Shiloh Church OF Concord Children'S Center

10A NCAC 09 .0803 · Violation

Name of Operation: SHILOH CHURCH OF CONCORD CHILDREN'S CENTER Facility ID: 13000618 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 3/11/2026 Number Present: 31 Completed Date: 3/11/2026 Age: From 0 To 5 Total Minutes: 213 Time In: 09:42 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during an Annual Compliance visit. Your last monitoring visit was conducted on April 15, 2025. You, Belinda Berg, Director, assisted me with today’s visit. I observed the Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans, posted as required. Your facility operates with a Notice of Compliance GS110-106. You currently have a Provisional Permit due to Lead which was identified in areas of your building. You are working with Cabarrus Health Alliance to create a remediation plan. Today children were adequately supervised, staff-child ratios were maintained, and adequate approved space was used during the visit. Permit restrictions were monitored. Children were engaged in outdoor play, and teacher directed activities. I observed toys and equipment in all spaces to be of minimum quantity and developmentally appropriate. I monitored general safety throughout the center indoors and outdoors. There was one prescription medication on site. All over the counter creams and ointments were monitored. Inspections/Drills/Logs Sanitation Inspection-August 19, 2025, with a Superior rating and four demerits. Fire Inspection- June 27, 2025 Playground Inspection- March 5, 2026 Fire Drill- February 19, 2026 Emergency Drill- December 19, 2025 Incident Log-Completed as Required. EPR Plan- Updated February 17, 2026 Lead, Water, Asbestos-Registered You stated you do not provide transportation. I monitored a random selection of four children’s files. I monitored files for six newly hired staff members and the file of one existing staff member. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. In Spaces 2 and 4 there were diaper ointments which had expired. These were discarded by the director. 10A NCAC 09 .0803(1)(d) Compliance Plan: There is no compliance plan due currently. You were able to discard the two expired ointments during the visit. Technical Assistance was provided in the following areas: 1. Utilize your white boards in the classrooms to also document when creams, ointments and sprays expire so they can be removed prior to expiration. RESOURCES Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-106 · Violation

Name of Operation: SHILOH CHURCH OF CONCORD CHILDREN'S CENTER Facility ID: 13000618 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 3/11/2026 Number Present: 31 Completed Date: 3/11/2026 Age: From 0 To 5 Total Minutes: 213 Time In: 09:42 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during an Annual Compliance visit. Your last monitoring visit was conducted on April 15, 2025. You, Belinda Berg, Director, assisted me with today’s visit. I observed the Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans, posted as required. Your facility operates with a Notice of Compliance GS110-106. You currently have a Provisional Permit due to Lead which was identified in areas of your building. You are working with Cabarrus Health Alliance to create a remediation plan. Today children were adequately supervised, staff-child ratios were maintained, and adequate approved space was used during the visit. Permit restrictions were monitored. Children were engaged in outdoor play, and teacher directed activities. I observed toys and equipment in all spaces to be of minimum quantity and developmentally appropriate. I monitored general safety throughout the center indoors and outdoors. There was one prescription medication on site. All over the counter creams and ointments were monitored. Inspections/Drills/Logs Sanitation Inspection-August 19, 2025, with a Superior rating and four demerits. Fire Inspection- June 27, 2025 Playground Inspection- March 5, 2026 Fire Drill- February 19, 2026 Emergency Drill- December 19, 2025 Incident Log-Completed as Required. EPR Plan- Updated February 17, 2026 Lead, Water, Asbestos-Registered You stated you do not provide transportation. I monitored a random selection of four children’s files. I monitored files for six newly hired staff members and the file of one existing staff member. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. In Spaces 2 and 4 there were diaper ointments which had expired. These were discarded by the director. 10A NCAC 09 .0803(1)(d) Compliance Plan: There is no compliance plan due currently. You were able to discard the two expired ointments during the visit. Technical Assistance was provided in the following areas: 1. Utilize your white boards in the classrooms to also document when creams, ointments and sprays expire so they can be removed prior to expiration. RESOURCES Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: SHILOH CHURCH OF CONCORD CHILDREN'S CENTER Facility ID: 13000618 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 26 Completed Date: 10/13/2025 Age: From 0 To 5 Total Minutes: 205 Time In: 10:50 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during a Routine Unannounced visit. Your last monitoring visit was conducted on April 15, 2025. You, Belinda Berg, Director, assisted me with today’s visit. I observed the Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, evacuation plans, posted as required. Your facility operates with a Notice of Compliance GS110-106. Today children were adequately supervised, staff-child ratios were maintained, and adequate approved space was used during the visit. Permit restrictions were monitored. Children were engaged in center play indoors, outdoor play, teacher directed activities, transitions, and hand washing. I observed toys and equipment in all spaces to be of minimum quantity and developmentally appropriate. I monitored general safety throughout the center. All over the counter creams and ointments were monitored. All prescription medications were monitored. Inspections/Drills/Logs Sanitation Inspection-August 19, 2025, with a Superior rating and four demerits. Fire Inspection-April 8, 2025 Playground Inspection- September 10, 2025 Fire Drill- September 18, 2025 Emergency Drill-September 29, 2025 Incident Log-Completed as Required. EPR Plan- Updated September 23, 2025 Water/Lead/Asbestos-Completed as required. You stated you do not provide transportation. Five staff have been hired since the ACV in April. I monitored all files for new staff. I monitored Criminal Background Checks, Recognizing and Responding to Suspicions of Child Maltreatment, CPR/FA, and ITS SIDS (if applicable) for all staff. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In Space 2 there was one bottle without name or date. 15A NCAC 18A .2804(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space 3 there were permission to administer forms which had expired. 10A NCAC 09 .0803(1)(a & b) 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. One staff with a hire date of 9/17/25 had a TB skin test which older than 12 months. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff with a hire date of 9/17/25 did not have a health questionnaire on file. .0701(a) Technical Assistance was provided in the following areas: 1. We discussed ensuring that all bottles have names and dates. Having masking tape handy so they can be labeled as soon as the child arrives if the bottle is not labeled. 2. Have someone review the entire facilities permission to administer forms and creams/ointments/medications for accuracy and to ensure dates have not expired. 3. We reviewed that tb skin test results must be within the last 12 months of the hire date when hiring new staff. You stated you had misunderstood the requirement but now you understand. 4. Review files of newly hired staff using the staff file checklist and immediately add them to the staff and training worksheet. This will ensure that required forms are not overlooked. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than October 27, 2025. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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 or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-106 · Violation

Name of Operation: SHILOH CHURCH OF CONCORD CHILDREN'S CENTER Facility ID: 13000618 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 10/13/2025 Number Present: 26 Completed Date: 10/13/2025 Age: From 0 To 5 Total Minutes: 205 Time In: 10:50 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during a Routine Unannounced visit. Your last monitoring visit was conducted on April 15, 2025. You, Belinda Berg, Director, assisted me with today’s visit. I observed the Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, evacuation plans, posted as required. Your facility operates with a Notice of Compliance GS110-106. Today children were adequately supervised, staff-child ratios were maintained, and adequate approved space was used during the visit. Permit restrictions were monitored. Children were engaged in center play indoors, outdoor play, teacher directed activities, transitions, and hand washing. I observed toys and equipment in all spaces to be of minimum quantity and developmentally appropriate. I monitored general safety throughout the center. All over the counter creams and ointments were monitored. All prescription medications were monitored. Inspections/Drills/Logs Sanitation Inspection-August 19, 2025, with a Superior rating and four demerits. Fire Inspection-April 8, 2025 Playground Inspection- September 10, 2025 Fire Drill- September 18, 2025 Emergency Drill-September 29, 2025 Incident Log-Completed as Required. EPR Plan- Updated September 23, 2025 Water/Lead/Asbestos-Completed as required. You stated you do not provide transportation. Five staff have been hired since the ACV in April. I monitored all files for new staff. I monitored Criminal Background Checks, Recognizing and Responding to Suspicions of Child Maltreatment, CPR/FA, and ITS SIDS (if applicable) for all staff. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In Space 2 there was one bottle without name or date. 15A NCAC 18A .2804(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space 3 there were permission to administer forms which had expired. 10A NCAC 09 .0803(1)(a & b) 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. One staff with a hire date of 9/17/25 had a TB skin test which older than 12 months. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff with a hire date of 9/17/25 did not have a health questionnaire on file. .0701(a) Technical Assistance was provided in the following areas: 1. We discussed ensuring that all bottles have names and dates. Having masking tape handy so they can be labeled as soon as the child arrives if the bottle is not labeled. 2. Have someone review the entire facilities permission to administer forms and creams/ointments/medications for accuracy and to ensure dates have not expired. 3. We reviewed that tb skin test results must be within the last 12 months of the hire date when hiring new staff. You stated you had misunderstood the requirement but now you understand. 4. Review files of newly hired staff using the staff file checklist and immediately add them to the staff and training worksheet. This will ensure that required forms are not overlooked. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than October 27, 2025. