WEE Care DAY School

G.S. 110-90 · Violation

Name of Operation: WEE CARE DAY SCHOOL Facility ID: 36000197 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 12/15/2025 Number Present: 72 Completed Date: 12/15/2025 Age: From 0 To 5 Total Minutes: 239 Time In: 08:21 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements. You, Carrie Collins, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a notice of compliance issued March 14, 2022. The permit restrictions were in compliance including First Shift (daytime care) and children under 2 ½ years old in rooms with direct exits only The Secretary of State website was checked on December 15, 2025, and your business, First Free Will Baptist Church of Gastonia, Inc., was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in breakfast, routines, indoor gross motor play in the gym, free play, group time, lunch, and nap during the visit. The last sanitation inspection was conducted on March 7, 2025. A “superior” classification was issued with three (3) demerits noted on the grade card. The last fire inspection was conducted on December 3, 2025. The last fire drill was conducted on December 11, 2025. The last emergency drill documented was conducted on October 17, 2025. The last playground inspection was conducted on December 11, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on July 19, 2023. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. I reviewed the ABCMS Provider portal during the visit and all active staff members were entered in your roster. Nine (9) children’s files were reviewed during the visit. Ten (10) new staff files and two (2) existing staff files were reviewed during the visit. The following violation was observed/documented during today’s visit: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space #5, the permission to administer mediation form for one (1) tube of Aquaphor Baby Healing Paste expired on December 1, 2025. .0803(12) The violation documented must be corrected immediately. On or before December 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violation was corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 90%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, should be discarded. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. I suggested you place extra copies of the Permission to Administer Medication Form in each classroom to be completed by the parent in the event that a form expires. Additionally, I suggested you assign a staff member to each room to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. Consultation: We discussed the QRIS Modernization and the Pathway to the Stars. You stated the facility plans to continue to operate under a notice of compliance and does not plan to seek a rated license at this time. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: WEE CARE DAY SCHOOL Facility ID: 36000197 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 1/6/2025 Number Present: 72 Completed Date: 1/6/2025 Age: From 0 To 5 Total Minutes: 288 Time In: 08:52 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Carrie Collins, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates under a notice of compliance issued March 14, 2022. The permit restrictions were in compliance including First Shift (daytime care) and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was checked on January 6, 2025, and your business, First Freewill Baptist Church of Gastonia, Inc., was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines, free play, breakfast, lunch, nap, and group time during the visit. The last sanitation inspection was conducted on March 15, 2024. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on December 12, 2024. The last fire drill was conducted on December 12, 2024. The last emergency drill was conducted on October 17, 2024. The last playground inspection was conducted on December 12, 2024. Eight (8) children’s files were reviewed during the visit. Ten (10) new staff files and two (2) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. In Space #3, a staff member fed one (1) child, gave a pacifier to another child, sanitized a highchair tray, and then fed a second child. The staff member did not wash their hands before, after, or between any of these tasks. 15A NCAC 18A .2803(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #3, one (1) Bic Cover It Correction Fluid with multiple warnings, was in an unlocked cabinet above the diaper changing table. .2820(b) 871 Center staff did not comply with the safe sleep policy. In Space #3, one (1) infant, three (3) months of age, had a visual sleep check documented on December 20, 2024, at 9:47am and not again until 10:03am. In Space #3, one (1) infant, eight (8) months of age, had a visual sleep check documented on December 18, 2024, at 9:33am and not again until 9:49am. In Space #3, one (1) infant, five (5) months of age, had a visual sleep check documented on December 20, 2024, at 8:58am and not again until 9:14am. In Space #3, one (1) infant, five (5) months of age, had a visual sleep check documented on December 20, 2024, at 9:14am and not again until 9:35am. In Space #3, one (1) infant, nine (9) months of age, had a visual sleep check documented on December 12, 2024, at 10:23am and not again until 10:39am. 10A NCAC 09 .0606(a) The violations documented must be corrected immediately. On or before January 20, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 87%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Child care center employees must wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center, (2) before and after handling or preparing food, (3) before bottle feeding a child, (4) before providing food service, (5) before handling clean utensils, (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge, (7) after diaper changing, (8) after handling soiled items that are not clean, (9) after being outdoors, (10) after handling animals or animal cages, and (11) after removing disposable gloves. I suggested you review handwashing requirements with all staff and that you reach out to Tara Knight, Child Care Consultant with the Gaston County Department of Health and Human Services, at 704.913.3129, to request technical assistance regarding handwashing. 2. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested that you remind staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. The white out was removed from the classroom during the visit and taken to the office. 3. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. I suggested you review the facility’s safe sleep policy with all teachers assigned to classrooms for infants to ensure the policy is followed at all times. Consultation: The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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

G.S. 110-90 · Violation

Name of Operation: WEE CARE DAY SCHOOL Facility ID: 36000197 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 1/6/2025 Number Present: 72 Completed Date: 1/6/2025 Age: From 0 To 5 Total Minutes: 288 Time In: 08:52 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Carrie Collins, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates under a notice of compliance issued March 14, 2022. The permit restrictions were in compliance including First Shift (daytime care) and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was checked on January 6, 2025, and your business, First Freewill Baptist Church of Gastonia, Inc., was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines, free play, breakfast, lunch, nap, and group time during the visit. The last sanitation inspection was conducted on March 15, 2024. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on December 12, 2024. The last fire drill was conducted on December 12, 2024. The last emergency drill was conducted on October 17, 2024. The last playground inspection was conducted on December 12, 2024. Eight (8) children’s files were reviewed during the visit. Ten (10) new staff files and two (2) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. In Space #3, a staff member fed one (1) child, gave a pacifier to another child, sanitized a highchair tray, and then fed a second child. The staff member did not wash their hands before, after, or between any of these tasks. 15A NCAC 18A .2803(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #3, one (1) Bic Cover It Correction Fluid with multiple warnings, was in an unlocked cabinet above the diaper changing table. .2820(b) 871 Center staff did not comply with the safe sleep policy. In Space #3, one (1) infant, three (3) months of age, had a visual sleep check documented on December 20, 2024, at 9:47am and not again until 10:03am. In Space #3, one (1) infant, eight (8) months of age, had a visual sleep check documented on December 18, 2024, at 9:33am and not again until 9:49am. In Space #3, one (1) infant, five (5) months of age, had a visual sleep check documented on December 20, 2024, at 8:58am and not again until 9:14am. In Space #3, one (1) infant, five (5) months of age, had a visual sleep check documented on December 20, 2024, at 9:14am and not again until 9:35am. In Space #3, one (1) infant, nine (9) months of age, had a visual sleep check documented on December 12, 2024, at 10:23am and not again until 10:39am. 10A NCAC 09 .0606(a) The violations documented must be corrected immediately. On or before January 20, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 87%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Child care center employees must wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center, (2) before and after handling or preparing food, (3) before bottle feeding a child, (4) before providing food service, (5) before handling clean utensils, (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge, (7) after diaper changing, (8) after handling soiled items that are not clean, (9) after being outdoors, (10) after handling animals or animal cages, and (11) after removing disposable gloves. I suggested you review handwashing requirements with all staff and that you reach out to Tara Knight, Child Care Consultant with the Gaston County Department of Health and Human Services, at 704.913.3129, to request technical assistance regarding handwashing. 2. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested that you remind staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. The white out was removed from the classroom during the visit and taken to the office. 3. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. I suggested you review the facility’s safe sleep policy with all teachers assigned to classrooms for infants to ensure the policy is followed at all times. Consultation: The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: WEE CARE DAY SCHOOL Facility ID: 36000197 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 7/16/2024 Number Present: 53 Completed Date: 7/16/2024 Age: From 0 To 5 Total Minutes: 127 Time In: 08:18 AM Time Out: 10:25 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Carrie Collins, Administrator, assisted me with today’s visit. Your program currently operates with a notice of compliance issued March 14, 2022. The permit restrictions were in compliance including First Shift (daytime care) and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was checked on July 16, 2024, and your business, First Freewill Church of Gastonia, Inc., was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on March 15, 2024. