10A NCAC 09 .0803 · Violation

Name of Operation: Saint John Community Child Care Facility ID: 37000064 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 26 Completed Date: 2/25/2026 Age: From 0 To 9 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit and measure new space for a requested capacity increase. D. Houghton, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance (NOC) issued 3/25/2025. Please contact me if you are ever interested in becoming fully licensed to earn a star rating. This is your first annual compliance visit. The sanitation inspection was completed 4/1/25 with a “Superior” classification. The last fire inspection was conducted 1/30/26 with a Satisfactory rating and approval for daytime care only. Sanitation and fire inspections are required at least annually by the end of the month of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. Three-year water testing was completed 10/16/24 and is due again by 10/16/28. The center's compliance history was reviewed with the operator. The program’s compliance history was one hundred percent as of 2/20/2026. This facility is owned by Saint John Community Christian Church. The non-profit corporation was listed as current- active on the NC Secretary of State website. License and contact information were current. Contact me to request any changes to your license or contact information. I monitored the classrooms and spaces used for child care and outdoor play areas for applicable child care center requirements using the Child Care Center Requirements, effective 7/1/2025 and Item Numbers Listing, effective 4/2025. I monitored nine staff records, three children’s records and all program records. Children in the center were participating in routines and developmentally appropriate activities. Infants and toddlers were cared for on their own schedules. Documentation of safe sleep checks was available and feeding plans were posted. Children went outdoors in the afternoon after it warmed up. They ate in their classrooms and napped on linen-covered mats. Lunch was observed and consisted of meatballs, corn, mixed fruits, whole grain bread, and milk. I observed and documented the following violations during today’s visit. Two of the three violations were corrected during the visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A medication permission form was not available for an AuviQ for a child in Space 1. A medical action plan was available. The staff had not administered the medication. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The prescription box was not available for an AuviQ used by a child in Space 1. .0803(2)(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. In one of three children’s files reviewed, a child’s medical report or health assessment was not available for a child enrolled on December 16, 2025 GS 110-91(1);.0302(d)(2); .0304(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 violations documented may impact the compliance history score. Two of the three violations were corrected during the visit. The third violation must be corrected immediately. On or before 3/11/26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the remaining violation was corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Marjorie White, Child Care Consultant PO Box 116 Aydlett, NC 27916 Email – marjorie.white@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE which serves as your signature, saintjohncommunitychildcare@gmail.com, and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance With Documented Violations: Prescription Medication – To verify that prescription medication supplied to you from parents is for the child using the medication, the parent needs to provide the medication in the original container or box with the prescription attached. Over-the-Counter medication also needs to be accompanied by the original packaging so that you have all information and instructions related to the OTC medication. The prescription box was not available for an AuviQ used by a child in Space 1. You were not aware that this is required. You contacted the parent, and she brought in the prescription box. This violation has been corrected. Medication Permission Forms - All medications (prescription, OTC, non-medical topical ointment, lotion, or cream) for children enrolled at the center must have a current, completed medication permission form to ensure that staff are administering medication according to the parents’ or physician’s instructions even if there is a Medical Action Plan. A child in Space 1 had a Medical Action Plan for an Auvi-Q but did not have a completed and signed medication permission form. The administrator stated that the parent had not returned the permission form, but she immediately contacted the parent who came to the center to complete it. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. Medication permission forms are valid for a defined length of time and must be updated, if needed. Medications can be authorized for the following time frames: 12 months – topical non-prescription, non-medication creams and lotions like sunscreen or hand lotion (February 25, 2026 – February 25, 2027) 6 months – medications for chronic illness or emergency medications like Epi-pens, inhalers, anti-seizure medication, Benadryl (must be locked) (February 25, 2026 - August 25, 2026) 30 days – medications for acute issues like tooth pain like Children’s Tylenol (February 25, 2026 – March 25, 2026) *Each medication must have its own medication permission form. Children’s Records - Maintaining accurate records on the children in your care helps to ensure their health and safety, informs families of rules you are required to follow and your center’s policies, and provides a certain transfer of knowledge so that you can provide the best care possible for their children. In one of three children’s files reviewed, a child’s medical report or health assessment was not available for a child enrolled on December 16, 2025 (JH). There was another document in the file that the administrator mistook for the health assessment. Use Children’s File Checklist to verify you have received all required enrollment documents. Build in time to review enrollment documents with families explaining that they need to be fully completed, signed and dated. Check them before the parent leaves their children with you the first time. The empty blank might be the signature you need to seek emergency medical care if the child is injured. Have parents review and update the Child’s Application annually to ensure information is still current. The administrator has contacted the parent to request a current medical report for JH. For your compliance letter, state the date you receive the medical report. Resources: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The following resources are available to you: 1. DCDEE website, www.ncchildcare.ncdhhs.gov – current laws and rules regarding child care facilities in North Carolina, “What’s New” tab, Items Number Listing which you can use as a checklist for your program. 