Calvary Baptist Church Child Care Ministry

G.S. 110-91 · Violation

Name of Operation: CALVARY BAPTIST CHURCH CHILD CARE MINISTRY Facility ID: 3255031 Consultant: MANDY ANNUNZIATA Operation Type: Center Case Number: Visit Date: 5/21/2026 Number Present: 40 Completed Date: 5/21/2026 Age: From 0 To 5 Total Minutes: 140 Time In: 09:55 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during an Administrative Action Follow-Up visit. Upon arrival, I was greeted by the administrator, Melissa Ridenour, who walked me through the center. LICENSE STATUS The center currently operates under a GS-110 Religious Sponsored Notice of Compliance issued on 1/11/24. Prior to today’s visit, I reviewed the NC Secretary of State’s website and noted that the owner of this facility, Calvary Baptist Church of Durham, North Carolina is listed as current/active. A Final Notice of the Division of Child Development and Early Education’s issuance of a Written Warning was issued on April 17, 2026. Until this administrative action is closed, periodic visits will be made to your center to monitor for compliance with the NC Child Care Licensing Requirements and completion of the items of your Corrective Action Plan. These visits will be unannounced. Visits will continue until all items in the Corrective Action Plan have been completed and the agency has been able to monitor for implementation of all items. MONITORING I completed a walk-through of the center, visiting eight classrooms as well as the outdoor learning environments. There was a total of 40 children present, ranging in age from seven months to five years old. The infants were all napping. The toddlers were observed playing freely with materials in the classrooms and preparing to take a walk in the stroller. Preschoolers were observed discussing colors with their teacher and playing on the playground. A partial assessment of child care requirements was conducted. I monitored all applicable requirements, including but not limited to supervision, discipline and nurture/care, staff-child ratios, group size, capacity, permit restrictions, health and safety requirements, CPR/First Aid, ITS-SIDS, and criminal record checks. VIOLATIONS The following violation was observed and documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Exposed nails/screws in decaying railroad ties posed a hazard to children on the toddler and preschool playgrounds. G.S. 110-91(6); .0601(b) COMPLIANCE HISTORY Prior to today’s visit, the center’s compliance history score was 91%. According to NC General Statute 110-90(4)(d), all facilities must maintain a compliance history of at least 75% for the past 18 months. Failure to maintain compliance may result in an administrative action. The center was not in compliance with all applicable minimum licensing requirements during today’s visit and violations were documented that could impact the center’s overall compliance history score. An updated compliance history score will be generated after today’s visit, and you will be informed of the results during the next visit to your center. TECHNICAL ASSISTANCE -I noted some unsafe conditions on the toddler and preschool playgrounds today. On the preschool playground near the shed, a metal rod used to secure a railroad tie was exposed and protruding several inches out of the ground, posing a tripping hazard and possible impalement hazard. It needs to be removed or cut flush with the ground. On the toddler playground, some decaying railroad ties used as borders for the mulch had separated, leaving rusty nails and screws exposed and posing a hazard to children playing nearby. You said that you had researched replacing the railroad ties with plastic barriers. In the meantime, please contact the church groundskeeping staff about making needed repairs, and restrict children’s access to the hazardous areas. CONSULTATION AND REMINDERS -Maintaining an adequate depth of resilient surfacing on your playground helps prevent injuries in case of a fall. Today, although the depth of your mulch was adequate, it had compacted in many places to form a somewhat hard surface. I suggest fluffing the mulch you have with a rake to reduce the compaction and provide more cushion in case of falls. You can refer to Child Care Rule NCAC 09 .0605 (k) for the appropriate required depth under stationary equipment. -You are due for your yearly fire inspection in June. -Teachers' ITS-SIDS training will expire in June. -Teachers' CPR/First Aid training will expire in August. ADMINISTRATIVE ACTION STATUS During today’s visit, I reviewed the entire document including the Notice of Administrative Action and the Corrective Action Plan with Melissa Ridenour, administrator. Your Corrective Action Plan contains four items that must be completed. Some items must be completed within identified time frames. Failure to complete an item within the established time frame may result in further administrative action taken against the center, so please pay close attention to each individual deadline. The following items from your Corrective Action Plan were reviewed: *Posting of the Notice of Administrative Action; during today’s visit, I observed the Notice posted on a display of various flyers and announcements next to the office. *Item #1: Maintain compliance with all child care requirements, at all times, paying specific attention to rules regarding staff/child ratios as well as infant feeding. During today’s visit, one violation was observed and documented, related to playground safety. *Item #2: Contact Early Years to arrange for intensive technical assistance regarding the care and feeding of infants. During today’s visit, Ms. Ridenour informed me that she emailed Ginger Thomas, Early Years, Birth-to-Three Statewide Project Manager on 4/24/26. Ms. Thomas called her back on 5/5/26 to discuss the technical assistance that will be provided. Two staff members from Early Years visited the center on 5/20/26 and met with Ms. Ridnour and all four staff members working with infants to provide technical assistance and discuss the center’s needs. Ms. Ridenour reported that the training was well-received by staff and that the Early Years staff members will return on 5/28/26 to observe in both infant classrooms. *Item #3: Revise the facility’s written policies and procedures for the care and feeding of infants to include strategies learning in training. *Item #4: Conduct a staff meeting to review new written policies and procedures. AGENCY UPDATES Please check the Division of Child Development and Early Education’s website frequently for any new policies or rules. Go to https://ncchildcare.ncdhhs.gov/, and click on the “What’s New” tab for all agency updates. CONTACT INFORMATION If you have questions or need further assistance, please contact me at (919) 971-6255 or mandy.annunziata@dhhs.nc.gov. My supervisor, Holli Hemby, can be reached at holli.hemby@dhhs.nc.gov or (919) 819-9363. 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 .0902 · Violation

Name of Operation: CALVARY BAPTIST CHURCH CHILD CARE MINISTRY Facility ID: 3255031 Consultant: MANDY ANNUNZIATA Operation Type: Center Case Number: 0326-222L Visit Date: 3/18/2026 Number Present: 34 Completed Date: 3/18/2026 Age: From 0 To 5 Total Minutes: 130 Time In: 02:40 PM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Upon arrival, I was greeted by the director, Melissa Ridenour, who accompanied me on a walk-through of the center. During today’s visit, there were 34 children and six staff members present. The facility currently operates under a GS-110 Religious Sponsored Notice of Compliance issued on January 5, 2024. MONITORING A partial assessment of child care requirements was conducted during today’s visit. I monitored Child Care Rules .0508(e), .0713 (a)(8) and .0902(b), and I observed one classroom and conducted a walk-through of eight classrooms. ALLEGATIONS There were concerns that infants were not held and bottles were propped during feedings. I observed space #8 for 30 minutes. During my observations, I saw four infants napping. When two infants woke, the teacher picked them up and changed their diapers. She held one infant and fed him a bottle while the other infant played on the floor nearby with toys. I interviewed two staff members. I asked about feeding and was informed that children are held for bottle feeding. The teacher said that on the day of the reported concern, she propped the bottle momentarily in order to not interrupt the child’s feeding when she had to pick something up from the floor. She said she does not make a habit of propping bottles and is aware of the child care rule that prohibits bottle propping. The director stated that their infant feeding policy prohibits bottle propping. She said that she had talked to the teacher yesterday about the reported concern and emphasized that it may not