10A NCAC 09 .0601 · Violation

Name of Operation: LEGACY CHILD ENRICHMENT CENTER Facility ID: 32000261 Consultant: CUSARAH RIDDICK Operation Type: Center Case Number: 1025-384A Visit Date: 11/4/2025 Number Present: 97 Completed Date: 11/4/2025 Age: From 0 To 5 Total Minutes: 65 Time In: 09:40 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Pamela Creel, Director, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Creel and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A staff member did not ensure a one-year-old child was securely placed on a diaper changing table resulting in the child rolling off the table onto the floor. 10A NCAC 09 .0601(a) 1810 There was a substantiation of child maltreatment. On January 13, 2026, the Division substantiated child maltreatment based on a injury to a child. GS 110-105.6(a) You may contact me at (Cusarah Riddick, Investigation Consultant, 919-208-0546, Cusarah.riddick@dhhs.nc.gov) or (Sheronda Harris, Investigation Supervisor, and Sheronda.harris@dhhs.nc.gov). Thank you for your time If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-105 · Violation

Name of Operation: LEGACY CHILD ENRICHMENT CENTER Facility ID: 32000261 Consultant: CUSARAH RIDDICK Operation Type: Center Case Number: 1025-384A Visit Date: 11/4/2025 Number Present: 97 Completed Date: 11/4/2025 Age: From 0 To 5 Total Minutes: 65 Time In: 09:40 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Pamela Creel, Director, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Creel and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A staff member did not ensure a one-year-old child was securely placed on a diaper changing table resulting in the child rolling off the table onto the floor. 10A NCAC 09 .0601(a) 1810 There was a substantiation of child maltreatment. On January 13, 2026, the Division substantiated child maltreatment based on a injury to a child. GS 110-105.6(a) You may contact me at (Cusarah Riddick, Investigation Consultant, 919-208-0546, Cusarah.riddick@dhhs.nc.gov) or (Sheronda Harris, Investigation Supervisor, and Sheronda.harris@dhhs.nc.gov). Thank you for your time If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: LEGACY CHILD ENRICHMENT CENTER Facility ID: 32000261 Consultant: TONI FULLER Operation Type: Center Case Number: 0525-104L Visit Date: 5/13/2025 Number Present: 89 Completed Date: 5/13/2025 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced Upon arrival the director greeted me. The purpose of today’s unannounced visit was to assess applicable child-care requirements related to a report received by the NC Division of Child Development and Early Education on 5/8/25, regarding child care concerns at this center. This center operates as a GS110-106, “church-exempt” program. Compliance History: The compliance history for this facility for the previous eighteen-month time frame was 90%. After discussing the purpose of the visit with the director, I visited each classroom. Observations: I observed the infants having tummy time and a morning nap. I observed preschool age children having reading time, writing their letters, and enjoying gross motor activities in the gross motor area (space 7). After visiting the classrooms, I discussed the concerns in the report with the director and assistant director. The administrative staff made the following statements: CONCERN #1: Staff/child ratios • On 5/6/25 one of the teachers in classroom space #6 went at naptime to talk with the assistant director about her concerns with her co-teacher (the reporter). The assistant director stated that the teacher’s concern was regarding children wearing their shoes. The teacher was frustrated to the point that she went home for the day after her conversation with the assistant director and did not return to the classroom until the morning of 5/7/25. • According to the information posted on the wall in classroom space #6 naptime is from 1:00 pm to 3:00 pm each day. • The assistant director stated that the children got on their cots to begin naptime at 12:45 pm that day. • The director stated that she and another teacher went to classroom space #6 at 3:18 pm. • The assistant director stated that the children were up from naptime when the director and another teacher went to the classroom. The director stated that they both remained in the classroom, while the reporter took a break. Based on the information provided by the director and assistant director, it was determined that the concern regarding inadequate staff/child ratios was SUBSTANTIATED. The classroom was out of staff/child ratio from 3:00 pm to 3:18 pm. CONCERN #2: Appropriate interactions with children During the visit the director and assistant director shared the following information regarding nurturing care: • On 5/7/25 a parent of one of the children in classroom space #6 reported to the director that she had witnessed the reporter speaking harshly to a child and pressing her hands down on the child’s shoulders to keep the child seated in his chair. • The director stated that she had talked with the reporter 1 ½ years ago about her harsh interactions and tone with the children. The director stated that the teacher had improved, until recently. • The director stated that the reporter was dismissed on 5/7/25, based on the mother’s report and the fact that these concerns had been addressed in the past. • The director stated that she had a conversation with the reporter’s co-teacher, about the co-teacher’s concerns. STAFF INTERVIEWS: During today’s visit I talked with the reporter’s co-teacher in classroom space #6. During the interview I asked the co-teacher if she had ever observed the reporter interacting with a child inappropriately. The co-teacher stated that she had witnessed the reporter grabbing children hard. The co-teacher stated that this was part of the information she shared with the director on 5/7/25, but she had not shared this information with the assistant director on 5/6/25. Based on the information obtained today in discussions with the administrative staff and one of the teachers, it was determined that the allegation of interacting with children inappropriately was SUBSTANTITATED. During today’s visit I interviewed one teacher in classroom space #5 and one teacher in classroom space #4 individually about another incident of inappropriate interaction with a child while on the playground. Both teachers stated that they had not observed the alleged incident. The teacher in classroom space #5 stated that she would have reported the incident, if she had witnessed it. The second teacher in classroom space #4 was out sick today. The director stated that the