscape bolts that become loosened and are protruding need to be hammered down. Any equipment, rugs or flooring that are not in good repair need to removed and repaired/replaced. • Plastic bags that need to be made inaccessible to children under three years of age. • Staff medical reports need to be on the DCDEE form so that all required information is included. Ms. Ray stated she had completed the enrollment for the lead/asbestos testing. She stated she was waiting on the results. She has completed the webinar and water samples. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant (336 ) 317-5041 Jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CLEMMONS MORAVIAN CHILD CARE Facility ID: 3455147 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 105 Completed Date: 4/18/2024 Age: From 0 To 5 Total Minutes: 305 Time In: 09:00 AM Time Out: 02:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, Childcare Consultant, with Aleyna Ray, Administrator. Your program currently operates with a Five Star license. Restrictions include daytime care, and meets enhanced ratios. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on April 17, 2024, and Clemmons Moravian Child Care Center was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children in free play, art activities, and routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses The Creative Curriculum. The last annual compliance visit was conducted on 5/4/2023. A sanitation inspection was completed 12/27/2023 with a Superior classification. The last fire inspection was conducted on 8/3/2023 Program records and required postings were monitored. A fire drill was conducted on 4/5/2024. A shelter-in-place drill was documented on 2/27/2024. An outdoor inspection was documented on 4/2/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. They are currently not participating in aquatic policy activities but do have an aquatic policy. The following violations were cited during today’s visit: Violation Number Comment Rule 603 All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean and in good repair. One rug in the infant room had torn binding and needs to be repaired or replaced. 15A NCAC 18A .2824(a)&(b) 807 A safe indoor and outdoor environment was not provided for the children. On playground B, there was one large rock that was a tripping hazard that was removed during the visit. On Playground B, there was one musical flower that had an exposed footing that needs to be covered. On Playground C, there were three(3) musical flowers that had exposed footings that need to be covered. On Playground C, there were three(3) bolts around the sandbox that need to be hammered down. In Space 5, there was one ice pack and towelettes with warning labels in a first aid kit in an unlocked drawer. These were removed and made inaccessible during the visit. In Space 1, there were ten(10) plastic bags in drawers that were accessible. These were removed and made inaccessible during the visit. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space 1b, diaper ointments and creams with warning labels were stored under the diapering table with a plastic child lock instead of the required locks. 15A NCAC 18A .2820(d) 853 Incident logs were not completed and maintained as required. All incidents were not maintained on log as required. .0802(g)(1-6) 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. Two new staff had medical reports on file but they did not have the required information. 10A NCAC 09 .0701(a) Child Care Programs are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before May 2, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: jennifer.davis@dhhs.nc.gov If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: •You must notify your consultant 30 days prior to changing the ownership status of your facility. • Hazardous items with two warning labels need to be in locked storage with combination, key or magnetic locks. If items have one warning label, they need to be at least 5 feet up/inaccessible. • Exposed footings need to be covered on playground equipment. Landscape bolts that become loosened and are protruding need to be hammered down. Any equipment, rugs or flooring that are not in good repair need to removed and repaired/replaced. • Plastic bags that need to be made inaccessible to children under three years of age. • Staff medical reports need to be on the DCDEE form so that all required information is included. Ms. Ray stated she had completed the enrollment for the lead/asbestos testing. She stated she was waiting on the results. She has completed the webinar and water samples. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant (336 ) 317-5041 Jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CLEMMONS MORAVIAN CHILD CARE Facility ID: 3455147 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 12/19/2023 Number Present: 85 Completed Date: 12/19/2023 Age: From 0 To 5 Total Minutes: 215 Time In: 09:20 AM Time Out: 12:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Jennifer Davis, childcare consultant, with Aleyna Ray, administrator. Your program currently operates with a Five-Star license effective 5/27/2022. Restrictions include daytime care only and meets enhanced ratios. The NC Secretary of State website was reviewed on 12/18/2023 and Clemmons Moravian Child Care Center was listed as current and active. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaged in free play, routine care, and in art activities. Seven new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. I observed five(5) emergency medications. Two did not have current permission and three did not have the received date/signatures. Storage hazardous items was monitored today. A playground inspection was recorded 12/5/2023. A fire drill was recorded 11/14/2023. A shelter in place drill for the facility was recorded 11/28/2023. The most recent fire inspection was on August 3, 2023. I observed a sanitation inspection was last conducted on 12/22/2023 earning a Superior classification. The program does not provide transportation. The following violation was cited during today’s visit: Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two emergency medications did not have current permission forms and three emergency medications did not have the received date/signatures. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before January 1, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to jennifer.davis@dhhs.nc.gov. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Prescription medication forms are good for six months. Ms. Ray stated that the medications and forms need to come through the office first when parents bring it into the center. The parent and staff need to sign that the medication has been received. Additional Information/Consultation: - You must notify your consultant 30 days prior to changing the ownership status of your facility. -Your facility is in Cohort 3 for the rated license. - Environmental Health contact number is 336-703-3225. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant (336) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.