happen again. I monitored the center’s policy regarding feeding infants. Documentation in a visit summary dated 1/14/25 noted that the policy was developed and submitted to DCDEE on 11/4/24 as part of a required corrective action following a violation concerning infant feeding. The policy was subsequently reviewed by all infant room teachers during meetings with the director on 11/20/24 and 12/17/24. There were concerns that a teacher in the room for infants was performing tasks other than childcare duties while being counted in ratio. I observed space #8 for 30 minutes. During my observations, I saw that the teacher engaged only in tasks related to directly caring for children, such as changing diapers and feeding them. I interviewed two staff members. I asked about job duties and was informed that the infant teacher’s contracted hours are 12:00 to 5:30 p.m., and there are some required end-of-day tasks, such as changing the linens on the cribs, picking up toys, and sanitizing the soft playmats on the floor. These tasks must be completed before the teacher leaves for the day. Children in the class must be picked up each day by 5:30 p.m. The director reported that children are often picked up earlier than 5:30 and there is time for the teacher to finish completing her tasks prior to 5:30. However, on the day the concern was reported, the director stated that the teacher started her cleaning process while the child was still present. There were concerns that teachers in the room for infants did not provide nurturing care and engagement to promote development. I observed space #8 for 30 minutes. During my observations, I saw the teacher respond quickly to a child’s cries. I also witnessed the teacher speak softly to a child to offer words of comfort, as well as smile and make eye contact with the children. She placed a child near toys to play so that the toys were within reach. I interviewed the director, who reported that the teacher is loving toward children. The director did not have concerns about the care the teacher provides. VIOLATIONS The following violations of the Child Care Requirements were observed or confirmed during today’s visit: Violation Number Comment Rule 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. An infant three months of age was placed in a bouncer seat with a bottle propped for feeding. 10A NCAC 09 .0902(b) 531 Bottles were propped. A bottle was propped to feed an infant on 3/12/26. 10A NCAC 09 .0902(b) 1842 Staff members and child care administrators who were counted in meeting the staff/child ratios concurrently performed food preparation or other duties that are not direct child care responsibilities. A teacher in the infant room who was the only adult present performed end-of-day cleaning duties while an infant child was placed in a bouncer seat. .0713(a)(8) COMPLIANCE LETTER The above violations must be corrected immediately and verification submitted within two weeks to maintain compliance with the NC Child Care Law and Requirements. Please send me a letter that addresses each violation and explains how and when each one was corrected. I must receive your letter no later than April 1, 2026, and it should be sent to: Mandy Annunziata mandy.annunziata@dhhs.nc.gov COMPLIANCE HISTORY The center was not in compliance with all applicable licensing requirements during today’s visit and violations were documented that could impact the facility’s overall Compliance History Score. An updated Compliance History Score will be generated after today’s visit and you will be informed of the results if it dropped below the required 75%. A violation was documented for failure to maintain compliance with infant care. Violations of this nature directly impact the safety of the children while in your care. In addition, these types of violations have the greatest negative impact on your compliance history. During the visit, we discussed that repeated violations of this nature during consecutive visits may lead to an administrative action against your license. A follow-up visit may be conducted in the near future to monitor compliance with child care requirements. INVESTIGATION STATUS The investigation was completed during today’s visit. Based on observations in the infant classroom, information provided by staff, and feeding policies reviewed, it was determined that lapses in compliance with the Child Care Requirements have occurred; therefore, the concerns related to infant feeding and teacher task completion have been substantiated. Based on observations and information provided by staff, it was unable to be determined that lapses in compliance with the Child Care Requirements have occurred; therefore, the concerns related to nurturing care have been unsubstantiated. Due to the confirmation of allegations that you were in violation of Child Care Requirements related to the concerns reported, your facility may be at risk of an administrative action. You will receive written notification from the agency once a final determination is made. TECHNICAL ASSISTANCE The following items were discussed during today’s visit. You may want to consider them in order to avoid potential violations or improve the quality of your program. -Providing nurturing care and a safe environment should be the top priorities in an infant classroom. Close supervision is key to keeping young children safe; therefore, routine tasks such as cleaning should be relegated to times when the children are not present or when another adult is in the room to provide care. In addition, caregivers should always hold children when feeding them bottles in order to promote bonding and security. Singing to children, talking to them, smiling and making eye contact help promote communication skills and emotional connection. This close proximity also allows teachers to intervene quickly if a child begins to choke. For these reasons, when infants are unable to hold their own bottles, bottles should never be propped for feeding. I recommend that the director check on the infant class frequently to offer assistance when several children need to be fed at once. Pay special attention to whether children are engaged in activities with the caregiver as opposed to sitting in devices alone. I also recommend lending an extra hand at the end of the day to help with cleaning tasks. Alternatively, extending the staff’s hours by 15 minutes would allow for paid clean-up time. CONTACT INFORMATION If you have questions or need additional information, I can be reached at (919) 971-6255 or mandy.annunziata@dhhs.nc.gov. My supervisor, Holli Hemby, can be reached at (919) 819-9363 or holli.hemby@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 .0902 · Violation

Name of Operation: CALVARY BAPTIST CHURCH CHILD CARE MINISTRY Facility ID: 3255031 Consultant: MANDY ANNUNZIATA Operation Type: Center Case Number: 0326-222L Visit Date: 3/18/2026 Number Present: 34 Completed Date: 3/18/2026 Age: From 0 To 5 Total Minutes: 130 Time In: 02:40 PM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Upon arrival, I was greeted by the director, Melissa Ridenour, who accompanied me on a walk-through of the center. During today’s visit, there were 34 children and six staff members present. The facility currently operates under a GS-110 Religious Sponsored Notice of Compliance issued on January 5, 2024. MONITORING A partial assessment of child care requirements was conducted during today’s visit. I monitored Child Care Rules .0508(e), .0713 (a)(8) and .0902(b), and I observed one classroom and conducted a walk-through of eight classrooms. ALLEGATIONS There were concerns that infants were not held and bottles were propped during feedings. I observed space #8 for 30 minutes. During my observations, I saw four infants napping. When two infants woke, the teacher picked them up and changed their diapers. She held one infant and fed him a bottle while the other infant played on the floor nearby with toys. I interviewed two staff members. I asked about feeding and was informed that children are held for bottle feeding. The teacher said that on the day of the reported concern, she propped the bottle momentarily in order to not interrupt the child’s feeding when she had to pick something up from the floor. She said she does not make a habit of propping bottles and is aware of the child care rule that prohibits bottle propping. The director stated that their infant feeding policy prohibits bottle propping. She said that she had talked to the teacher yesterday about the reported concern and emphasized that it may not happen again. I monitored the center’s policy regarding feeding infants. Documentation in a visit summary dated 1/14/25 noted that the policy was developed and submitted to DCDEE on 11/4/24 as part of a required corrective action following a violation concerning infant feeding. The policy