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on January 4, 2024. The most recent fire drill was conducted on June 17, 2024, the most recent emergency drill was conducted on April 18, 2024, and the most recent playground inspection was conducted on June 17, 2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, free play, group time and outdoor play during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Eight (8) new staff members were hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space #7, the Permission to Administer Medication Form for one (1) tube of A&D Treat Diaper Rash Cream expired on July 14, 2024. In Space #8, the Permission to Administer Medication Form for one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste expired on May 15, 2024, and one (1) tube of Desitin Daily Defense Diaper Rash Cream expired on June 2, 2024. In Space #8, one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste expired May 2024. .0803(12) 871 Center staff did not comply with the safe sleep policy. In Space #3, one (1) infant, eleven (11) months of age, had a visual sleep check on July 12, 2024, at 10:30 am and not again until 11:00 am. In Space #3, one (1) infant, ten (10) months of age, had a visual sleep check on July 15, 2024, at 10:57 am and not again until 11:15 am. In Space #3, one (1) infant, five (5) months of age, had a visual sleep check on July 11, 2024, at 3:37 pm and not again until 3:58 pm. In Space #3, one (1) infant, eleven (11) months of age, had a visual sleep check on July 2, 2024, at 11:43 am and not again until 11:59 am and on July 2, 2024, at 12:14pm and not again until 12:30pm. In Space #3, one (1) infant, nine (9) months of age, had a visual sleep check on July 10, 2024, at 10:25 am and not again until 10:45 am. 10A NCAC 09 .0606(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member, employed on March 18, 2024, did not complete First Aid Training until July 2, 2024. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member, employed on March 18, 2024, did not complete CPR Training until July 2, 2024. .1102(d) The violations documented must be corrected immediately. On or before July 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 91%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, should be discarded. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. I suggested you have staff members check medications and permission forms at least once per month to ensure no medication or permission forms are expired. 2. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. 3. All staff members must maintain active CPR/First Aid certification. New staff members have ninety (90) days from their date of hire to complete the training. I suggested you schedule CPR/First Aid training at the time of a new staff member’s hire to ensure it is completed within the first ninety (90) days. Consultation For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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

G.S. 110-90 · Violation

Name of Operation: WEE CARE DAY SCHOOL Facility ID: 36000197 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 7/16/2024 Number Present: 53 Completed Date: 7/16/2024 Age: From 0 To 5 Total Minutes: 127 Time In: 08:18 AM Time Out: 10:25 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Carrie Collins, Administrator, assisted me with today’s visit. Your program currently operates with a notice of compliance issued March 14, 2022. The permit restrictions were in compliance including First Shift (daytime care) and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was checked on July 16, 2024, and your business, First Freewill Church of Gastonia, Inc., was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on March 15, 2024. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on January 4, 2024. The most recent fire drill was conducted on June 17, 2024, the most recent emergency drill was conducted on April 18, 2024, and the most recent playground inspection was conducted on June 17, 2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, free play, group time and outdoor play during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Eight (8) new staff members were hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space #7, the Permission to Administer Medication Form for one (1) tube of A&D Treat Diaper Rash Cream expired on July 14, 2024. In Space #8, the Permission to Administer Medication Form for one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste expired on May 15, 2024, and one (1) tube of Desitin Daily Defense Diaper Rash Cream expired on June 2, 2024. In Space #8, one (1) tube of Desitin Maximum Strength Zinc Oxide Diaper Rash Paste expired May 2024. .0803(12) 871 Center staff did not comply with the safe sleep policy. In Space #3, one (1) infant, eleven (11) months of age, had a visual sleep check on July 12, 2024, at 10:30 am and not again until 11:00 am. In Space #3, one (1) infant, ten (10) months of age, had a visual sleep check on July 15, 2024, at 10:57 am and not again until 11:15 am. In Space #3, one (1) infant, five (5) months of age, had a visual sleep check on July 11, 2024, at 3:37 pm and not again until 3:58 pm. In Space #3, one (1) infant, eleven (11) months of age, had a visual sleep check on July 2, 2024, at 11:43 am and not again until 11:59 am and on July 2, 2024, at 12:14pm and not again until 12:30pm. In Space #3, one (1) infant, nine (9) months of age, had a visual sleep check on July 10, 2024, at 10:25 am and not again until 10:45 am. 10A NCAC 09 .0606(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member, employed on March 18, 2024, did not complete First Aid Training until July 2, 2024. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member, employed on March 18, 2024, did not complete CPR Training until July 2, 2024. .1102(d) The violations documented must be corrected immediately. On or before July 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 91%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, should be discarded. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. I suggested you have staff members check medications and permission forms at least once per month to ensure no medication or permission forms are expired. 2. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. 3. All staff members must maintain active CPR/First Aid certification. New staff members have ninety (90) days from their date of hire to complete the training. I suggested you schedule CPR/First Aid training at the time of a new staff member’s hire to ensure it is completed within the first ninety (90) days. Consultation For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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

G.S. 110-90 · Violation

Name of Operation: WEE CARE DAY SCHOOL Facility ID: 36000197 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 72 Completed Date: 1/22/2024 Age: From 0 To 5 Total Minutes: 213 Time In: 08:22 AM Time Out: 11:55 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Carrie Collins, Administrator, assisted me with today’s visit. Melissa Goldberg, Assistant Director, also assisted with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a notice of compliance issued March 14, 2022. The permit restrictions were in compliance including First Shift (daytime care) and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was checked on January 22, 2024, and your business, First Freewill Baptist Church of Gastonia, Inc. was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on April 5, 2023. A “superior” classification was issued with four (4) demerits noted on the grade card. The last fire inspection was conducted on January 4, 2024. The last fire drill was conducted on December 7, 2023. The last emergency drill was conducted on October 10, 2023. The last playground inspection was conducted on December 7, 2023. Nine (9) children’s files were reviewed during the visit. Nine (9) new staff files and two (2) existing staff files were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #4, five (5) bottles of formula and human milk were not labeled with the date the bottles were received by the facility. 15A NCAC 18A .2804(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space #5, there was no Permission to Administer Medication Form for one (1) tube of Nystatin Cream, USP. In Space #7, the Permission to Administer Medication Form for one (1) container of Up & Up Baby Petroleum Jelly expired on November 21, 2023. .0803(12) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In Space #1, one (1) space heater was on and operating on a chair, fourteen (14) inches from the ground, to the right of the handwashing sink. .0604(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The surfacing under the stationary structure on the playground for preschool age children measured zero (0) to five (5) inches across the fall zone. .0605(k)(1-4) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by February 5, 2024. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 94%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages must be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk must be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days must be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer. In addition, frozen human milk must be labeled with the date that it is thawed for use. Human milk that was previously frozen and has been thawed shall be refrigerated and stored for no more than 24 hours from when it was thawed. Human milk that was previously frozen and has been thawed may not be refrozen for storage at the child care center. Parents should place labels with all required information on bottles or sippy cups prior to bringing them to the facility. I suggested you review this information with your infant room staff, as well as infant parents to ensure all bottles and sippy cups are labeled correctly. 2. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must be returned to the child's parents. Any medication the parent fails to retrieve within seventy-two (72) hours of completion of treatment, or withdrawal of authorization, should be discarded. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. Standing permission to administer topical ointments, such as diaper creams and sunscreens, may be given for up to twelve (12) months. Continue to use the Medication Administration Permission Form and Log found on the DCDEE website under the “Provider” tab. Medications and permission slips should be checked on a regular basis to ensure no medications or permission slips have expired or been misplaced. 