G.S. 110-91 · Violation

Name of Operation: PLEASANT HILL BAPTIST CHURCH DAY CARE Facility ID: 86000402 Consultant: JENNIFER HILL Operation Type: Center Case Number: 0126-018A Visit Date: 1/8/2026 Number Present: 139 Completed Date: 1/8/2026 Age: From 0 To 5 Total Minutes: 200 Time In: 10:55 AM Time Out: 02:15 PM 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. Maeshell Marley, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Marley, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On December 15, 2025, the staff member grabbed two four-year-old children’s faces and spoke to them in a hash manner. On December 19, 2025, the same staff member spoke to one of the same children in an inappropriate manner. G.S. 110-91(10) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. On multiple occasions, a staff member handled two four-year-old children in a rough and inappropriate manner. On December 22, 2025, a staff member picked up and pulled a child by the child’s shirt collar, causing the child’s feet to come off the ground. The staff member continued to hold onto the child’s shirt and moved the child from one location to another. On December 22, 2025, the same staff member hit another child on the top of the head with a wooden dowel. The child rubbed their head afterwards. .1803(a)(1) 1810 There was a substantiation of child maltreatment. The Division determined child maltreatment based on the failure to meet physical needs of children. GS 110-105.6(a) Violations must be corrected immediately. Within one week (January 15, 2026), you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at (Jennifer Hill, Investigations Consultant, Jennifer.Hill@dhhs.nc.gov, fax #-984-236-8224). You may contact me at Jennifer Hill, Investigations Consultant, 828-358-5387, Jennifer.Hill@dhhs.nc.gov or Natosha Lambeth, Western Investigations Team Supervisor, Natosha.Lambeth@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: PLEASANT HILL BAPTIST CHURCH DAY CARE Facility ID: 86000402 Consultant: JENNIFER HILL Operation Type: Center Case Number: 0126-018A Visit Date: 1/8/2026 Number Present: 139 Completed Date: 1/8/2026 Age: From 0 To 5 Total Minutes: 200 Time In: 10:55 AM Time Out: 02:15 PM 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. Maeshell Marley, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Marley, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On December 15, 2025, the staff member grabbed two four-year-old children’s faces and spoke to them in a hash manner. On December 19, 2025, the same staff member spoke to one of the same children in an inappropriate manner. G.S. 110-91(10) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. On multiple occasions, a staff member handled two four-year-old children in a rough and inappropriate manner. On December 22, 2025, a staff member picked up and pulled a child by the child’s shirt collar, causing the child’s feet to come off the ground. The staff member continued to hold onto the child’s shirt and moved the child from one location to another. On December 22, 2025, the same staff member hit another child on the top of the head with a wooden dowel. The child rubbed their head afterwards. .1803(a)(1) 1810 There was a substantiation of child maltreatment. The Division determined child maltreatment based on the failure to meet physical needs of children. GS 110-105.6(a) Violations must be corrected immediately. Within one week (January 15, 2026), you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at (Jennifer Hill, Investigations Consultant, Jennifer.Hill@dhhs.nc.gov, fax #-984-236-8224). You may contact me at Jennifer Hill, Investigations Consultant, 828-358-5387, Jennifer.Hill@dhhs.nc.gov or Natosha Lambeth, Western Investigations Team Supervisor, Natosha.Lambeth@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

NC GS 110-90 · Violation

Name of Operation: PLEASANT HILL BAPTIST CHURCH DAY CARE Facility ID: 86000402 Consultant: VACANT TEAM 2 Operation Type: Center Case Number: Visit Date: 10/7/2025 Number Present: 135 Completed Date: 10/7/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Maeshell Marle, Director. Your program currently operates with a GS-110, Notice of Compliance. Restrictions include 1st shift, daytime care only. The Notice of Compliance was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 9/26/25 and Pleasant Hill Baptist Church of Elkin, NC was listed as current and active. The program’s compliance history was 98% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having free choice play, outdoor play, and infants having individual needs met. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 10/17/24 . A sanitation inspection was completed on 5/8/25 with a Superior classification and three (3) demerits. The last fire inspection was conducted 10/8/24 by Ethan Baker. Program records and required postings were monitored. A fire drill was conducted on 9/23/25 at 9:28 am with three (3) minutes one (1) second to evacuate one hundred thirty-six (136) children and twenty-five (25) adults by D. Hooker. A shelter in place drill was documented on 9/30/25 at 2:38 pm with two (2) minutes and thirty (30) seconds to shelter-in-place by D. Hooker. An outdoor inspection was documented on 9/15/25 by D. Hooker. Seven (7) new staff files and fourteen (14) children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked closets. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation and is not approved for transportation. The church vans are used three (3) times per year for field trips per Ms. Marle. Transportation requirements will be scheduled to be reviewed via phone with the Director, Melinda Lescar, and Pam Hauser. Today, we drove over to the church where the vans are located to monitor the following information, registration, insurance, tire tread, and seat belts. Van #1 - 2001 Chevy white van-registration card not available- tag WWY 1879 - expires 5/2026-seat belts in good repair, Van #2- 2007 Chevy brown van-registration is current expiring 10/31/26-seat belts good repair-tag VZT 9416, Van #3-2017 white Ford van- registration expires 9/30/26-tag HDC 2541-seat belts good repair. All vans have current insurance with Southern Mutual Church Insurance Company. policy BA-3200771. Transportation is not allowed at this facility until transportation requirements have been met and this facility has been approved for transportation. Today we asked Ms. Marle how much time she would need to complete the Health & Safety training for the three (3) staff who have expired and all new staff who have begun employment at the center since the last annual compliance visit. The three (3) staff Health & Safety Trainings expired on 6/1/21, 9/1/25, and 8/28/24. Ms. Marle stated that she could have the three (3) staff who have expired with Health & Safety training completed within two (2) weeks, when her compliance letter is due, Tuesday, October 21, 2025. The following violations were cited during today’s visit: Violation Number Comment Rule 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member was due to complete recognizing and responding training by July 2025. This was not completed. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Tuesday, October 21, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • Recognizing and Responding for one (1) staff was due by July of 2025. See Child Care Rule 10A NCAC 09 .? Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Be sure that you have completed adding all your staff into the ABCMS portal. • We discussed that Ms. Marle will need to update the last name of one (1) staff member. • We discussed the pointed bottom of the fence curving into the playground with a sharp edge posing a hazard for the children on the play area. Ms. Marle contacted maintenance during the visit and they arrived to fix the issue during the visit today. • You confirmed with me today that your email address is: maeshellmarle@gmail.com. • Go to the DCDEE homepage and sign up for Raise NC Newsletter to get the most recent updates. • On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. • Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). • An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-106 · Violation

Name of Operation: PLEASANT HILL BAPTIST CHURCH DAY CARE Facility ID: 86000402 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: 1024-313L Visit Date: 10/30/2024 Number Present: 30 Completed Date: 10/31/2024 Age: From 2 To 5 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 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. The visit was conducted with Maeshall Marley, Administrator, by Tammy Childress, Lead Child Care Consultant, and Turkessha Casterlow, Child Care Consultant. The current compliance history for the facility prior to today’s visit is 94% for the last eighteen months and the NC Secretary of State website shows the owner, Pleasant Hill Baptist Church, as current on all required documents and active on the NC Business Registry. The following items were monitored in the applicable classrooms and in the facility and found to be in compliance today: •Staff/Child Ratio •Supervision •Adequate/Approved Space •License Posted and Restrictions (G.S. 110-106) When informed that we were there to discuss allegations Ms. Marely stated that she was aware of the situation, the children involved and stated that she had been contacted by the parent about the parent’s concerns. Ms. Childress and Ms. Casterlow visited two classrooms that were applicable to the allegations. The allegations were reviewed with, and interviews were conducted with Ms. Marley and four additional staff members. Two additional staff members, identified by Ms. Marley as possibly having pertinent information in regard to the allegations, were not on-site today and will be contacted upon their return on November 1, 2024, to be interviewed. In regard to a concern of inadequate supervision in the classroom for two-year-old children, specifically, that a named staff member was on a cell phone at