10A NCAC 09 .0304 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 8 Completed Date: 8/19/2025 Age: From 3 To 4 Total Minutes: 188 Time In: 09:22 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mikesha Ledlow, Administrator, during the visit. A signed copy of the visit summary electronically emailed to you Ms. Ledlow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, New Covenant Church of Waynesville, Incorporated is current/active as of 8/18/25. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. Subsidies are not received currently. The last annual compliance visit was conducted on 8/14/24. The original opening date was set on August 4, 2025. However, due to two (2) staff member unexpectedly resigning, the board made the decision to push back the opening date to August 18, 2025 so that new staff members could be hired. The last fire drill was practiced on 5/2/25. The program was closed for June and July. The program was reopened on August 18, 2025. The last shelter-in-place drill was practiced on 4/11/25. The last playground inspection was documented on 4/11/25. The last fire inspection was approved on 9/16/23. Fire safety training was completed in July 2024. The last sanitation inspection was conducted on 5/5/25 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/5/25 without hazards. Surveys for lead paint and asbestos testing were completed on 5/15/25 and the program is exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, all four (4) years of age, were present with one (1) staff member and one (1) volunteer. They sat at the table and colored. Shortly after the activity, four (4) additional children, all three (3) years of age, and one (1) staff member joined the group. The three-year-old children used space #2 for other activities. The group of eight (8) children transitioned to free play. The children played with doll houses, pretend animals, magnetic tiles and matchbox cars. No medications or creams were maintained currently. No hazardous products were accessible to the children. Space #2, 3, 4 were monitored. These spaces were not in use during the visit. The playground was monitored. Tire mulches were used for loose surfacing. The depth of the mulch is six (6) inches. No safety hazards were observed. The children brought their own lunch from home. Rest time was briefly monitored. Cots were adequately spaced. All children were awake at the time of observation. One (1) new staff file, two (2) existing staff files and two (2) children’s files were monitored. The ABCMS system was reviewed during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was approved on 9/6/23. 10A NCAC 09 .0304(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspection for May 2025, was not completed. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two (2) staff members last reviewed the program's EMC on 8/11/23, one (1) volunteer reviewed it on 8/14/23 and one (1) staff member on 3/1/24. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three(3) existing staff members' and one(1) volunteer's health questionnaires were expired. ML - expired on 7/19/25, JG - expired on 7/19/25, KC-expired on 10/11/24, MG- expired on 8/7/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) existing staff members' and one (1) volunteer's emergency information was expired: ML- expired on 7/19/25, JG- expired on 7/19/25, KC - expired on 10/11/24, MG-expired on 8/7/25. .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR was last reviewed/updated on 4/9/24. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The trained staff last reviewed the program's EPR plan on 8/11/25 with existing staff members and on 8/14/23 with a volunteer. .0607(f) Technical assistance was provided as follows: 106: Fire inspection Operator must schedule and obtain a fire inspection annually. Please contact the Fire Marshall and schedule fire safety training and request an inspection. Refer to .0304(a). To comply, passing fire inspection must be obtained and submitted to me. In your compliance letter, please state the date of completion and submit the copy of the inspection via email. 862: Emergency Medical Care plan The EMC plan must be reviewed with all staff annually and whenever the plan was revised. Refer to .0802(a). To comply, all staff members must review the EMC plan. In your compliance letter, please state the date when review of the plan was completed. 859: Playground inspection Playground inspection must be completed monthly. Refer to .0605(q). This item was corrected during the visit. 1034: Health Questionnaire Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It is required for all staff, including the director. Health Questionnaire is required annually following the initial medical statement. Refer to 10A NCAC 09 .0701 (a). 1035: Emergency Information Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Refer to 10A NCAC 09 .0701 (a). To comply with item 1034 and 1035, please review the most recent health questionnaire and emergency information form, sign and date the form. This is required annually. In your compliance letter, please state the date all staff members complete the action stated above. 1824: Emergency Preparedness and Response (EPR) plan The trained staff shall review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. To comply with item, you must log onto the North Carolina Risk Management Portal and review the information and update it as needed at https://rmp.nc.gov/portal/ Please print the plan. You can print the first page with the current date, if no information in the plan is updated. In the compliance letter, please state the date you complete the action stated above. 1825: EPR plan All staff shall review the center's EPR Plan during orientation and on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. To comply, Ms. Ledlow must review the plan with staff members annually. Documentation of reviews, such as attendance roster, signatures of staff members, etc. is required. In the compliance letter, please state the date when you complete the action above. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 9/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 2nd Annual compliance visit: Due to uncertainty of schedule for summer, 2nd annual compliance visit will be conducted toward the end of school year. QIRS review: Technical assistance visit will be conducted in October 2025, to discuss the progress of preparation for the Rated License Assessment. ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. No employees are listed on the roster. Please list all existing new staff members following the guidelines shared during today’s visit. Please log onto the ABCMS account using your business NCID and update the roster. Fire Drill/Shelter-in-place drill Please conduct a fire drill and shelter-in-place/lockdown drill as soon as possible. Immunization: Parents and guardians can opt out immunizations anytime they would like for religious reasons. The written document must be maintained in the child's file. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0607 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 8 Completed Date: 8/19/2025 Age: From 3 To 4 Total Minutes: 188 Time In: 09:22 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mikesha Ledlow, Administrator, during the visit. A signed copy of the visit summary electronically emailed to you Ms. Ledlow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, New Covenant Church of Waynesville, Incorporated is current/active as of 8/18/25. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. Subsidies are not received currently. The last annual compliance visit was conducted on 8/14/24. The original opening date was set on August 4, 2025. However, due to two (2) staff member unexpectedly resigning, the board made the decision to push back the opening date to August 18, 2025 so that new staff members could be hired. The last fire drill was practiced on 5/2/25. The program was closed for June and July. The program was reopened on August 18, 2025. The last shelter-in-place drill was practiced on 4/11/25. The last playground inspection was documented on 4/11/25. The last fire inspection was approved on 9/16/23. Fire safety training was completed in July 2024. The last sanitation inspection was conducted on 5/5/25 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/5/25 without hazards. Surveys for lead paint and asbestos testing were completed on 5/15/25 and the program is exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, all four (4) years of age, were present with one (1) staff member and one (1) volunteer. They sat at the table and colored. Shortly after the activity, four (4) additional children, all three (3) years of age, and one (1) staff member joined the group. The three-year-old children used space #2 for other activities. The group of eight (8) children transitioned to free play. The children played with doll houses, pretend animals, magnetic tiles and matchbox cars. No medications or creams were maintained currently. No hazardous products were accessible to the children. Space #2, 3, 4 were monitored. These spaces were not in use during the visit. The playground was monitored. Tire mulches were used for loose surfacing. The depth of the mulch is six (6) inches. No safety hazards were observed. The children brought their own lunch from home. Rest time was briefly monitored. Cots were adequately spaced. All children were awake at the time of observation. One (1) new staff file, two (2) existing staff files and two (2) children’s files were monitored. The ABCMS system was reviewed during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was approved on 9/6/23. 10A NCAC 09 .0304(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspection for May 2025, was not completed. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two (2) staff members last reviewed the program's EMC on 8/11/23, one (1) volunteer reviewed it on 8/14/23 and one (1) staff member on 3/1/24. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three(3) existing staff members' and one(1) volunteer's health questionnaires were expired. ML - expired on 7/19/25, JG - expired on 7/19/25, KC-expired on 10/11/24, MG- expired on 8/7/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) existing staff members' and one (1) volunteer's emergency information was expired: ML- expired on 7/19/25, JG- expired on 7/19/25, KC - expired on 10/11/24, MG-expired on 8/7/25. .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR was last reviewed/updated on 4/9/24. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The trained staff last reviewed the program's EPR plan on 8/11/25 with existing staff members and on 8/14/23 with a volunteer. .0607(f) Technical assistance was provided as follows: 106: Fire inspection Operator must schedule and obtain a fire inspection annually. Please contact the Fire Marshall and schedule fire safety training and request an inspection. Refer to .0304(a). To comply, passing fire inspection must be obtained and submitted to me. In your compliance letter, please state the date of completion and submit the copy of the inspection via email. 862: Emergency Medical Care plan The EMC plan must be reviewed with all staff annually and whenever the plan was revised. Refer to .0802(a). To comply, all staff members must review the EMC plan. In your compliance letter, please state the date when review of the plan was completed. 859: Playground inspection Playground inspection must be completed monthly. Refer to .0605(q). This item was corrected during the visit. 1034: Health Questionnaire Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It is required for all staff, including the director. Health Questionnaire is required annually following the initial medical statement. Refer to 10A NCAC 09 .0701 (a). 1035: Emergency Information Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Refer to 10A NCAC 09 .0701 (a). To comply with item 1034 and 1035, please review the most recent health questionnaire and emergency information form, sign and date the form. This is required annually. In your compliance letter, please state the date all staff members complete the action stated above. 1824: Emergency Preparedness and Response (EPR) plan The trained staff shall review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. To comply with item, you must log onto the North Carolina Risk Management Portal and review the information and update it as needed at https://rmp.nc.gov/portal/ Please print the plan. You can print the first page with the current date, if no information in the plan is updated. In the compliance letter, please state the date you complete the action stated above. 1825: EPR plan All staff shall review the center's EPR Plan during orientation and on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. To comply, Ms. Ledlow must review the plan with staff members annually. Documentation of reviews, such as attendance roster, signatures of staff members, etc. is required. In the compliance letter, please state the date when you complete the action above. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 9/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 2nd Annual compliance visit: Due to uncertainty of schedule for summer, 2nd annual compliance visit will be conducted toward the end of school year. QIRS review: Technical assistance visit will be conducted in October 2025, to discuss the progress of preparation for the Rated License Assessment. ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. No employees are listed on the roster. Please list all existing new staff members following the guidelines shared during today’s visit. Please log onto the ABCMS account using your business NCID and update the roster. Fire Drill/Shelter-in-place drill Please conduct a fire drill and shelter-in-place/lockdown drill as soon as possible. Immunization: Parents and guardians can opt out immunizations anytime they would like for religious reasons. The written document must be maintained in the child's file. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 8 Completed Date: 8/19/2025 Age: From 3 To 4 Total Minutes: 188 Time In: 09:22 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mikesha Ledlow, Administrator, during the visit. A signed copy of the visit summary electronically emailed to you Ms. Ledlow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, New Covenant Church of Waynesville, Incorporated is current/active as of 8/18/25. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. Subsidies are not received currently. The last annual compliance visit was conducted on 8/14/24. The original opening date was set on August 4, 2025. However, due to two (2) staff member unexpectedly resigning, the board made the decision to push back the opening date to August 18, 2025 so that new staff members could be hired. The last fire drill was practiced on 5/2/25. The program was closed for June and July. The program was reopened on August 18, 2025. The last shelter-in-place drill was practiced on 4/11/25. The last playground inspection was documented on 4/11/25. The last fire inspection was approved on 9/16/23. Fire safety training was completed in July 2024. The last sanitation inspection was conducted on 5/5/25 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/5/25 without hazards. Surveys for lead paint and asbestos testing were completed on 5/15/25 and the program is exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, all four (4) years of age, were present with one (1) staff member and one (1) volunteer. They sat at the table and colored. Shortly after the activity, four (4) additional children, all three (3) years of age, and one (1) staff member joined the group. The three-year-old children used space #2 for other activities. The group of eight (8) children transitioned to free play. The children played with doll houses, pretend animals, magnetic tiles and matchbox cars. No medications or creams were maintained currently. No hazardous products were accessible to the children. Space #2, 3, 4 were monitored. These spaces were not in use during the visit. The playground was monitored. Tire mulches were used for loose surfacing. The depth of the mulch is six (6) inches. No safety hazards were observed. The children brought their own lunch from home. Rest time was briefly monitored. Cots were adequately spaced. All children were awake at the time of observation. One (1) new staff file, two (2) existing staff files and two (2) children’s files were monitored. The ABCMS system was reviewed during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was approved on 9/6/23. 10A NCAC 09 .0304(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspection for May 2025, was not completed. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two (2) staff members last reviewed the program's EMC on 8/11/23, one (1) volunteer reviewed it on 8/14/23 and one (1) staff member on 3/1/24. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three(3) existing staff members' and one(1) volunteer's health questionnaires were expired. ML - expired on 7/19/25, JG - expired on 7/19/25, KC-expired on 10/11/24, MG- expired on 8/7/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) existing staff members' and one (1) volunteer's emergency information was expired: ML- expired on 7/19/25, JG- expired on 7/19/25, KC - expired on 10/11/24, MG-expired on 8/7/25. .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR was last reviewed/updated on 4/9/24. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The trained staff last reviewed the program's EPR plan on 8/11/25 with existing staff members and on 8/14/23 with a volunteer. .0607(f) Technical assistance was provided as follows: 106: Fire inspection Operator must schedule and obtain a fire inspection annually. Please contact the Fire Marshall and schedule fire safety training and request an inspection. Refer to .0304(a). To comply, passing fire inspection must be obtained and submitted to me. In your compliance letter, please state the date of completion and submit the copy of the inspection via email. 862: Emergency Medical Care plan The EMC plan must be reviewed with all staff annually and whenever the plan was revised. Refer to .0802(a). To comply, all staff members must review the EMC plan. In your compliance letter, please state the date when review of the plan was completed. 859: Playground inspection Playground inspection must be completed monthly. Refer to .0605(q). This item was corrected during the visit. 1034: Health Questionnaire Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It is required for all staff, including the director. Health Questionnaire is required annually following the initial medical statement. Refer to 10A NCAC 09 .0701 (a). 1035: Emergency Information Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Refer to 10A NCAC 09 .0701 (a). To comply with item 1034 and 1035, please review the most recent health questionnaire and emergency information form, sign and date the form. This is required annually. In your compliance letter, please state the date all staff members complete the action stated above. 1824: Emergency Preparedness and Response (EPR) plan The trained staff shall review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. To comply with item, you must log onto the North Carolina Risk Management Portal and review the information and update it as needed at https://rmp.nc.gov/portal/ Please print the plan. You can print the first page with the current date, if no information in the plan is updated. In the compliance letter, please state the date you complete the action stated above. 1825: EPR plan All staff shall review the center's EPR Plan during orientation and on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. To comply, Ms. Ledlow must review the plan with staff members annually. Documentation of reviews, such as attendance roster, signatures of staff members, etc. is required. In the compliance letter, please state the date when you complete the action above. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 9/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 2nd Annual compliance visit: Due to uncertainty of schedule for summer, 2nd annual compliance visit will be conducted toward the end of school year. QIRS review: Technical assistance visit will be conducted in October 2025, to discuss the progress of preparation for the Rated License Assessment. ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. No employees are listed on the roster. Please list all existing new staff members following the guidelines shared during today’s visit. Please log onto the ABCMS account using your business NCID and update the roster. Fire Drill/Shelter-in-place drill Please conduct a fire drill and shelter-in-place/lockdown drill as soon as possible. Immunization: Parents and guardians can opt out immunizations anytime they would like for religious reasons. The written document must be maintained in the child's file. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 8 Completed Date: 8/19/2025 Age: From 3 To 4 Total Minutes: 188 Time In: 09:22 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mikesha Ledlow, Administrator, during the visit. A signed copy of the visit summary electronically emailed to you Ms. Ledlow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, New Covenant Church of Waynesville, Incorporated is current/active as of 8/18/25. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. Subsidies are not received currently. The last annual compliance visit was conducted on 8/14/24. The original opening date was set on August 4, 2025. However, due to two (2) staff member unexpectedly resigning, the board made the decision to push back the opening date to August 18, 2025 so that new staff members could be hired. The last fire drill was practiced on 5/2/25. The program was closed for June and July. The program was reopened on August 18, 2025. The last shelter-in-place drill was practiced on 4/11/25. The last playground inspection was documented on 4/11/25. The last fire inspection was approved on 9/16/23. Fire safety training was completed in July 2024. The last sanitation inspection was conducted on 5/5/25 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/5/25 without hazards. Surveys for lead paint and asbestos testing were completed on 5/15/25 and the program is exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, all four (4) years of age, were present with one (1) staff member and one (1) volunteer. They sat at the table and colored. Shortly after the activity, four (4) additional children, all three (3) years of age, and one (1) staff member joined the group. The three-year-old children used space #2 for other activities. The group of eight (8) children transitioned to free play. The children played with doll houses, pretend animals, magnetic tiles and matchbox cars. No medications or creams were maintained currently. No hazardous products were accessible to the children. Space #2, 3, 4 were monitored. These spaces were not in use during the visit. The playground was monitored. Tire mulches were used for loose surfacing. The depth of the mulch is six (6) inches. No safety hazards were observed. The children brought their own lunch from home. Rest time was briefly monitored. Cots were adequately spaced. All children were awake at the time of observation. One (1) new staff file, two (2) existing staff files and two (2) children’s files were monitored. The ABCMS system was reviewed during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was approved on 9/6/23. 10A NCAC 09 .0304(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspection for May 2025, was not completed. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two (2) staff members last reviewed the program's EMC on 8/11/23, one (1) volunteer reviewed it on 8/14/23 and one (1) staff member on 3/1/24. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three(3) existing staff members' and one(1) volunteer's health questionnaires were expired. ML - expired on 7/19/25, JG - expired on 7/19/25, KC-expired on 10/11/24, MG- expired on 8/7/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) existing staff members' and one (1) volunteer's emergency information was expired: ML- expired on 7/19/25, JG- expired on 7/19/25, KC - expired on 10/11/24, MG-expired on 8/7/25. .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR was last reviewed/updated on 4/9/24. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The trained staff last reviewed the program's EPR plan on 8/11/25 with existing staff members and on 8/14/23 with a volunteer. .0607(f) Technical assistance was provided as follows: 106: Fire inspection Operator must schedule and obtain a fire inspection annually. Please contact the Fire Marshall and schedule fire safety training and request an inspection. Refer to .0304(a). To comply, passing fire inspection must be obtained and submitted to me. In your compliance letter, please state the date of completion and submit the copy of the inspection via email. 862: Emergency Medical Care plan The EMC plan must be reviewed with all staff annually and whenever the plan was revised. Refer to .0802(a). To comply, all staff members must review the EMC plan. In your compliance letter, please state the date when review of the plan was completed. 859: Playground inspection Playground inspection must be completed monthly. Refer to .0605(q). This item was corrected during the visit. 1034: Health Questionnaire Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It is required for all staff, including the director. Health Questionnaire is required annually following the initial medical statement. Refer to 10A NCAC 09 .0701 (a). 1035: Emergency Information Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Refer to 10A NCAC 09 .0701 (a). To comply with item 1034 and 1035, please review the most recent health questionnaire and emergency information form, sign and date the form. This is required annually. In your compliance letter, please state the date all staff members complete the action stated above. 1824: Emergency Preparedness and Response (EPR) plan The trained staff shall review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. To comply with item, you must log onto the North Carolina Risk Management Portal and review the information and update it as needed at https://rmp.nc.gov/portal/ Please print the plan. You can print the first page with the current date, if no information in the plan is updated. In the compliance letter, please state the date you complete the action stated above. 1825: EPR plan All staff shall review the center's EPR Plan during orientation and on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. To comply, Ms. Ledlow must review the plan with staff members annually. Documentation of reviews, such as attendance roster, signatures of staff members, etc. is required. In the compliance letter, please state the date when you complete the action above. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 9/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 2nd Annual compliance visit: Due to uncertainty of schedule for summer, 2nd annual compliance visit will be conducted toward the end of school year. QIRS review: Technical assistance visit will be conducted in October 2025, to discuss the progress of preparation for the Rated License Assessment. ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. No employees are listed on the roster. Please list all existing new staff members following the guidelines shared during today’s visit. Please log onto the ABCMS account using your business NCID and update the roster. Fire Drill/Shelter-in-place drill Please conduct a fire drill and shelter-in-place/lockdown drill as soon as possible. Immunization: Parents and guardians can opt out immunizations anytime they would like for religious reasons. The written document must be maintained in the child's file. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 8 Completed Date: 8/19/2025 Age: From 3 To 4 Total Minutes: 188 Time In: 09:22 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mikesha Ledlow, Administrator, during the visit. A signed copy of the visit summary electronically emailed to you Ms. Ledlow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, New Covenant Church of Waynesville, Incorporated is current/active as of 8/18/25. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. Subsidies are not received currently. The last annual compliance visit was conducted on 8/14/24. The original opening date was set on August 4, 2025. However, due to two (2) staff member unexpectedly resigning, the board made the decision to push back the opening date to August 18, 2025 so that new staff members could be hired. The last fire drill was practiced on 5/2/25. The program was closed for June and July. The program was reopened on August 18, 2025. The last shelter-in-place drill was practiced on 4/11/25. The last playground inspection was documented on 4/11/25. The last fire inspection was approved on 9/16/23. Fire safety training was completed in July 2024. The last sanitation inspection was conducted on 5/5/25 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/5/25 without hazards. Surveys for lead paint and asbestos testing were completed on 5/15/25 and the program is exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, all four (4) years of age, were present with one (1) staff member and one (1) volunteer. They sat at the table and colored. Shortly after the activity, four (4) additional children, all three (3) years of age, and one (1) staff member joined the group. The three-year-old children used space #2 for other activities. The group of eight (8) children transitioned to free play. The children played with doll houses, pretend animals, magnetic tiles and matchbox cars. No medications or creams were maintained currently. No hazardous products were accessible to the children. Space #2, 3, 4 were monitored. These spaces were not in use during the visit. The playground was monitored. Tire mulches were used for loose surfacing. The depth of the mulch is six (6) inches. No safety hazards were observed. The children brought their own lunch from home. Rest time was briefly monitored. Cots were adequately spaced. All children were awake at the time of observation. One (1) new staff file, two (2) existing staff files and two (2) children’s files were monitored. The ABCMS system was reviewed during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was approved on 9/6/23. 10A NCAC 09 .0304(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspection for May 2025, was not completed. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two (2) staff members last reviewed the program's EMC on 8/11/23, one (1) volunteer reviewed it on 8/14/23 and one (1) staff member on 3/1/24. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three(3) existing staff members' and one(1) volunteer's health questionnaires were expired. ML - expired on 7/19/25, JG - expired on 7/19/25, KC-expired on 10/11/24, MG- expired on 8/7/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) existing staff members' and one (1) volunteer's emergency information was expired: ML- expired on 7/19/25, JG- expired on 7/19/25, KC - expired on 10/11/24, MG-expired on 8/7/25. .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR was last reviewed/updated on 4/9/24. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The trained staff last reviewed the program's EPR plan on 8/11/25 with existing staff members and on 8/14/23 with a volunteer. .0607(f) Technical assistance was provided as follows: 106: Fire inspection Operator must schedule and obtain a fire inspection annually. Please contact the Fire Marshall and schedule fire safety training and request an inspection. Refer to .0304(a). To comply, passing fire inspection must be obtained and submitted to me. In your compliance letter, please state the date of completion and submit the copy of the inspection via email. 862: Emergency Medical Care plan The EMC plan must be reviewed with all staff annually and whenever the plan was revised. Refer to .0802(a). To comply, all staff members must review the EMC plan. In your compliance letter, please state the date when review of the plan was completed. 859: Playground inspection Playground inspection must be completed monthly. Refer to .0605(q). This item was corrected during the visit. 1034: Health Questionnaire Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It is required for all staff, including the director. Health Questionnaire is required annually following the initial medical statement. Refer to 10A NCAC 09 .0701 (a). 1035: Emergency Information Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Refer to 10A NCAC 09 .0701 (a). To comply with item 1034 and 1035, please review the most recent health questionnaire and emergency information form, sign and date the form. This is required annually. In your compliance letter, please state the date all staff members complete the action stated above. 1824: Emergency Preparedness and Response (EPR) plan The trained staff shall review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. To comply with item, you must log onto the North Carolina Risk Management Portal and review the information and update it as needed at https://rmp.nc.gov/portal/ Please print the plan. You can print the first page with the current date, if no information in the plan is updated. In the compliance letter, please state the date you complete the action stated above. 1825: EPR plan All staff shall review the center's EPR Plan during orientation and on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. To comply, Ms. Ledlow must review the plan with staff members annually. Documentation of reviews, such as attendance roster, signatures of staff members, etc. is required. In the compliance letter, please state the date when you complete the action above. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 9/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 2nd Annual compliance visit: Due to uncertainty of schedule for summer, 2nd annual compliance visit will be conducted toward the end of school year. QIRS review: Technical assistance visit will be conducted in October 2025, to discuss the progress of preparation for the Rated License Assessment. ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. No employees are listed on the roster. Please list all existing new staff members following the guidelines shared during today’s visit. Please log onto the ABCMS account using your business NCID and update the roster. Fire Drill/Shelter-in-place drill Please conduct a fire drill and shelter-in-place/lockdown drill as soon as possible. Immunization: Parents and guardians can opt out immunizations anytime they would like for religious reasons. The written document must be maintained in the child's file. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 8 Completed Date: 8/19/2025 Age: From 3 To 4 Total Minutes: 188 Time In: 09:22 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mikesha Ledlow, Administrator, during the visit. A signed copy of the visit summary electronically emailed to you Ms. Ledlow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, New Covenant Church of Waynesville, Incorporated is current/active as of 8/18/25. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. Subsidies are not received currently. The last annual compliance visit was conducted on 8/14/24. The original opening date was set on August 4, 2025. However, due to two (2) staff member unexpectedly resigning, the board made the decision to push back the opening date to August 18, 2025 so that new staff members could be hired. The last fire drill was practiced on 5/2/25. The program was closed for June and July. The program was reopened on August 18, 2025. The last shelter-in-place drill was practiced on 4/11/25. The last playground inspection was documented on 4/11/25. The last fire inspection was approved on 9/16/23. Fire safety training was completed in July 2024. The last sanitation inspection was conducted on 5/5/25 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/5/25 without hazards. Surveys for lead paint and asbestos testing were completed on 5/15/25 and the program is exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, all four (4) years of age, were present with one (1) staff member and one (1) volunteer. They sat at the table and colored. Shortly after the activity, four (4) additional children, all three (3) years of age, and one (1) staff member joined the group. The three-year-old children used space #2 for other activities. The group of eight (8) children transitioned to free play. The children played with doll houses, pretend animals, magnetic tiles and matchbox cars. No medications or creams were maintained currently. No hazardous products were accessible to the children. Space #2, 3, 4 were monitored. These spaces were not in use during the visit. The playground was monitored. Tire mulches were used for loose surfacing. The depth of the mulch is six (6) inches. No safety hazards were observed. The children brought their own lunch from home. Rest time was briefly monitored. Cots were adequately spaced. All children were awake at the time of observation. One (1) new staff file, two (2) existing staff files and two (2) children’s files were monitored. The ABCMS system was reviewed during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was approved on 9/6/23. 10A NCAC 09 .0304(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspection for May 2025, was not completed. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two (2) staff members last reviewed the program's EMC on 8/11/23, one (1) volunteer reviewed it on 8/14/23 and one (1) staff member on 3/1/24. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three(3) existing staff members' and one(1) volunteer's health questionnaires were expired. ML - expired on 7/19/25, JG - expired on 7/19/25, KC-expired on 10/11/24, MG- expired on 8/7/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) existing staff members' and one (1) volunteer's emergency information was expired: ML- expired on 7/19/25, JG- expired on 7/19/25, KC - expired on 10/11/24, MG-expired on 8/7/25. .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR was last reviewed/updated on 4/9/24. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The trained staff last reviewed the program's EPR plan on 8/11/25 with existing staff members and on 8/14/23 with a volunteer. .0607(f) Technical assistance was provided as follows: 106: Fire inspection Operator must schedule and obtain a fire inspection annually. Please contact the Fire Marshall and schedule fire safety training and request an inspection. Refer to .0304(a). To comply, passing fire inspection must be obtained and submitted to me. In your compliance letter, please state the date of completion and submit the copy of the inspection via email. 862: Emergency Medical Care plan The EMC plan must be reviewed with all staff annually and whenever the plan was revised. Refer to .0802(a). To comply, all staff members must review the EMC plan. In your compliance letter, please state the date when review of the plan was completed. 859: Playground inspection Playground inspection must be completed monthly. Refer to .0605(q). This item was corrected during the visit. 1034: Health Questionnaire Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It is required for all staff, including the director. Health Questionnaire is required annually following the initial medical statement. Refer to 10A NCAC 09 .0701 (a). 1035: Emergency Information Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Refer to 10A NCAC 09 .0701 (a). To comply with item 1034 and 1035, please review the most recent health questionnaire and emergency information form, sign and date the form. This is required annually. In your compliance letter, please state the date all staff members complete the action stated above. 1824: Emergency Preparedness and Response (EPR) plan The trained staff shall review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. To comply with item, you must log onto the North Carolina Risk Management Portal and review the information and update it as needed at https://rmp.nc.gov/portal/ Please print the plan. You can print the first page with the current date, if no information in the plan is updated. In the compliance letter, please state the date you complete the action stated above. 1825: EPR plan All staff shall review the center's EPR Plan during orientation and on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. To comply, Ms. Ledlow must review the plan with staff members annually. Documentation of reviews, such as attendance roster, signatures of staff members, etc. is required. In the compliance letter, please state the date when you complete the action above. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 9/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 2nd Annual compliance visit: Due to uncertainty of schedule for summer, 2nd annual compliance visit will be conducted toward the end of school year. QIRS review: Technical assistance visit will be conducted in October 2025, to discuss the progress of preparation for the Rated License Assessment. ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. No employees are listed on the roster. Please list all existing new staff members following the guidelines shared during today’s visit. Please log onto the ABCMS account using your business NCID and update the roster. Fire Drill/Shelter-in-place drill Please conduct a fire drill and shelter-in-place/lockdown drill as soon as possible. Immunization: Parents and guardians can opt out immunizations anytime they would like for religious reasons. The written document must be maintained in the child's file. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-106 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 8 Completed Date: 8/19/2025 Age: From 3 To 4 Total Minutes: 188 Time In: 09:22 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mikesha Ledlow, Administrator, during the visit. A signed copy of the visit summary electronically emailed to you Ms. Ledlow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, New Covenant Church of Waynesville, Incorporated is current/active as of 8/18/25. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. Subsidies are not received currently. The last annual compliance visit was conducted on 8/14/24. The original opening date was set on August 4, 2025. However, due to two (2) staff member unexpectedly resigning, the board made the decision to push back the opening date to August 18, 2025 so that new staff members could be hired. The last fire drill was practiced on 5/2/25. The program was closed for June and July. The program was reopened on August 18, 2025. The last shelter-in-place drill was practiced on 4/11/25. The last playground inspection was documented on 4/11/25. The last fire inspection was approved on 9/16/23. Fire safety training was completed in July 2024. The last sanitation inspection was conducted on 5/5/25 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/5/25 without hazards. Surveys for lead paint and asbestos testing were completed on 5/15/25 and the program is exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, all four (4) years of age, were present with one (1) staff member and one (1) volunteer. They sat at the table and colored. Shortly after the activity, four (4) additional children, all three (3) years of age, and one (1) staff member joined the group. The three-year-old children used space #2 for other activities. The group of eight (8) children transitioned to free play. The children played with doll houses, pretend animals, magnetic tiles and matchbox cars. No medications or creams were maintained currently. No hazardous products were accessible to the children. Space #2, 3, 4 were monitored. These spaces were not in use during the visit. The playground was monitored. Tire mulches were used for loose surfacing. The depth of the mulch is six (6) inches. No safety hazards were observed. The children brought their own lunch from home. Rest time was briefly monitored. Cots were adequately spaced. All children were awake at the time of observation. One (1) new staff file, two (2) existing staff files and two (2) children’s files were monitored. The ABCMS system was reviewed during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was approved on 9/6/23. 10A NCAC 09 .0304(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspection for May 2025, was not completed. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two (2) staff members last reviewed the program's EMC on 8/11/23, one (1) volunteer reviewed it on 8/14/23 and one (1) staff member on 3/1/24. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three(3) existing staff members' and one(1) volunteer's health questionnaires were expired. ML - expired on 7/19/25, JG - expired on 7/19/25, KC-expired on 10/11/24, MG- expired on 8/7/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) existing staff members' and one (1) volunteer's emergency information was expired: ML- expired on 7/19/25, JG- expired on 7/19/25, KC - expired on 10/11/24, MG-expired on 8/7/25. .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR was last reviewed/updated on 4/9/24. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The trained staff last reviewed the program's EPR plan on 8/11/25 with existing staff members and on 8/14/23 with a volunteer. .0607(f) Technical assistance was provided as follows: 106: Fire inspection Operator must schedule and obtain a fire inspection annually. Please contact the Fire Marshall and schedule fire safety training and request an inspection. Refer to .0304(a). To comply, passing fire inspection must be obtained and submitted to me. In your compliance letter, please state the date of completion and submit the copy of the inspection via email. 862: Emergency Medical Care plan The EMC plan must be reviewed with all staff annually and whenever the plan was revised. Refer to .0802(a). To comply, all staff members must review the EMC plan. In your compliance letter, please state the date when review of the plan was completed. 859: Playground inspection Playground inspection must be completed monthly. Refer to .0605(q). This item was corrected during the visit. 1034: Health Questionnaire Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It is required for all staff, including the director. Health Questionnaire is required annually following the initial medical statement. Refer to 10A NCAC 09 .0701 (a). 1035: Emergency Information Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Refer to 10A NCAC 09 .0701 (a). To comply with item 1034 and 1035, please review the most recent health questionnaire and emergency information form, sign and date the form. This is required annually. In your compliance letter, please state the date all staff members complete the action stated above. 1824: Emergency Preparedness and Response (EPR) plan The trained staff shall review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. To comply with item, you must log onto the North Carolina Risk Management Portal and review the information and update it as needed at https://rmp.nc.gov/portal/ Please print the plan. You can print the first page with the current date, if no information in the plan is updated. In the compliance letter, please state the date you complete the action stated above. 1825: EPR plan All staff shall review the center's EPR Plan during orientation and on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. To comply, Ms. Ledlow must review the plan with staff members annually. Documentation of reviews, such as attendance roster, signatures of staff members, etc. is required. In the compliance letter, please state the date when you complete the action above. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 9/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 2nd Annual compliance visit: Due to uncertainty of schedule for summer, 2nd annual compliance visit will be conducted toward the end of school year. QIRS review: Technical assistance visit will be conducted in October 2025, to discuss the progress of preparation for the Rated License Assessment. ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. No employees are listed on the roster. Please list all existing new staff members following the guidelines shared during today’s visit. Please log onto the ABCMS account using your business NCID and update the roster. Fire Drill/Shelter-in-place drill Please conduct a fire drill and shelter-in-place/lockdown drill as soon as possible. Immunization: Parents and guardians can opt out immunizations anytime they would like for religious reasons. The written document must be maintained in the child's file. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 8 Completed Date: 8/19/2025 Age: From 3 To 4 Total Minutes: 188 Time In: 09:22 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mikesha Ledlow, Administrator, during the visit. A signed copy of the visit summary electronically emailed to you Ms. Ledlow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, New Covenant Church of Waynesville, Incorporated is current/active as of 8/18/25. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. Subsidies are not received currently. The last annual compliance visit was conducted on 8/14/24. The original opening date was set on August 4, 2025. However, due to two (2) staff member unexpectedly resigning, the board made the decision to push back the opening date to August 18, 2025 so that new staff members could be hired. The last fire drill was practiced on 5/2/25. The program was closed for June and July. The program was reopened on August 18, 2025. The last shelter-in-place drill was practiced on 4/11/25. The last playground inspection was documented on 4/11/25. The last fire inspection was approved on 9/16/23. Fire safety training was completed in July 2024. The last sanitation inspection was conducted on 5/5/25 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/5/25 without hazards. Surveys for lead paint and asbestos testing were completed on 5/15/25 and the program is exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, all four (4) years of age, were present with one (1) staff member and one (1) volunteer. They sat at the table and colored. Shortly after the activity, four (4) additional children, all three (3) years of age, and one (1) staff member joined the group. The three-year-old children used space #2 for other activities. The group of eight (8) children transitioned to free play. The children played with doll houses, pretend animals, magnetic tiles and matchbox cars. No medications or creams were maintained currently. No hazardous products were accessible to the children. Space #2, 3, 4 were monitored. These spaces were not in use during the visit. The playground was monitored. Tire mulches were used for loose surfacing. The depth of the mulch is six (6) inches. No safety hazards were observed. The children brought their own lunch from home. Rest time was briefly monitored. Cots were adequately spaced. All children were awake at the time of observation. One (1) new staff file, two (2) existing staff files and two (2) children’s files were monitored. The ABCMS system was reviewed during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was approved on 9/6/23. 10A NCAC 09 .0304(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspection for May 2025, was not completed. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two (2) staff members last reviewed the program's EMC on 8/11/23, one (1) volunteer reviewed it on 8/14/23 and one (1) staff member on 3/1/24. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three(3) existing staff members' and one(1) volunteer's health questionnaires were expired. ML - expired on 7/19/25, JG - expired on 7/19/25, KC-expired on 10/11/24, MG- expired on 8/7/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) existing staff members' and one (1) volunteer's emergency information was expired: ML- expired on 7/19/25, JG- expired on 7/19/25, KC - expired on 10/11/24, MG-expired on 8/7/25. .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR was last reviewed/updated on 4/9/24. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The trained staff last reviewed the program's EPR plan on 8/11/25 with existing staff members and on 8/14/23 with a volunteer. .0607(f) Technical assistance was provided as follows: 106: Fire inspection Operator must schedule and obtain a fire inspection annually. Please contact the Fire Marshall and schedule fire safety training and request an inspection. Refer to .0304(a). To comply, passing fire inspection must be obtained and submitted to me. In your compliance letter, please state the date of completion and submit the copy of the inspection via email. 862: Emergency Medical Care plan The EMC plan must be reviewed with all staff annually and whenever the plan was revised. Refer to .0802(a). To comply, all staff members must review the EMC plan. In your compliance letter, please state the date when review of the plan was completed. 859: Playground inspection Playground inspection must be completed monthly. Refer to .0605(q). This item was corrected during the visit. 1034: Health Questionnaire Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It is required for all staff, including the director. Health Questionnaire is required annually following the initial medical statement. Refer to 10A NCAC 09 .0701 (a). 1035: Emergency Information Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Refer to 10A NCAC 09 .0701 (a). To comply with item 1034 and 1035, please review the most recent health questionnaire and emergency information form, sign and date the form. This is required annually. In your compliance letter, please state the date all staff members complete the action stated above. 1824: Emergency Preparedness and Response (EPR) plan The trained staff shall review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. To comply with item, you must log onto the North Carolina Risk Management Portal and review the information and update it as needed at https://rmp.nc.gov/portal/ Please print the plan. You can print the first page with the current date, if no information in the plan is updated. In the compliance letter, please state the date you complete the action stated above. 1825: EPR plan All staff shall review the center's EPR Plan during orientation and on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. To comply, Ms. Ledlow must review the plan with staff members annually. Documentation of reviews, such as attendance roster, signatures of staff members, etc. is required. In the compliance letter, please state the date when you complete the action above. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 9/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 2nd Annual compliance visit: Due to uncertainty of schedule for summer, 2nd annual compliance visit will be conducted toward the end of school year. QIRS review: Technical assistance visit will be conducted in October 2025, to discuss the progress of preparation for the Rated License Assessment. ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. No employees are listed on the roster. Please list all existing new staff members following the guidelines shared during today’s visit. Please log onto the ABCMS account using your business NCID and update the roster. Fire Drill/Shelter-in-place drill Please conduct a fire drill and shelter-in-place/lockdown drill as soon as possible. Immunization: Parents and guardians can opt out immunizations anytime they would like for religious reasons. The written document must be maintained in the child's file. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/17/2025 Number Present: 17 Completed Date: 2/17/2025 Age: From 3 To 4 Total Minutes: 130 Time In: 10:30 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mikesha Ledlow, Administrator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Ledlow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percent as of today prior to this visit. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 8/14/24. The last fire drill was practiced on 1/10/25. The last shelter-in-place drill was practiced on 11/25/24. The last playground inspection was documented on 2/5/25. The last fire inspection was approved on 9/6/23. Per Ms. Ledlow, fire training was completed on 7/19/24, but the inspection has not been completed. The last sanitation inspection was conducted on 12/16/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I announced my presence and the purpose of the visit. In space #1, nine (9) children, all four (4) years of age, participated in group time. The children washed bible story and danced. The children from space #2 engaged in gross motor play in space #3. Eight (8) children, three-to-four years of age, played with balls and hula hoops. They also played games. Between two (2) classrooms, eighteen (18) children are enrolled. Each morning, the children are divided into two (2) classrooms (space #1 and #2). One emergency medication is maintained in space #1. The permission form and the action plan were valid. The playground was inspected. Tire mulch was not measured due to the frozen ground due to cold temperature. No safety hazards were observed. All staff files were monitored partially. All staff members have valid criminal background letters and CPR/First Aid certificates. Volunteer files were monitored in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit; Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. In space #2, Classroom Staff to Child Ratio poster was not posted. .0713(a)(10), (c) & (f)(3); .2818(e) 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. In the cabinet by the exit to outside in space #1, a can of OFF! Family Care insect repellent was stored. The cabinet was not locked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the medication box stored in the cabinet by the exit to outside in space #1, a pack of Imodium A-D 2 caplets, a pack of Tylenol Extra Strength 2 caplets, and a pack of Motrin IB 2 caplets were stored. The medication box had a combination lock, but it was not set. 15A NCAC 18A .2820(d) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two (2) volunteers' Emergency Information forms were not updated annually. M. Gordet's Emergency information form was created on 8/7/23 and K. McHugh's Emergency information form was created on 11/17/23. .0701(a) Technical assistance was provided as follows: 319: Staff Child ratio sheet Staff/child ratio applicable to a classroom shall be posted in each classroom. Please refer to 10A NCAC 09 .0713(a)(10). Staff/Child ratio sheet was printed and provided to Ms. Ledlow during the visit. 840: aerosol can 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 shall be stored in a locked room or cabinet. OFF! Family Care insect repellent was stored in the cabinet by the exit to outside in space #1. The insect repellent was removed from space #1 during the visit. This item was corrected during the visit. Please refer to 15A NCAC 18A.2820(b). 841: Storage of medications Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container. Please refer to 15A NCAC 18A.2820(d). All over-the-counter medications were thrown away. This item was corrected during the visit. 1035: Emergency Information Child care providers, including the director, uncompensated providers, substitute providers, and volunteers shall have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Please refer to 10A NCAC 09 .0701(a). M. Gordet’s Emergency information form was updated during the visit. K. McHugh shall update the form when she is returned to the facility. Due to the effects of tropical storm Helene, additional time was permitted to meet the compliance for the following items. 106: Fire inspection The operator scheduled and obtained a fire inspection within 12 months of the previous inspection. The operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Please refer to 10 A NCAC 09 .0304(a). Please contact your Fire Marshall and reminds him/her of the inspection. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/3/25 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Please conduct a shelter-in-place or a lockdown drill this month. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/17/2025 Number Present: 17 Completed Date: 2/17/2025 Age: From 3 To 4 Total Minutes: 130 Time In: 10:30 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mikesha Ledlow, Administrator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Ledlow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percent as of today prior to this visit. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 8/14/24. The last fire drill was practiced on 1/10/25. The last shelter-in-place drill was practiced on 11/25/24. The last playground inspection was documented on 2/5/25. The last fire inspection was approved on 9/6/23. Per Ms. Ledlow, fire training was completed on 7/19/24, but the inspection has not been completed. The last sanitation inspection was conducted on 12/16/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I announced my presence and the purpose of the visit. In space #1, nine (9) children, all four (4) years of age, participated in group time. The children washed bible story and danced. The children from space #2 engaged in gross motor play in space #3. Eight (8) children, three-to-four years of age, played with balls and hula hoops. They also played games. Between two (2) classrooms, eighteen (18) children are enrolled. Each morning, the children are divided into two (2) classrooms (space #1 and #2). One emergency medication is maintained in space #1. The permission form and the action plan were valid. The playground was inspected. Tire mulch was not measured due to the frozen ground due to cold temperature. No safety hazards were observed. All staff files were monitored partially. All staff members have valid criminal background letters and CPR/First Aid certificates. Volunteer files were monitored in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit; Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. In space #2, Classroom Staff to Child Ratio poster was not posted. .0713(a)(10), (c) & (f)(3); .2818(e) 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. In the cabinet by the exit to outside in space #1, a can of OFF! Family Care insect repellent was stored. The cabinet was not locked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the medication box stored in the cabinet by the exit to outside in space #1, a pack of Imodium A-D 2 caplets, a pack of Tylenol Extra Strength 2 caplets, and a pack of Motrin IB 2 caplets were stored. The medication box had a combination lock, but it was not set. 15A NCAC 18A .2820(d) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two (2) volunteers' Emergency Information forms were not updated annually. M. Gordet's Emergency information form was created on 8/7/23 and K. McHugh's Emergency information form was created on 11/17/23. .0701(a) Technical assistance was provided as follows: 319: Staff Child ratio sheet Staff/child ratio applicable to a classroom shall be posted in each classroom. Please refer to 10A NCAC 09 .0713(a)(10). Staff/Child ratio sheet was printed and provided to Ms. Ledlow during the visit. 840: aerosol can 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 shall be stored in a locked room or cabinet. OFF! Family Care insect repellent was stored in the cabinet by the exit to outside in space #1. The insect repellent was removed from space #1 during the visit. This item was corrected during the visit. Please refer to 15A NCAC 18A.2820(b). 841: Storage of medications Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container. Please refer to 15A NCAC 18A.2820(d). All over-the-counter medications were thrown away. This item was corrected during the visit. 1035: Emergency Information Child care providers, including the director, uncompensated providers, substitute providers, and volunteers shall have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Please refer to 10A NCAC 09 .0701(a). M. Gordet’s Emergency information form was updated during the visit. K. McHugh shall update the form when she is returned to the facility. Due to the effects of tropical storm Helene, additional time was permitted to meet the compliance for the following items. 106: Fire inspection The operator scheduled and obtained a fire inspection within 12 months of the previous inspection. The operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Please refer to 10 A NCAC 09 .0304(a). Please contact your Fire Marshall and reminds him/her of the inspection. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/3/25 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Please conduct a shelter-in-place or a lockdown drill this month. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0713 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/17/2025 Number Present: 17 Completed Date: 2/17/2025 Age: From 3 To 4 Total Minutes: 130 Time In: 10:30 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mikesha Ledlow, Administrator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Ledlow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percent as of today prior to this visit. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 8/14/24. The last fire drill was practiced on 1/10/25. The last shelter-in-place drill was practiced on 11/25/24. The last playground inspection was documented on 2/5/25. The last fire inspection was approved on 9/6/23. Per Ms. Ledlow, fire training was completed on 7/19/24, but the inspection has not been completed. The last sanitation inspection was conducted on 12/16/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I announced my presence and the purpose of the visit. In space #1, nine (9) children, all four (4) years of age, participated in group time. The children washed bible story and danced. The children from space #2 engaged in gross motor play in space #3. Eight (8) children, three-to-four years of age, played with balls and hula hoops. They also played games. Between two (2) classrooms, eighteen (18) children are enrolled. Each morning, the children are divided into two (2) classrooms (space #1 and #2). One emergency medication is maintained in space #1. The permission form and the action plan were valid. The playground was inspected. Tire mulch was not measured due to the frozen ground due to cold temperature. No safety hazards were observed. All staff files were monitored partially. All staff members have valid criminal background letters and CPR/First Aid certificates. Volunteer files were monitored in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit; Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. In space #2, Classroom Staff to Child Ratio poster was not posted. .0713(a)(10), (c) & (f)(3); .2818(e) 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. In the cabinet by the exit to outside in space #1, a can of OFF! Family Care insect repellent was stored. The cabinet was not locked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the medication box stored in the cabinet by the exit to outside in space #1, a pack of Imodium A-D 2 caplets, a pack of Tylenol Extra Strength 2 caplets, and a pack of Motrin IB 2 caplets were stored. The medication box had a combination lock, but it was not set. 15A NCAC 18A .2820(d) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two (2) volunteers' Emergency Information forms were not updated annually. M. Gordet's Emergency information form was created on 8/7/23 and K. McHugh's Emergency information form was created on 11/17/23. .0701(a) Technical assistance was provided as follows: 319: Staff Child ratio sheet Staff/child ratio applicable to a classroom shall be posted in each classroom. Please refer to 10A NCAC 09 .0713(a)(10). Staff/Child ratio sheet was printed and provided to Ms. Ledlow during the visit. 840: aerosol can 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 shall be stored in a locked room or cabinet. OFF! Family Care insect repellent was stored in the cabinet by the exit to outside in space #1. The insect repellent was removed from space #1 during the visit. This item was corrected during the visit. Please refer to 15A NCAC 18A.2820(b). 841: Storage of medications Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container. Please refer to 15A NCAC 18A.2820(d). All over-the-counter medications were thrown away. This item was corrected during the visit. 1035: Emergency Information Child care providers, including the director, uncompensated providers, substitute providers, and volunteers shall have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Please refer to 10A NCAC 09 .0701(a). M. Gordet’s Emergency information form was updated during the visit. K. McHugh shall update the form when she is returned to the facility. Due to the effects of tropical storm Helene, additional time was permitted to meet the compliance for the following items. 106: Fire inspection The operator scheduled and obtained a fire inspection within 12 months of the previous inspection. The operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Please refer to 10 A NCAC 09 .0304(a). Please contact your Fire Marshall and reminds him/her of the inspection. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/3/25 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Please conduct a shelter-in-place or a lockdown drill this month. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/17/2025 Number Present: 17 Completed Date: 2/17/2025 Age: From 3 To 4 Total Minutes: 130 Time In: 10:30 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mikesha Ledlow, Administrator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Ledlow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percent as of today prior to this visit. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 8/14/24. The last fire drill was practiced on 1/10/25. The last shelter-in-place drill was practiced on 11/25/24. The last playground inspection was documented on 2/5/25. The last fire inspection was approved on 9/6/23. Per Ms. Ledlow, fire training was completed on 7/19/24, but the inspection has not been completed. The last sanitation inspection was conducted on 12/16/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I announced my presence and the purpose of the visit. In space #1, nine (9) children, all four (4) years of age, participated in group time. The children washed bible story and danced. The children from space #2 engaged in gross motor play in space #3. Eight (8) children, three-to-four years of age, played with balls and hula hoops. They also played games. Between two (2) classrooms, eighteen (18) children are enrolled. Each morning, the children are divided into two (2) classrooms (space #1 and #2). One emergency medication is maintained in space #1. The permission form and the action plan were valid. The playground was inspected. Tire mulch was not measured due to the frozen ground due to cold temperature. No safety hazards were observed. All staff files were monitored partially. All staff members have valid criminal background letters and CPR/First Aid certificates. Volunteer files were monitored in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit; Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. In space #2, Classroom Staff to Child Ratio poster was not posted. .0713(a)(10), (c) & (f)(3); .2818(e) 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. In the cabinet by the exit to outside in space #1, a can of OFF! Family Care insect repellent was stored. The cabinet was not locked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the medication box stored in the cabinet by the exit to outside in space #1, a pack of Imodium A-D 2 caplets, a pack of Tylenol Extra Strength 2 caplets, and a pack of Motrin IB 2 caplets were stored. The medication box had a combination lock, but it was not set. 15A NCAC 18A .2820(d) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two (2) volunteers' Emergency Information forms were not updated annually. M. Gordet's Emergency information form was created on 8/7/23 and K. McHugh's Emergency information form was created on 11/17/23. .0701(a) Technical assistance was provided as follows: 319: Staff Child ratio sheet Staff/child ratio applicable to a classroom shall be posted in each classroom. Please refer to 10A NCAC 09 .0713(a)(10). Staff/Child ratio sheet was printed and provided to Ms. Ledlow during the visit. 840: aerosol can 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 shall be stored in a locked room or cabinet. OFF! Family Care insect repellent was stored in the cabinet by the exit to outside in space #1. The insect repellent was removed from space #1 during the visit. This item was corrected during the visit. Please refer to 15A NCAC 18A.2820(b). 841: Storage of medications Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container. Please refer to 15A NCAC 18A.2820(d). All over-the-counter medications were thrown away. This item was corrected during the visit. 1035: Emergency Information Child care providers, including the director, uncompensated providers, substitute providers, and volunteers shall have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Please refer to 10A NCAC 09 .0701(a). M. Gordet’s Emergency information form was updated during the visit. K. McHugh shall update the form when she is returned to the facility. Due to the effects of tropical storm Helene, additional time was permitted to meet the compliance for the following items. 106: Fire inspection The operator scheduled and obtained a fire inspection within 12 months of the previous inspection. The operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Please refer to 10 A NCAC 09 .0304(a). Please contact your Fire Marshall and reminds him/her of the inspection. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/3/25 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Please conduct a shelter-in-place or a lockdown drill this month. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/17/2025 Number Present: 17 Completed Date: 2/17/2025 Age: From 3 To 4 Total Minutes: 130 Time In: 10:30 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mikesha Ledlow, Administrator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Ledlow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percent as of today prior to this visit. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 8/14/24. The last fire drill was practiced on 1/10/25. The last shelter-in-place drill was practiced on 11/25/24. The last playground inspection was documented on 2/5/25. The last fire inspection was approved on 9/6/23. Per Ms. Ledlow, fire training was completed on 7/19/24, but the inspection has not been completed. The last sanitation inspection was conducted on 12/16/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I announced my presence and the purpose of the visit. In space #1, nine (9) children, all four (4) years of age, participated in group time. The children washed bible story and danced. The children from space #2 engaged in gross motor play in space #3. Eight (8) children, three-to-four years of age, played with balls and hula hoops. They also played games. Between two (2) classrooms, eighteen (18) children are enrolled. Each morning, the children are divided into two (2) classrooms (space #1 and #2). One emergency medication is maintained in space #1. The permission form and the action plan were valid. The playground was inspected. Tire mulch was not measured due to the frozen ground due to cold temperature. No safety hazards were observed. All staff files were monitored partially. All staff members have valid criminal background letters and CPR/First Aid certificates. Volunteer files were monitored in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit; Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. In space #2, Classroom Staff to Child Ratio poster was not posted. .0713(a)(10), (c) & (f)(3); .2818(e) 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. In the cabinet by the exit to outside in space #1, a can of OFF! Family Care insect repellent was stored. The cabinet was not locked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the medication box stored in the cabinet by the exit to outside in space #1, a pack of Imodium A-D 2 caplets, a pack of Tylenol Extra Strength 2 caplets, and a pack of Motrin IB 2 caplets were stored. The medication box had a combination lock, but it was not set. 15A NCAC 18A .2820(d) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two (2) volunteers' Emergency Information forms were not updated annually. M. Gordet's Emergency information form was created on 8/7/23 and K. McHugh's Emergency information form was created on 11/17/23. .0701(a) Technical assistance was provided as follows: 319: Staff Child ratio sheet Staff/child ratio applicable to a classroom shall be posted in each classroom. Please refer to 10A NCAC 09 .0713(a)(10). Staff/Child ratio sheet was printed and provided to Ms. Ledlow during the visit. 840: aerosol can 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 shall be stored in a locked room or cabinet. OFF! Family Care insect repellent was stored in the cabinet by the exit to outside in space #1. The insect repellent was removed from space #1 during the visit. This item was corrected during the visit. Please refer to 15A NCAC 18A.2820(b). 841: Storage of medications Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container. Please refer to 15A NCAC 18A.2820(d). All over-the-counter medications were thrown away. This item was corrected during the visit. 1035: Emergency Information Child care providers, including the director, uncompensated providers, substitute providers, and volunteers shall have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Please refer to 10A NCAC 09 .0701(a). M. Gordet’s Emergency information form was updated during the visit. K. McHugh shall update the form when she is returned to the facility. Due to the effects of tropical storm Helene, additional time was permitted to meet the compliance for the following items. 106: Fire inspection The operator scheduled and obtained a fire inspection within 12 months of the previous inspection. The operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Please refer to 10 A NCAC 09 .0304(a). Please contact your Fire Marshall and reminds him/her of the inspection. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/3/25 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Please conduct a shelter-in-place or a lockdown drill this month. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/17/2025 Number Present: 17 Completed Date: 2/17/2025 Age: From 3 To 4 Total Minutes: 130 Time In: 10:30 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mikesha Ledlow, Administrator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Ledlow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percent as of today prior to this visit. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 8/14/24. The last fire drill was practiced on 1/10/25. The last shelter-in-place drill was practiced on 11/25/24. The last playground inspection was documented on 2/5/25. The last fire inspection was approved on 9/6/23. Per Ms. Ledlow, fire training was completed on 7/19/24, but the inspection has not been completed. The last sanitation inspection was conducted on 12/16/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I announced my presence and the purpose of the visit. In space #1, nine (9) children, all four (4) years of age, participated in group time. The children washed bible story and danced. The children from space #2 engaged in gross motor play in space #3. Eight (8) children, three-to-four years of age, played with balls and hula hoops. They also played games. Between two (2) classrooms, eighteen (18) children are enrolled. Each morning, the children are divided into two (2) classrooms (space #1 and #2). One emergency medication is maintained in space #1. The permission form and the action plan were valid. The playground was inspected. Tire mulch was not measured due to the frozen ground due to cold temperature. No safety hazards were observed. All staff files were monitored partially. All staff members have valid criminal background letters and CPR/First Aid certificates. Volunteer files were monitored in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit; Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. In space #2, Classroom Staff to Child Ratio poster was not posted. .0713(a)(10), (c) & (f)(3); .2818(e) 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. In the cabinet by the exit to outside in space #1, a can of OFF! Family Care insect repellent was stored. The cabinet was not locked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the medication box stored in the cabinet by the exit to outside in space #1, a pack of Imodium A-D 2 caplets, a pack of Tylenol Extra Strength 2 caplets, and a pack of Motrin IB 2 caplets were stored. The medication box had a combination lock, but it was not set. 15A NCAC 18A .2820(d) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two (2) volunteers' Emergency Information forms were not updated annually. M. Gordet's Emergency information form was created on 8/7/23 and K. McHugh's Emergency information form was created on 11/17/23. .0701(a) Technical assistance was provided as follows: 319: Staff Child ratio sheet Staff/child ratio applicable to a classroom shall be posted in each classroom. Please refer to 10A NCAC 09 .0713(a)(10). Staff/Child ratio sheet was printed and provided to Ms. Ledlow during the visit. 840: aerosol can 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 shall be stored in a locked room or cabinet. OFF! Family Care insect repellent was stored in the cabinet by the exit to outside in space #1. The insect repellent was removed from space #1 during the visit. This item was corrected during the visit. Please refer to 15A NCAC 18A.2820(b). 841: Storage of medications Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container. Please refer to 15A NCAC 18A.2820(d). All over-the-counter medications were thrown away. This item was corrected during the visit. 1035: Emergency Information Child care providers, including the director, uncompensated providers, substitute providers, and volunteers shall have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Please refer to 10A NCAC 09 .0701(a). M. Gordet’s Emergency information form was updated during the visit. K. McHugh shall update the form when she is returned to the facility. Due to the effects of tropical storm Helene, additional time was permitted to meet the compliance for the following items. 106: Fire inspection The operator scheduled and obtained a fire inspection within 12 months of the previous inspection. The operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Please refer to 10 A NCAC 09 .0304(a). Please contact your Fire Marshall and reminds him/her of the inspection. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/3/25 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Please conduct a shelter-in-place or a lockdown drill this month. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-106 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/17/2025 Number Present: 17 Completed Date: 2/17/2025 Age: From 3 To 4 Total Minutes: 130 Time In: 10:30 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mikesha Ledlow, Administrator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Ledlow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percent as of today prior to this visit. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 8/14/24. The last fire drill was practiced on 1/10/25. The last shelter-in-place drill was practiced on 11/25/24. The last playground inspection was documented on 2/5/25. The last fire inspection was approved on 9/6/23. Per Ms. Ledlow, fire training was completed on 7/19/24, but the inspection has not been completed. The last sanitation inspection was conducted on 12/16/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I announced my presence and the purpose of the visit. In space #1, nine (9) children, all four (4) years of age, participated in group time. The children washed bible story and danced. The children from space #2 engaged in gross motor play in space #3. Eight (8) children, three-to-four years of age, played with balls and hula hoops. They also played games. Between two (2) classrooms, eighteen (18) children are enrolled. Each morning, the children are divided into two (2) classrooms (space #1 and #2). One emergency medication is maintained in space #1. The permission form and the action plan were valid. The playground was inspected. Tire mulch was not measured due to the frozen ground due to cold temperature. No safety hazards were observed. All staff files were monitored partially. All staff members have valid criminal background letters and CPR/First Aid certificates. Volunteer files were monitored in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit; Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. In space #2, Classroom Staff to Child Ratio poster was not posted. .0713(a)(10), (c) & (f)(3); .2818(e) 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. In the cabinet by the exit to outside in space #1, a can of OFF! Family Care insect repellent was stored. The cabinet was not locked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the medication box stored in the cabinet by the exit to outside in space #1, a pack of Imodium A-D 2 caplets, a pack of Tylenol Extra Strength 2 caplets, and a pack of Motrin IB 2 caplets were stored. The medication box had a combination lock, but it was not set. 15A NCAC 18A .2820(d) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two (2) volunteers' Emergency Information forms were not updated annually. M. Gordet's Emergency information form was created on 8/7/23 and K. McHugh's Emergency information form was created on 11/17/23. .0701(a) Technical assistance was provided as follows: 319: Staff Child ratio sheet Staff/child ratio applicable to a classroom shall be posted in each classroom. Please refer to 10A NCAC 09 .0713(a)(10). Staff/Child ratio sheet was printed and provided to Ms. Ledlow during the visit. 