was subsequently reviewed by all infant room teachers during meetings with the director on 11/20/24 and 12/17/24. There were concerns that a teacher in the room for infants was performing tasks other than childcare duties while being counted in ratio. I observed space #8 for 30 minutes. During my observations, I saw that the teacher engaged only in tasks related to directly caring for children, such as changing diapers and feeding them. I interviewed two staff members. I asked about job duties and was informed that the infant teacher’s contracted hours are 12:00 to 5:30 p.m., and there are some required end-of-day tasks, such as changing the linens on the cribs, picking up toys, and sanitizing the soft playmats on the floor. These tasks must be completed before the teacher leaves for the day. Children in the class must be picked up each day by 5:30 p.m. The director reported that children are often picked up earlier than 5:30 and there is time for the teacher to finish completing her tasks prior to 5:30. However, on the day the concern was reported, the director stated that the teacher started her cleaning process while the child was still present. There were concerns that teachers in the room for infants did not provide nurturing care and engagement to promote development. I observed space #8 for 30 minutes. During my observations, I saw the teacher respond quickly to a child’s cries. I also witnessed the teacher speak softly to a child to offer words of comfort, as well as smile and make eye contact with the children. She placed a child near toys to play so that the toys were within reach. I interviewed the director, who reported that the teacher is loving toward children. The director did not have concerns about the care the teacher provides. VIOLATIONS The following violations of the Child Care Requirements were observed or confirmed during today’s visit: Violation Number Comment Rule 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. An infant three months of age was placed in a bouncer seat with a bottle propped for feeding. 10A NCAC 09 .0902(b) 531 Bottles were propped. A bottle was propped to feed an infant on 3/12/26. 10A NCAC 09 .0902(b) 1842 Staff members and child care administrators who were counted in meeting the staff/child ratios concurrently performed food preparation or other duties that are not direct child care responsibilities. A teacher in the infant room who was the only adult present performed end-of-day cleaning duties while an infant child was placed in a bouncer seat. .0713(a)(8) COMPLIANCE LETTER The above violations must be corrected immediately and verification submitted within two weeks to maintain compliance with the NC Child Care Law and Requirements. Please send me a letter that addresses each violation and explains how and when each one was corrected. I must receive your letter no later than April 1, 2026, and it should be sent to: Mandy Annunziata mandy.annunziata@dhhs.nc.gov COMPLIANCE HISTORY The center was not in compliance with all applicable licensing requirements during today’s visit and violations were documented that could impact the facility’s overall Compliance History Score. An updated Compliance History Score will be generated after today’s visit and you will be informed of the results if it dropped below the required 75%. A violation was documented for failure to maintain compliance with infant care. Violations of this nature directly impact the safety of the children while in your care. In addition, these types of violations have the greatest negative impact on your compliance history. During the visit, we discussed that repeated violations of this nature during consecutive visits may lead to an administrative action against your license. A follow-up visit may be conducted in the near future to monitor compliance with child care requirements. INVESTIGATION STATUS The investigation was completed during today’s visit. Based on observations in the infant classroom, information provided by staff, and feeding policies reviewed, it was determined that lapses in compliance with the Child Care Requirements have occurred; therefore, the concerns related to infant feeding and teacher task completion have been substantiated. Based on observations and information provided by staff, it was unable to be determined that lapses in compliance with the Child Care Requirements have occurred; therefore, the concerns related to nurturing care have been unsubstantiated. Due to the confirmation of allegations that you were in violation of Child Care Requirements related to the concerns reported, your facility may be at risk of an administrative action. You will receive written notification from the agency once a final determination is made. TECHNICAL ASSISTANCE The following items were discussed during today’s visit. You may want to consider them in order to avoid potential violations or improve the quality of your program. -Providing nurturing care and a safe environment should be the top priorities in an infant classroom. Close supervision is key to keeping young children safe; therefore, routine tasks such as cleaning should be relegated to times when the children are not present or when another adult is in the room to provide care. In addition, caregivers should always hold children when feeding them bottles in order to promote bonding and security. Singing to children, talking to them, smiling and making eye contact help promote communication skills and emotional connection. This close proximity also allows teachers to intervene quickly if a child begins to choke. For these reasons, when infants are unable to hold their own bottles, bottles should never be propped for feeding. I recommend that the director check on the infant class frequently to offer assistance when several children need to be fed at once. Pay special attention to whether children are engaged in activities with the caregiver as opposed to sitting in devices alone. I also recommend lending an extra hand at the end of the day to help with cleaning tasks. Alternatively, extending the staff’s hours by 15 minutes would allow for paid clean-up time. CONTACT INFORMATION If you have questions or need additional information, I can be reached at (919) 971-6255 or mandy.annunziata@dhhs.nc.gov. My supervisor, Holli Hemby, can be reached at (919) 819-9363 or holli.hemby@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: CALVARY BAPTIST CHURCH CHILD CARE MINISTRY Facility ID: 3255031 Consultant: MANDY ANNUNZIATA Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 55 Completed Date: 12/10/2024 Age: From 0 To 5 Total Minutes: 190 Time In: 10:50 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance visit and to follow up on administrative action items. Upon arrival, I was greeted by the director, Melissa Ridenour, who assisted me during today’s visit. LICENSE STATUS The center currently operates under a GS-110 Religious Sponsored Notice of Compliance issued on 1/11/24. Prior to today’s visit, I reviewed the NC Secretary of State’s website and noted that the owner of this facility, Calvary Baptist Church of Durham, North Carolina, is listed as current/active. INSPECTIONS/DRILLS STATUS -The last sanitation inspection was completed on 9/13/24, and the center scored a superior rating with two demerits. -The last fire inspection was completed on 6/5/24. -The last documented outdoor play area inspection was completed in November 2024. -The last documented fire drill was conducted on 11/12/24. -The last documented lockdown/shelter-in-place drill was conducted on 8/25/24. -The last annual compliance visit was conducted on 1/4/24. MONITORING I completed a walk-through of the center, visiting seven classrooms as well as the Fellowship Hall. The outdoor playground was not monitored due to inclement weather. The infants were being strolled throughout the school in a buggy and getting diapers changed. The toddlers were observed transitioning from the Fellowship Hall (lunchroom) to their classrooms for rest time. Preschoolers were observed in free play in their classrooms and using the hall restrooms. A full assessment of child care requirements was conducted. I used a checklist to monitor all applicable requirements, including but not limited to supervision, staff-child ratios, health and safety requirements, equipment and furnishings, and program records. All staff files and seven children’s files were reviewed. This program does not provide transportation; therefore, this requirement was not monitored. One child has an epi-pen and several children have diaper creams; therefore, medication storage and permission forms were reviewed. The center serves children under one year of age, thus, safe sleep requirements were monitored and found in compliance. VIOLATIONS The following violations were observed and documented during today’s visit: Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. Several children in the classroom for two year olds had expired diaper creams. 