a desk, Ms. Marley and the named staff member stated that cell phone use is not allowed in the classrooms or while providing care to children by staff. The named staff member stated that the staff member’s cell phone stays in the staff member’s purse, is never used while caring for children, and is only viewed/in use while on breaks in the conference or break room. During the walkthrough of the facility and observation of the two-year-old children’s classroom, staff were not observed using cell phones while caring for children. In addition, in Ms. Marley’s office, there is a large monitor with live feed for each classroom and the playgrounds which were observed during the visit and staff were not seen using cell phones. In addition, the concern regarding supervision was related to two-year-old children hitting one another, and specifically one child on a daily basis. Ms. Marley and four additional staff members who had provided care for or assisted in providing care for the two-year-old children described during interviews typically developmentally appropriate behaviors amongst the two-year-old children, such as taking toys from one another and some attempts to bite. Staff also described appropriate behavior intervention techniques, such as close supervision, distracting behaviors/quickly intervening before behavior occurred and engaging children in other activities and getting on children’s eye level and talking with them about behavior. All staff described one child’s behavior that included the child hitting and sometimes injuring staff and other children, classroom and office furnishings were kicked and thrown by the child, and the child frequently (almost daily) undressing. Ms. Marely and other staff had discussed the behavior with the parent and recommended an intervention resource. In regard to the concern related to sanitation and health in the classroom for two-year-old children, specifically that a child was not cleaned appropriately by staff during diapering/changing of pull-ups resulting in a medical appointment and prescribed medication, Ms. Marley stated that a child did have a concerning issue observed by a staff member when changing the child and she immediately called the parent. The parent stated that the child had constipation and that the child was otherwise ok. Ms. Marley stated that the condition worsened, and another call was made to the parent. Medical attention was obtained by the parent and a prescription medication was given to staff to administer. A note from a medical provider, dated April 9, 2024, was reviewed and stated the reason the child was seen, the diagnosis, and directions for cleaning and applying diaper cream every 2 hours. There was no documentation of prescribed medication on the medical note. There was no permission to administer medication form or medication information related to a prescription diaper cream in the child’s file. Ms. Marley stated that this form is located in a different file in the assistant director’s office, and she was not on-site today. She agreed that this form would be sent to Ms. Childress. The staff member who provided care to the child at that time described observations during changing the child and expressing concerns to the parent during pick-up and also to administration. The staff member stated the parent provided a prescription diaper cream which was applied. The staff member stated that children are changed no less than every 2 hours or more frequently if the child had an accident as children in this age group are working on toilet training. The staff member stated that a daily sheet was completed for all parents showing if the child had any toileting accidents during the day. The staff member denied that the staff member ever failed to clean any child thoroughly. In regard to the concerns that children are cared for in an unsafe environment and that an incident report was not written for a child who was injured while in care, specifically that a four or five year old child was injured in the back by another child with a pushpin/metal tack from a bulletin board, Ms. Marley stated that she was unaware of any incident like this occurring. The parent had only expressed concerns to her last week that approximately one year ago the parent’s child, who was then in the Pre-K children’s classroom ,was stabbed with a sharp object and that no one had told the parent about it. The child reported it at the time of the incident to the parent. Ms. Marley spoke with the Pre-K teacher who told her that there may have been an incident, but she was unsure, when a child poked this child in the hand with a pencil, but the skin was not broken and there was no mark, so there was no incident report. Ms. Childress asked Ms. Marley what procedures were for writing incident reports and she stated that they wrote incident reports for every injury. The Pre-K teacher, during interview, stated that she does not clearly remember incidents occurring and did not complete any incident reports. There