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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 or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: SHILOH CHURCH OF CONCORD CHILDREN'S CENTER Facility ID: 13000618 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 30 Completed Date: 4/15/2025 Age: From 0 To 5 Total Minutes: 220 Time In: 09:50 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during an Annual Compliance visit. Your last monitoring visit was conducted on May 16, 2024. You, Kayla Mercuri, Director, assisted me with today’s visit. I observed the Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans, posted as required. Your facility operates with a Notice of Compliance GS110-106. Today children were adequately supervised, staff-child ratios were maintained, and adequate approved space was used during the visit. Permit restrictions were monitored. Children were engaged in outdoor play, and teacher directed activities. I observed toys and equipment in all spaces to be of minimum quantity and developmentally appropriate. I monitored general safety throughout the center indoors and outdoors. There were no prescription medications on site. All over the counter creams and ointments were monitored. Inspections/Drills/Logs Sanitation Inspection-February 3, 2025, with an Approved rating and 16 demerits. Fire Inspection- April 8, 2025, you contacted the inspector to request the child care form, please send me the form once received. Playground Inspection- March 18, 2025 Fire Drill- March 12, 2025 Emergency Drill-March 21, 2025 Incident Log-Completed as Required. EPR Plan- Updated April 7, 2025 You stated you do not provide transportation. I monitored a random selection of four children’s files. I monitored files for four newly hired staff members and the file of one existing staff member. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space 4 a permission to administer form had expired. 10A NCAC 09 .0803(1)(a & b) Technical Assistance was provided in the following areas: 1. I reviewed with you the requirements for a complete and correct Permission to Administer form, I offered suggestions on how to avoid permission forms being kept after their expiration date. Consultation: 1. Since this is your first visit since becoming the director, I explained everything that I was looking for on every board and in every classroom during the walkthrough. 2. I offered you consultation regarding the Emergency Medical Care Plan since there have been recent staff changes within the last week. 3. You updated the staff and training worksheet while I was present, and I was able to answer questions about how to complete the form. 4. You were able to complete the Preservice Requirements for Administrator form and will send it to me once it is signed by all required parties. ABCMS 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. RESOURCES Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Compliance Plan: The violation was corrected during the visit, therefore there is no compliance plan due at this time. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: SHILOH CHURCH OF CONCORD CHILDREN'S CENTER Facility ID: 13000618 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 30 Completed Date: 4/15/2025 Age: From 0 To 5 Total Minutes: 220 Time In: 09:50 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during an Annual Compliance visit. Your last monitoring visit was conducted on May 16, 2024. You, Kayla Mercuri, Director, assisted me with today’s visit. I observed the Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans, posted as required. Your facility operates with a Notice of Compliance GS110-106. Today children were adequately supervised, staff-child ratios were maintained, and adequate approved space was used during the visit. Permit restrictions were monitored. Children were engaged in outdoor play, and teacher directed activities. I observed toys and equipment in all spaces to be of minimum quantity and developmentally appropriate. I monitored general safety throughout the center indoors and outdoors. There were no prescription medications on site. All over the counter creams and ointments were monitored. Inspections/Drills/Logs Sanitation Inspection-February 3, 2025, with an Approved rating and 16 demerits. Fire Inspection- April 8, 2025, you contacted the inspector to request the child care form, please send me the form once received. Playground Inspection- March 18, 2025 Fire Drill- March 12, 2025 Emergency Drill-March 21, 2025 Incident Log-Completed as Required. EPR Plan- Updated April 7, 2025 You stated you do not provide transportation. I monitored a random selection of four children’s files. I monitored files for four newly hired staff members and the file of one existing staff member. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space 4 a permission to administer form had expired. 10A NCAC 09 .0803(1)(a & b) Technical Assistance was provided in the following areas: 1. I reviewed with you the requirements for a complete and correct Permission to Administer form, I offered suggestions on how to avoid permission forms being kept after their expiration date. Consultation: 1. Since this is your first visit since becoming the director, I explained everything that I was looking for on every board and in every classroom during the walkthrough. 2. I offered you consultation regarding the Emergency Medical Care Plan since there have been recent staff changes within the last week. 3. You updated the staff and training worksheet while I was present, and I was able to answer questions about how to complete the form. 4. You were able to complete the Preservice Requirements for Administrator form and will send it to me once it is signed by all required parties. ABCMS 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. RESOURCES Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Compliance Plan: The violation was corrected during the visit, therefore there is no compliance plan due at this time. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-106 · Violation