10A NCAC 09 .0803(1)(d) 847 Parent's medication authorization did not include required information. Several children in the classroom for two year olds had medical authorization forms that were outdated. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. One classroom for two year olds had plastic bags stored under the changing table within reach of children. The other classroom for two year olds had trash bags stored in a drawer in the bathroom cabinet within reach of children. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented lockdown/shelter in place drill was on 8/25/24. .0604(u);.0302(d)(8) 1821 The EPR Plan did not include the date of the last revision of the plan. The EPR plan was last updated in May 2023. .0607(d)(8) In order to comply with the NC Laws and Rules, any violations documented today must be corrected immediately. I need to receive your compliance letter by December 24, 2024. The letter must address each violation and explain specifically when and how it was corrected, as well as how you will prevent the same violations from happening in the future. Please send this to mandy.annunziata@dhhs.nc.gov and include the following information: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today’s visit, the center’s compliance history score was 92%. According to NC General Statute 110-90(4)(d), all facilities must maintain a compliance history of at least 75% for the past 18 months. Failure to maintain compliance may result in an administrative action. The center was not in compliance with all applicable minimum licensing requirements during today’s visit and violations were documented that could impact the center’s overall compliance history score. An updated compliance history score will be generated after today’s visit, and you will be informed of the results during the next visit to your center. ADMINISTRATIVE ACTION STATUS During today’s visit, I reviewed the entire document including the Notice of Administrative Action and the Corrective Action Plan with Melissa Ridenour, administrator. Your Corrective Action Plan contains four items that must be completed. Some items must be completed within identified time frames. Failure to complete an item within the established time frame may result in further administrative action taken against the center, so please pay close attention to each individual deadline. The following items from your Corrective Action Plan were reviewed: *Posting of the Notice of Administrative Action; during today’s visit, I observed the Notice posted on the interior wall to the right of the front entrance. *Item #1: Maintain compliance with all child care requirements, at all times, paying specific attention to rules regarding infant nutrition and feeding as well as individualized daily routines for infants. During today’s visit, five violations were observed and documented, related to medication, safety drills, emergency procedures, and storage of hazardous materials. *Item #2: Enroll all staff working with infants, including the director, in The New Infant Toddler Teacher Orientation (NITTO). Ms. Ridenour provided the training certificates confirming that all staff working with infants, including the director and assistant director, completed the NITTO training by October 18, 2024. *Item #3: Develop written procedures for the care and feeding of infants. Written procedures for napping and feeding in the infant room, as well as a new infant room schedule, have been reviewed and approved. *Item #4: Conduct a staff meeting to review new written procedures. Ms. Ridenour held a staff meeting on November 20, 2024 to review new infant room procedures. Eleven staff members were in attendance, include the director, assistant director, and one of the infant room teachers. The second infant room teacher was out on medical leave until December 9. Ms. Ridenour plans to meet with her separately by the end of this week. TECHNICAL ASSISTANCE -Safety is a top priority when providing care for young children. Today I observed plastic bags within reach of children in the diaper changing area and in a bathroom in the classrooms for two year olds. This poses a suffocation and choking hazard for the young children in your care. I suggest conducting a walk-through of the children’s space prior to children’s arrival each morning, removing any potential choking hazards and placing them at least five feet high. -It is important to have a clear action plan in case of an emergency. Your EPR plan was last updated in May 2023. You can access and update your EPR plan by using your NCID to log into the North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx. Be sure to add my name and contact information as your consultant. Please update your EPR plan and review it with your staff yearly. -Medication administration forms should be current for all medications, including diaper cream. Today, several children in a two year old classroom had diaper creams that had expired and/or medication permission forms that were more than one year old. Child care rules state that all expired medication should be returned to the parent (or discarded after 72 hours if the parent fails to retrieve it), and that the medical authorization form for diaper creams must be renewed every 12 months. -Emergency drills, such as lockdown/shelter-in-place drills, must be conducted in a timely manner because they allow staff and children to practice and prepare for an actual emergency. Today, your drill log showed a lapse in required practice lockdown drills. Shelter-in-place/lockdown drills must be conducted at least once per quarter (every three months). I suggest setting a reminder on your calendar to help you maintain compliance with this rule. CONSULTATION -Criminal Backgrounds Checks for all staff members should be completed every five years. Two staff members’ qualifying letters will expire before February 2025. I recommend starting the renewal process soon. TRAINING REMINDERS -CPR and First Aid must be renewed every two years. -ITS-SIDS training must be renewed every three years. Staff members who completed training in 2022 are due to renew in 2025. AGENCY UPDATES Please check the Division of Child Development and Early Education’s website frequently for any new policies or rules. Go to https://ncchildcare.ncdhhs.gov/, and click on the “What’s New” tab for all agency updates. CONTACT INFORMATION If you have questions or need further assistance, please contact me at (919) 971-6255 or mandy.annunziata@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: CALVARY BAPTIST CHURCH CHILD CARE MINISTRY Facility ID: 3255031 Consultant: MANDY ANNUNZIATA Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 55 Completed Date: 12/10/2024 Age: From 0 To 5 Total Minutes: 190 Time In: 10:50 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance visit and to follow up on administrative action items. Upon arrival, I was greeted by the director, Melissa Ridenour, who assisted me during today’s visit. LICENSE STATUS The center currently operates under a GS-110 Religious Sponsored Notice of Compliance issued on 1/11/24. Prior to today’s visit, I reviewed the NC Secretary of State’s website and noted that the owner of this facility, Calvary Baptist Church of Durham, North Carolina, is listed as current/active. INSPECTIONS/DRILLS STATUS -The last sanitation inspection was completed on 9/13/24, and the center scored a superior rating with two demerits. -The last fire inspection was completed on 6/5/24. -The last documented outdoor play area inspection was completed in November 2024. -The last documented fire drill was conducted on 11/12/24. -The last documented lockdown/shelter-in-place drill was conducted on 8/25/24. -The last annual compliance visit was conducted on 1/4/24. MONITORING I completed a walk-through of the center, visiting seven classrooms as well as the Fellowship Hall. The outdoor playground was not monitored due to inclement weather. The infants were being strolled throughout the school in a buggy and getting diapers changed. The toddlers were observed transitioning from the Fellowship Hall (lunchroom) to their classrooms for rest time. Preschoolers were observed in free play in their classrooms and using the hall restrooms. A full assessment of child care requirements was conducted. I used a checklist to monitor all applicable requirements, including but not limited to supervision, staff-child ratios, health and safety requirements, equipment and furnishings, and program records. All staff files and seven children’s files were reviewed. This program does not provide transportation; therefore, this requirement was not monitored. One child has an epi-pen and several children have diaper creams; therefore, medication storage and permission forms were reviewed. The center serves children under one year of age, thus, safe sleep requirements were monitored and found in compliance. VIOLATIONS The following violations were observed and documented during today’s visit: Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. Several children in the classroom for two year olds had expired diaper creams. 