teacher, who was out sick today, had requested a transfer to another age group of children. The director and assistant director stated that the teacher typically requested a transfer to another age range of children each year. After one year, the teacher was ready for a change in age group assignment. The administrative staff stated that they did not have any concerns about the teacher’s performance while waiting for a transfer. I observed signed verification that the staff person had reviewed the Positive Behavior Management Policy on 12/19/24. The second alleged incident of inappropriate interaction with children was not confirmed. INSPECTIONS: The last documented fire inspection was completed on 3/3/25. The last documented sanitation inspection was conducted on 12/17/24. The last documented playground inspection was conducted on 4/29/25. The last documented fire drill was conducted on 4/29/25. The last documented lockdown drill was conducted on 2/10/25. I reminded the director to conduct another drill this month. During today’s visit two violations were cited, based on the substantiated concerns in the report. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. On 5/6//25 there were 13 children (age 2) with one teacher for 18 minutes after naptime ended. GS 110-91(7);.0713(a-d) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. A teacher in classroom space #6 used her hands on the shoulders of a child to keep them seated in a chair. .1803(a)(1) Both violations had been addressed prior to today’s visit. During today’s visit each classroom was maintaining adequate staff/child ratios during my visit. The children were being visually supervised and the interactions between the teachers and the children were appropriate. I stated that the NC Division of Child Development and Early Education could issue another Administrative Action to the center, since the center was issued a Written Reprimand for inappropriate discipline, earlier this year. TECHNICAL ASSISTANCE WAS PROVIDED IN THE FOLLOWING AREAS TODAY: STAFF/CHILD RATIOS: As a “church-exempt” program, this facility follows the minimum staff/child ratio requirements. In classrooms where the youngest child is age two, the staff/child ratio is 1/10. NC Child Care Rule 10NCAC 09. 1801(b): The staff/child ratio for children two years and older, during naptime, can be maintained by having at least one person in the room, visually supervising the children, and the total number of required staff needed on the premises within calling distance. APPROPRIATE INTERACTIONS BETWEEN CHILDREN AND STAFF: The current Positive Behavior Management Policy for this center was received and accepted by the consultant in December 2024. The policy was reviewed with the staff in December 2024. During today’s visit I verified that the Positive Behavior Management Policy for this center was not reviewed with the reporter. She was on maternity leave when the policy was reviewed with the other staff, and the policy was not reviewed with her when she returned from maternity leave. I explained the importance of reviewing the policy with staff. I asked the administrative staff to review the policy again to determine if a section of the policy could be adjusted or enhanced once again to ensure that a similar incident does not occur in the future. Please know that I am available to assist you at any time. I can be reached at toni.fuller@dhhs.nc.gov or (919)819-9366. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS110-106 · Violation

Name of Operation: LEGACY CHILD ENRICHMENT CENTER Facility ID: 32000261 Consultant: TONI FULLER Operation Type: Center Case Number: 0525-104L Visit Date: 5/13/2025 Number Present: 89 Completed Date: 5/13/2025 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced Upon arrival the director greeted me. The purpose of today’s unannounced visit was to assess applicable child-care requirements related to a report received by the NC Division of Child Development and Early Education on 5/8/25, regarding child care concerns at this center. This center operates as a GS110-106, “church-exempt” program. Compliance History: The compliance history for this facility for the previous eighteen-month time frame was 90%. After discussing the purpose of the visit with the director, I visited each classroom. Observations: I observed the infants having tummy time and a morning nap. I observed preschool age children having reading time, writing their letters, and enjoying gross motor activities in the gross motor area (space 7). After visiting the classrooms, I discussed the concerns in the report with the director and assistant director. The administrative staff made the following statements: CONCERN #1: Staff/child ratios • On 5/6/25 one of the teachers in classroom space #6 went at naptime to talk with the assistant director about her concerns with her co-teacher (the reporter). The assistant director stated that the teacher’s concern was regarding children wearing their shoes. The teacher was frustrated to the point that she went home for the day after her conversation with the assistant director and did not return to the classroom until the morning of 5/7/25. • According to the information posted on the wall in classroom space #6 naptime is from 1:00 pm to 3:00 pm each day. • The assistant director stated that the children got on their cots to begin naptime at 12:45 pm that day. • The director stated that she and another teacher went to classroom space #6 at 3:18 pm. • The assistant director stated that the children were up from naptime when the director and another teacher went to the classroom. The director stated that they both remained in the classroom, while the reporter took a break. Based on the information provided by the director and assistant director, it was determined that the concern regarding inadequate staff/child ratios was SUBSTANTIATED. The classroom was out of staff/child ratio from 3:00 pm to 3:18 pm. CONCERN #2: Appropriate interactions with children During the visit the director and assistant director shared the following information regarding nurturing care: • On 5/7/25 a parent of one of the children in classroom space #6 reported to the director that she had witnessed the reporter speaking harshly to a child and pressing her hands down on the child’s shoulders to keep the child seated in his chair. • The director stated that she had talked with the reporter 1 ½ years ago about her harsh interactions and tone with the children. The director stated that the teacher had improved, until recently. • The director stated that the reporter was dismissed on 5/7/25, based on the mother’s report and the fact that