840: aerosol can 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 shall be stored in a locked room or cabinet. OFF! Family Care insect repellent was stored in the cabinet by the exit to outside in space #1. The insect repellent was removed from space #1 during the visit. This item was corrected during the visit. Please refer to 15A NCAC 18A.2820(b). 841: Storage of medications Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container. Please refer to 15A NCAC 18A.2820(d). All over-the-counter medications were thrown away. This item was corrected during the visit. 1035: Emergency Information Child care providers, including the director, uncompensated providers, substitute providers, and volunteers shall have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Please refer to 10A NCAC 09 .0701(a). M. Gordet’s Emergency information form was updated during the visit. K. McHugh shall update the form when she is returned to the facility. Due to the effects of tropical storm Helene, additional time was permitted to meet the compliance for the following items. 106: Fire inspection The operator scheduled and obtained a fire inspection within 12 months of the previous inspection. The operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Please refer to 10 A NCAC 09 .0304(a). Please contact your Fire Marshall and reminds him/her of the inspection. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/3/25 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Please conduct a shelter-in-place or a lockdown drill this month. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/17/2025 Number Present: 17 Completed Date: 2/17/2025 Age: From 3 To 4 Total Minutes: 130 Time In: 10:30 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mikesha Ledlow, Administrator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Ledlow was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percent as of today prior to this visit. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 8/14/24. The last fire drill was practiced on 1/10/25. The last shelter-in-place drill was practiced on 11/25/24. The last playground inspection was documented on 2/5/25. The last fire inspection was approved on 9/6/23. Per Ms. Ledlow, fire training was completed on 7/19/24, but the inspection has not been completed. The last sanitation inspection was conducted on 12/16/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I announced my presence and the purpose of the visit. In space #1, nine (9) children, all four (4) years of age, participated in group time. The children washed bible story and danced. The children from space #2 engaged in gross motor play in space #3. Eight (8) children, three-to-four years of age, played with balls and hula hoops. They also played games. Between two (2) classrooms, eighteen (18) children are enrolled. Each morning, the children are divided into two (2) classrooms (space #1 and #2). One emergency medication is maintained in space #1. The permission form and the action plan were valid. The playground was inspected. Tire mulch was not measured due to the frozen ground due to cold temperature. No safety hazards were observed. All staff files were monitored partially. All staff members have valid criminal background letters and CPR/First Aid certificates. Volunteer files were monitored in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit; Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. In space #2, Classroom Staff to Child Ratio poster was not posted. .0713(a)(10), (c) & (f)(3); .2818(e) 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. In the cabinet by the exit to outside in space #1, a can of OFF! Family Care insect repellent was stored. The cabinet was not locked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the medication box stored in the cabinet by the exit to outside in space #1, a pack of Imodium A-D 2 caplets, a pack of Tylenol Extra Strength 2 caplets, and a pack of Motrin IB 2 caplets were stored. The medication box had a combination lock, but it was not set. 15A NCAC 18A .2820(d) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two (2) volunteers' Emergency Information forms were not updated annually. M. Gordet's Emergency information form was created on 8/7/23 and K. McHugh's Emergency information form was created on 11/17/23. .0701(a) Technical assistance was provided as follows: 319: Staff Child ratio sheet Staff/child ratio applicable to a classroom shall be posted in each classroom. Please refer to 10A NCAC 09 .0713(a)(10). Staff/Child ratio sheet was printed and provided to Ms. Ledlow during the visit. 840: aerosol can 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 shall be stored in a locked room or cabinet. OFF! Family Care insect repellent was stored in the cabinet by the exit to outside in space #1. The insect repellent was removed from space #1 during the visit. This item was corrected during the visit. Please refer to 15A NCAC 18A.2820(b). 841: Storage of medications Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container. Please refer to 15A NCAC 18A.2820(d). All over-the-counter medications were thrown away. This item was corrected during the visit. 1035: Emergency Information Child care providers, including the director, uncompensated providers, substitute providers, and volunteers shall have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Please refer to 10A NCAC 09 .0701(a). M. Gordet’s Emergency information form was updated during the visit. K. McHugh shall update the form when she is returned to the facility. Due to the effects of tropical storm Helene, additional time was permitted to meet the compliance for the following items. 106: Fire inspection The operator scheduled and obtained a fire inspection within 12 months of the previous inspection. The operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Please refer to 10 A NCAC 09 .0304(a). Please contact your Fire Marshall and reminds him/her of the inspection. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/3/25 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Please conduct a shelter-in-place or a lockdown drill this month. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/14/2024 Number Present: 14 Completed Date: 8/14/2024 Age: From 3 To 4 Total Minutes: 156 Time In: 09:24 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mikesha Ledlow, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Ledlow accompanied me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, New Covenant Church of Waynesville, Incorporated, is current/active as of 8/12/24. On the Secretary of State website, the facility’s physical address, mailing address and the name of the registered agent do not match the information on the application. Please visit https://www.sosnc.gov/ to correct the information. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. This is the first annual compliance visit at this facility. Letter of intent visit was conducted on 8/17/23. The last fire drill was practiced on 7/30/24. The last shelter-in-place drill was practiced on 7/30/24. The last playground inspection was documented on 8/13/24. The last fire inspection was approved on 9/6/23. The last sanitation inspection was conducted on 4/25/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. I observed a group of three-to-four-year-old children transitioned from their classroom to the playground. One (1) teacher stayed in the classroom to clean up after a child’s accident, and the other teacher monitored the children use bathroom. The teacher was in ratio. When the children finished using the bathroom, they lined up in the hallway, held a rope and headed to the playground. The children played with slide structure and balance beams on the playground. There were one (1) emergency medications, one (1) over-the-counter medication and sunscreens maintained in the classroom. Two (2) new staff files and one (1) staff file were monitored. Missing and inaccurate dates were checked and verified to be current for the new staff members and the existing staff member. Two (2) children’s files were monitored and in compliance. All other files were monitored partially for Emergency information form, Health Questionnaire form and review of Emergency Medical Care plan. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The medication authorization form for Ventolin HFA was not in the child's file in space #1. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. "M" Sport sunscreen Broad Spectrum SPF 50 aerosol spray expired in April 2024. .0803(12) 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. Medical statement for staff member hired on 3/1/24 was dated 10/11/22. The new staff member hired on 6/17/24 obtained his/her medical statement on 6/28/24. 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 screen for staff member hired on 3/1/24 was dated 10/11/22. The new staff member hired on 6/17/24 obtained his/her TB screening on 6/28/24. .0701(a) Technical assistance was provided as follows: 847: Medication authorization form Medication authorization form is required for all medication including prescription and over-the-counter medications. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: expired medication Expired medications shall be discarded or returned to the parent within seventy-two (72) hours of their expiration dates. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1032: Medical statement Medical statement shall be obtained prior to first day of employment and the statement shall be twelve (12) months or newer. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB screening TB screening shall be obtained prior to first day of employment and the statement shall be twelve (12) months or newer. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/28/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: EPR and EMC review: You shall leave a documentation of review of EPR plan ad EMC plan. Many programs use sign-in sheet for the staff meeting when the plans were reviewed as evidence. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/14/2024 Number Present: 14 Completed Date: 8/14/2024 Age: From 3 To 4 Total Minutes: 156 Time In: 09:24 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mikesha Ledlow, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Ledlow accompanied me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, New Covenant Church of Waynesville, Incorporated, is current/active as of 8/12/24. On the Secretary of State website, the facility’s physical address, mailing address and the name of the registered agent do not match the information on the application. Please visit https://www.sosnc.gov/ to correct the information. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. This is the first annual compliance visit at this facility. Letter of intent visit was conducted on 8/17/23. The last fire drill was practiced on 7/30/24. The last shelter-in-place drill was practiced on 7/30/24. The last playground inspection was documented on 8/13/24. The last fire inspection was approved on 9/6/23. The last sanitation inspection was conducted on 4/25/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. I observed a group of three-to-four-year-old children transitioned from their classroom to the playground. One (1) teacher stayed in the classroom to clean up after a child’s accident, and the other teacher monitored the children use bathroom. The teacher was in ratio. When the children finished using the bathroom, they lined up in the hallway, held a rope and headed to the playground. The children played with slide structure and balance beams on the playground. There were one (1) emergency medications, one (1) over-the-counter medication and sunscreens maintained in the classroom. Two (2) new staff files and one (1) staff file were monitored. Missing and inaccurate dates were checked and verified to be current for the new staff members and the existing staff member. Two (2) children’s files were monitored and in compliance. All other files were monitored partially for Emergency information form, Health Questionnaire form and review of Emergency Medical Care plan. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The medication authorization form for Ventolin HFA was not in the child's file in space #1. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. "M" Sport sunscreen Broad Spectrum SPF 50 aerosol spray expired in April 2024. .0803(12) 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. Medical statement for staff member hired on 3/1/24 was dated 10/11/22. The new staff member hired on 6/17/24 obtained his/her medical statement on 6/28/24. 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 screen for staff member hired on 3/1/24 was dated 10/11/22. The new staff member hired on 6/17/24 obtained his/her TB screening on 6/28/24. .0701(a) Technical assistance was provided as follows: 847: Medication authorization form Medication authorization form is required for all medication including prescription and over-the-counter medications. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: expired medication Expired medications shall be discarded or returned to the parent within seventy-two (72) hours of their expiration dates. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1032: Medical statement Medical statement shall be obtained prior to first day of employment and the statement shall be twelve (12) months or newer. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB screening TB screening shall be obtained prior to first day of employment and the statement shall be twelve (12) months or newer. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/28/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: EPR and EMC review: You shall leave a documentation of review of EPR plan ad EMC plan. Many programs use sign-in sheet for the staff meeting when the plans were reviewed as evidence. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/14/2024 Number Present: 14 Completed Date: 8/14/2024 Age: From 3 To 4 Total Minutes: 156 Time In: 09:24 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mikesha Ledlow, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Ledlow accompanied me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, New Covenant Church of Waynesville, Incorporated, is current/active as of 8/12/24. On the Secretary of State website, the facility’s physical address, mailing address and the name of the registered agent do not match the information on the application. Please visit https://www.sosnc.gov/ to correct the information. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. This is the first annual compliance visit at this facility. Letter of intent visit was conducted on 8/17/23. The last fire drill was practiced on 7/30/24. The last shelter-in-place drill was practiced on 7/30/24. The last playground inspection was documented on 8/13/24. The last fire inspection was approved on 9/6/23. The last sanitation inspection was conducted on 4/25/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. I observed a group of three-to-four-year-old children transitioned from their classroom to the playground. One (1) teacher stayed in the classroom to clean up after a child’s accident, and the other teacher monitored the children use bathroom. The teacher was in ratio. When the children finished using the bathroom, they lined up in the hallway, held a rope and headed to the playground. The children played with slide structure and balance beams on the playground. There were one (1) emergency medications, one (1) over-the-counter medication and sunscreens maintained in the classroom. Two (2) new staff files and one (1) staff file were monitored. Missing and inaccurate dates were checked and verified to be current for the new staff members and the existing staff member. Two (2) children’s files were monitored and in compliance. All other files were monitored partially for Emergency information form, Health Questionnaire form and review of Emergency Medical Care plan. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The medication authorization form for Ventolin HFA was not in the child's file in space #1. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. "M" Sport sunscreen Broad Spectrum SPF 50 aerosol spray expired in April 2024. .0803(12) 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. Medical statement for staff member hired on 3/1/24 was dated 10/11/22. The new staff member hired on 6/17/24 obtained his/her medical statement on 6/28/24. 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 screen for staff member hired on 3/1/24 was dated 10/11/22. The new staff member hired on 6/17/24 obtained his/her TB screening on 6/28/24. .0701(a) Technical assistance was provided as follows: 847: Medication authorization form Medication authorization form is required for all medication including prescription and over-the-counter medications. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: expired medication Expired medications shall be discarded or returned to the parent within seventy-two (72) hours of their expiration dates. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1032: Medical statement Medical statement shall be obtained prior to first day of employment and the statement shall be twelve (12) months or newer. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB screening TB screening shall be obtained prior to first day of employment and the statement shall be twelve (12) months or newer. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/28/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: EPR and EMC review: You shall leave a documentation of review of EPR plan ad EMC plan. Many programs use sign-in sheet for the staff meeting when the plans were reviewed as evidence. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/14/2024 Number Present: 14 Completed Date: 8/14/2024 Age: From 3 To 4 Total Minutes: 156 Time In: 09:24 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mikesha Ledlow, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Ledlow accompanied me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, New Covenant Church of Waynesville, Incorporated, is current/active as of 8/12/24. On the Secretary of State website, the facility’s physical address, mailing address and the name of the registered agent do not match the information on the application. Please visit https://www.sosnc.gov/ to correct the information. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. This is the first annual compliance visit at this facility. Letter of intent visit was conducted on 8/17/23. The last fire drill was practiced on 7/30/24. The last shelter-in-place drill was practiced on 7/30/24. The last playground inspection was documented on 8/13/24. The last fire inspection was approved on 9/6/23. The last sanitation inspection was conducted on 4/25/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. I observed a group of three-to-four-year-old children transitioned from their classroom to the playground. One (1) teacher stayed in the classroom to clean up after a child’s accident, and the other teacher monitored the children use bathroom. The teacher was in ratio. When the children finished using the bathroom, they lined up in the hallway, held a rope and headed to the playground. The children played with slide structure and balance beams on the playground. There were one (1) emergency medications, one (1) over-the-counter medication and sunscreens maintained in the classroom. Two (2) new staff files and one (1) staff file were monitored. Missing and inaccurate dates were checked and verified to be current for the new staff members and the existing staff member. Two (2) children’s files were monitored and in compliance. All other files were monitored partially for Emergency information form, Health Questionnaire form and review of Emergency Medical Care plan. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The medication authorization form for Ventolin HFA was not in the child's file in space #1. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. "M" Sport sunscreen Broad Spectrum SPF 50 aerosol spray expired in April 2024. .0803(12) 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. Medical statement for staff member hired on 3/1/24 was dated 10/11/22. The new staff member hired on 6/17/24 obtained his/her medical statement on 6/28/24. 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 screen for staff member hired on 3/1/24 was dated 10/11/22. The new staff member hired on 6/17/24 obtained his/her TB screening on 6/28/24. .0701(a) Technical assistance was provided as follows: 847: Medication authorization form Medication authorization form is required for all medication including prescription and over-the-counter medications. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: expired medication Expired medications shall be discarded or returned to the parent within seventy-two (72) hours of their expiration dates. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1032: Medical statement Medical statement shall be obtained prior to first day of employment and the statement shall be twelve (12) months or newer. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB screening TB screening shall be obtained prior to first day of employment and the statement shall be twelve (12) months or newer. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/28/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: EPR and EMC review: You shall leave a documentation of review of EPR plan ad EMC plan. Many programs use sign-in sheet for the staff meeting when the plans were reviewed as evidence. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/14/2024 Number Present: 14 Completed Date: 8/14/2024 Age: From 3 To 4 Total Minutes: 156 Time In: 09:24 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mikesha Ledlow, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Ledlow accompanied me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, New Covenant Church of Waynesville, Incorporated, is current/active as of 8/12/24. On the Secretary of State website, the facility’s physical address, mailing address and the name of the registered agent do not match the information on the application. Please visit https://www.sosnc.gov/ to correct the information. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. This is the first annual compliance visit at this facility. Letter of intent visit was conducted on 8/17/23. The last fire drill was practiced on 7/30/24. The last shelter-in-place drill was practiced on 7/30/24. The last playground inspection was documented on 8/13/24. The last fire inspection was approved on 9/6/23. The last sanitation inspection was conducted on 4/25/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. I observed a group of three-to-four-year-old children transitioned from their classroom to the playground. One (1) teacher stayed in the classroom to clean up after a child’s accident, and the other teacher monitored the children use bathroom. The teacher was in ratio. When the children finished using the bathroom, they lined up in the hallway, held a rope and headed to the playground. The children played with slide structure and balance beams on the playground. There were one (1) emergency medications, one (1) over-the-counter medication and sunscreens maintained in the classroom. Two (2) new staff files and one (1) staff file were monitored. Missing and inaccurate dates were checked and verified to be current for the new staff members and the existing staff member. Two (2) children’s files were monitored and in compliance. All other files were monitored partially for Emergency information form, Health Questionnaire form and review of Emergency Medical Care plan. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The medication authorization form for Ventolin HFA was not in the child's file in space #1. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. "M" Sport sunscreen Broad Spectrum SPF 50 aerosol spray expired in April 2024. .0803(12) 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. Medical statement for staff member hired on 3/1/24 was dated 10/11/22. The new staff member hired on 6/17/24 obtained his/her medical statement on 6/28/24. 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 screen for staff member hired on 3/1/24 was dated 10/11/22. The new staff member hired on 6/17/24 obtained his/her TB screening on 6/28/24. .0701(a) Technical assistance was provided as follows: 847: Medication authorization form Medication authorization form is required for all medication including prescription and over-the-counter medications. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: expired medication Expired medications shall be discarded or returned to the parent within seventy-two (72) hours of their expiration dates. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1032: Medical statement Medical statement shall be obtained prior to first day of employment and the statement shall be twelve (12) months or newer. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB screening TB screening shall be obtained prior to first day of employment and the statement shall be twelve (12) months or newer. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/28/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: EPR and EMC review: You shall leave a documentation of review of EPR plan ad EMC plan. Many programs use sign-in sheet for the staff meeting when the plans were reviewed as evidence. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/14/2024 Number Present: 14 Completed Date: 8/14/2024 Age: From 3 To 4 Total Minutes: 156 Time In: 09:24 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mikesha Ledlow, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Ledlow accompanied me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, New Covenant Church of Waynesville, Incorporated, is current/active as of 8/12/24. On the Secretary of State website, the facility’s physical address, mailing address and the name of the registered agent do not match the information on the application. Please visit https://www.sosnc.gov/ to correct the information. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. This is the first annual compliance visit at this facility. Letter of intent visit was conducted on 8/17/23. The last fire drill was practiced on 7/30/24. The last shelter-in-place drill was practiced on 7/30/24. The last playground inspection was documented on 8/13/24. The last fire inspection was approved on 9/6/23. The last sanitation inspection was conducted on 4/25/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. I observed a group of three-to-four-year-old children transitioned from their classroom to the playground. One (1) teacher stayed in the classroom to clean up after a child’s accident, and the other teacher monitored the children use bathroom. The teacher was in ratio. When the children finished using the bathroom, they lined up in the hallway, held a rope and headed to the playground. The children played with slide structure and balance beams on the playground. There were one (1) emergency medications, one (1) over-the-counter medication and sunscreens maintained in the classroom. Two (2) new staff files and one (1) staff file were monitored. Missing and inaccurate dates were checked and verified to be current for the new staff members and the existing staff member. Two (2) children’s files were monitored and in compliance. All other files were monitored partially for Emergency information form, Health Questionnaire form and review of Emergency Medical Care plan. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The medication authorization form for Ventolin HFA was not in the child's file in space #1. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. "M" Sport sunscreen Broad Spectrum SPF 50 aerosol spray expired in April 2024. .0803(12) 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. Medical statement for staff member hired on 3/1/24 was dated 10/11/22. The new staff member hired on 6/17/24 obtained his/her medical statement on 6/28/24. 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 screen for staff member hired on 3/1/24 was dated 10/11/22. The new staff member hired on 6/17/24 obtained his/her TB screening on 6/28/24. .0701(a) Technical assistance was provided as follows: 847: Medication authorization form Medication authorization form is required for all medication including prescription and over-the-counter medications. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: expired medication Expired medications shall be discarded or returned to the parent within seventy-two (72) hours of their expiration dates. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1032: Medical statement Medical statement shall be obtained prior to first day of employment and the statement shall be twelve (12) months or newer. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB screening TB screening shall be obtained prior to first day of employment and the statement shall be twelve (12) months or newer. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/28/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: EPR and EMC review: You shall leave a documentation of review of EPR plan ad EMC plan. Many programs use sign-in sheet for the staff meeting when the plans were reviewed as evidence. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-106 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/14/2024 Number Present: 14 Completed Date: 8/14/2024 Age: From 3 To 4 Total Minutes: 156 Time In: 09:24 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mikesha Ledlow, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Ledlow accompanied me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, New Covenant Church of Waynesville, Incorporated, is current/active as of 8/12/24. On the Secretary of State website, the facility’s physical address, mailing address and the name of the registered agent do not match the information on the application. Please visit https://www.sosnc.gov/ to correct the information. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. This is the first annual compliance visit at this facility. Letter of intent visit was conducted on 8/17/23. The last fire drill was practiced on 7/30/24. The last shelter-in-place drill was practiced on 7/30/24. The last playground inspection was documented on 8/13/24. The last fire inspection was approved on 9/6/23. The last sanitation inspection was conducted on 4/25/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. I observed a group of three-to-four-year-old children transitioned from their classroom to the playground. One (1) teacher stayed in the classroom to clean up after a child’s accident, and the other teacher monitored the children use bathroom. The teacher was in ratio. When the children finished using the bathroom, they lined up in the hallway, held a rope and headed to the playground. The children played with slide structure and balance beams on the playground. There were one (1) emergency medications, one (1) over-the-counter medication and sunscreens maintained in the classroom. Two (2) new staff files and one (1) staff file were monitored. Missing and inaccurate dates were checked and verified to be current for the new staff members and the existing staff member. Two (2) children’s files were monitored and in compliance. All other files were monitored partially for Emergency information form, Health Questionnaire form and review of Emergency Medical Care plan. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The medication authorization form for Ventolin HFA was not in the child's file in space #1. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. "M" Sport sunscreen Broad Spectrum SPF 50 aerosol spray expired in April 2024. .0803(12) 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. Medical statement for staff member hired on 3/1/24 was dated 10/11/22. The new staff member hired on 6/17/24 obtained his/her medical statement on 6/28/24. 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 screen for staff member hired on 3/1/24 was dated 10/11/22. The new staff member hired on 6/17/24 obtained his/her TB screening on 6/28/24. .0701(a) Technical assistance was provided as follows: 847: Medication authorization form Medication authorization form is required for all medication including prescription and over-the-counter medications. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: expired medication Expired medications shall be discarded or returned to the parent within seventy-two (72) hours of their expiration dates. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1032: Medical statement Medical statement shall be obtained prior to first day of employment and the statement shall be twelve (12) months or newer. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB screening TB screening shall be obtained prior to first day of employment and the statement shall be twelve (12) months or newer. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/28/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: EPR and EMC review: You shall leave a documentation of review of EPR plan ad EMC plan. Many programs use sign-in sheet for the staff meeting when the plans were reviewed as evidence. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/14/2024 Number Present: 14 Completed Date: 8/14/2024 Age: From 3 To 4 Total Minutes: 156 Time In: 09:24 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mikesha Ledlow, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Ledlow accompanied me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, New Covenant Church of Waynesville, Incorporated, is current/active as of 8/12/24. On the Secretary of State website, the facility’s physical address, mailing address and the name of the registered agent do not match the information on the application. Please visit https://www.sosnc.gov/ to correct the information. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. This is the first annual compliance visit at this facility. Letter of intent visit was conducted on 8/17/23. The last fire drill was practiced on 7/30/24. The last shelter-in-place drill was practiced on 7/30/24. The last playground inspection was documented on 8/13/24. The last fire inspection was approved on 9/6/23. The last sanitation inspection was conducted on 4/25/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. I observed a group of three-to-four-year-old children transitioned from their classroom to the playground. One (1) teacher stayed in the classroom to clean up after a child’s accident, and the other teacher monitored the children use bathroom. The teacher was in ratio. When the children finished using the bathroom, they lined up in the hallway, held a rope and headed to the playground. The children played with slide structure and balance beams on the playground. There were one (1) emergency medications, one (1) over-the-counter medication and sunscreens maintained in the classroom. Two (2) new staff files and one (1) staff file were monitored. Missing and inaccurate dates were checked and verified to be current for the new staff members and the existing staff member. Two (2) children’s files were monitored and in compliance. All other files were monitored partially for Emergency information form, Health Questionnaire form and review of Emergency Medical Care plan. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The medication authorization form for Ventolin HFA was not in the child's file in space #1. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. "M" Sport sunscreen Broad Spectrum SPF 50 aerosol spray expired in April 2024. .0803(12) 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. Medical statement for staff member hired on 3/1/24 was dated 10/11/22. The new staff member hired on 6/17/24 obtained his/her medical statement on 6/28/24. 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 screen for staff member hired on 3/1/24 was dated 10/11/22. The new staff member hired on 6/17/24 obtained his/her TB screening on 6/28/24. .0701(a) Technical assistance was provided as follows: 847: Medication authorization form Medication authorization form is required for all medication including prescription and over-the-counter medications. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: expired medication Expired medications shall be discarded or returned to the parent within seventy-two (72) hours of their expiration dates. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1032: Medical statement Medical statement shall be obtained prior to first day of employment and the statement shall be twelve (12) months or newer. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB screening TB screening shall be obtained prior to first day of employment and the statement shall be twelve (12) months or newer. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/28/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: EPR and EMC review: You shall leave a documentation of review of EPR plan ad EMC plan. Many programs use sign-in sheet for the staff meeting when the plans were reviewed as evidence. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/1/2023 Number Present: 12 Completed Date: 12/1/2023 Age: From 3 To 4 Total Minutes: 200 Time In: 09:55 AM Time Out: 01:15 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Emily Kellogg, Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to Amy Cherbony, Administrator. Today, Emily Kellogg, Teacher was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This is the first visit conducted after pre-licensing visits. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. The last fire drill was practiced on 8/30/23. The last shelter-in-place drill/lockdown has not been practiced. The last playground inspection was documented on 11/2/23. The last fire inspection was approved on 9/6/23. The last sanitation inspection was conducted on 9/8/23 with five (5) demerits for a superior classification. The Emergency Medical Care plan was not posted. EMC was maintained in a file cabinet in the director’s office. Upon arrival, I announced my presence and the purpose of the visit to the teachers. Both the Administrator and the Director were off today. All licensed spaces were inspected. In space #1, a group of three-to-four-year-old children engaged in free play. There are open spaces and a table in the middle of the classroom, and the learning centers were located against the wall around the classroom. During the visit, a teacher took three (3) children, four (4) years of age, to space #2 (room 303) to conduct small group activities. There were two (2) teachers, one (1) floater and one (1) volunteer personnel present. After the children cleaned up, the children lined up to use the common bathroom located by room 305. There is a bathroom in the classroom, but using the common bathroom is more time efficient. Due to inclement weather, the children engaged in gross motor activities in space #3 (room 304). The children ran and played with a parachute. Balls and bowling pins were also accessible to the children. No hazardous materials were found in the licensed spaces. After the gross motor activity, the children returned to space #1 and engaged in a group time. The children danced and learned about teaching in the Bible. The children bring lunch from home. Supplemental items, such as mixed fruit cups, vegetable cups and milk were available to children. The program provides AM and PM snacks. The menu was monitored but snack time was not observed. Supervision and interaction were adequate. All staff files were monitored for criminal background letters and First aid/CPR certificate. All staff members have a valid CBC letter. All staff members, except the pastor have valid CPR/FA certificate in the files. Medications were monitored. There are two (2) aerosol sunscreen sprays maintained in a locked storage. All children have valid permission except for one (1) child. The child has an opt-out form for over-the-counter ointment. The playground was monitored. The playground is located to the left side of the building. The playground outside of space #3 is not used by the children enrolled in the program. The preschool playground has slide structure and gross motor accessories, such as riding toys and balls. The fall zone has tire mulch. The depth of the loose surfacing was sufficient. The fall zone was measured for six (6) feet and three (3) inches or longer from the slide structure to the border. No hazardous materials were observed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was practiced on 8/30/23 according to the log. .0604(t); .0302(d)(5) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. Both the director and the administrator were off during the visit. The director and the administrator were listed as designee to determine the degree of care on Emergency Medical Care Plan. .0802(b)(1-2) Technical assistance was provided as follows: 805: Fire Drills: Fire drills shall be completed monthly. Upon completion of the drills, the log shall be completed. Fire drills should be completed at various times during the day, including rest time. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 1914: Emergency Medical Care Plan/Authorized personnel Please review your EMC. Make sure that at least one (1) person who is authorized to complete emergency medical care is present while the children are cared for. For example, at least one (1) person listed to determine the degree of care must be present. All other items are the same. You can list additional personnels on the EMC. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/15/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Emergency Preparedness and Response: Emergency Preparedness and Response in Child Care training shall be completed by at least one (1) staff member within one (1) years of the effective date of your license. One the EPR training is completed, you must complete an EPR plan on a template at the following website: https://rmp.nc.gov/portal/portal.aspx within four (4) months. A shelter-in-place or a lockdown drill is encouraged to be completed as soon as a staff member completes the EPR training. Aerosol sunscreen: Aerosol spray is considered lung irritant and not recommended for use in the child care centers. It is recommended for teachers to apply sunscreen on their hands/gloves and apply it to the children. Avoid spraying eyes, ears and mouth. Staff/Child Ratio sheet: Per rule below, the staff/child ratio shall be posted in each classroom where the parents can see. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/1/2023 Number Present: 12 Completed Date: 12/1/2023 Age: From 3 To 4 Total Minutes: 200 Time In: 09:55 AM Time Out: 01:15 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Emily Kellogg, Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to Amy Cherbony, Administrator. Today, Emily Kellogg, Teacher was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This is the first visit conducted after pre-licensing visits. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. The last fire drill was practiced on 8/30/23. The last shelter-in-place drill/lockdown has not been practiced. The last playground inspection was documented on 11/2/23. The last fire inspection was approved on 9/6/23. The last sanitation inspection was conducted on 9/8/23 with five (5) demerits for a superior classification. The Emergency Medical Care plan was not posted. EMC was maintained in a file cabinet in the director’s office. Upon arrival, I announced my presence and the purpose of the visit to the teachers. Both the Administrator and the Director were off today. All licensed spaces were inspected. In space #1, a group of three-to-four-year-old children engaged in free play. There are open spaces and a table in the middle of the classroom, and the learning centers were located against the wall around the classroom. During the visit, a teacher took three (3) children, four (4) years of age, to space #2 (room 303) to conduct small group activities. There were two (2) teachers, one (1) floater and one (1) volunteer personnel present. After the children cleaned up, the children lined up to use the common bathroom located by room 305. There is a bathroom in the classroom, but using the common bathroom is more time efficient. Due to inclement weather, the children engaged in gross motor activities in space #3 (room 304). The children ran and played with a parachute. Balls and bowling pins were also accessible to the children. No hazardous materials were found in the licensed spaces. After the gross motor activity, the children returned to space #1 and engaged in a group time. The children danced and learned about teaching in the Bible. The children bring lunch from home. Supplemental items, such as mixed fruit cups, vegetable cups and milk were available to children. The program provides AM and PM snacks. The menu was monitored but snack time was not observed. Supervision and interaction were adequate. All staff files were monitored for criminal background letters and First aid/CPR certificate. All staff members have a valid CBC letter. All staff members, except the pastor have valid CPR/FA certificate in the files. Medications were monitored. There are two (2) aerosol sunscreen sprays maintained in a locked storage. All children have valid permission except for one (1) child. The child has an opt-out form for over-the-counter ointment. The playground was monitored. The playground is located to the left side of the building. The playground outside of space #3 is not used by the children enrolled in the program. The preschool playground has slide structure and gross motor accessories, such as riding toys and balls. The fall zone has tire mulch. The depth of the loose surfacing was sufficient. The fall zone was measured for six (6) feet and three (3) inches or longer from the slide structure to the border. No hazardous materials were observed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was practiced on 8/30/23 according to the log. .0604(t); .0302(d)(5) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. Both the director and the administrator were off during the visit. The director and the administrator were listed as designee to determine the degree of care on Emergency Medical Care Plan. .0802(b)(1-2) Technical assistance was provided as follows: 805: Fire Drills: Fire drills shall be completed monthly. Upon completion of the drills, the log shall be completed. Fire drills should be completed at various times during the day, including rest time. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 1914: Emergency Medical Care Plan/Authorized personnel Please review your EMC. Make sure that at least one (1) person who is authorized to complete emergency medical care is present while the children are cared for. For example, at least one (1) person listed to determine the degree of care must be present. All other items are the same. You can list additional personnels on the EMC. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/15/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Emergency Preparedness and Response: Emergency Preparedness and Response in Child Care training shall be completed by at least one (1) staff member within one (1) years of the effective date of your license. One the EPR training is completed, you must complete an EPR plan on a template at the following website: https://rmp.nc.gov/portal/portal.aspx within four (4) months. A shelter-in-place or a lockdown drill is encouraged to be completed as soon as a staff member completes the EPR training. Aerosol sunscreen: Aerosol spray is considered lung irritant and not recommended for use in the child care centers. It is recommended for teachers to apply sunscreen on their hands/gloves and apply it to the children. Avoid spraying eyes, ears and mouth. Staff/Child Ratio sheet: Per rule below, the staff/child ratio shall be posted in each classroom where the parents can see. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/1/2023 Number Present: 12 Completed Date: 12/1/2023 Age: From 3 To 4 Total Minutes: 200 Time In: 09:55 AM Time Out: 01:15 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Emily Kellogg, Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to Amy Cherbony, Administrator. Today, Emily Kellogg, Teacher was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This is the first visit conducted after pre-licensing visits. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. The last fire drill was practiced on 8/30/23. The last shelter-in-place drill/lockdown has not been practiced. The last playground inspection was documented on 11/2/23. The last fire inspection was approved on 9/6/23. The last sanitation inspection was conducted on 9/8/23 with five (5) demerits for a superior classification. The Emergency Medical Care plan was not posted. EMC was maintained in a file cabinet in the director’s office. Upon arrival, I announced my presence and the purpose of the visit to the teachers. Both the Administrator and the Director were off today. All licensed spaces were inspected. In space #1, a group of three-to-four-year-old children engaged in free play. There are open spaces and a table in the middle of the classroom, and the learning centers were located against the wall around the classroom. During the visit, a teacher took three (3) children, four (4) years of age, to space #2 (room 303) to conduct small group activities. There were two (2) teachers, one (1) floater and one (1) volunteer personnel present. After the children cleaned up, the children lined up to use the common bathroom located by room 305. There is a bathroom in the classroom, but using the common bathroom is more time efficient. Due to inclement weather, the children engaged in gross motor activities in space #3 (room 304). The children ran and played with a parachute. Balls and bowling pins were also accessible to the children. No hazardous materials were found in the licensed spaces. After the gross motor activity, the children returned to space #1 and engaged in a group time. The children danced and learned about teaching in the Bible. The children bring lunch from home. Supplemental items, such as mixed fruit cups, vegetable cups and milk were available to children. The program provides AM and PM snacks. The menu was monitored but snack time was not observed. Supervision and interaction were adequate. All staff files were monitored for criminal background letters and First aid/CPR certificate. All staff members have a valid CBC letter. All staff members, except the pastor have valid CPR/FA certificate in the files. Medications were monitored. There are two (2) aerosol sunscreen sprays maintained in a locked storage. All children have valid permission except for one (1) child. The child has an opt-out form for over-the-counter ointment. The playground was monitored. The playground is located to the left side of the building. The playground outside of space #3 is not used by the children enrolled in the program. The preschool playground has slide structure and gross motor accessories, such as riding toys and balls. The fall zone has tire mulch. The depth of the loose surfacing was sufficient. The fall zone was measured for six (6) feet and three (3) inches or longer from the slide structure to the border. No hazardous materials were observed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was practiced on 8/30/23 according to the log. .0604(t); .0302(d)(5) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. Both the director and the administrator were off during the visit. The director and the administrator were listed as designee to determine the degree of care on Emergency Medical Care Plan. .0802(b)(1-2) Technical assistance was provided as follows: 805: Fire Drills: Fire drills shall be completed monthly. Upon completion of the drills, the log shall be completed. Fire drills should be completed at various times during the day, including rest time. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 1914: Emergency Medical Care Plan/Authorized personnel Please review your EMC. Make sure that at least one (1) person who is authorized to complete emergency medical care is present while the children are cared for. For example, at least one (1) person listed to determine the degree of care must be present. All other items are the same. You can list additional personnels on the EMC. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/15/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Emergency Preparedness and Response: Emergency Preparedness and Response in Child Care training shall be completed by at least one (1) staff member within one (1) years of the effective date of your license. One the EPR training is completed, you must complete an EPR plan on a template at the following website: https://rmp.nc.gov/portal/portal.aspx within four (4) months. A shelter-in-place or a lockdown drill is encouraged to be completed as soon as a staff member completes the EPR training. Aerosol sunscreen: Aerosol spray is considered lung irritant and not recommended for use in the child care centers. It is recommended for teachers to apply sunscreen on their hands/gloves and apply it to the children. Avoid spraying eyes, ears and mouth. Staff/Child Ratio sheet: Per rule below, the staff/child ratio shall be posted in each classroom where the parents can see. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0713 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/1/2023 Number Present: 12 Completed Date: 12/1/2023 Age: From 3 To 4 Total Minutes: 200 Time In: 09:55 AM Time Out: 01:15 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Emily Kellogg, Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to Amy Cherbony, Administrator. Today, Emily Kellogg, Teacher was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This is the first visit conducted after pre-licensing visits. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. The last fire drill was practiced on 8/30/23. The last shelter-in-place drill/lockdown has not been practiced. The last playground inspection was documented on 11/2/23. The last fire inspection was approved on 9/6/23. The last sanitation inspection was conducted on 9/8/23 with five (5) demerits for a superior classification. The Emergency Medical Care plan was not posted. EMC was maintained in a file cabinet in the director’s office. Upon arrival, I announced my presence and the purpose of the visit to the teachers. Both the Administrator and the Director were off today. All licensed spaces were inspected. In space #1, a group of three-to-four-year-old children engaged in free play. There are open spaces and a table in the middle of the classroom, and the learning centers were located against the wall around the classroom. During the visit, a teacher took three (3) children, four (4) years of age, to space #2 (room 303) to conduct small group activities. There were two (2) teachers, one (1) floater and one (1) volunteer personnel present. After the children cleaned up, the children lined up to use the common bathroom located by room 305. There is a bathroom in the classroom, but using the common bathroom is more time efficient. Due to inclement weather, the children engaged in gross motor activities in space #3 (room 304). The children ran and played with a parachute. Balls and bowling pins were also accessible to the children. No hazardous materials were found in the licensed spaces. After the gross motor activity, the children returned to space #1 and engaged in a group time. The children danced and learned about teaching in the Bible. The children bring lunch from home. Supplemental items, such as mixed fruit cups, vegetable cups and milk were available to children. The program provides AM and PM snacks. The menu was monitored but snack time was not observed. Supervision and interaction were adequate. All staff files were monitored for criminal background letters and First aid/CPR certificate. All staff members have a valid CBC letter. All staff members, except the pastor have valid CPR/FA certificate in the files. Medications were monitored. There are two (2) aerosol sunscreen sprays maintained in a locked storage. All children have valid permission except for one (1) child. The child has an opt-out form for over-the-counter ointment. The playground was monitored. The playground is located to the left side of the building. The playground outside of space #3 is not used by the children enrolled in the program. The preschool playground has slide structure and gross motor accessories, such as riding toys and balls. The fall zone has tire mulch. The depth of the loose surfacing was sufficient. The fall zone was measured for six (6) feet and three (3) inches or longer from the slide structure to the border. No hazardous materials were observed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was practiced on 8/30/23 according to the log. .0604(t); .0302(d)(5) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. Both the director and the administrator were off during the visit. The director and the administrator were listed as designee to determine the degree of care on Emergency Medical Care Plan. .0802(b)(1-2) Technical assistance was provided as follows: 805: Fire Drills: Fire drills shall be completed monthly. Upon completion of the drills, the log shall be completed. Fire drills should be completed at various times during the day, including rest time. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 1914: Emergency Medical Care Plan/Authorized personnel Please review your EMC. Make sure that at least one (1) person who is authorized to complete emergency medical care is present while the children are cared for. For example, at least one (1) person listed to determine the degree of care must be present. All other items are the same. You can list additional personnels on the EMC. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/15/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Emergency Preparedness and Response: Emergency Preparedness and Response in Child Care training shall be completed by at least one (1) staff member within one (1) years of the effective date of your license. One the EPR training is completed, you must complete an EPR plan on a template at the following website: https://rmp.nc.gov/portal/portal.aspx within four (4) months. A shelter-in-place or a lockdown drill is encouraged to be completed as soon as a staff member completes the EPR training. Aerosol sunscreen: Aerosol spray is considered lung irritant and not recommended for use in the child care centers. It is recommended for teachers to apply sunscreen on their hands/gloves and apply it to the children. Avoid spraying eyes, ears and mouth. Staff/Child Ratio sheet: Per rule below, the staff/child ratio shall be posted in each classroom where the parents can see. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/1/2023 Number Present: 12 Completed Date: 12/1/2023 Age: From 3 To 4 Total Minutes: 200 Time In: 09:55 AM Time Out: 01:15 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Emily Kellogg, Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to Amy Cherbony, Administrator. Today, Emily Kellogg, Teacher was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This is the first visit conducted after pre-licensing visits. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. The last fire drill was practiced on 8/30/23. The last shelter-in-place drill/lockdown has not been practiced. The last playground inspection was documented on 11/2/23. The last fire inspection was approved on 9/6/23. The last sanitation inspection was conducted on 9/8/23 with five (5) demerits for a superior classification. The Emergency Medical Care plan was not posted. EMC was maintained in a file cabinet in the director’s office. Upon arrival, I announced my presence and the purpose of the visit to the teachers. Both the Administrator and the Director were off today. All licensed spaces were inspected. In space #1, a group of three-to-four-year-old children engaged in free play. There are open spaces and a table in the middle of the classroom, and the learning centers were located against the wall around the classroom. During the visit, a teacher took three (3) children, four (4) years of age, to space #2 (room 303) to conduct small group activities. There were two (2) teachers, one (1) floater and one (1) volunteer personnel present. After the children cleaned up, the children lined up to use the common bathroom located by room 305. There is a bathroom in the classroom, but using the common bathroom is more time efficient. Due to inclement weather, the children engaged in gross motor activities in space #3 (room 304). The children ran and played with a parachute. Balls and bowling pins were also accessible to the children. No hazardous materials were found in the licensed spaces. After the gross motor activity, the children returned to space #1 and engaged in a group time. The children danced and learned about teaching in the Bible. The children bring lunch from home. Supplemental items, such as mixed fruit cups, vegetable cups and milk were available to children. The program provides AM and PM snacks. The menu was monitored but snack time was not observed. Supervision and interaction were adequate. All staff files were monitored for criminal background letters and First aid/CPR certificate. All staff members have a valid CBC letter. All staff members, except the pastor have valid CPR/FA certificate in the files. Medications were monitored. There are two (2) aerosol sunscreen sprays maintained in a locked storage. All children have valid permission except for one (1) child. The child has an opt-out form for over-the-counter ointment. The playground was monitored. The playground is located to the left side of the building. The playground outside of space #3 is not used by the children enrolled in the program. The preschool playground has slide structure and gross motor accessories, such as riding toys and balls. The fall zone has tire mulch. The depth of the loose surfacing was sufficient. The fall zone was measured for six (6) feet and three (3) inches or longer from the slide structure to the border. No hazardous materials were observed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was practiced on 8/30/23 according to the log. .0604(t); .0302(d)(5) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. Both the director and the administrator were off during the visit. The director and the administrator were listed as designee to determine the degree of care on Emergency Medical Care Plan. .0802(b)(1-2) Technical assistance was provided as follows: 805: Fire Drills: Fire drills shall be completed monthly. Upon completion of the drills, the log shall be completed. Fire drills should be completed at various times during the day, including rest time. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 1914: Emergency Medical Care Plan/Authorized personnel Please review your EMC. Make sure that at least one (1) person who is authorized to complete emergency medical care is present while the children are cared for. For example, at least one (1) person listed to determine the degree of care must be present. All other items are the same. You can list additional personnels on the EMC. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/15/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Emergency Preparedness and Response: Emergency Preparedness and Response in Child Care training shall be completed by at least one (1) staff member within one (1) years of the effective date of your license. One the EPR training is completed, you must complete an EPR plan on a template at the following website: https://rmp.nc.gov/portal/portal.aspx within four (4) months. A shelter-in-place or a lockdown drill is encouraged to be completed as soon as a staff member completes the EPR training. Aerosol sunscreen: Aerosol spray is considered lung irritant and not recommended for use in the child care centers. It is recommended for teachers to apply sunscreen on their hands/gloves and apply it to the children. Avoid spraying eyes, ears and mouth. Staff/Child Ratio sheet: Per rule below, the staff/child ratio shall be posted in each classroom where the parents can see. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/1/2023 Number Present: 12 Completed Date: 12/1/2023 Age: From 3 To 4 Total Minutes: 200 Time In: 09:55 AM Time Out: 01:15 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Emily Kellogg, Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to Amy Cherbony, Administrator. Today, Emily Kellogg, Teacher was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This is the first visit conducted after pre-licensing visits. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. The last fire drill was practiced on 8/30/23. The last shelter-in-place drill/lockdown has not been practiced. The last playground inspection was documented on 11/2/23. The last fire inspection was approved on 9/6/23. The last sanitation inspection was conducted on 9/8/23 with five (5) demerits for a superior classification. The Emergency Medical Care plan was not posted. EMC was maintained in a file cabinet in the director’s office. Upon arrival, I announced my presence and the purpose of the visit to the teachers. Both the Administrator and the Director were off today. All licensed spaces were inspected. In space #1, a group of three-to-four-year-old children engaged in free play. There are open spaces and a table in the middle of the classroom, and the learning centers were located against the wall around the classroom. During the visit, a teacher took three (3) children, four (4) years of age, to space #2 (room 303) to conduct small group activities. There were two (2) teachers, one (1) floater and one (1) volunteer personnel present. After the children cleaned up, the children lined up to use the common bathroom located by room 305. There is a bathroom in the classroom, but using the common bathroom is more time efficient. Due to inclement weather, the children engaged in gross motor activities in space #3 (room 304). The children ran and played with a parachute. Balls and bowling pins were also accessible to the children. No hazardous materials were found in the licensed spaces. After the gross motor activity, the children returned to space #1 and engaged in a group time. The children danced and learned about teaching in the Bible. The children bring lunch from home. Supplemental items, such as mixed fruit cups, vegetable cups and milk were available to children. The program provides AM and PM snacks. The menu was monitored but snack time was not observed. Supervision and interaction were adequate. All staff files were monitored for criminal background letters and First aid/CPR certificate. All staff members have a valid CBC letter. All staff members, except the pastor have valid CPR/FA certificate in the files. Medications were monitored. There are two (2) aerosol sunscreen sprays maintained in a locked storage. All children have valid permission except for one (1) child. The child has an opt-out form for over-the-counter ointment. The playground was monitored. The playground is located to the left side of the building. The playground outside of space #3 is not used by the children enrolled in the program. The preschool playground has slide structure and gross motor accessories, such as riding toys and balls. The fall zone has tire mulch. The depth of the loose surfacing was sufficient. The fall zone was measured for six (6) feet and three (3) inches or longer from the slide structure to the border. No hazardous materials were observed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was practiced on 8/30/23 according to the log. .0604(t); .0302(d)(5) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. Both the director and the administrator were off during the visit. The director and the administrator were listed as designee to determine the degree of care on Emergency Medical Care Plan. .0802(b)(1-2) Technical assistance was provided as follows: 805: Fire Drills: Fire drills shall be completed monthly. Upon completion of the drills, the log shall be completed. Fire drills should be completed at various times during the day, including rest time. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 1914: Emergency Medical Care Plan/Authorized personnel Please review your EMC. Make sure that at least one (1) person who is authorized to complete emergency medical care is present while the children are cared for. For example, at least one (1) person listed to determine the degree of care must be present. All other items are the same. You can list additional personnels on the EMC. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/15/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Emergency Preparedness and Response: Emergency Preparedness and Response in Child Care training shall be completed by at least one (1) staff member within one (1) years of the effective date of your license. One the EPR training is completed, you must complete an EPR plan on a template at the following website: https://rmp.nc.gov/portal/portal.aspx within four (4) months. A shelter-in-place or a lockdown drill is encouraged to be completed as soon as a staff member completes the EPR training. Aerosol sunscreen: Aerosol spray is considered lung irritant and not recommended for use in the child care centers. It is recommended for teachers to apply sunscreen on their hands/gloves and apply it to the children. Avoid spraying eyes, ears and mouth. Staff/Child Ratio sheet: Per rule below, the staff/child ratio shall be posted in each classroom where the parents can see. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/1/2023 Number Present: 12 Completed Date: 12/1/2023 Age: From 3 To 4 Total Minutes: 200 Time In: 09:55 AM Time Out: 01:15 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Emily Kellogg, Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to Amy Cherbony, Administrator. Today, Emily Kellogg, Teacher was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This is the first visit conducted after pre-licensing visits. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. The last fire drill was practiced on 8/30/23. The last shelter-in-place drill/lockdown has not been practiced. The last playground inspection was documented on 11/2/23. The last fire inspection was approved on 9/6/23. The last sanitation inspection was conducted on 9/8/23 with five (5) demerits for a superior classification. The Emergency Medical Care plan was not posted. EMC was maintained in a file cabinet in the director’s office. Upon arrival, I announced my presence and the purpose of the visit to the teachers. Both the Administrator and the Director were off today. All licensed spaces were inspected. In space #1, a group of three-to-four-year-old children engaged in free play. There are open spaces and a table in the middle of the classroom, and the learning centers were located against the wall around the classroom. During the visit, a teacher took three (3) children, four (4) years of age, to space #2 (room 303) to conduct small group activities. There were two (2) teachers, one (1) floater and one (1) volunteer personnel present. After the children cleaned up, the children lined up to use the common bathroom located by room 305. There is a bathroom in the classroom, but using the common bathroom is more time efficient. Due to inclement weather, the children engaged in gross motor activities in space #3 (room 304). The children ran and played with a parachute. Balls and bowling pins were also accessible to the children. No hazardous materials were found in the licensed spaces. After the gross motor activity, the children returned to space #1 and engaged in a group time. The children danced and learned about teaching in the Bible. The children bring lunch from home. Supplemental items, such as mixed fruit cups, vegetable cups and milk were available to children. The program provides AM and PM snacks. The menu was monitored but snack time was not observed. Supervision and interaction were adequate. All staff files were monitored for criminal background letters and First aid/CPR certificate. All staff members have a valid CBC letter. All staff members, except the pastor have valid CPR/FA certificate in the files. Medications were monitored. There are two (2) aerosol sunscreen sprays maintained in a locked storage. All children have valid permission except for one (1) child. The child has an opt-out form for over-the-counter ointment. The playground was monitored. The playground is located to the left side of the building. The playground outside of space #3 is not used by the children enrolled in the program. The preschool playground has slide structure and gross motor accessories, such as riding toys and balls. The fall zone has tire mulch. The depth of the loose surfacing was sufficient. The fall zone was measured for six (6) feet and three (3) inches or longer from the slide structure to the border. No hazardous materials were observed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was practiced on 8/30/23 according to the log. .0604(t); .0302(d)(5) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. Both the director and the administrator were off during the visit. The director and the administrator were listed as designee to determine the degree of care on Emergency Medical Care Plan. .0802(b)(1-2) Technical assistance was provided as follows: 805: Fire Drills: Fire drills shall be completed monthly. Upon completion of the drills, the log shall be completed. Fire drills should be completed at various times during the day, including rest time. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 1914: Emergency Medical Care Plan/Authorized personnel Please review your EMC. Make sure that at least one (1) person who is authorized to complete emergency medical care is present while the children are cared for. For example, at least one (1) person listed to determine the degree of care must be present. All other items are the same. You can list additional personnels on the EMC. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/15/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Emergency Preparedness and Response: Emergency Preparedness and Response in Child Care training shall be completed by at least one (1) staff member within one (1) years of the effective date of your license. One the EPR training is completed, you must complete an EPR plan on a template at the following website: https://rmp.nc.gov/portal/portal.aspx within four (4) months. A shelter-in-place or a lockdown drill is encouraged to be completed as soon as a staff member completes the EPR training. Aerosol sunscreen: Aerosol spray is considered lung irritant and not recommended for use in the child care centers. It is recommended for teachers to apply sunscreen on their hands/gloves and apply it to the children. Avoid spraying eyes, ears and mouth. Staff/Child Ratio sheet: Per rule below, the staff/child ratio shall be posted in each classroom where the parents can see. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-106 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/1/2023 Number Present: 12 Completed Date: 12/1/2023 Age: From 3 To 4 Total Minutes: 200 Time In: 09:55 AM Time Out: 01:15 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Emily Kellogg, Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to Amy Cherbony, Administrator. Today, Emily Kellogg, Teacher was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This is the first visit conducted after pre-licensing visits. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. The last fire drill was practiced on 8/30/23. The last shelter-in-place drill/lockdown has not been practiced. The last playground inspection was documented on 11/2/23. The last fire inspection was approved on 9/6/23. The last sanitation inspection was conducted on 9/8/23 with five (5) demerits for a superior classification. The Emergency Medical Care plan was not posted. EMC was maintained in a file cabinet in the director’s office. Upon arrival, I announced my presence and the purpose of the visit to the teachers. Both the Administrator and the Director were off today. All licensed spaces were inspected. In space #1, a group of three-to-four-year-old children engaged in free play. There are open spaces and a table in the middle of the classroom, and the learning centers were located against the wall around the classroom. During the visit, a teacher took three (3) children, four (4) years of age, to space #2 (room 303) to conduct small group activities. There were two (2) teachers, one (1) floater and one (1) volunteer personnel present. After the children cleaned up, the children lined up to use the common bathroom located by room 305. There is a bathroom in the classroom, but using the common bathroom is more time efficient. Due to inclement weather, the children engaged in gross motor activities in space #3 (room 304). The children ran and played with a parachute. Balls and bowling pins were also accessible to the children. No hazardous materials were found in the licensed spaces. After the gross motor activity, the children returned to space #1 and engaged in a group time. The children danced and learned about teaching in the Bible. The children bring lunch from home. Supplemental items, such as mixed fruit cups, vegetable cups and milk were available to children. The program provides AM and PM snacks. The menu was monitored but snack time was not observed. Supervision and interaction were adequate. All staff files were monitored for criminal background letters and First aid/CPR certificate. All staff members have a valid CBC letter. All staff members, except the pastor have valid CPR/FA certificate in the files. Medications were monitored. There are two (2) aerosol sunscreen sprays maintained in a locked storage. All children have valid permission except for one (1) child. The child has an opt-out form for over-the-counter ointment. The playground was monitored. The playground is located to the left side of the building. The playground outside of space #3 is not used by the children enrolled in the program. The preschool playground has slide structure and gross motor accessories, such as riding toys and balls. The fall zone has tire mulch. The depth of the loose surfacing was sufficient. The fall zone was measured for six (6) feet and three (3) inches or longer from the slide structure to the border. No hazardous materials were observed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was practiced on 8/30/23 according to the log. .0604(t); .0302(d)(5) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. Both the director and the administrator were off during the visit. The director and the administrator were listed as designee to determine the degree of care on Emergency Medical Care Plan. .0802(b)(1-2) Technical assistance was provided as follows: 805: Fire Drills: Fire drills shall be completed monthly. Upon completion of the drills, the log shall be completed. Fire drills should be completed at various times during the day, including rest time. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 1914: Emergency Medical Care Plan/Authorized personnel Please review your EMC. Make sure that at least one (1) person who is authorized to complete emergency medical care is present while the children are cared for. For example, at least one (1) person listed to determine the degree of care must be present. All other items are the same. You can list additional personnels on the EMC. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/15/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Emergency Preparedness and Response: Emergency Preparedness and Response in Child Care training shall be completed by at least one (1) staff member within one (1) years of the effective date of your license. One the EPR training is completed, you must complete an EPR plan on a template at the following website: https://rmp.nc.gov/portal/portal.aspx within four (4) months. A shelter-in-place or a lockdown drill is encouraged to be completed as soon as a staff member completes the EPR training. Aerosol sunscreen: Aerosol spray is considered lung irritant and not recommended for use in the child care centers. It is recommended for teachers to apply sunscreen on their hands/gloves and apply it to the children. Avoid spraying eyes, ears and mouth. Staff/Child Ratio sheet: Per rule below, the staff/child ratio shall be posted in each classroom where the parents can see. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CREATIVE MINDS CHRISTIAN PRESCHOOL Facility ID: 44000192 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/1/2023 Number Present: 12 Completed Date: 12/1/2023 Age: From 3 To 4 Total Minutes: 200 Time In: 09:55 AM Time Out: 01:15 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Emily Kellogg, Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to Amy Cherbony, Administrator. Today, Emily Kellogg, Teacher was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This is the first visit conducted after pre-licensing visits. Permit type – GS 110-106 issued on 9/13/23. Special Services/Restrictions – daytime care. The last fire drill was practiced on 8/30/23. The last shelter-in-place drill/lockdown has not been practiced. The last playground inspection was documented on 11/2/23. The last fire inspection was approved on 9/6/23. The last sanitation inspection was conducted on 9/8/23 with five (5) demerits for a superior classification. The Emergency Medical Care plan was not posted. EMC was maintained in a file cabinet in the director’s office. Upon arrival, I announced my presence and the purpose of the visit to the teachers. Both the Administrator and the Director were off today. All licensed spaces were inspected. In space #1, a group of three-to-four-year-old children engaged in free play. There are open spaces and a table in the middle of the classroom, and the learning centers were located against the wall around the classroom. During the visit, a teacher took three (3) children, four (4) years of age, to space #2 (room 303) to conduct small group activities. There were two (2) teachers, one (1) floater and one (1) volunteer personnel present. After the children cleaned up, the children lined up to use the common bathroom located by room 305. There is a bathroom in the classroom, but using the common bathroom is more time efficient. Due to inclement weather, the children engaged in gross motor activities in space #3 (room 304). The children ran and played with a parachute. Balls and bowling pins were also accessible to the children. No hazardous materials were found in the licensed spaces. After the gross motor activity, the children returned to space #1 and engaged in a group time. The children danced and learned about teaching in the Bible. The children bring lunch from home. Supplemental items, such as mixed fruit cups, vegetable cups and milk were available to children. The program provides AM and PM snacks. The menu was monitored but snack time was not observed. Supervision and interaction were adequate. All staff files were monitored for criminal background letters and First aid/CPR certificate. All staff members have a valid CBC letter. All staff members, except the pastor have valid CPR/FA certificate in the files. Medications were monitored. There are two (2) aerosol sunscreen sprays maintained in a locked storage. All children have valid permission except for one (1) child. The child has an opt-out form for over-the-counter ointment. The playground was monitored. The playground is located to the left side of the building. The playground outside of space #3 is not used by the children enrolled in the program. The preschool playground has slide structure and gross motor accessories, such as riding toys and balls. The fall zone has tire mulch. The depth of the loose surfacing was sufficient. The fall zone was measured for six (6) feet and three (3) inches or longer from the slide structure to the border. No hazardous materials were observed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was practiced on 8/30/23 according to the log. .0604(t); .0302(d)(5) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. Both the director and the administrator were off during the visit. The director and the administrator were listed as designee to determine the degree of care on Emergency Medical Care Plan. .0802(b)(1-2) Technical assistance was provided as follows: 805: Fire Drills: Fire drills shall be completed monthly. Upon completion of the drills, the log shall be completed. Fire drills should be completed at various times during the day, including rest time. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 1914: Emergency Medical Care Plan/Authorized personnel Please review your EMC. Make sure that at least one (1) person who is authorized to complete emergency medical care is present while the children are cared for. For example, at least one (1) person listed to determine the degree of care must be present. All other items are the same. You can list additional personnels on the EMC. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/15/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Emergency Preparedness and Response: Emergency Preparedness and Response in Child Care training shall be completed by at least one (1) staff member within one (1) years of the effective date of your license. One the EPR training is completed, you must complete an EPR plan on a template at the following website: https://rmp.nc.gov/portal/portal.aspx within four (4) months. A shelter-in-place or a lockdown drill is encouraged to be completed as soon as a staff member completes the EPR training. Aerosol sunscreen: Aerosol spray is considered lung irritant and not recommended for use in the child care centers. It is recommended for teachers to apply sunscreen on their hands/gloves and apply it to the children. Avoid spraying eyes, ears and mouth. Staff/Child Ratio sheet: Per rule below, the staff/child ratio shall be posted in each classroom where the parents can see. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times