2. Raise NC Newsletter – weekly newsletter emailed to facility email including relevant information from the Division, training opportunities, grants, and more. You can sign up to receive Raise NC on the What’s New tab. 3. NC Health & Safety Resource Center publishes a quarterly newsletter which provides topical information on a variety of health and safety topics. If you are not receiving these emails and newsletters, then please go to https://healthychildcare.unc.edu/resources/nc-child-care-health-and-safety-e-news/ and click on ‘Newsletter Signup’ to join their mailing list. The Winter 2026 edition, “Ready, Set, Action!” includes articles on the emergency medical care plan and responding to infant/toddler emergencies. 4. Your local Child Care Resource & Referral Agencies and Child Care Health Consultants. *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Child Care Health Consultant – C. Smith - (252) 340-0212 or cindy@aacfnc.org *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org Reminders: ABCMS Portal – You have successfully assisted your staff with completing connecting applications to your license number and have hired them to your roster. Maintain your roster by separating staff no longer working with your center and hiring new staff to your roster. Staff Worksheets – We reviewed your staff worksheet. All information was current. Children’s Files – I shared some tips for reducing the amount of paperwork in your children’s files. Consider using an Enrollment Documents Acknowledgement page to document receipt of paperwork. Centers Operating with a Notice of Compliance – Church-sponsored centers that operate with a Notice of Compliance and do not accept subsidy are exempt from rules related to new staff orientation (10A NCAC 09 .1101), Health & Safety Training (10A NCAC 09 .1102) including initial and five-year Health & Safety Training, Recognizing and Responding to Suspicions of Child Maltreatment, and playground safety training. They are required to maintain CPR/First Aid training and ITS/SIDS training (if licensed for infant care). If they elect to receive subsidy, subsidy rules also require them to meet child care rules related to new staff orientation (10A NCAC 09 .1101), initial Health & Safety Training (10A NCAC 09 .1102) including Recognizing and Responding to Suspicions of Child Maltreatment and playground safety training, For more details see Subsidized Child Care Rules: Participation in the Subsidized Child Care Assistance Program - 10A NCAC 10 .0602 (f). Emergency Preparedness – Your Emergency Preparedness and Response (EPR) Plan along with your Ready-to-Go File, Emergency Medical Care Plan (EMCP) and consistent practice of Fire and Emergency Drills are your center’s foundation for emergency preparedness. *EPR Plan – last updated in Portal 3/2025– update by 3/2026 *Ready-to-Go File – current, available in each classroom *Emergency Medical Care Plan – current *Fire and Emergency Drills - current Additional Comments: Keep Your NCID Active - Did you know that if you do not login on to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. *Pro Tip: Set your calendar to remind you, your staff and your household members (CLIAR only) every 6 months to log in and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. *For assistance with NCID, contact ncid.nc.gov or 919.754.6000. Sex Offender Registry and Notification Email - North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. Approval of New Space: You have requested to have the pastor’s office space approved as primary space. You have provided me with the building and fire inspections but are waiting for the sanitation inspection. I measured the space today and will let you know the capacity. There is a small alcove attached to the space where you will put cubbies. Consider removing the door to the alcove. There is also a bathroom attached to the alcove that will be used by the children enrolled in the classroom. You are making cosmetic renovations to the room: removing carpet, painting and replace window treatments. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Marjorie White, by phone at (252) 373-9385 or by e-mail at Marjorie.White@dhhs.nc.gov, or Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199 or Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1101 · Violation

Name of Operation: Saint John Community Child Care Facility ID: 37000064 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 26 Completed Date: 2/25/2026 Age: From 0 To 9 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit and measure new space for a requested capacity increase. D. Houghton, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance (NOC) issued 3/25/2025. Please contact me if you are ever interested in becoming fully licensed to earn a star rating. This is your first annual compliance visit. The sanitation inspection was completed 4/1/25 with a “Superior” classification. The last fire inspection was conducted 1/30/26 with a Satisfactory rating and approval for daytime care only. Sanitation and fire inspections are required at least annually by the end of the month of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. Three-year water testing was completed 10/16/24 and is due again by 10/16/28. The center's compliance history was reviewed with the operator. The program’s compliance history was one hundred percent as of 2/20/2026. This facility is owned by Saint John Community Christian Church. The non-profit corporation was listed as current- active on the NC Secretary of State website. License and contact information were current. Contact me to request any changes to your license or contact information. I monitored the classrooms and spaces used for child care and outdoor play areas for applicable child care center requirements using the Child Care Center Requirements, effective 7/1/2025 and Item Numbers Listing, effective 4/2025. I monitored nine staff records, three children’s records and all program records. Children in the center were participating in routines and developmentally appropriate activities. Infants and toddlers were cared for on their own schedules. Documentation of safe sleep checks was available and feeding plans were posted. Children went outdoors in the afternoon after it warmed up. They ate in their classrooms and napped on linen-covered mats. Lunch was observed and consisted of meatballs, corn, mixed fruits, whole grain bread, and milk. I observed and documented the following violations during today’s visit. Two of the three violations were corrected during the visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A medication permission form was not available for an AuviQ for a child in Space 1. A medical action plan was available. The staff had not administered the medication. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The prescription box was not available for an AuviQ used by a child in Space 1. .0803(2)(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. In one of three children’s files reviewed, a child’s medical report or health assessment was not available for a child enrolled on December 16, 2025 GS 110-91(1);.0302(d)(2); .0304(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 violations documented may impact the compliance history score. Two of the three violations were corrected during the visit. The third violation must be corrected immediately. On or before 3/11/26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the remaining violation was corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Marjorie White, Child Care Consultant PO Box 116 Aydlett, NC 27916 Email – marjorie.white@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE which serves as your signature, saintjohncommunitychildcare@gmail.com, and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance With Documented Violations: Prescription Medication – To verify that prescription medication supplied to you from parents is for the child using the medication, the parent needs to provide the medication in the original container or box with the prescription attached. Over-the-Counter medication also needs to be accompanied by the original packaging so that you have all information and instructions related to the OTC medication. The prescription box was not available for an AuviQ used by a child in Space 1. You were not aware that this is required. You contacted the parent, and she brought in the prescription box. This violation has been corrected. Medication Permission Forms - All medications (prescription, OTC, non-medical topical ointment, lotion, or cream) for children enrolled at the center must have a current, completed medication permission form to ensure that staff are administering medication according to the parents’ or physician’s instructions even if there is a Medical Action Plan. A child in Space 1 had a Medical Action Plan for an Auvi-Q but did not have a completed and signed medication permission form. The administrator stated that the parent had not returned the permission form, but she immediately contacted the parent who came to the center to complete it. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. Medication permission forms are valid for a defined length of time and must be updated, if needed. Medications can be authorized for the following time frames: 12 months – topical non-prescription, non-medication creams and lotions like sunscreen or hand lotion (February 25, 2026 – February 25, 2027) 6 months – medications for chronic illness or emergency medications like Epi-pens, inhalers, anti-seizure medication, Benadryl (must be locked) (February 25, 2026 - August 25, 2026) 30 days – medications for acute issues like tooth pain like Children’s Tylenol (February 25, 2026 – March 25, 2026) *Each medication must have its own medication permission form. Children’s Records - Maintaining accurate records on the children in your care helps to ensure their health and safety, informs families of rules you are required to follow and your center’s policies, and provides a certain transfer of knowledge so that you can provide the best care possible for their children. In one of three children’s files reviewed, a child’s medical report or health assessment was not available for a child enrolled on December 16, 2025 (JH). There was another document in the file that the administrator mistook for the health assessment. Use Children’s File Checklist to verify you have received all required enrollment documents. Build in time to review enrollment documents with families explaining that they need to be fully completed, signed and dated. Check them before the parent leaves their children with you the first time. The empty blank might be the signature you need to seek emergency medical care if the child is injured. Have parents review and update the Child’s Application annually to ensure information is still current. The administrator has contacted the parent to request a current medical report for JH. For your compliance letter, state the date you receive the medical report. Resources: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The following resources are available to you: 1. DCDEE website, www.ncchildcare.ncdhhs.gov – current laws and rules regarding child care facilities in North Carolina, “What’s New” tab, Items Number Listing which you can use as a checklist for your program. 2. Raise NC Newsletter – weekly newsletter emailed to facility email including relevant information from the Division, training opportunities, grants, and more. You can sign up to receive Raise NC on the What’s New tab. 3. NC Health & Safety Resource Center publishes a quarterly newsletter which provides topical information on a variety of health and safety topics. If you are not receiving these emails and newsletters, then please go to https://healthychildcare.unc.edu/resources/nc-child-care-health-and-safety-e-news/ and click on ‘Newsletter Signup’ to join their mailing list. The Winter 2026 edition, “Ready, Set, Action!” includes articles on the emergency medical care plan and responding to infant/toddler emergencies. 4. Your local Child Care Resource & Referral Agencies and Child Care Health Consultants. *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Child Care Health Consultant – C. Smith - (252) 340-0212 or cindy@aacfnc.org *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org Reminders: ABCMS Portal – You have successfully assisted your staff with completing connecting applications to your license number and have hired them to your roster. Maintain your roster by separating staff no longer working with your center and hiring new staff to your roster. Staff Worksheets – We reviewed your staff worksheet. All information was current. Children’s Files – I shared some tips for reducing the amount of paperwork in your children’s files. Consider using an Enrollment Documents Acknowledgement page to document receipt of paperwork. Centers Operating with a Notice of Compliance – Church-sponsored centers that operate with a Notice of Compliance and do not accept subsidy are exempt from rules related to new staff orientation (10A NCAC 09 .1101), Health & Safety Training (10A NCAC 09 .1102) including initial and five-year Health & Safety Training, Recognizing and Responding to Suspicions of Child Maltreatment, and playground safety training. They are required to maintain CPR/First Aid training and ITS/SIDS training (if licensed for infant care). If they elect to receive subsidy, subsidy rules also require them to meet child care rules related to new staff orientation (10A NCAC 09 .1101), initial Health & Safety Training (10A NCAC 09 .1102) including Recognizing and Responding to Suspicions of Child Maltreatment and playground safety training, For more details see Subsidized Child Care Rules: Participation in the Subsidized Child Care Assistance Program - 10A NCAC 10 .0602 (f). Emergency Preparedness – Your Emergency Preparedness and Response (EPR) Plan along with your Ready-to-Go File, Emergency Medical Care Plan (EMCP) and consistent practice of Fire and Emergency Drills are your center’s foundation for emergency preparedness. *EPR Plan – last updated in Portal 3/2025– update by 3/2026 *Ready-to-Go File – current, available in each classroom *Emergency Medical Care Plan – current *Fire and