could have been an incident of poking with a pencil by another child, but there was no injury and no incident report. There were no incident reports in this child’s file when reviewed. During today’s visit, Ms. Marley and four additional staff members were interviewed regarding the allegations, two children’s files were reviewed, a walkthrough of the facility and playgrounds were completed, two classrooms were visited, live feed of all classrooms and playgrounds were watched, observations of children and staff in the two and four-to-five-year-old children’s classrooms, while on the playground and in the restroom occurred, and staff documentation, a doctor’s note and Ms. Marley’s communication with a parent via email was reviewed. Prior to today’s visit one collateral contact was made and information was obtained. Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report was not completed during an unknown time from six months to two years ago when a preschool aged child was stuck with a push pin by another child and a red mark was on the child's back. .0802 (e) Specific allegations regarding sanitation and health, safe environment, incident reports, and supervision, based upon information received from interviews with staff and the collateral contact, as well as review of documentation, occurred in April 2024 and one year to “spring” of 2024 and incidents regarding two-year-old children hitting one another have occurred within the past year. In order to complete the investigation, two additional staff members need to be interviewed. Therefore, the investigation remains open at this time. Ms. Marley will be notified in writing of the conclusion of the investigation, of any violations documented and compliance expectations, and any Administrative Actions that may be considered and issued. Consultation provided during today’s visit: During interviews conducted today with staff, staff members expressed a desire to see children progress when struggling with behaviors and discussed appropriate behavior intervention strategies. Ms. Childress and Ms. Casterlow discussed that it may be helpful and encouraging for staff to receive additional training on behavior intervention techniques with two-year-old children and ways to document and communicate concerns to parents and administrators. Below are resource contacts to assist you and your staff in this area: •Surry County Early Childhood Partnership, Inc. (336)786-1880 Melissa Burrow, CCR&R Coordinator melissa@surrycountyearlychildhoodpartnership.org •Visit the Child Care Resource Center website at https://childcareresourcecenter.org/events/category/training/ and under the “Professional Development” tab you can find workshops available regarding identifying and developing strategies for challenging behaviors, “mood meters”, classroom additions such as music and physical activities that may be both educational and enjoyable workshops for your staff. •It may also be helpful, at any time, regardless if allegations or made, if all staff complete free Moodle trainings on the DCDEE website (httpd://ncchildcare.ncdhhs.nc.gov). Under the “Provider” tab at the top of the home screen, select “Training and Professional Development” from the drop down options, then select “DCDEE Moodle” from the options to the right. Login at the top of the screen on the right by selecting the “LOGIN” blue box and enter the NCID username, and then username and password. Select the “NC Child Development and Early Education” box in the carousel of pictures with “View Early Childhood Professional Development” noted in the box and a background picture of children holding hands in an outdoor environment. You can select any of the trainings noted on the next page, but specifically note the tab for “Regulatory” where staff can access “Year 2024 CCDF Health and Safety in Child Care” which includes a link to the training for “Recognizing and Responding to Suspicions of Child Maltreatment”. Also, under the “Regulatory” tab staff can access the training “Child Care Rule Rollout” which provides an overview of the child care rules. •If interested, you may also consider contacting Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436, for staff training regarding Completing an Incident Report to review with staff on when and how to complete an incident report as a refresher and to answer any questions staff may have. At the completion of the visit, a hand written visit summary was reviewed, and a copy was left with Ms. Marley, due to equipment issues. It was documented that a computer generated summary would be completed, reviewed with and emailed to her. For questions or needed assistance, you may contact Ms. Childress at tammy.childress@dhhs.nc.gov, or by telephone at (336)317-6436 and Ms. Casterlow at Turkessha.casterlow@dhhs.nc.gov, (336)268-0089. If there are any concerns regarding today’s visit, please contact the licensing supervisor, Pamela Hauser, by email at pamela.hauser@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.