10A NCAC 09 .0803(1)(d) 847 Parent's medication authorization did not include required information. Several children in the classroom for two year olds had medical authorization forms that were outdated. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. One classroom for two year olds had plastic bags stored under the changing table within reach of children. The other classroom for two year olds had trash bags stored in a drawer in the bathroom cabinet within reach of children. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented lockdown/shelter in place drill was on 8/25/24. .0604(u);.0302(d)(8) 1821 The EPR Plan did not include the date of the last revision of the plan. The EPR plan was last updated in May 2023. .0607(d)(8) In order to comply with the NC Laws and Rules, any violations documented today must be corrected immediately. I need to receive your compliance letter by December 24, 2024. The letter must address each violation and explain specifically when and how it was corrected, as well as how you will prevent the same violations from happening in the future. Please send this to mandy.annunziata@dhhs.nc.gov and include the following information: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today’s visit, the center’s compliance history score was 92%. According to NC General Statute 110-90(4)(d), all facilities must maintain a compliance history of at least 75% for the past 18 months. Failure to maintain compliance may result in an administrative action. The center was not in compliance with all applicable minimum licensing requirements during today’s visit and violations were documented that could impact the center’s overall compliance history score. An updated compliance history score will be generated after today’s visit, and you will be informed of the results during the next visit to your center. ADMINISTRATIVE ACTION STATUS During today’s visit, I reviewed the entire document including the Notice of Administrative Action and the Corrective Action Plan with Melissa Ridenour, administrator. Your Corrective Action Plan contains four items that must be completed. Some items must be completed within identified time frames. Failure to complete an item within the established time frame may result in further administrative action taken against the center, so please pay close attention to each individual deadline. The following items from your Corrective Action Plan were reviewed: *Posting of the Notice of Administrative Action; during today’s visit, I observed the Notice posted on the interior wall to the right of the front entrance. *Item #1: Maintain compliance with all child care requirements, at all times, paying specific attention to rules regarding infant nutrition and feeding as well as individualized daily routines for infants. During today’s visit, five violations were observed and documented, related to medication, safety drills, emergency procedures, and storage of hazardous materials. *Item #2: Enroll all staff working with infants, including the director, in The New Infant Toddler Teacher Orientation (NITTO). Ms. Ridenour provided the training certificates confirming that all staff working with infants, including the director and assistant director, completed the NITTO training by October 18, 2024. *Item #3: Develop written procedures for the care and feeding of infants. Written procedures for napping and feeding in the infant room, as well as a new infant room schedule, have been reviewed and approved. *Item #4: Conduct a staff meeting to review new written procedures. Ms. Ridenour held a staff meeting on November 20, 2024 to review new infant room procedures. Eleven staff members were in attendance, include the director, assistant director, and one of the infant room teachers. The second infant room teacher was out on medical leave until December 9. Ms. Ridenour plans to meet with her separately by the end of this week. TECHNICAL ASSISTANCE -Safety is a top priority when providing care for young children. Today I observed plastic bags within reach of children in the diaper changing area and in a bathroom in the classrooms for two year olds. This poses a suffocation and choking hazard for the young children in your care. I suggest conducting a walk-through of the children’s space prior to children’s arrival each morning, removing any potential choking hazards and placing them at least five feet high. -It is important to have a clear action plan in case of an emergency. Your EPR plan was last updated in May 2023. You can access and update your EPR plan by using your NCID to log into the North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx. Be sure to add my name and contact information as your consultant. Please update your EPR plan and review it with your staff yearly. -Medication administration forms should be current for all medications, including diaper cream. Today, several children in a two year old classroom had diaper creams that had expired and/or medication permission forms that were more than one year old. Child care rules state that all expired medication should be returned to the parent (or discarded after 72 hours if the parent fails to retrieve it), and that the medical authorization form for diaper creams must be renewed every 12 months. -Emergency drills, such as lockdown/shelter-in-place drills, must be conducted in a timely manner because they allow staff and children to practice and prepare for an actual emergency. Today, your drill log showed a lapse in required practice lockdown drills. Shelter-in-place/lockdown drills must be conducted at least once per quarter (every three months). I suggest setting a reminder on your calendar to help you maintain compliance with this rule. CONSULTATION -Criminal Backgrounds Checks for all staff members should be completed every five years. Two staff members’ qualifying letters will expire before February 2025. I recommend starting the renewal process soon. TRAINING REMINDERS -CPR and First Aid must be renewed every two years. -ITS-SIDS training must be renewed every three years. Staff members who completed training in 2022 are due to renew in 2025. AGENCY UPDATES Please check the Division of Child Development and Early Education’s website frequently for any new policies or rules. Go to https://ncchildcare.ncdhhs.gov/, and click on the “What’s New” tab for all agency updates. CONTACT INFORMATION If you have questions or need further assistance, please contact me at (919) 971-6255 or mandy.annunziata@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 .0902 · Violation

Name of Operation: CALVARY BAPTIST CHURCH CHILD CARE MINISTRY Facility ID: 3255031 Consultant: HOLLI HEMBY Operation Type: Center Case Number: 0724-244L Visit Date: 8/5/2024 Number Present: 50 Completed Date: 8/5/2024 Age: From 0 To 9 Total Minutes: 90 Time In: 11:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Announced The purpose of today’s visit was to investigate a report alleging non-compliance with NC Child Care Licensing Requirements at the child care facility received by the Division of Child Development and Early Education on July 23, 2024. Mandy Annunziata, Child Care Consultant accompanied me on the visit and assisted with the monitoring during today’s visit. Upon our arrival, we were greeted by Melissa Ridenour, Director, and we explained the reason for today’s visit. MONITORING Only a partial monitoring of child care requirements was conducted today. We observed all areas used by the children for general safety requirements, safe sleep and feeding of infants, staff/child ratios and reviewed program records pertaining to attendance of children and staff working hours. The director accompanied us on a walk-through of the center as we obtained attendance and enrollment information. We observed children in their classrooms playing with toys, getting their diapers changed and napping. We also saw children playing with riding toys and eating lunch in the fellowship hall. We observed in the two classrooms assigned to infants for about an hour. We observed feedings and staff interactions and conducted private interviews with each as no other staff was in the room. We discussed the specifics of the allegations and some of our findings with the director and assistant in the office at the end of the visit. Since we had noticed cameras in the classrooms, we asked about them and were told that they are not currently functional but even when they are, they