3. All electrical appliances must be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as space heaters, bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord may be accessible to preschool-age children. I suggested you discuss this rule with all staff members to ensure items with heating elements are not kept in the classrooms, or in any other area where they are accessible to children. The space heater was removed from the classroom during the visit. You stated space heaters will not be permitted in classrooms. 4. All stationary outdoor equipment more than 18 inches high must be installed over protective surfacing. Based on the critical height of the stationary equipment on the playground, the mulch surfacing must be a depth of six (6) inches at all times. Add mulch now and as needed to ensure an appropriate depth. Rake and fluff the mulch regularly when needed to ensure a proper depth. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: WEE CARE DAY SCHOOL Facility ID: 36000197 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 7/24/2023 Number Present: 54 Completed Date: 7/24/2023 Age: From 0 To 5 Total Minutes: 175 Time In: 08:30 AM Time Out: 11:25 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Melissa Goldberg, Assistant Director, assisted me with today’s visit. Your program currently operates with a Notice of Compliance effective March 14, 2022. The permit restrictions were in compliance including First Shift (daytime care) and children under two and a half years in rooms with direct exits only. The NC Secretary of State website was reviewed, and First Freewill Baptist Church of Gastonia, Inc. was current/active. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in breakfast, routines, group time, and free play during today’s visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Two (2) new staff members were hired since the last visit. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with four (4) demerits listed. The most recent approved fire inspection for your facility was conducted on December 5, 2022. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. In Space #3, one (1) sleeping infant, eight (8) months of age, had a visual sleep check documented on July 17, 2023 at 10:10am and not again until 10:33am. In Space #3, one (1) sleeping infant, eight (8) months of age, had a visual sleep check documented on July 18, 2023 at 10:50am and not again until 11:10am. In Space #3, one (1) sleeping infant, six (6) months of age, had a visual sleep check documented on July 17, 2023 at 9:50am and not again until 10:10am. In Space #3, one (1) sleeping infant, six (6) months of age, had a visual sleep check documented on July 20, 2023 at 11:50am and not again until 12:10pm. The facility’s safe sleep policy requires sleeping infants twelve (12) months of age and younger to be visually checked at least once every fifteen (15) minutes. 10A NCAC 09 .0606(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #1, the Permission to Administer Medication Form for one (1) container of Johnsons Baby Powder expired on July 18, 2023. In Space #3, the Permission to Administer Medication Form for one (1) tube of Hylands Naturals Baby Organic Soothing Gel did not have a date listed that the permission was valid from or to. In Space #3, the Permission to Administer Medication Form for one (1) prescription Famotidine did not have a date listed that the permission was valid from and the date the permission was valid to was listed as June 19, 2023. In Space #4, there was no Permission to Administer Medication Form for one (1) prescription Albuterol Sulfate Inhalation Solution and one (1) tube of Orajel Baby Cooling Gel. In Space #4, the Permission to Administer Medication Form for one (1) bottle of Sun Bum Kids Moisturizing Sunscreen Spray did not have a parent signature. In Space #4, the Permission to Administer Medication Form for one (1) bottle of Hylands Baby Oral Pain Relief and one (1) tube of Dr Talbots Baby Tooth Gel had both medications listed on the same Permission to Administer Medication Form which expired on May 27, 2023. In Space #7, the Permission to Administer Medication Form for one (1) bottle of Sun Bum Mineral Sunscreen Spray expired on June 10, 2023. In Space #7, the Permission to Administer Medication Form for one (1) Sun Bum Mineral Sunscreen Face Stick expired on June 10, 2023. In Space #7, the Permission to Administer Medication Form for one (1) bottle of Coppertone Pure and Simple Kids Mineral Sun Protection Zinc Oxide Sunscreen Spray expired on June 21, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by August 7, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 94%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance was provided on the following: 1. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. I suggested you review the facility’s safe sleep policy with all teachers assigned to the infant classrooms to ensure the policy is followed at all times. 2. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. Each medication or ointment must have its own Permission to Administer Medication form. Two (2) medications, even if they are for the same child, may not be listed on the same Permission to Administer Medication Form. All sections of the Permission to Administer Medication Forms must be filled out completely and the forms must be signed by the parent or guardian. Medications should not be accepted without a Permission to Administer Medication Form or an incomplete Permission to Administer Medication Form. Teachers should periodically check medications and permission forms to ensure no medication or permission forms are expired. I suggested you continue to use the Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste Forms found on the Division’s website under the “Provider” tab. I also suggested that you review the Permission to Administer Medication Form with all staff members at an upcoming staff meeting to ensure all staff know how the forms should be completed by the parent or guardian. Consultation: Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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

