Trinity DAY Care Center

NC GS 110-90 · Violation

Name of Operation: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0326-472L Visit Date: 4/8/2026 Number Present: 19 Completed Date: 4/8/2026 Age: From 2 To 2 Total Minutes: 311 Time In: 08:34 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There are concerns regarding nutrition guidelines. Enrollment: Space #8 Staff: C. Boswell, J. Speight, K. Jones, P. Johnson Twenty children, two years of age enrolled; nineteen children, two years of age present Regarding the allegation of concerns regarding nutrition guidelines being followed, I completed observations, reviewed children’s records, and interviewed administrative, classroom, and kitchen staff. Based on information received from interviewed on March 30, 2026, a child enrolled in space #8 was given yogurt, which contradicts the special diet documentation on file from the physician. Based on the above information the allegation was confirmed. The following violation was documented. Violation Number Comment Rule 509 Food required for any special diet was not provided by parent or center. A child was given yogurt during breakfast on March 30, 2026, which contradicts the documentation from the physician. .0901(h) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 22, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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, 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: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) 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: Food Allergies- An allergy happens when the body reacts strongly to something it thinks is harmful, called an allergen. Allergic reactions can be different in each person. Reactions can happen to children of any age, including infants. Anaphylaxis is a very serious allergic reaction. Symptoms can start within minutes after contact with the allergen or several hours later. On March 30, 2026, a child was given yogurt, which contradicts the special diet documentation on file from the physician. It was shared that the program is a nut free facility. On that date, the family provided their child with a meal that contained nuts and staff discarded it and replaced it with yogurt as staff had observed yogurt being provided by the family in the past. An allergy to yogurt was listed on the allergy list posted in the classroom and food prep area. You shared that you had a meeting with classroom and kitchen staff on March 30, 2026, to review policy and procedures pertaining to allergies. On April 2, 2026, you met with the parent of the child and they met with the child’s current teachers and the teachers assigned to the next classroom to discuss the child’s Medical Action Plan and special diet needs. With the parent, you plan to meet with any future teachers prior to the child moving as the child moves from classroom to classroom. On April 7, 2026, you had a staff meeting. During that time, you reviewed allergies, potential allergen and exposure scenarios, and what to do if a child brings a known allergen into the facility. Written procedures are drafted and you have plans to finalize it and have staff sign it. Additionally, you plan to include a copy of the procedures in the staff email that will be distributed on April 10, 2026. Consultation: Early educators, families, and physicians should work together to ensure medical action plans and special meal plans are up to date. Everyone caring for the child with special health care needs should know how to provide safe care to the child. Upon review of children’s records, children are being provided foods from home that contradict what is documented from the physician. You reported that when parents share changes in children’s needs, it is recorded on the allergy list and share that information with classroom staff. During the records review, a file has physicians’ documentation of an allergy to “milk-related compounds”. It was reported that you have allowed the parent to provide meals that contain dairy products such as Greek Yogurt, tzatziki, cottage cheese, and cheese. When questionable instructions from parents contradict the instructions received from physician or authorized health professional you must follow the instructions from the health professional. Have the parents consult a health professional to get updated written instructions if the child’s needs have changed since the original document was submitted. Nutrition Opt Out- You shared with me that after speaking with the family, they shared they do not want the facility to provide any substitute foods or provide any missing components. A Nutrition Opt Out Form was not on file for that child. During the visit, we reviewed child care rule .0901. Based on the parent’s request, a Nutrition Opt Out Form is advised. Staff Training-You asked about training for staff. Staff can access Prevention of and Response to Emergencies Due to Food and Allergic Reactions training on DCDEE Moodle under Health and Safety Trainings. Log in instructions were provided during the visit. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, 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 .0604 · Violation