are ‘live-feed’ only. ALLEGATION: There is a concern about lapses in required staff/child ratios; there are often too many infants present for one teacher and the children spend time in the hallway in a buggy so that the director can count in their ratio. We asked Ms. Ridenour, the director, to provide us with attendance, sign-in logs and staff working hour records for the past month for two rooms serving infants and one room serving younger toddlers. She provided the following documents: -children’s sign-in logs -children’s attendance records -handwritten staff sign-in records A review of the above documents is still under review; an additional visit may be needed to gather more information. During classroom observations, we asked the teachers in the infant classrooms to tell us about their typical working hours and children’s attendance. They shared that children’s attendance has been low during the summer; therefore, only one teacher per classroom has been required. The teacher in one classroom works from opening until 1:30 p.m., when another teacher arrives to relieve her. The infant teacher in the second classroom is present during operating hours and is relieved by a floater when she goes to lunch. One teacher reported that four children are currently enrolled in her class; the other teacher reported that she has five children on her class roster. Both stated that there are part time and floating staff that could come to their rooms if needed; one teacher stated that she would text or call the administrator when she needed assistance. Neither teacher stated that there had been any lapses in compliance with ratio requirements. ALLEGATION: There is a concern of nutrition related to infant feeding; children are not held for feedings and bottles are propped. Our observations of the classroom for infants determined the following: We were unable to observe any infants feeding in one classroom. In the second classroom, one child was being breastfed by his mother in a rocking chair in the classroom. The teacher sat in another rocking chair while she fed the other two children who were facing her (one in a bouncy seat/rocker, the other in a swing). The child in the bouncy seat held his own bottle. The teacher picked up the child in the swing and held him in her lap while offering him the bottle, but he refused it. She shared that it was his first day in her class and she was still getting to know him. Our discussions with program staff determined the following: Both teachers reported that they prefer to keep the infants on a schedule where everyone eats at the same time. One teacher stated that everyone in her group can hold their own bottle to self-feed except one child. She usually gives everyone a bottle while the children are in bouncy seats or high chairs and helps the children hold the bottles if needed. Those children who eat solid food sit in the two available highchairs so she can spoon-feed them. The teacher stated that if she needed to step away from feeding the children to attend to another child in the room, she would place a blanket under the bottle to keep it propped up so the child could continue feeding until she was able to return. In that classroom, children receive bottles at 9:15, 11:30, and 3:30. They have breakfast between 8:00-8:30 and lunch between 12:00-1:00. The second teacher said one child in her class is breastfed by his mother who comes into the room to feed him; the other infants are offered bottles while they are in their bouncy seats/rockers if they can hold the bottles themselves, or she holds them while she feeds them their bottles. She shared that children receive bottles at 9:00, 12:00, and 3:00. ALLEGATION: There is a concern of lapses in safe sleep practices; infants are allowed to sleep in bouncy/rocker seats. Our observations of the classroom for infants determined the following: In one classroom, two children were in cribs when we entered, but they were standing up and holding up their arms to be picked up. They did not nap while we were present. When we went back later, all four children were on the floor playing with toys. In the second classroom, one infant was asleep on his back in a crib and one infant was awake, on his tummy, and slightly fussing in his crib when we entered the room. Another child was in a bouncy seat facing the teacher and fussing a little while she attempted to entertain him with a toy. When we returned later, one child was being fed by his mother and the other two were in seats facing the teacher while she fed one with a bottle. No children were asleep at that time. Our discussions with program staff determined the following: One teacher said that any time children fall asleep in a bouncy seat or swing, they are immediately moved to cribs to finish their naps. The same teacher also said that she keeps children on a schedule to nap, but that if a child were tired and fell asleep before nap time, she would let them sleep. She gave an example of an infant who often is tired around 8:00 a.m. She said she would let her take a 15-20 minute “catnap” so that she could then stay awake until the class rest time after their 9:00 bottles. The following violation was observed and documented during today's visit: Violation Number Comment Rule 531 Bottles were propped. A teacher reported that she will sometimes prop bottles with blankets when feeding infants if she needs to attend to other children in the classroom. 10A NCAC 09 .0902(b) The above violations must be corrected immediately, and verification of how and when they were corrected submitted within 2 weeks to maintain compliance with the NC Child Care Law and Requirements. Please send me a signed and dated letter that addresses each violation. You can email the letter to: Holli.Hemby@dhhs.nc.gov or mail it me at 2201 Mail Service Center, Raleigh NC 27699-2201. I must receive your letter by no later than AUGUST 14, 2024. ALLEGATION RESOLUTIONS Additional monitoring and a return visit will be necessary to further investigate the allegation related to ratios. Once that occurs, you will be informed of the status of that allegation. Based on observations made during today’s visit and information obtained during today’s visit, it was determined that lapses in appropriate feeding for infants had occurred, therefore the allegation regarding nutrition is Substantiated. A teacher admitted to propping bottles on occasion and both teachers reported that children are fed based on a center/classroom schedule, not based on a child’s individual schedule. Additional monitoring and a return visit will be necessary to further investigate the allegation related to safe sleep. Once that occurs, you will be informed of the status of that allegation. COMPLIANCE HISTORY Prior to today’s visit, the compliance history score for the center was 84%. Any violations documented during today’s visit may impact this score and cause you to drop below the required 75%. An updated Compliance History Score will be generated after today’s visit and you will be informed of the results on the next visit to your center. Please be aware that since some of the allegations today were substantiated, your program is at risk of being issued an Administrative Action. You will receive official notification via postal mail in the near future with more information. ADDITIONAL INFORMATION OBTAINED DURNG THE VISIT -Direct egress from both classrooms for infants is through a shared vestibule between the classrooms; the metal door sticks due to some deterioration and is hard to push open and pull closed. Please ensure that this door can be easily opened and that the classrooms use it as their primary exit during drills and emergency situations. -Sanitizer was observed in one classroom, that, although out of reach of the children enrolled in the space due to their height, it was not at least 5 feet from the floor. Please provide an alternative storage location for such products. TECHNICAL ASSISTANCE The following items were discussed during today' visit. You may want to consider them in order to avoid violations in the future: - Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided, using safe approaches to feeding. Because individual needs must be accommodated, and improper practices can have dire consequences for the child’s health and safety, infants should always be held for bottle feeding. Caregivers/teachers should hold infants in their arms or sitting up on their lap. Bottles should never be propped. Today, a teacher in an infant classroom reported propping bottles on occasion when busy. -Best practices in infant care encourage caregivers to follow infants’ individual feeding and sleeping schedules. Both infant classrooms posted schedules that indicated group feeding and sleeping times. Feeding infants at the same time can encourage the use of unsafe practices such as propping bottles when there are not enough staff to hold all the children at once. I recommend that teachers follow individual feeding and sleeping schedules, which will stagger feeding times throughout the day and make them easier to manage. You might consider assigning a floater to help in the infant classrooms if several children require feeding at the same time. CONTACT INFORMATION If you have any questions about today’s visit, I can be reached via email at Holli.Hemby@dhhs.nc.gov or by phone at (919) 819-9363. Mandy Annunziata is the new Child Care Consultant assigned to your program. You can reach out to her any time if you have questions about the operation of your program. She can be reached at Mandy.Annunziata@dhhs.nc.gov or (919) 971-6255. 