NC GS 110-90 · Violation

Name of Operation: PLEASANT HILL BAPTIST CHURCH DAY CARE Facility ID: 86000402 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 10/17/2024 Number Present: 133 Completed Date: 10/17/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, childcare consultant with Maeshell Marley, administrator. Your program currently operates with a notice of compliance. The NC Secretary of State website was reviewed on October 16, 2024 and Pleasant Hill Baptist Church of Elkin, NC was listed as current and active. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing outside, teacher-directed activities, and routine care. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 10/26/2023. A sanitation inspection was completed 9/6/2024 with a Superior classification. The last fire inspection was conducted 10/20/2023. Ms. Marley will send me the new inspection when it is completed. Program records and required postings were monitored. A fire drill was conducted on 10/10/2024. A shelter in place drill was documented on 9/27/2024. An outdoor inspection was documented on 9/25/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was not reviewed annually in the portal. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The current medical action plan for one child was not with the application. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the stationary equipment measured four and five inches out of the required six inches. .0605(k)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before October 31, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to jennifer.davis@dhhs.nc.gov. If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. For any other EPR in child care questions, email dcdee.epr@dhhs.nc.gov Technical assistance discussed during today’s visit: • For additional assistance with your EPR plan you may email: dcdee.epr@dhhs.nc.gov. The plan should be checked and updated annually if needed. •Copies of the current medical action plan are required to be in child's file as well. Additional Information/Consultation: (This section is to be used to discuss the additional information given only about anything else such as reminders, Cohort updates, DCDEE updates, etc.) • You must notify your consultant 30 days prior to changing the ownership status of your facility. •Be sure to check the DCDEE website periodically for updates at the following link: https://ncchildcare.ncdhhs.gov/Whats-New. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant (336 )317-5041 Jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: PLEASANT HILL BAPTIST CHURCH DAY CARE Facility ID: 86000402 Consultant: AUDREY DAVIS Operation Type: Center Case Number: 1023-332L Visit Date: 11/8/2023 Number Present: 125 Completed Date: 11/8/2023 Age: From 0 To 5 Total Minutes: 145 Time In: 01:15 PM Time Out: 03:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to follow up on a complaint report received 10/30/23 alleging inadequate supervision of a child on 10/27/23 due to a child left on the playground unattended for approximately 13 minutes. This report was self-reported by the center director. Today's visit was conducted by Audrey Davis, child care consultant with Maeshell Marley, center director. Ms. Marley stated per the center's policy, the staff who left the child unattended on the playground on 10/27/23 was terminated on the staff's next workday which was 10/30/23. Ms. Marley stated the facility previously developed a supervision policy that she believed would prevent this type of incident from occurring following a similar incident five years ago when a child was left unattended. The policy includes name to face identification of each child anytime a teacher leaves the building with a group of children. As part of today's investigation, Ms. Marley shared video footage of the events that took place during the time the 10/27/23 incident occurred. The video showed the teacher did not follow the center's name to face identification policy when the children returned to the classroom from the playground. The video footage also showed a staff member leave the fenced play area as 13 toddlers played while supervised by only one teacher. When that teacher returned to the fenced area, one of the teachers took six of the 13 children inside the building leaving the other teacher outside with 7 one-year-old children. Ms. Marley stated staff miscounted and the teacher who was left with 7 children believed she had been left with 6 children in care instead of 7. When the teacher gathered the children to go inside, she counted 6 children and led them out of the gate and into the building. Video footage verified she did not use her list to do a name to face check, and did not look back at the playground to see a 7th child continuing to play. Video footage showed the child sliding and walking around with no signs of any distress about being outside alone. The child continued playing until he was discovered when another class entered the adjacent fenced play area. The child was then gotten and taken inside the center. Ms. Marley stated the child's parents were notified of the incident the same day the incident occurred and that one of the child's parents came and looked at the area where the child was left to determine the degree of danger the child may have been in while unsupervised. Ms. Marley stated the child remains enrolled in the center. The allegation regarding inadequate supervision of children is substantiated. Two violations of child care requirements were documented today as follows: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Two staff provided care for 13 toddlers on the playground. One of the teachers took 6 children inside leaving the other teacher with 7 toddlers on the playground. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. A teacher caring for 7 toddlers on the playground on October 27, 2023 took 6 of the children inside leaving 1 toddler behind without supervision for thirteen minutes before the child was found by another staff person. .1801(a)(1-5) A follow-up visit will be made in the near future to monitor staff/ child ratios and child supervision. An Administrative Action will be recommended per DCDEE procedure when a supervision complaint is substantiated. If action is taken, it will be issued from the Raleigh office of the Division of Child Development and Early Education (DCDEE). If you have questions regarding this investigation, you may contact me at (336)317-6514 or Audrey.Davis@dhhs.nc.gov or you may contact my supervisor at Pamela.Hauser@dhhs.nc.gov Thank you for your time and assistance. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0902 · Violation