G.S. 110-90 · Violation

Name of Operation: WEE CARE DAY SCHOOL Facility ID: 36000197 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 7/24/2023 Number Present: 54 Completed Date: 7/24/2023 Age: From 0 To 5 Total Minutes: 175 Time In: 08:30 AM Time Out: 11:25 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Melissa Goldberg, Assistant Director, assisted me with today’s visit. Your program currently operates with a Notice of Compliance effective March 14, 2022. The permit restrictions were in compliance including First Shift (daytime care) and children under two and a half years in rooms with direct exits only. The NC Secretary of State website was reviewed, and First Freewill Baptist Church of Gastonia, Inc. was current/active. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in breakfast, routines, group time, and free play during today’s visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Two (2) new staff members were hired since the last visit. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with four (4) demerits listed. The most recent approved fire inspection for your facility was conducted on December 5, 2022. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. In Space #3, one (1) sleeping infant, eight (8) months of age, had a visual sleep check documented on July 17, 2023 at 10:10am and not again until 10:33am. In Space #3, one (1) sleeping infant, eight (8) months of age, had a visual sleep check documented on July 18, 2023 at 10:50am and not again until 11:10am. In Space #3, one (1) sleeping infant, six (6) months of age, had a visual sleep check documented on July 17, 2023 at 9:50am and not again until 10:10am. In Space #3, one (1) sleeping infant, six (6) months of age, had a visual sleep check documented on July 20, 2023 at 11:50am and not again until 12:10pm. The facility’s safe sleep policy requires sleeping infants twelve (12) months of age and younger to be visually checked at least once every fifteen (15) minutes. 10A NCAC 09 .0606(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #1, the Permission to Administer Medication Form for one (1) container of Johnsons Baby Powder expired on July 18, 2023. In Space #3, the Permission to Administer Medication Form for one (1) tube of Hylands Naturals Baby Organic Soothing Gel did not have a date listed that the permission was valid from or to. In Space #3, the Permission to Administer Medication Form for one (1) prescription Famotidine did not have a date listed that the permission was valid from and the date the permission was valid to was listed as June 19, 2023. In Space #4, there was no Permission to Administer Medication Form for one (1) prescription Albuterol Sulfate Inhalation Solution and one (1) tube of Orajel Baby Cooling Gel. In Space #4, the Permission to Administer Medication Form for one (1) bottle of Sun Bum Kids Moisturizing Sunscreen Spray did not have a parent signature. In Space #4, the Permission to Administer Medication Form for one (1) bottle of Hylands Baby Oral Pain Relief and one (1) tube of Dr Talbots Baby Tooth Gel had both medications listed on the same Permission to Administer Medication Form which expired on May 27, 2023. In Space #7, the Permission to Administer Medication Form for one (1) bottle of Sun Bum Mineral Sunscreen Spray expired on June 10, 2023. In Space #7, the Permission to Administer Medication Form for one (1) Sun Bum Mineral Sunscreen Face Stick expired on June 10, 2023. In Space #7, the Permission to Administer Medication Form for one (1) bottle of Coppertone Pure and Simple Kids Mineral Sun Protection Zinc Oxide Sunscreen Spray expired on June 21, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by August 7, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 94%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance was provided on the following: 1. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. I suggested you review the facility’s safe sleep policy with all teachers assigned to the infant classrooms to ensure the policy is followed at all times. 2. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. Each medication or ointment must have its own Permission to Administer Medication form. Two (2) medications, even if they are for the same child, may not be listed on the same Permission to Administer Medication Form. All sections of the Permission to Administer Medication Forms must be filled out completely and the forms must be signed by the parent or guardian. Medications should not be accepted without a Permission to Administer Medication Form or an incomplete Permission to Administer Medication Form. Teachers should periodically check medications and permission forms to ensure no medication or permission forms are expired. I suggested you continue to use the Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste Forms found on the Division’s website under the “Provider” tab. I also suggested that you review the Permission to Administer Medication Form with all staff members at an upcoming staff meeting to ensure all staff know how the forms should be completed by the parent or guardian. Consultation: Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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