these concerns had been addressed in the past. • The director stated that she had a conversation with the reporter’s co-teacher, about the co-teacher’s concerns. STAFF INTERVIEWS: During today’s visit I talked with the reporter’s co-teacher in classroom space #6. During the interview I asked the co-teacher if she had ever observed the reporter interacting with a child inappropriately. The co-teacher stated that she had witnessed the reporter grabbing children hard. The co-teacher stated that this was part of the information she shared with the director on 5/7/25, but she had not shared this information with the assistant director on 5/6/25. Based on the information obtained today in discussions with the administrative staff and one of the teachers, it was determined that the allegation of interacting with children inappropriately was SUBSTANTITATED. During today’s visit I interviewed one teacher in classroom space #5 and one teacher in classroom space #4 individually about another incident of inappropriate interaction with a child while on the playground. Both teachers stated that they had not observed the alleged incident. The teacher in classroom space #5 stated that she would have reported the incident, if she had witnessed it. The second teacher in classroom space #4 was out sick today. The director stated that the teacher, who was out sick today, had requested a transfer to another age group of children. The director and assistant director stated that the teacher typically requested a transfer to another age range of children each year. After one year, the teacher was ready for a change in age group assignment. The administrative staff stated that they did not have any concerns about the teacher’s performance while waiting for a transfer. I observed signed verification that the staff person had reviewed the Positive Behavior Management Policy on 12/19/24. The second alleged incident of inappropriate interaction with children was not confirmed. INSPECTIONS: The last documented fire inspection was completed on 3/3/25. The last documented sanitation inspection was conducted on 12/17/24. The last documented playground inspection was conducted on 4/29/25. The last documented fire drill was conducted on 4/29/25. The last documented lockdown drill was conducted on 2/10/25. I reminded the director to conduct another drill this month. During today’s visit two violations were cited, based on the substantiated concerns in the report. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. On 5/6//25 there were 13 children (age 2) with one teacher for 18 minutes after naptime ended. GS 110-91(7);.0713(a-d) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. A teacher in classroom space #6 used her hands on the shoulders of a child to keep them seated in a chair. .1803(a)(1) Both violations had been addressed prior to today’s visit. During today’s visit each classroom was maintaining adequate staff/child ratios during my visit. The children were being visually supervised and the interactions between the teachers and the children were appropriate. I stated that the NC Division of Child Development and Early Education could issue another Administrative Action to the center, since the center was issued a Written Reprimand for inappropriate discipline, earlier this year. TECHNICAL ASSISTANCE WAS PROVIDED IN THE FOLLOWING AREAS TODAY: STAFF/CHILD RATIOS: As a “church-exempt” program, this facility follows the minimum staff/child ratio requirements. In classrooms where the youngest child is age two, the staff/child ratio is 1/10. NC Child Care Rule 10NCAC 09. 1801(b): The staff/child ratio for children two years and older, during naptime, can be maintained by having at least one person in the room, visually supervising the children, and the total number of required staff needed on the premises within calling distance. APPROPRIATE INTERACTIONS BETWEEN CHILDREN AND STAFF: The current Positive Behavior Management Policy for this center was received and accepted by the consultant in December 2024. The policy was reviewed with the staff in December 2024. During today’s visit I verified that the Positive Behavior Management Policy for this center was not reviewed with the reporter. She was on maternity leave when the policy was reviewed with the other staff, and the policy was not reviewed with her when she returned from maternity leave. I explained the importance of reviewing the policy with staff. I asked the administrative staff to review the policy again to determine if a section of the policy could be adjusted or enhanced once again to ensure that a similar incident does not occur in the future. Please know that I am available to assist you at any time. I can be reached at toni.fuller@dhhs.nc.gov or (919)819-9366. 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: LEGACY CHILD ENRICHMENT CENTER Facility ID: 32000261 Consultant: TONI FULLER Operation Type: Center Case Number: Visit Date: 2/25/2025 Number Present: 105 Completed Date: 2/25/2025 Age: From 0 To 5 Total Minutes: 215 Time In: 09:40 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Upon arrival the director and assistant director greeted me. The purpose of today’s unannounced visit was to monitor applicable child care requirements during the center’s Annual Compliance visit. This center operates with a Notice of Compliance, as a GS110-106, church-exempt program. The last Annual Compliance visit was conducted on 2/27/24. According to the NC Secretary of State web site, the corporation status of Grey Stone Baptist Church of Durham, NC is “current-active”. COMPLIANCE HISTORY: The compliance history for this center for the previous eighteen-month timeframe was 84%. During today’s visit I monitored all indoor and outdoor licensed spaces. OBSERVATIONS: During today’s visit I observed the children having story time, dancing, completing theme-related activities, and enjoying the outdoor environment. The current theme for each classroom was “Healthy Habits”. CHILDREN’S RECORDS: Ten children’s records were reviewed today. STAFF RECORDS: Ten staff files (40%) were reviewed today for GS110-106 staff files requirements. I verified that all staff had current Criminal Record Check clearance to include the children’s pastor. I observed that all the staff files reviewed today contained a signed copy of the center’s updated supervision policy. INCIDENT LOG: I reviewed the incident log during the visit. TRANSPORTATION: This center does not offer transportation services. INSPECTIONS: The last documented annual fire inspection was completed on 3/4/24. Durham Fire Inspections is scheduled to conduct the center’s annual inspection on Monday, 3/3/25. Please send me a copy of the new inspection report. The last documented sanitation inspection was conducted on 12/17/24. The last documented fire drill was conducted on 1/29/25. The last documented lockdown drill was conducted on 2/10/25. The last documented playground inspection was completed on 1/29/25. The last documented water testing for Clean Water for NC Kids was completed on 10/11/23. The center completed the lead/asbestos testing for clearance on 11/3/23. I observed that the Written Reprimand, which was issued on 1/16/25, was posted in the reception area. The following violation was cited today: Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. An Epi-Pen and the permission form to administer the Epi-Pen to a child in classroom space #3 expired on 12/31/24. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) All violations must be corrected immediately. Please send me a signed Corrective Action letter by 3/11/25, stating how the violation cited today has been corrected. TECHNICAL ASSISTANCE was provided today in the following areas: MEDICATION: One child in classroom space #4 had an Epi-Pen for a food allergy. The Epi-Pen and the permission form to administer the Epi-Pen expired on 12/31/24. The assistant director stated that she had contacted the parent, while I was typing the visit summary. The parent stated that she had already obtained a new Epi-Pen. The mother will complete an updated permission form for the medication. CPSC RECALLS The U.S. Consumer Product Safety Commission has recalled numerous items. You can find more information about each item by accessing www.cpsc.gov Please share with the parents in your program. AGENCY NEWS AND UPDATES: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ often. Click on the “What’s New” tab for new requirements and updates. CONTACT INFORMATION: Please contact me if I can be of any assistance to you. I can be reached at toni.fuller@dhhs.nc.gov or (919) 819-9366. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS110-106 · Violation

Name of Operation: LEGACY CHILD ENRICHMENT CENTER Facility ID: 32000261 Consultant: TONI FULLER Operation Type: Center Case Number: Visit Date: 11/5/2024 Number Present: 85 Completed Date: 11/5/2024 Age: From 0 To 5 Total Minutes: 135 Time In: 10:00 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 Upon arrival the director greeted me. The purpose of today’s unannounced visit was to conduct an Administrative Action follow-up visit. This center was issued a Written Warning on 9/27/24. This center operates with a Notice of Compliance, as a GS110-106, church-exempt facility. COMPLIANCE HISTORY: The compliance history for this center for the previous eighteen-month timeframe was 83%. OBSERVATIONS: During today’s visit I visited each classroom. Adequate staff/child ratios were being maintained, and all the children were being visually supervised. I observed the infants napping, having tummy time, and being fed a bottle of milk. I observed the preschool age children engaged in instruction with the teacher and engaged in free play activities. Three classrooms of children were enjoying the outdoor environment. The children were being visually supervised. INSPECTIONS: The last documented annual fire inspection was completed on 3/4/24. The last documented sanitation inspection was conducted on 6/11/24. The last documented fire drill was conducted on 10/14/24.___ The last documented shelter-in-place drill was conducted on 9/27/24. The last documented playground inspection was completed on 10/14/24.____ The last documented water testing for Clean Water for NC Kids was completed on 10/13/23. ADMINISTRATIVE ACTION CORRECTIVE ACTION PLAN: Item #1: No concerns were observed or cited today, regarding the supervision of children. Item #2: Lead Consultant, Angela Alger-Walker, conducted a supervision Technical Assistance visit at the center on 10/23/24. Item #3: On 11/1/24, the director sent me a copy of the center’s supervision guidelines that had been revised after the 10/23/24 Technical Assistance visit. During today’s visit the director, assistant director, and I discussed the supervision plan. During today’s visit final revisions were made. I accepted the final revision of the supervision plan today. Item #4: The director will have a mandatory staff meeting within the next two weeks to review and discuss the supervision plan. The director will send me the documentation of the staff meeting, as requested in the Corrective Action Plan on the Administrative Action. The following violations were cited today: Violation Number Comment Rule 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The information available in classroom space #1 (infant classroom) reflected that visual monitoring had last been done on 10/30/24. .0606(g) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permission to administer an EPI-Pen to a child in classroom space #4 expired on 9/30/24. The permission to administer a breathing treatment with Pulmicort expired on 12/3/23. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) All violations must be corrected immediately. Please send me a signed Corrective Action letter by 11/19/24, stating how each violation has been corrected. TECHNICAL ASSISTANCE was provided today in the following areas: MONITORING CHARTS: The director stated that the lead teacher, who routinely completed the Safe Sleep monitoring charts, was absent. I stated that other teachers in the classroom should know how to complete the chart, since completing the Safe Sleep monitoring chart is covered in the IT’S SIDS training. MEDICATION: I stated that permission to administer emergency medication could be given by the parent for a time frame of up to six months, in accordance with NC Child Care Rule 10NCAC 09 .0803. MATERIAL ACCESSIBILITY: During today’s visit I observed that one area with materials was blocked off with cots in one of the toddler classrooms. I talked with the administrators about advantage of having all the available materials in the classroom accessible to the children. CONTACT INFORMATION: Please contact me if I can be of any assistance to you. I can be reached at toni.fuller@dhhs.nc.gov or (919) 819-9366. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: LEGACY CHILD ENRICHMENT CENTER Facility ID: 32000261 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 93 Completed Date: 2/27/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 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 assess applicable child- care requirements during your Annual Compliance Visit. Administrator, Pam Creel assisted me with the visit today. I conducted a general walk-through of the child approved spaces. Nine classrooms were opened today. I observed the children participating in group time and free play in their learning environment. CURRENT LICENSE STATUS The facility currently operates with a GS 110- 106 Religious Sponsor Notice of Compliance that was issued March 22, 2013. The facility is licensed for 140 children on 1st shift only. The facility does not provide transportation. ANNUAL INSPECTIONS: The last sanitation inspection was conducted on 7/11/23. The last fire inspection was conducted on 3/3/23. The last fire drill was conducted on 2/26/24. The last emergency drill was conducted on 1/9/24. The last playground inspection was conducted on 2/26/24. The EPR Plan was updated on 8/23/23. MONITORING: During today’s visit, a full assessment of Child Care Requirements was conducted. A checklist was used to monitor the requirements. This program does not transport children; therefore, these requirements were not monitored. ANNUAL COMPLIANCE RECORDS Twenty (20) children’s records were viewed. The staff and training worksheet were received prior to the visit. The director’s signature attests that staff files not monitored today contain all the required information. The following violations were observed and documented. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space #108. GS 110-91(12); .0508(a) 721 All equipment and furnishings were not in good repair. A retaining barrier used to keep the mulch intact had several metal spikes raised enough to cause a tripping hazard. G.S. 110-91(6); .0601(b) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Four employee did not have annual emergency information on file. .0701(a) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. One child's file did not have emergency contact listed. .0802(c)(1) 1314 Emergency information did not name childs health care professional. Three children file did not have a hospital preference listed. .0802(c)(2) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Lactaid tablet found in space #110 did not have medical authorization. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) While the Division allows you time to explain how you have corrected violations when violations are documented, it is expected that you correct all violations immediately. When you send your compliance to me, it is to verify that you have already corrected or addressed the violations from your visit summary. If I do not receive your letter by March 12, 2024, and/or if you do not address all violations, a return visit will be made to your program to monitor compliance of violations and to obtain the compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. The letter must address each violation, explain how it has been corrected and how it will be maintained in the future. You may email your letter to corrine.fulp@dhhs.nc.gov and include the following: Facility name, id number, item number, and the date when the item was corrected. COMPLIANCE HISTORY Prior to today's visit, the Compliance History Score for the program was 78%. If your Compliance History score is below 75%, you will be at risk of an administrative action. The center was not in compliance with all applicable minimum licensing requirements during today's visit and violations were cited 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 on the next visit to your center. TECHNICAL ASSISTANCE During today’s visit we discussed ways to ensure that the violations cited could be corrected and how to prevent them from reoccurring. All staff shall have an emergency information on or before the first day of employment. MEDICATION Medical authorization must be obtained before the medicine can be administered to a child. Even through the medicine is Lactaid tablet, you still must have a permission form to administer. REMINDERS: Two staff members Recognizing and Responding to Suspicions of Child Maltreatment training will expire in October. CURRENT UPDATES/DCDEE You may check the Division of Child Development and Early Education website: https://ncchildcare.ncdhhs.gov and click on “What’s New” tab for all updates. ABCMS PORTAL [provider can check qualifying letters] To receive access, complete the training on DCDEE’s Moodle site. Complete the short video and test. A certificate will be issued when the session has been completed. Email the certificate along with your full name, position, and facility ID number to DCDEE_ABCMS_Provider@dhhs.nc.gov. CONTACT INFORMATION If you have any questions about today’s visit, I can be reached via email at corrine.fulp@dhhs.nc.gov or by phone at (919) 606-2388. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

GS 110- 106 · Violation

Name of Operation: LEGACY CHILD ENRICHMENT CENTER Facility ID: 32000261 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 93 Completed Date: 2/27/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 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 assess applicable child- care requirements during your Annual Compliance Visit. Administrator, Pam Creel assisted me with the visit today. I conducted a general walk-through of the child approved spaces. Nine classrooms were opened today. I observed the children participating in group time and free play in their learning environment. CURRENT LICENSE STATUS The facility currently operates with a GS 110- 106 Religious Sponsor Notice of Compliance that was issued March 22, 2013. The facility is licensed for 140 children on 1st shift only. The facility does not provide transportation. ANNUAL INSPECTIONS: The last sanitation inspection was conducted on 7/11/23. The last fire inspection was conducted on 3/3/23. The last fire drill was conducted on 2/26/24. The last emergency drill was conducted on 1/9/24. The last playground inspection was conducted on 2/26/24. The EPR Plan was updated on 8/23/23. MONITORING: During today’s visit, a full assessment of Child Care Requirements was conducted. A checklist was used to monitor the requirements. This program does not transport children; therefore, these requirements were not monitored. ANNUAL COMPLIANCE RECORDS Twenty (20) children’s records were viewed. The staff and training worksheet were received prior to the visit. The director’s signature attests that staff files not monitored today contain all the required information. The following violations were observed and documented. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space #108. GS 110-91(12); .0508(a) 721 All equipment and furnishings were not in good repair. A retaining barrier used to keep the mulch intact had several metal spikes raised enough to cause a tripping hazard. G.S. 110-91(6); .0601(b) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Four employee did not have annual emergency information on file. .0701(a) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. One child's file did not have emergency contact listed. .0802(c)(1) 1314 Emergency information did not name childs health care professional. Three children file did not have a hospital preference listed. .0802(c)(2) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Lactaid tablet found in space #110 did not have medical authorization. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) While the Division allows you time to explain how you have corrected violations when violations are documented, it is expected that you correct all violations immediately. When you send your compliance to me, it is to verify that you have already corrected or addressed the violations from your visit summary. If I do not receive your letter by March 12, 2024, and/or if you do not address all violations, a return visit will be made to your program to monitor compliance of violations and to obtain the compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. The letter must address each violation, explain how it has been corrected and how it will be maintained in the future. You may email your letter to corrine.fulp@dhhs.nc.gov and include the following: Facility name, id number, item number, and the date when the item was corrected. COMPLIANCE HISTORY Prior to today's visit, the Compliance History Score for the program was 78%. If your Compliance History score is below 75%, you will be at risk of an administrative action. The center was not in compliance with all applicable minimum licensing requirements during today's visit and violations were cited 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 on the next visit to your center. TECHNICAL ASSISTANCE During today’s visit we discussed ways to ensure that the violations cited could be corrected and how to prevent them from reoccurring. All staff shall have an emergency information on or before the first day of employment. MEDICATION Medical authorization must be obtained before the medicine can be administered to a child. Even through the medicine is Lactaid tablet, you still must have a permission form to administer. REMINDERS: Two staff members Recognizing and Responding to Suspicions of Child Maltreatment training will expire in October. CURRENT UPDATES/DCDEE You may check the Division of Child Development and Early Education website: https://ncchildcare.ncdhhs.gov and click on “What’s New” tab for all updates. ABCMS PORTAL [provider can check qualifying letters] To receive access, complete the training on DCDEE’s Moodle site. Complete the short video and test. A certificate will be issued when the session has been completed. Email the certificate along with your full name, position, and facility ID number to DCDEE_ABCMS_Provider@dhhs.nc.gov. CONTACT INFORMATION If you have any questions about today’s visit, I can be reached via email at corrine.fulp@dhhs.nc.gov or by phone at (919) 606-2388. 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: LEGACY CHILD ENRICHMENT CENTER Facility ID: 32000261 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 93 Completed Date: 2/27/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 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 assess applicable child- care requirements during your Annual Compliance Visit. Administrator, Pam Creel assisted me with the visit today. I conducted a general walk-through of the child approved spaces. Nine classrooms were opened today. I observed the children participating in group time and free play in their learning environment. CURRENT LICENSE STATUS The facility currently operates with a GS 110- 106 Religious Sponsor Notice of Compliance that was issued March 22, 2013. The facility is licensed for 140 children on 1st shift only. The facility does not provide transportation. ANNUAL INSPECTIONS: The last sanitation inspection was conducted on 7/11/23. The last fire inspection was conducted on 3/3/23. The last fire drill was conducted on 2/26/24. The last emergency drill was conducted on 1/9/24. The last playground inspection was conducted on 2/26/24. The EPR Plan was updated on 8/23/23. MONITORING: During today’s visit, a full assessment of Child Care Requirements was conducted. A checklist was used to monitor the requirements. This program does not transport children; therefore, these requirements were not monitored. ANNUAL COMPLIANCE RECORDS Twenty (20) children’s records were viewed. The staff and training worksheet were received prior to the visit. The director’s signature attests that staff files not monitored today contain all the required information. The following violations were observed and documented. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space #108. GS 110-91(12); .0508(a) 721 All equipment and furnishings were not in good repair. A retaining barrier used to keep the mulch intact had several metal spikes raised enough to cause a tripping hazard. G.S. 110-91(6); .0601(b) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Four employee did not have annual emergency information on file. .0701(a) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. One child's file did not have emergency contact listed. .0802(c)(1) 1314 Emergency information did not name childs health care professional. Three children file did not have a hospital preference listed. .0802(c)(2) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Lactaid tablet found in space #110 did not have medical authorization. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) While the Division allows you time to explain how you have corrected violations when violations are documented, it is expected that you correct all violations immediately. When you send your compliance to me, it is to verify that you have already corrected or addressed the violations from your visit summary. If I do not receive your letter by March 12, 2024, and/or if you do not address all violations, a return visit will be made to your program to monitor compliance of violations and to obtain the compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. The letter must address each violation, explain how it has been corrected and how it will be maintained in the future. You may email your letter to corrine.fulp@dhhs.nc.gov and include the following: Facility name, id number, item number, and the date when the item was corrected. COMPLIANCE HISTORY Prior to today's visit, the Compliance History Score for the program was 78%. If your Compliance History score is below 75%, you will be at risk of an administrative