Name of Operation: PLEASANT HILL BAPTIST CHURCH DAY CARE Facility ID: 86000402 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 138 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this GS110 childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Audrey Davis childcare consultant with Maeshell Marley, center director. Your program currently operates with a notice of compliance last issued 6/5/20. Restrictions include day time care only. This program is owned and operated by Pleasant Hill Baptist Church of Elkin, N. C. which was verified as current and active with the NC Secretary of State when checked on 10/25/23. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having indoor and outdoor play, group time, lunch, and rest. I observed a variety of materials and activities available to the children in the classrooms. Lunch consisted of chicken, mandarin oranges, carrots, sliced bread, and milk. A sanitation inspection was completed 1/11/23 with a Superior classification. The last fire inspection was conducted 10/20/23. You provided me with a copy of your fire inspection today. Program records and required postings were monitored. A fire drill was documented on 10/25/23 and a lockdown emergency drill documented 9/29/23. The last monthly playground inspection was completed 9/19/23. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and are stored in locked hallway closets. Storage and administration of medication were monitored. Medication authorization was observed. Ms. Marley stated you do not provide transportation although at the end of the school year, you often take the graduating four and five year old children on an outing using church buses. The buses are not kept at the child care site. When transporting children for field trips be sure to reference child care rule .1000 regarding transportation standards and rule .2509 regarding off-premises activities. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) Two children, age 14 months did not have written feeding schedules provided by the parents available for staff to follow. Both parents completed these forms at child pick-up. 10A NCAC 09 .0902(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Mulch in some fall zone areas of the large playground structure measured 3 to 4 inches in depth in some spots instead of the required 6 inches. .0605(j) 847 Parent's medication authorization did not include required information. A written medication administration form was not provided for a two-year-old child with a medical action plan for albuterol. The child's mother completed the medication authorization at child pick-up. 10A NCAC 09 .0803(4)(6-9) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The health questionnaire for two staff had not been updated within the past year. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information for two staff was not updated within the past year. .0701(a) Child Care programs are expected to be in compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before November 9, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis P.O. Box 17273 Winston-Salem, NC 27116 If you state in your letter that corrections or changes have been made when they have not yet been made, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter by the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Staff emergency information can be maintained in the staff’s main personnel file and not required to be filed separately with the staff’s medical information. • Today as we walked through your playground for two year old children, I shared with you the requirement that manufacturers information must be maintained on file and available for review for all equipment purchased for children’s use. Although you have not purchased any new equipment, this requirement was reviewed with you for future reference. At the completion of today’s visit, this visit summary was reviewed with Maeshell Marley, center director from my computer screen and emailed to you at maeshellmarley@gmail.com If you have any questions about today’s annual compliance visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Audrey.Davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time and assistance during the visit. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: PLEASANT HILL BAPTIST CHURCH DAY CARE Facility ID: 86000402 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 138 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this GS110 childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Audrey Davis childcare consultant with Maeshell Marley, center director. Your program currently operates with a notice of compliance last issued 6/5/20. Restrictions include day time care only. This program is owned and operated by Pleasant Hill Baptist Church of Elkin, N. C. which was verified as current and active with the NC Secretary of State when checked on 10/25/23. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having indoor and outdoor play, group time, lunch, and rest. I observed a variety of materials and activities available to the children in the classrooms. Lunch consisted of chicken, mandarin oranges, carrots, sliced bread, and milk. A sanitation inspection was completed 1/11/23 with a Superior classification. The last fire inspection was conducted 10/20/23. You provided me with a copy of your fire inspection today. Program records and required postings were monitored. A fire drill was documented on 10/25/23 and a lockdown emergency drill documented 9/29/23. The last monthly playground inspection was completed 9/19/23. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and are stored in locked hallway closets. Storage and administration of medication were monitored. Medication authorization was observed. Ms. Marley stated you do not provide transportation although at the end of the school year, you often take the graduating four and five year old children on an outing using church buses. The buses are not kept at the child care site. When transporting children for field trips be sure to reference child care rule .1000 regarding transportation standards and rule .2509 regarding off-premises activities. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) Two children, age 14 months did not have written feeding schedules provided by the parents available for staff to follow. Both parents completed these forms at child pick-up. 10A NCAC 09 .0902(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Mulch in some fall zone areas of the large playground structure measured 3 to 4 inches in depth in some spots instead of the required 6 inches. .0605(j) 847 Parent's medication authorization did not include required information. A written medication administration form was not provided for a two-year-old child with a medical action plan for albuterol. The child's mother completed the medication authorization at child pick-up. 10A NCAC 09 .0803(4)(6-9) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The health questionnaire for two staff had not been updated within the past year. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information for two staff was not updated within the past year. .0701(a) Child Care programs are expected to be in compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before November 9, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis P.O. Box 17273 Winston-Salem, NC 27116 If you state in your letter that corrections or changes have been made when they have not yet been made, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter by the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Staff emergency information can be maintained in the staff’s main personnel file and not required to be filed separately with the staff’s medical information. • Today as we walked through your playground for two year old children, I shared with you the requirement that manufacturers information must be maintained on file and available for review for all equipment purchased for children’s use. Although you have not purchased any new equipment, this requirement was reviewed with you for future reference. At the completion of today’s visit, this visit summary was reviewed with Maeshell Marley, center director from my computer screen and emailed to you at maeshellmarley@gmail.com If you have any questions about today’s annual compliance visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Audrey.Davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time and assistance during the visit. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: PLEASANT HILL BAPTIST CHURCH DAY CARE Facility ID: 86000402 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 138 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this GS110 childcare facility to monitor compliance with applicable childcare requirements. This visit was conducted by Audrey Davis childcare consultant with Maeshell Marley, center director. Your program currently operates with a notice of compliance last issued 6/5/20. Restrictions include day time care only. This program is owned and operated by Pleasant Hill Baptist Church of Elkin, N. C. which was verified as current and active with the NC Secretary of State when checked on 10/25/23. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having indoor and outdoor play, group time, lunch, and rest. I observed a variety of materials and activities available to the children in the classrooms. Lunch consisted of chicken, mandarin oranges, carrots, sliced bread, and milk. A sanitation inspection was completed 1/11/23 with a Superior classification. The last fire inspection was conducted 10/20/23. You provided me with a copy of your fire inspection today. Program records and required postings were monitored. A fire drill was documented on 10/25/23 and a lockdown emergency drill documented 9/29/23. The last monthly playground inspection was completed 9/19/23. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and are stored in locked hallway closets. Storage and administration of medication were monitored. Medication authorization was observed. Ms. Marley stated you do not provide transportation although at the end of the school year, you often take the graduating four and five year old children on an outing using church buses. The buses are not kept at the child care site. When transporting children for field trips be sure to reference child care rule .1000 regarding transportation standards and rule .2509 regarding off-premises activities. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) Two children, age 14 months did not have written feeding schedules provided by the parents available for staff to follow. Both parents completed these forms at child pick-up. 10A NCAC 09 .0902(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Mulch in some fall zone areas of the large playground structure measured 3 to 4 inches in depth in some spots instead of the required 6 inches. .0605(j) 847 Parent's medication authorization did not include required information. A written medication administration form was not provided for a two-year-old child with a medical action plan for albuterol. The child's mother completed the medication authorization at child pick-up. 10A NCAC 09 .0803(4)(6-9) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The health questionnaire for two staff had not been updated within the past year. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information for two staff was not updated within the past year. .0701(a) Child Care programs are expected to be in compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before November 9, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis P.O. Box 17273 Winston-Salem, NC 27116 If you state in your letter that corrections or changes have been made when they have not yet been made, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter by the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Staff emergency information can be maintained in the staff’s main personnel file and not required to be filed separately with the staff’s medical information. • Today as we walked through your playground for two year old children, I shared with you the requirement that manufacturers information must be maintained on file and available for review for all equipment purchased for children’s use. Although you have not purchased any new equipment, this requirement was reviewed with you for future reference. At the completion of today’s visit, this visit summary was reviewed with Maeshell Marley, center director from my computer screen and emailed to you at maeshellmarley@gmail.com If you have any questions about today’s annual compliance visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Audrey.Davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time and assistance during the visit. 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