Emergency Drills - current Additional Comments: Keep Your NCID Active - Did you know that if you do not login on to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. *Pro Tip: Set your calendar to remind you, your staff and your household members (CLIAR only) every 6 months to log in and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. *For assistance with NCID, contact ncid.nc.gov or 919.754.6000. Sex Offender Registry and Notification Email - North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. Approval of New Space: You have requested to have the pastor’s office space approved as primary space. You have provided me with the building and fire inspections but are waiting for the sanitation inspection. I measured the space today and will let you know the capacity. There is a small alcove attached to the space where you will put cubbies. Consider removing the door to the alcove. There is also a bathroom attached to the alcove that will be used by the children enrolled in the classroom. You are making cosmetic renovations to the room: removing carpet, painting and replace window treatments. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Marjorie White, by phone at (252) 373-9385 or by e-mail at Marjorie.White@dhhs.nc.gov, or Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199 or Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: Saint John Community Child Care Facility ID: 37000064 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 26 Completed Date: 2/25/2026 Age: From 0 To 9 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit and measure new space for a requested capacity increase. D. Houghton, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance (NOC) issued 3/25/2025. Please contact me if you are ever interested in becoming fully licensed to earn a star rating. This is your first annual compliance visit. The sanitation inspection was completed 4/1/25 with a “Superior” classification. The last fire inspection was conducted 1/30/26 with a Satisfactory rating and approval for daytime care only. Sanitation and fire inspections are required at least annually by the end of the month of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. Three-year water testing was completed 10/16/24 and is due again by 10/16/28. The center's compliance history was reviewed with the operator. The program’s compliance history was one hundred percent as of 2/20/2026. This facility is owned by Saint John Community Christian Church. The non-profit corporation was listed as current- active on the NC Secretary of State website. License and contact information were current. Contact me to request any changes to your license or contact information. I monitored the classrooms and spaces used for child care and outdoor play areas for applicable child care center requirements using the Child Care Center Requirements, effective 7/1/2025 and Item Numbers Listing, effective 4/2025. I monitored nine staff records, three children’s records and all program records. Children in the center were participating in routines and developmentally appropriate activities. Infants and toddlers were cared for on their own schedules. Documentation of safe sleep checks was available and feeding plans were posted. Children went outdoors in the afternoon after it warmed up. They ate in their classrooms and napped on linen-covered mats. Lunch was observed and consisted of meatballs, corn, mixed fruits, whole grain bread, and milk. I observed and documented the following violations during today’s visit. Two of the three violations were corrected during the visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A medication permission form was not available for an AuviQ for a child in Space 1. A medical action plan was available. The staff had not administered the medication. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The prescription box was not available for an AuviQ used by a child in Space 1. .0803(2)(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. In one of three children’s files reviewed, a child’s medical report or health assessment was not available for a child enrolled on December 16, 2025 GS 110-91(1);.0302(d)(2); .0304(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 violations documented may impact the compliance history score. Two of the three violations were corrected during the visit. The third violation must be corrected immediately. On or before 3/11/26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the remaining violation was corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Marjorie White, Child Care Consultant PO Box 116 Aydlett, NC 27916 Email – marjorie.white@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE which serves as your signature, saintjohncommunitychildcare@gmail.com, and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance With Documented Violations: Prescription Medication – To verify that prescription medication supplied to you from parents is for the child using the medication, the parent needs to provide the medication in the original container or box with the prescription attached. Over-the-Counter medication also needs to be accompanied by the original packaging so that you have all information and instructions related to the OTC medication. The prescription box was not available for an AuviQ used by a child in Space 1. You were not aware that this is required. You contacted the parent, and she brought in the prescription box. This violation has been corrected. Medication Permission Forms - All medications (prescription, OTC, non-medical topical ointment, lotion, or cream) for children enrolled at the center must have a current, completed medication permission form to ensure that staff are administering medication according to the parents’ or physician’s instructions even if there is a Medical Action Plan. A child in Space 1 had a Medical Action Plan for an Auvi-Q but did not have a completed and signed medication permission form. The administrator stated that the parent had not returned the permission form, but she immediately contacted the parent who came to the center to complete it. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. Medication permission forms are valid for a defined length of time and must be updated, if needed. Medications can be authorized for the following time frames: 12 months – topical non-prescription, non-medication creams and lotions like sunscreen or hand lotion (February 25, 2026 – February 25, 2027) 6 months – medications for chronic illness or emergency medications like Epi-pens, inhalers, anti-seizure medication, Benadryl (must be locked) (February 25, 2026 - August 25, 2026) 30 days – medications for acute issues like tooth pain like Children’s Tylenol (February 25, 2026 – March 25, 2026) *Each medication must have its own medication permission form. Children’s Records - Maintaining accurate records on the children in your care helps to ensure their health and safety, informs families of rules you are required to follow and your center’s policies, and provides a certain transfer of knowledge so that you can provide the best care possible for their children. In one of three children’s files reviewed, a child’s medical report or health assessment was not available for a child enrolled on December 16, 2025 (JH). There was another document in the file that the administrator mistook for the health assessment. Use Children’s File Checklist to verify you have received all required enrollment documents. Build in time to review enrollment documents with families explaining that they need to be fully completed, signed and dated. Check them before the parent leaves their children with you the first time. The empty blank might be the signature you need to seek emergency medical care if the child is injured. Have parents review and update the Child’s Application annually to ensure information is still current. The administrator has contacted the parent to request a current medical report for JH. For your compliance letter, state the date you receive the medical report. Resources: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The following resources are available to you: 1. DCDEE website, www.ncchildcare.ncdhhs.gov – current laws and rules regarding child care facilities in North Carolina, “What’s New” tab, Items Number Listing which you can use as a checklist for your program. 2. Raise NC Newsletter – weekly newsletter emailed to facility email including relevant information from the Division, training opportunities, grants, and more. You can sign up to receive Raise NC on the What’s New tab. 3. NC Health & Safety Resource Center publishes a quarterly newsletter which provides topical information on a variety of health and safety topics. If you are not receiving these emails and newsletters, then please go to https://healthychildcare.unc.edu/resources/nc-child-care-health-and-safety-e-news/ and click on ‘Newsletter Signup’ to join their mailing list. The Winter 2026 edition, “Ready, Set, Action!” includes articles on the emergency medical care plan and responding to infant/toddler emergencies. 4. Your local Child Care Resource & Referral Agencies and Child Care Health Consultants. *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Child Care Health Consultant – C. Smith - (252) 340-0212 or cindy@aacfnc.org *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org Reminders: ABCMS Portal – You have successfully assisted your staff with completing connecting applications to your license number and have hired them to your roster. Maintain your roster by separating staff no longer working with your center and hiring new staff to your roster. Staff Worksheets – We reviewed your staff worksheet. All information was current. Children’s Files – I shared some tips for reducing the amount of paperwork in your children’s files. Consider using an Enrollment Documents Acknowledgement page to document receipt of paperwork. Centers Operating with a Notice of Compliance – Church-sponsored centers that operate with a Notice of Compliance and do not accept subsidy are exempt from rules related to new staff orientation (10A NCAC 09 .1101), Health & Safety Training (10A NCAC 09 .1102) including initial and five-year Health & Safety Training, Recognizing and Responding to Suspicions of Child Maltreatment, and playground safety training. They are required to maintain CPR/First Aid training and ITS/SIDS training (if licensed for infant care). If they elect to receive subsidy, subsidy rules also require them to meet child care rules related to new staff orientation (10A NCAC 09 .1101), initial Health & Safety Training (10A NCAC 09 .1102) including Recognizing and Responding to Suspicions of Child Maltreatment and playground safety training, For more details see Subsidized Child Care Rules: Participation in the Subsidized Child Care Assistance Program - 10A NCAC 10 .0602 (f). Emergency Preparedness – Your Emergency Preparedness and Response (EPR) Plan along with your Ready-to-Go File, Emergency Medical Care Plan (EMCP) and consistent practice of Fire and Emergency Drills are your center’s foundation for emergency preparedness. *EPR Plan – last updated in Portal 3/2025– update by 3/2026 *Ready-to-Go File – current, available in each classroom *Emergency Medical Care Plan – current *Fire and Emergency Drills - current Additional Comments: Keep Your NCID Active - Did you know that if you do not login on to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. *Pro Tip: Set your calendar to remind you, your staff and your household members (CLIAR only) every 6 months to log in and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. *For assistance with NCID, contact ncid.nc.gov or 919.754.6000. Sex Offender Registry and Notification Email - North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. Approval of New Space: You have requested to have the pastor’s office space approved as primary space. You have provided me with the building and fire inspections but are waiting for the sanitation inspection. I measured the space today and will let you know the capacity. There is a small alcove attached to the space where you will put cubbies. Consider removing the door to the alcove. There is also a bathroom attached to the alcove that will be used by the children enrolled in the classroom. You are making cosmetic renovations to the room: removing carpet, painting and replace window treatments. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Marjorie White, by phone at (252) 373-9385 or by e-mail at Marjorie.White@dhhs.nc.gov, or Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199 or Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Saint John Community Child Care Facility ID: 37000064 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 26 Completed Date: 2/25/2026 Age: From 0 To 9 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit and measure new space for a requested capacity increase. D. Houghton, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance (NOC) issued 3/25/2025. Please contact me if you are ever interested in becoming fully licensed to earn a star rating. This is your first annual compliance visit. The sanitation inspection was completed 4/1/25 with a “Superior” classification. The last fire inspection was conducted 1/30/26 with a Satisfactory rating and approval for daytime care only. Sanitation and fire inspections are required at least annually by the end of the month of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. Three-year water testing was completed 10/16/24 and is due again by 10/16/28. The center's compliance history was reviewed with the operator. The program’s compliance history was one hundred percent as of 2/20/2026. This facility is owned by Saint John Community Christian Church. The non-profit corporation was listed as current- active on the NC Secretary of State website. License and contact information were current. Contact me to request any changes to your license or contact information. I monitored the classrooms and spaces used for child care and outdoor play areas for applicable child care center requirements using the Child Care Center Requirements, effective 7/1/2025 and Item Numbers Listing, effective 4/2025. I monitored nine staff records, three children’s records and all program records. Children in the center were participating in routines and developmentally appropriate activities. Infants and toddlers were cared for on their own schedules. Documentation of safe sleep checks was available and feeding plans were posted. Children went outdoors in the afternoon after it warmed up. They ate in their classrooms and napped on linen-covered mats. Lunch was observed and consisted of meatballs, corn, mixed fruits, whole grain bread, and milk. I observed and documented the following violations during today’s visit. Two of the three violations were corrected during the visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A medication permission form was not available for an AuviQ for a child in Space 1. A medical action plan was available. The staff had not administered the medication. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The prescription box was not available for an AuviQ used by a child in Space 1. .0803(2)(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. In one of three children’s files reviewed, a child’s medical report or health assessment was not available for a child enrolled on December 16, 2025 GS 110-91(1);.0302(d)(2); .0304(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 violations documented may impact the compliance history score. Two of the three violations were corrected during the visit. The third violation must be corrected immediately. On or before 3/11/26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the remaining violation was corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Marjorie White, Child Care Consultant PO Box 116 Aydlett, NC 27916 Email – marjorie.white@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE which serves as your signature, saintjohncommunitychildcare@gmail.com, and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance With Documented Violations: Prescription Medication – To verify that prescription medication supplied to you from parents is for the child using the medication, the parent needs to provide the medication in the original container or box with the prescription attached. Over-the-Counter medication also needs to be accompanied by the original packaging so that you have all information and instructions related to the OTC medication. The prescription box was not available for an AuviQ used by a child in Space 1. You were not aware that this is required. You contacted the parent, and she brought in the prescription box. This violation has been corrected. Medication Permission Forms - All medications (prescription, OTC, non-medical topical ointment, lotion, or cream) for children enrolled at the center must have a current, completed medication permission form to ensure that staff are administering medication according to the parents’ or physician’s instructions even if there is a Medical Action Plan. A child in Space 1 had a Medical Action Plan for an Auvi-Q but did not have a completed and signed medication permission form. The administrator stated that the parent had not returned the permission form, but she immediately contacted the parent who came to the center to complete it. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. Medication permission forms are valid for a defined length of time and must be updated, if needed. Medications can be authorized for the following time frames: 12 months – topical non-prescription, non-medication creams and lotions like sunscreen or hand lotion (February 25, 2026 – February 25, 2027) 6 months – medications for chronic illness or emergency medications like Epi-pens, inhalers, anti-seizure medication, Benadryl (must be locked) (February 25, 2026 - August 25, 2026) 30 days – medications for acute issues like tooth pain like Children’s Tylenol (February 25, 2026 – March 25, 2026) *Each medication must have its own medication permission form. Children’s Records - Maintaining accurate records on the children in your care helps to ensure their health and safety, informs families of rules you are required to follow and your center’s policies, and provides a certain transfer of knowledge so that you can provide the best care possible for their children. In one of three children’s files reviewed, a child’s medical report or health assessment was not available for a child enrolled on December 16, 2025 (JH). There was another document in the file that the administrator mistook for the health assessment. Use Children’s File Checklist to verify you have received all required enrollment documents. Build in time to review enrollment documents with families explaining that they need to be fully completed, signed and dated. Check them before the parent leaves their children with you the first time. The empty blank might be the signature you need to seek emergency medical care if the child is injured. Have parents review and update the Child’s Application annually to ensure information is still current. The administrator has contacted the parent to request a current medical report for JH. For your compliance letter, state the date you receive the medical report. Resources: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The following resources are available to you: 1. DCDEE website, www.ncchildcare.ncdhhs.gov – current laws and rules regarding child care facilities in North Carolina, “What’s New” tab, Items Number Listing which you can use as a checklist for your program. 2. Raise NC Newsletter – weekly newsletter emailed to facility email including relevant information from the Division, training opportunities, grants, and more. You can sign up to receive Raise NC on the What’s New tab. 3. NC Health & Safety Resource Center publishes a quarterly newsletter which provides topical information on a variety of health and safety topics. If you are not receiving these emails and newsletters, then please go to https://healthychildcare.unc.edu/resources/nc-child-care-health-and-safety-e-news/ and click on ‘Newsletter Signup’ to join their mailing list. The Winter 2026 edition, “Ready, Set, Action!” includes articles on the emergency medical care plan and responding to infant/toddler emergencies. 