action. The center was not in compliance with all applicable minimum licensing requirements during today's visit and violations were cited 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 on the next visit to your center. TECHNICAL ASSISTANCE During today’s visit we discussed ways to ensure that the violations cited could be corrected and how to prevent them from reoccurring. All staff shall have an emergency information on or before the first day of employment. MEDICATION Medical authorization must be obtained before the medicine can be administered to a child. Even through the medicine is Lactaid tablet, you still must have a permission form to administer. REMINDERS: Two staff members Recognizing and Responding to Suspicions of Child Maltreatment training will expire in October. CURRENT UPDATES/DCDEE You may check the Division of Child Development and Early Education website: https://ncchildcare.ncdhhs.gov and click on “What’s New” tab for all updates. ABCMS PORTAL [provider can check qualifying letters] To receive access, complete the training on DCDEE’s Moodle site. Complete the short video and test. A certificate will be issued when the session has been completed. Email the certificate along with your full name, position, and facility ID number to DCDEE_ABCMS_Provider@dhhs.nc.gov. CONTACT INFORMATION If you have any questions about today’s visit, I can be reached via email at corrine.fulp@dhhs.nc.gov or by phone at (919) 606-2388. 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: LEGACY CHILD ENRICHMENT CENTER Facility ID: 32000261 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 9/25/2023 Number Present: 87 Completed Date: 9/25/2023 Age: From 0 To 4 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to conduct your routine unannounced visit. Co-Directors Pam Creel and Hannah Hunt assisted me on today’s visit. Nine classrooms were opened today. I conducted a general walk-through of the indoor and outdoor learning environments. I observed the children participating in group time and free play in their indoor learning environment. RATED LICENSE STATUS The facility currently operates with a GS 110-106 Religious Sponsor Notice of Compliance that was issued on March 22, 2013. The facility is licensed for 140 children on 1st shift only. INSPECTIONS The last sanitation inspection was conducted on 7/11/23. The last fire inspection was conducted on 3/13/23. The last fire drill was conducted on 9/20/23. The last emergency drill was conducted on 9/20/23. The last playground inspection was conducted on 9/20/23. A partial assessment of the childcare requirements was conducted during today’s visit. The following items were monitored during this visit: staff/child ratio, supervision, nurturing interactions, daily attendance, license posted & permit restrictions followed, safe indoor environment, fire drills & inspections, CBC qualifications, CPR/First Aid certification, and storage of medications & hazardous materials. I did not assess transportation requirements because the program does not transport children. The following violations were observed and recorded: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #8 [Frogs] the weekly plan was not posted. GS 110-91(12); .0508(a) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. A staff in space #7 served food to children after removing a item from the trash. 15A NCAC 18A .2803(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5 [Lady bugs] glass cleaner was not properly stored. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff hired on 6/5/23 did not have verification for First aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff hired on 6/5/23 did not have verification of CPR training. .1102(d) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. A container of Balmex cream in space #5 wasn't label with the child's name. 10A NCAC 09 .0803(2)(b)(i-v) In order to comply with the NC Laws & Rules, any violations cited today must be corrected immediately. A compliance letter should be sent to me by October 9, 2023. The letter should address each violation and explain how and when it has been corrected. Please send the letter to corrine.fulp@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number. COMPLIANCE HISTORY: Prior to today's visit the program's compliance history was 93%. It will be updated after today's visit, and you will be informed of the new score. TECHNICAL ASSISTANT During today’s visit, we discussed ways to ensure that the current violations do not reoccur. Medication must be label with the child's name on the container. REMINDER: *Facility is due a 3-year water test on or before November 9, 2023. *Authorization form for Boudreaux in Frogs classroom will need to be updated on 10/1/23. * Several stalks used to keep the barrier in place on the large playground have potential tripping hazards. CONSULTATION Some providers are experiencing concerns regarding the new sanitation rules. Children’s Environmental Health has set up virtual training for child care center operators on the newly readopted child care sanitation rules. On September 26, 2023; from 9:00 am – 11:30 am. I will email you the link to this training. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov. CONTACT INFORMATION If you have any questions or need any assistance, please feel free to contact me at (919) 606-2388 or via email me at corrine.fulp@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-106 · Violation

Name of Operation: LEGACY CHILD ENRICHMENT CENTER Facility ID: 32000261 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 9/25/2023 Number Present: 87 Completed Date: 9/25/2023 Age: From 0 To 4 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to conduct your routine unannounced visit. Co-Directors Pam Creel and Hannah Hunt assisted me on today’s visit. Nine classrooms were opened today. I conducted a general walk-through of the indoor and outdoor learning environments. I observed the children participating in group time and free play in their indoor learning environment. RATED LICENSE STATUS The facility currently operates with a GS 110-106 Religious Sponsor Notice of Compliance that was issued on March 22, 2013. The facility is licensed for 140 children on 1st shift only. INSPECTIONS The last sanitation inspection was conducted on 7/11/23. The last fire inspection was conducted on 3/13/23. The last fire drill was conducted on 9/20/23. The last emergency drill was conducted on 9/20/23. The last playground inspection was conducted on 9/20/23. A partial assessment of the childcare requirements was conducted during today’s visit. The following items were monitored during this visit: staff/child ratio, supervision, nurturing interactions, daily attendance, license posted & permit restrictions followed, safe indoor environment, fire drills & inspections, CBC qualifications, CPR/First Aid certification, and storage of medications & hazardous materials. I did not assess transportation requirements because the program does not transport children. The following violations were observed and recorded: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #8 [Frogs] the weekly plan was not posted. GS 110-91(12); .0508(a) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. A staff in space #7 served food to children after removing a item from the trash. 