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: CALVARY BAPTIST CHURCH CHILD CARE MINISTRY Facility ID: 3255031 Consultant: SHAMEQUA WILKERSON-HARRIS Operation Type: Center Case Number: Visit Date: 11/28/2023 Number Present: 62 Completed Date: 11/28/2023 Age: From 1 To 5 Total Minutes: 130 Time In: 11:30 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to complete your Routine Unannounced visit. Upon arrival I was greeted by Melissa Ridneour, the director. The director of the center assisted with this visit. I completed a general walk-through of the center. At the time of the visit, there were a total of sixty-two (62) children present, ranging in age from one (1) year to five (5) years old and twelve (12) staff members. The three-year-old and four-year-old class were observed transitioning to lunch. I also observed children playing with materials, completing routine tasks, eating lunch, and preparing for rest time. LICENSE STATUS Currently, this Child Care Center operates with a Notice of Compliance issued on November 15, 2017. INSPECTIONS *The last fire drill was conducted 10/10/23. *The last emergency drill was conducted 8/25/23. *The last playground inspection was completed 10/23/23. MONITORING During today’s visit, a full assessment was conducted, monitoring all space occupied by the children, including the outdoor play environment. The staff’s qualifications letters, CPR/FA, ITS-SIDS, a new staff file, and new children files were reviewed. All spaces were monitored for supervision, child capacity, materials, and equipment. REVIEW OF ADMINISTRATIVE ACTION During today’s visit I also monitored the Administrative Action CAP items. I found that the CAP item for medication was not in compliance. The following violations were observed and documented: Violation Number Comment Rule 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. Mats stored in the two year old classroom were not stored properly. The floor side of the mats were touching the sleeping side of other mats. The linens of another child was touching the linen of another. 15A NCAC 18A .2821(a) 843 A drug or medicine was administered after its expiration date. An Epi-pen in the four year old classroom had an expiration date on the epi-pen of 9/2023 and on the box of 10/25/23. 10A NCAC 09 .0803(1)(d) 1301 Center did not maintain a record of daily attendance. The attendance for the older toddler class and the two's class was not up to date during today's visit. GS 110-91(9) To comply with the NC Laws and Rules any violations cited today MUST be corrected immediately. A compliance letter must be received on or before December 12, 2023, letter must address each violation, explain how it has been corrected and how the violation will maintain compliance in the future. Please make sure to include: -Facility name -Facility ID number -Each item number The letter can be emailed to Shamequa.Wilkerson-Harris@dhhs.nc.gov or mailed to: Shamequa Wilkerson-Harris 300 Sugar Maple Avenue Wake Forest, NC 27587 COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 83%. According to NC General Statue 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen 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. TECHNICAL ASSISTANCE During today’s visit, the information below was shared with you to maintain quality within your program and to prevent further violations. EPI-PEN I would recommend following your new medication policy and procedures that have been reviewed by all your staff. I would suggest that a member of management use a check list verifying that all medications are not expired. DAILY ATTENDANCE I would recommend that attendance is checked as children are arriving in the morning. I also recommend that you review the importance of keeping daily attendance with all the staff. BEDS, COTS, MATS, AND LINENS I would recommend using a method that will keep the floor side of the mat from touching the sleeping side of another child’s mat as well as making sure that another child’s linen does not touch the linen of another child. CONSULTATION AND REMINDERS The following items were discussed during today’s visit to improve the quality of your program. FIRE AND EMERGENCY DRILLS Please make sure to complete your monthly fire drill and quarterly emergency drill on or before Thursday, November 29th. RATED LICENSE STATUS All operations are currently in “hold harmless’ status in regard to rating scales and rated license until early in 2023. You will be notified when you need to start preparing for the rated scales and rated license process. HEALTH AND SAFETY TRAINING Health and Safety trainings are now available through Moodle on the DCDEE website. These trainings are provided free of charge. You should use your NCID username and password to access the Moodle portal. The Health and Safety trainings must be renewed at least every five (5) years. If you completed the trainings in 2017, you should begin to retake the training now. CRIMINAL BACKGROUND As of July 11, 2022, criminal record checks are now to be renewed every five (5) years instead of three (3) years. Please make arrangements to complete your 5-year re-qualification before the expiration date. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website (ncchildcare.gov) on a weekly basis to stay up to date on all new policies and rules. If you have any questions or need assistance, please contact me at Shamequa.Wilkerson-Harris@dhhs.nc.gov or by phone at 919 417-2872. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: CALVARY BAPTIST CHURCH CHILD CARE MINISTRY Facility ID: 3255031 Consultant: SHAMEQUA WILKERSON-HARRIS Operation Type: Center Case Number: Visit Date: 11/28/2023 Number Present: 62 Completed Date: 11/28/2023 Age: From 1 To 5 Total Minutes: 130 Time In: 11:30 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to complete your Routine Unannounced visit. Upon arrival I was greeted by Melissa Ridneour, the director. The director of the center assisted with this visit. I completed a general walk-through of the center. At the time of the visit, there were a total of sixty-two (62) children present, ranging in age from one (1) year to five (5) years old and twelve (12) staff members. The three-year-old and four-year-old class were observed transitioning to lunch. I also observed children playing with materials, completing routine tasks, eating lunch, and preparing for rest time. LICENSE STATUS Currently, this Child Care Center operates with a Notice of Compliance issued on November 15, 2017. INSPECTIONS *The last fire drill was conducted 10/10/23. *The last emergency drill was conducted 8/25/23. *The last playground inspection was completed 10/23/23. MONITORING During today’s visit, a full assessment was conducted, monitoring all space occupied by the children, including the outdoor play environment. The staff’s qualifications letters, CPR/FA, ITS-SIDS, a new staff file, and new children files were reviewed. All spaces were monitored for supervision, child capacity, materials, and equipment. REVIEW OF ADMINISTRATIVE ACTION During today’s visit I also monitored the Administrative Action CAP items. I found that the CAP item for medication was not in compliance. The following violations were observed and documented: Violation Number Comment Rule 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. Mats stored in the two year old classroom were not stored properly. The floor side of the mats were touching the sleeping side of other mats. The linens of another child was touching the linen of another. 15A NCAC 18A .2821(a) 843 A drug or medicine was administered after its expiration date. An Epi-pen in the four year old classroom had an expiration date on the epi-pen of 9/2023 and on the box of 10/25/23. 