Name of Operation: SHILOH CHURCH OF CONCORD CHILDREN'S CENTER Facility ID: 13000618 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 30 Completed Date: 4/15/2025 Age: From 0 To 5 Total Minutes: 220 Time In: 09:50 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during an Annual Compliance visit. Your last monitoring visit was conducted on May 16, 2024. You, Kayla Mercuri, Director, assisted me with today’s visit. I observed the Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, and evacuation plans, posted as required. Your facility operates with a Notice of Compliance GS110-106. Today children were adequately supervised, staff-child ratios were maintained, and adequate approved space was used during the visit. Permit restrictions were monitored. Children were engaged in outdoor play, and teacher directed activities. I observed toys and equipment in all spaces to be of minimum quantity and developmentally appropriate. I monitored general safety throughout the center indoors and outdoors. There were no prescription medications on site. All over the counter creams and ointments were monitored. Inspections/Drills/Logs Sanitation Inspection-February 3, 2025, with an Approved rating and 16 demerits. Fire Inspection- April 8, 2025, you contacted the inspector to request the child care form, please send me the form once received. Playground Inspection- March 18, 2025 Fire Drill- March 12, 2025 Emergency Drill-March 21, 2025 Incident Log-Completed as Required. EPR Plan- Updated April 7, 2025 You stated you do not provide transportation. I monitored a random selection of four children’s files. I monitored files for four newly hired staff members and the file of one existing staff member. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space 4 a permission to administer form had expired. 10A NCAC 09 .0803(1)(a & b) Technical Assistance was provided in the following areas: 1. I reviewed with you the requirements for a complete and correct Permission to Administer form, I offered suggestions on how to avoid permission forms being kept after their expiration date. Consultation: 1. Since this is your first visit since becoming the director, I explained everything that I was looking for on every board and in every classroom during the walkthrough. 2. I offered you consultation regarding the Emergency Medical Care Plan since there have been recent staff changes within the last week. 3. You updated the staff and training worksheet while I was present, and I was able to answer questions about how to complete the form. 4. You were able to complete the Preservice Requirements for Administrator form and will send it to me once it is signed by all required parties. ABCMS 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. RESOURCES Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Compliance Plan: The violation was corrected during the visit, therefore there is no compliance plan due at this time. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-106 · Violation

Name of Operation: SHILOH CHURCH OF CONCORD CHILDREN'S CENTER Facility ID: 13000618 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 10/16/2024 Number Present: 30 Completed Date: 10/16/2024 Age: From 0 To 4 Total Minutes: 180 Time In: 09:50 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during a Routine Unannounced visit. Your last monitoring visit was conducted on May 16, 2024. You, Kayla Fesperman, Director, assisted me with today’s visit. I observed the Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage, evacuation plans, posted as required. Your facility operates with a Notice of Compliance GS110-106. Today children were adequately supervised, staff-child ratios were maintained, and adequate approved space was used during the visit. Permit restrictions were monitored. Children were engaged in naptime, center play indoors, outdoor play, teacher directed activities, transitions, and hand washing. I observed toys and equipment in all spaces to be of minimum quantity and developmentally appropriate. I monitored general safety throughout the center. There were no prescription medications on site. All over the counter creams and ointments were monitored. Inspections/Drills/Logs Sanitation Inspection-July 23, 2024, with a Superior rating and three demerits. Fire Inspection-March 14, 2024 Playground Inspection- September 30, 2024 Fire Drill- September 30, 2024 Emergency Drill-June 28, 2024 Incident Log-Completed as Required. EPR Plan- Updated October 14, 2024 You stated you do not provide transportation. I monitored Criminal Background Checks, Recognizing and Responding to Suspicions of Child Maltreatment, CPR/FA, and ITS SIDS (if applicable) for all staff. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 1 hand sanitizer was stored five feet up, however there were multiple warnings. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented drill was 6/28/24. A drill should have been conducted in September. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 1 there were permission forms that did not include the expiration date. There was one form completed for two diaper ointments. Each ointment requires their own form, even if it is for the same child. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance was provided in the following areas: 1. Since this is your first visit since becoming the director and receiving your NOC, I explained everything that I was looking for on every board and in every classroom during the walkthrough. I offered you consultation regarding the Safe Arrival and Departure policy (this was not a violation), TA on the fire/emergency drill log I suggested you put the month the drills are due, so you don’t overlook completing the drill. 2. I reviewed with you the requirements for a complete and correct Permission to Administer form. I provided you with a copy of a completed example to share with your staff. Pay close attention to expiration dates, using measurable amounts, and ensuring there is a form for every ointment. 3. I reviewed with you a warning label and how to differentiate between an item needing to be stored under lock and key or five feet up. I provided you with the Hazardous Items Storage for Child Care poster so you can make copies and share with staff. Consultation: Today, I verified all your staff in the ABCMS system. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than October 30, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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 or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times