15A NCAC 18A .2803(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5 [Lady bugs] glass cleaner was not properly stored. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff hired on 6/5/23 did not have verification for First aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff hired on 6/5/23 did not have verification of CPR training. .1102(d) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. A container of Balmex cream in space #5 wasn't label with the child's name. 10A NCAC 09 .0803(2)(b)(i-v) In order to comply with the NC Laws & Rules, any violations cited today must be corrected immediately. A compliance letter should be sent to me by October 9, 2023. The letter should address each violation and explain how and when it has been corrected. Please send the letter to corrine.fulp@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number. COMPLIANCE HISTORY: Prior to today's visit the program's compliance history was 93%. It will be updated after today's visit, and you will be informed of the new score. TECHNICAL ASSISTANT During today’s visit, we discussed ways to ensure that the current violations do not reoccur. Medication must be label with the child's name on the container. REMINDER: *Facility is due a 3-year water test on or before November 9, 2023. *Authorization form for Boudreaux in Frogs classroom will need to be updated on 10/1/23. * Several stalks used to keep the barrier in place on the large playground have potential tripping hazards. CONSULTATION Some providers are experiencing concerns regarding the new sanitation rules. Children’s Environmental Health has set up virtual training for child care center operators on the newly readopted child care sanitation rules. On September 26, 2023; from 9:00 am – 11:30 am. I will email you the link to this training. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov. CONTACT INFORMATION If you have any questions or need any assistance, please feel free to contact me at (919) 606-2388 or via email me at corrine.fulp@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: LEGACY CHILD ENRICHMENT CENTER Facility ID: 32000261 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 9/25/2023 Number Present: 87 Completed Date: 9/25/2023 Age: From 0 To 4 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to conduct your routine unannounced visit. Co-Directors Pam Creel and Hannah Hunt assisted me on today’s visit. Nine classrooms were opened today. I conducted a general walk-through of the indoor and outdoor learning environments. I observed the children participating in group time and free play in their indoor learning environment. RATED LICENSE STATUS The facility currently operates with a GS 110-106 Religious Sponsor Notice of Compliance that was issued on March 22, 2013. The facility is licensed for 140 children on 1st shift only. INSPECTIONS The last sanitation inspection was conducted on 7/11/23. The last fire inspection was conducted on 3/13/23. The last fire drill was conducted on 9/20/23. The last emergency drill was conducted on 9/20/23. The last playground inspection was conducted on 9/20/23. A partial assessment of the childcare requirements was conducted during today’s visit. The following items were monitored during this visit: staff/child ratio, supervision, nurturing interactions, daily attendance, license posted & permit restrictions followed, safe indoor environment, fire drills & inspections, CBC qualifications, CPR/First Aid certification, and storage of medications & hazardous materials. I did not assess transportation requirements because the program does not transport children. The following violations were observed and recorded: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #8 [Frogs] the weekly plan was not posted. GS 110-91(12); .0508(a) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. A staff in space #7 served food to children after removing a item from the trash. 15A NCAC 18A .2803(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5 [Lady bugs] glass cleaner was not properly stored. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff hired on 6/5/23 did not have verification for First aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff hired on 6/5/23 did not have verification of CPR training. .1102(d) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. A container of Balmex cream in space #5 wasn't label with the child's name. 10A NCAC 09 .0803(2)(b)(i-v) In order to comply with the NC Laws & Rules, any violations cited today must be corrected immediately. A compliance letter should be sent to me by October 9, 2023. The letter should address each violation and explain how and when it has been corrected. Please send the letter to corrine.fulp@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number. COMPLIANCE HISTORY: Prior to today's visit the program's compliance history was 93%. It will be updated after today's visit, and you will be informed of the new score. TECHNICAL ASSISTANT During today’s visit, we discussed ways to ensure that the current violations do not reoccur. Medication must be label with the child's name on the container. REMINDER: *Facility is due a 3-year water test on or before November 9, 2023. *Authorization form for Boudreaux in Frogs classroom will need to be updated on 10/1/23. * Several stalks used to keep the barrier in place on the large playground have potential tripping hazards. CONSULTATION Some providers are experiencing concerns regarding the new sanitation rules. Children’s Environmental Health has set up virtual training for child care center operators on the newly readopted child care sanitation rules. On September 26, 2023; from 9:00 am – 11:30 am. I will email you the link to this training. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov. CONTACT INFORMATION If you have any questions or need any assistance, please feel free to contact me at (919) 606-2388 or via email me at corrine.fulp@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