10A NCAC 09 .0803(1)(d) 1301 Center did not maintain a record of daily attendance. The attendance for the older toddler class and the two's class was not up to date during today's visit. GS 110-91(9) To comply with the NC Laws and Rules any violations cited today MUST be corrected immediately. A compliance letter must be received on or before December 12, 2023, letter must address each violation, explain how it has been corrected and how the violation will maintain compliance in the future. Please make sure to include: -Facility name -Facility ID number -Each item number The letter can be emailed to Shamequa.Wilkerson-Harris@dhhs.nc.gov or mailed to: Shamequa Wilkerson-Harris 300 Sugar Maple Avenue Wake Forest, NC 27587 COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 83%. According to NC General Statue 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen 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. TECHNICAL ASSISTANCE During today’s visit, the information below was shared with you to maintain quality within your program and to prevent further violations. EPI-PEN I would recommend following your new medication policy and procedures that have been reviewed by all your staff. I would suggest that a member of management use a check list verifying that all medications are not expired. DAILY ATTENDANCE I would recommend that attendance is checked as children are arriving in the morning. I also recommend that you review the importance of keeping daily attendance with all the staff. BEDS, COTS, MATS, AND LINENS I would recommend using a method that will keep the floor side of the mat from touching the sleeping side of another child’s mat as well as making sure that another child’s linen does not touch the linen of another child. CONSULTATION AND REMINDERS The following items were discussed during today’s visit to improve the quality of your program. FIRE AND EMERGENCY DRILLS Please make sure to complete your monthly fire drill and quarterly emergency drill on or before Thursday, November 29th. RATED LICENSE STATUS All operations are currently in “hold harmless’ status in regard to rating scales and rated license until early in 2023. You will be notified when you need to start preparing for the rated scales and rated license process. HEALTH AND SAFETY TRAINING Health and Safety trainings are now available through Moodle on the DCDEE website. These trainings are provided free of charge. You should use your NCID username and password to access the Moodle portal. The Health and Safety trainings must be renewed at least every five (5) years. If you completed the trainings in 2017, you should begin to retake the training now. CRIMINAL BACKGROUND As of July 11, 2022, criminal record checks are now to be renewed every five (5) years instead of three (3) years. Please make arrangements to complete your 5-year re-qualification before the expiration date. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website (ncchildcare.gov) on a weekly basis to stay up to date on all new policies and rules. If you have any questions or need assistance, please contact me at Shamequa.Wilkerson-Harris@dhhs.nc.gov or by phone at 919 417-2872. 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: CALVARY BAPTIST CHURCH CHILD CARE MINISTRY Facility ID: 3255031 Consultant: SHAMEQUA WILKERSON-HARRIS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 73 Completed Date: 9/27/2023 Age: From 0 To 5 Total Minutes: 120 Time In: 11:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to discuss the Administrative Action issued to your child care center. Upon arrival, I was greeted by Melissa Ridenour, the Director. You assisted me with today’s visit. A Final Notice of the Division of Child Development and Early Education’s issuance of a Provisional Notice of Compliance was mailed on July 6, 2023 and received by Melissa on July 12, 2023. The deadline to file an Appeal to this Action was due no later than August 5, 2023; the agency did not receive notification of an Appeal, therefore the Action is now fully in effect. The cover letter included with your Action informed you that you must notify the parents of every child currently enrolled in your child care center that the Division has taken the action. During the time period of your Administrative Action, periodic visits will be made to your program to monitor for compliance with the NC Child Care Licensing Requirements and completion of the items in your Corrective Action Plan. These visits will be unannounced. During this Administrative Action Follow-up visit, a partial monitoring of minimum Child Care Requirements was conducted, monitoring all classrooms. The monitoring included the center’s License and Permit Restrictions, Staff/Child Ratios, Supervision, CPR/First Aid coverage for the center, Special Training Requirements, Storage of Hazardous Items and Medication, Use of Approved Space, Staff Records including Criminal Record Checks, and Program Records. During today’s visit I observed children participating in teacher directed activities, outside play, preparing for lunch and completing routine tasks. The center was not in compliance with all applicable minimum licensing requirements during today's visit. The following violations were observed and documented during today’s visit. Violation Number Comment Rule 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two children's bottles were not dated that were stored in the refrigerator. 15A NCAC 18A .2804(d) 843 A drug or medicine was administered after its expiration date. A child in the two year old classroom had Aquaphor cream that expired on 11/2022. A child in the toddler classroom had Destin cream that expired on 2/2023. 10A NCAC 09 .0803(1)(d) To comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be received on or before October 11, 2023, letter must address each violation, explain how it has been corrected and how the violation will maintain compliance in the future. Please make sure to include: -Facility name -Facility ID number -Each item number The letter can be emailed to Shamequa.Wilkerson-Harris@dhhs.nc.gov or mailed to: Shamequa Wilkerson-Harris 300 Sugar Maple Avenue Wake Forest, NC 27587 According to NC General Statute 110-90(4)(d) all child care centers must 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. Any violations documented during visits to your center may have an impact on the total compliance history score and cause your score to drop below the mandated level. The compliance history for your center as of today is 83%. TECHNICAL ASSISTANCE The following items were discussed during today’s visit to help you maintain quality within your program and to prevent further violations. MEDICATION During today’s visit expired diaper cream was observed in the two (2) year old class and the older toddler class. I would recommend that medication that is sent to the classroom must be signed off by the office manager before going to the classroom. INFANT BOTTLES During today’s visit two children’s bottles were not dated that were stored in the refrigerator. I would recommend having parents to label with a date before sending to school. The infant staff should observe the bottles before putting the bottles in the refrigerator. If bottles are not properly labeled, please have the teachers label them properly. CORRECTIVE ACTION PLAN PROGRESS Your Corrective Action Plan contains FIVE (5) items that must be completed. Some items must be completed within identified time frames. Failure to complete an item within the established time frame may result in further administrative action taken against the center, so please pay close attention to each individual deadline. The following items from your Corrective Action Plan were monitored during today’s visit and their status is as follows: Posting of Notice of Administrative Action *The posting of Notice of Administrative Action was observed posted in the lobby behind the desk visible for parents to see. Item #1 Rule Compliance Item #2 Review of Child Care Requirements with Lead Consultant Angela Alger-walker. *DCDEE received verification from Angela Alger-Walker, Lead Consultant on July 21,2023 that this training was conducted on July 20, 2023. Fifteen staff were in attendance and a roster with signatures was received. THIS CORRECTIVE ACTION ITEM HAS BEEN COMPLETED. Item #3 Arrange training with Charlene Daye (CCSA) *DCDEE received verification from Charlene Daye, CCSA on July 26,2023 that SUPERvision Series Beyond Band-Aids: Preventing and Responding to Injury and Illness in Early Care and Education Training Module was conducted on July 25, 2023. Fifteen staff were in attendance and a roster with signatures was received. THIS CORRECTIVE ACTION ITEM HAS BEEN COMPLETED. Item #4 Development of written plan for achieving compliance *The written plan of background check compliance has been received and approved. *The written plan of medication policy and procedures compliance has been received and approved. Item #5 Staff Meeting CONTACT INFORMATION: If you have any questions or need further assistance, I can be reached at (919) 417-2872 or via email to Shamequa.Wilkerson-Harris@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