4. Your local Child Care Resource & Referral Agencies and Child Care Health Consultants. *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Child Care Health Consultant – C. Smith - (252) 340-0212 or cindy@aacfnc.org *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org Reminders: ABCMS Portal – You have successfully assisted your staff with completing connecting applications to your license number and have hired them to your roster. Maintain your roster by separating staff no longer working with your center and hiring new staff to your roster. Staff Worksheets – We reviewed your staff worksheet. All information was current. Children’s Files – I shared some tips for reducing the amount of paperwork in your children’s files. Consider using an Enrollment Documents Acknowledgement page to document receipt of paperwork. Centers Operating with a Notice of Compliance – Church-sponsored centers that operate with a Notice of Compliance and do not accept subsidy are exempt from rules related to new staff orientation (10A NCAC 09 .1101), Health & Safety Training (10A NCAC 09 .1102) including initial and five-year Health & Safety Training, Recognizing and Responding to Suspicions of Child Maltreatment, and playground safety training. They are required to maintain CPR/First Aid training and ITS/SIDS training (if licensed for infant care). If they elect to receive subsidy, subsidy rules also require them to meet child care rules related to new staff orientation (10A NCAC 09 .1101), initial Health & Safety Training (10A NCAC 09 .1102) including Recognizing and Responding to Suspicions of Child Maltreatment and playground safety training, For more details see Subsidized Child Care Rules: Participation in the Subsidized Child Care Assistance Program - 10A NCAC 10 .0602 (f). Emergency Preparedness – Your Emergency Preparedness and Response (EPR) Plan along with your Ready-to-Go File, Emergency Medical Care Plan (EMCP) and consistent practice of Fire and Emergency Drills are your center’s foundation for emergency preparedness. *EPR Plan – last updated in Portal 3/2025– update by 3/2026 *Ready-to-Go File – current, available in each classroom *Emergency Medical Care Plan – current *Fire and Emergency Drills - current Additional Comments: Keep Your NCID Active - Did you know that if you do not login on to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. *Pro Tip: Set your calendar to remind you, your staff and your household members (CLIAR only) every 6 months to log in and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. *For assistance with NCID, contact ncid.nc.gov or 919.754.6000. Sex Offender Registry and Notification Email - North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. Approval of New Space: You have requested to have the pastor’s office space approved as primary space. You have provided me with the building and fire inspections but are waiting for the sanitation inspection. I measured the space today and will let you know the capacity. There is a small alcove attached to the space where you will put cubbies. Consider removing the door to the alcove. There is also a bathroom attached to the alcove that will be used by the children enrolled in the classroom. You are making cosmetic renovations to the room: removing carpet, painting and replace window treatments. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Marjorie White, by phone at (252) 373-9385 or by e-mail at Marjorie.White@dhhs.nc.gov, or Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199 or Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Saint John Community Child Care Facility ID: 37000064 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 26 Completed Date: 2/25/2026 Age: From 0 To 9 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit and measure new space for a requested capacity increase. D. Houghton, Administrator, assisted me with the visit. Your program currently operates with a Notice of Compliance (NOC) issued 3/25/2025. Please contact me if you are ever interested in becoming fully licensed to earn a star rating. This is your first annual compliance visit. The sanitation inspection was completed 4/1/25 with a “Superior” classification. The last fire inspection was conducted 1/30/26 with a Satisfactory rating and approval for daytime care only. Sanitation and fire inspections are required at least annually by the end of the month of the previous inspection. Send fire inspections to me within seven (7) days of the inspection. Three-year water testing was completed 10/16/24 and is due again by 10/16/28. The center's compliance history was reviewed with the operator. The program’s compliance history was one hundred percent as of 2/20/2026. This facility is owned by Saint John Community Christian Church. The non-profit corporation was listed as current- active on the NC Secretary of State website. License and contact information were current. Contact me to request any changes to your license or contact information. I monitored the classrooms and spaces used for child care and outdoor play areas for applicable child care center requirements using the Child Care Center Requirements, effective 7/1/2025 and Item Numbers Listing, effective 4/2025. I monitored nine staff records, three children’s records and all program records. Children in the center were participating in routines and developmentally appropriate activities. Infants and toddlers were cared for on their own schedules. Documentation of safe sleep checks was available and feeding plans were posted. Children went outdoors in the afternoon after it warmed up. They ate in their classrooms and napped on linen-covered mats. Lunch was observed and consisted of meatballs, corn, mixed fruits, whole grain bread, and milk. I observed and documented the following violations during today’s visit. Two of the three violations were corrected during the visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A medication permission form was not available for an AuviQ for a child in Space 1. A medical action plan was available. The staff had not administered the medication. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The prescription box was not available for an AuviQ used by a child in Space 1. .0803(2)(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. In one of three children’s files reviewed, a child’s medical report or health assessment was not available for a child enrolled on December 16, 2025 GS 110-91(1);.0302(d)(2); .0304(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 violations documented may impact the compliance history score. Two of the three violations were corrected during the visit. The third violation must be corrected immediately. On or before 3/11/26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the remaining violation was corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Marjorie White, Child Care Consultant PO Box 116 Aydlett, NC 27916 Email – marjorie.white@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE which serves as your signature, saintjohncommunitychildcare@gmail.com, and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance With Documented Violations: Prescription Medication – To verify that prescription medication supplied to you from parents is for the child using the medication, the parent needs to provide the medication in the original container or box with the prescription attached. Over-the-Counter medication also needs to be accompanied by the original packaging so that you have all information and instructions related to the OTC medication. The prescription box was not available for an AuviQ used by a child in Space 1. You were not aware that this is required. You contacted the parent, and she brought in the prescription box. This violation has been corrected. Medication Permission Forms - All medications (prescription, OTC, non-medical topical ointment, lotion, or cream) for children enrolled at the center must have a current, completed medication permission form to ensure that staff are administering medication according to the parents’ or physician’s instructions even if there is a Medical Action Plan. A child in Space 1 had a Medical Action Plan for an Auvi-Q but did not have a completed and signed medication permission form. The administrator stated that the parent had not returned the permission form, but she immediately contacted the parent who came to the center to complete it. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. Medication permission forms for OTC, prescription, and emergency medication have an administration log as part of the form. This must be completed any time the medication is given. Medication permission forms are valid for a defined length of time and must be updated, if needed. Medications can be authorized for the following time frames: 12 months – topical non-prescription, non-medication creams and lotions like sunscreen or hand lotion (February 25, 2026 – February 25, 2027) 6 months – medications for chronic illness or emergency medications like Epi-pens, inhalers, anti-seizure medication, Benadryl (must be locked) (February 25, 2026 - August 25, 2026) 30 days – medications for acute issues like tooth pain like Children’s Tylenol (February 25, 2026 – March 25, 2026) *Each medication must have its own medication permission form. Children’s Records - Maintaining accurate records on the children in your care helps to ensure their health and safety, informs families of rules you are required to follow and your center’s policies, and provides a certain transfer of knowledge so that you can provide the best care possible for their children. In one of three children’s files reviewed, a child’s medical report or health assessment was not available for a child enrolled on December 16, 2025 (JH). There was another document in the file that the administrator mistook for the health assessment. Use Children’s File Checklist to verify you have received all required enrollment documents. Build in time to review enrollment documents with families explaining that they need to be fully completed, signed and dated. Check them before the parent leaves their children with you the first time. The empty blank might be the signature you need to seek emergency medical care if the child is injured. Have parents review and update the Child’s Application annually to ensure information is still current. The administrator has contacted the parent to request a current medical report for JH. For your compliance letter, state the date you receive the medical report. Resources: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The following resources are available to you: 1. DCDEE website, www.ncchildcare.ncdhhs.gov – current laws and rules regarding child care facilities in North Carolina, “What’s New” tab, Items Number Listing which you can use as a checklist for your program. 2. Raise NC Newsletter – weekly newsletter emailed to facility email including relevant information from the Division, training opportunities, grants, and more. You can sign up to receive Raise NC on the What’s New tab. 3. NC Health & Safety Resource Center publishes a quarterly newsletter which provides topical information on a variety of health and safety topics. If you are not receiving these emails and newsletters, then please go to https://healthychildcare.unc.edu/resources/nc-child-care-health-and-safety-e-news/ and click on ‘Newsletter Signup’ to join their mailing list. The Winter 2026 edition, “Ready, Set, Action!” includes articles on the emergency medical care plan and responding to infant/toddler emergencies. 4. Your local Child Care Resource & Referral Agencies and Child Care Health Consultants. *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Child Care Health Consultant – C. Smith - (252) 340-0212 or cindy@aacfnc.org *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org Reminders: ABCMS Portal – You have successfully assisted your staff with completing connecting applications to your license number and have hired them to your roster. Maintain your roster by separating staff no longer working with your center and hiring new staff to your roster. Staff Worksheets – We reviewed your staff worksheet. All information was current. Children’s Files – I shared some tips for reducing the amount of paperwork in your children’s files. Consider using an Enrollment Documents Acknowledgement page to document receipt of paperwork. Centers Operating with a Notice of Compliance – Church-sponsored centers that operate with a Notice of Compliance and do not accept subsidy are exempt from rules related to new staff orientation (10A NCAC 09 .1101), Health & Safety Training (10A NCAC 09 .1102) including initial and five-year Health & Safety Training, Recognizing and Responding to Suspicions of Child Maltreatment, and playground safety training. They are required to maintain CPR/First Aid training and ITS/SIDS training (if licensed for infant care). If they elect to receive subsidy, subsidy rules also require them to meet child care rules related to new staff orientation (10A NCAC 09 .1101), initial Health & Safety Training (10A NCAC 09 .1102) including Recognizing and Responding to Suspicions of Child Maltreatment and playground safety training, For more details see Subsidized Child Care Rules: Participation in the Subsidized Child Care Assistance Program - 10A NCAC 10 .0602 (f). Emergency Preparedness – Your Emergency Preparedness and Response (EPR) Plan along with your Ready-to-Go File, Emergency Medical Care Plan (EMCP) and consistent practice of Fire and Emergency Drills are your center’s foundation for emergency preparedness. *EPR Plan – last updated in Portal 3/2025– update by 3/2026 *Ready-to-Go File – current, available in each classroom *Emergency Medical Care Plan – current *Fire and Emergency Drills - current Additional Comments: Keep Your NCID Active - Did you know that if you do not login on to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. *Pro Tip: Set your calendar to remind you, your staff and your household members (CLIAR only) every 6 months to log in and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. *For assistance with NCID, contact ncid.nc.gov or 919.754.6000. Sex Offender Registry and Notification Email - North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. Approval of New Space: You have requested to have the pastor’s office space approved as primary space. You have provided me with the building and fire inspections but are waiting for the sanitation inspection. I measured the space today and will let you know the capacity. There is a small alcove attached to the space where you will put cubbies. Consider removing the door to the alcove. There is also a bathroom attached to the alcove that will be used by the children enrolled in the classroom. You are making cosmetic renovations to the room: removing carpet, painting and replace window treatments. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Marjorie White, by phone at (252) 373-9385 or by e-mail at Marjorie.White@dhhs.nc.gov, or Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199 or Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times