Name of Operation: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 3/12/2026 Number Present: 116 Completed Date: 3/12/2026 Age: From 0 To 5 Total Minutes: 331 Time In: 09:14 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. H. Tucker, director, A. Betts, assistant director, assisted me with today’s visit. Your program currently operates with a GS110-106 Notice of Compliance issued April 2, 2019. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven percent as of 3/10/26. The NC Secretary of State website was reviewed on 3/10/26 and Trinity Free Will Baptist Church and Christian School, Inc. was listed as current- active. All indoor and outdoor areas were monitored. Nine groups were observed using the indoor and outdoor environments. Children enrolled in spaces #1 and #2 were engaged in tummy time, bottle feedings and napping. Sleep checks were completed, recorded, and maintained as required. Children throughout the facility were engaged in small group activities, indoor free play and outdoor free play. Teachers were observed interacting with children through reading, conversation, and play. Files for new staff were reviewed. A fire inspection was conducted on 2/17/26 and a sanitation inspection was conducted 1/22/26 with a superior classification. The violations are as follows: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection report was completed on 2/17/26, the report was received during today's visit. 10A NCAC 09 .0304(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. There was one tube of Miyeuleni hand cream and one travel size bottle of Germ-X hand sanitizer in the unlocked drawer of the teacher desk in space #7. .2820(b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. There was one cozy car with broken eyes, creating a sharp edge, on outdoor space #2. 10A NCAC 09 .0604(p) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 12/15/26, did not have a valid medical report on file. 10A NCAC 09 .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan on file was dated November 7, 2024, therefore was not reviewed annually. .0607(e) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 26, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) 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: Outdoor Environment- Proper maintenance is a key factor when trying to ensure a safe play environment for children. Today, there was one cozy car with broken “eyes,” creating a sharp edge. You removed the equipment from the playground are to prevent use and contacted a staff member to request they remove the eye attachment before playing the equipment back in the play area. You stated you were not aware of it and had not done your monthly playground inspection. We discussed completing daily inspections before the spaces are used. Develop a system for completing daily inspections and reporting of broken or damaged items. Storage of Hazardous Items- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. There was one tube of Miyeuleni hand cream and one travel size bottle of Germ-X hand sanitizer in the unlocked drawer of the teacher desk in space #7. You were able to move the items to proper storage. You stated you share safety highlights with staff at monthly staff meetings and weekly emails. Share the storage requirements with staff and post visual reminders for staff. Emergency Preparedness Plan- It is important to consider how to prepare for and respond to emergency or natural disaster situations and develop written plans accordingly. Your facility EPR Plan is your written procedures to address natural disasters. The procedures must be updated and reviewed annually. An EPR Plan for the facility is to be completed no later than 9/1/22.The EPR plan on file was dated November 7, 2024. You stated that you thought it was revised on time. You were able to review and revise the EPR plan during the visit. We discussed choosing a rememberable date, such as an anniversary date of the program, a holiday, or some date special to you or the facility to review or revise the EPR plan. Staff Medical- Staff qualifications are essential for adults who interact with and teach children as they protect children. Staff employed on 12/15/25 had a medical report that did not include an assessment date. You spoke with staff and had them contact the physician to obtain a new report. We discussed looking at each line of documents received to ensure that forms are complete and accurate. Additional Comments: Pathways to the Stars- During the visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Your program is currently operating with a Notice of Compliance, issued April 2, 2019. At the time, you stated that the program wishes to continue to operate under the Notice of Compliance. Be reminded that all information about the pathways is located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Problem Solving- Today we discussed interactions between children and the interactions between staff and children. When children disagree or display undesired behaviors, sometimes teachers give directives like “stop” or “don’t do that” with no additional conversation. We discussed introducing problem solving skills to the children to assist them with learning ways to solve their own problems and give them language to express their thoughts and feelings. Additionally, staff can redirect the children by stating the desired behavior or offering the child(ren) something else to do. We reviewed some healthy social behaviors posted on the NC CCR&R page (https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/resources/). Transportation-You shared with me that you have an upcoming vacation for preschool aged children. Because the vans are not used routinely, we reviewed what documents for each off-premise activity. Be sure all to review section .1005 of the Child Care Rules to make sure you have all documents at the time of transport. 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/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, 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 .0304 · Violation

Name of Operation: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 3/12/2026 Number Present: 116 Completed Date: 3/12/2026 Age: From 0 To 5 Total Minutes: 331 Time In: 09:14 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. H. Tucker, director, A. Betts, assistant director, assisted me with today’s visit. Your program currently operates with a GS110-106 Notice of Compliance issued April 2, 2019. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven percent as of 3/10/26. The NC Secretary of State website was reviewed on 3/10/26 and Trinity Free Will Baptist Church and Christian School, Inc. was listed as current- active. All indoor and outdoor areas were monitored. Nine groups were observed using the indoor and outdoor environments. Children enrolled in spaces #1 and #2 were engaged in tummy time, bottle feedings and napping. Sleep checks were completed, recorded, and maintained as required. Children throughout the facility were engaged in small group activities, indoor free play and outdoor free play. Teachers were observed interacting with children through reading, conversation, and play. Files for new staff were reviewed. A fire inspection was conducted on 2/17/26 and a sanitation inspection was conducted 1/22/26 with a superior classification. The violations are as follows: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection report was completed on 2/17/26, the report was received during today's visit. 10A NCAC 09 .0304(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. There was one tube of Miyeuleni hand cream and one travel size bottle of Germ-X hand sanitizer in the unlocked drawer of the teacher desk in space #7. .2820(b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. There was one cozy car with broken eyes, creating a sharp edge, on outdoor space #2. 10A NCAC 09 .0604(p) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 12/15/26, did not have a valid medical report on file. 10A NCAC 09 .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan on file was dated November 7, 2024, therefore was not reviewed annually. .0607(e) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 26, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) 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: Outdoor Environment- Proper maintenance is a key factor when trying to ensure a safe play environment for children. Today, there was one cozy car with broken “eyes,” creating a sharp edge. You removed the equipment from the playground are to prevent use and contacted a staff member to request they remove the eye attachment before playing the equipment back in the play area. You stated you were not aware of it and had not done your monthly playground inspection. We discussed completing daily inspections before the spaces are used. Develop a system for completing daily inspections and reporting of broken or damaged items. Storage of Hazardous Items- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. There was one tube of Miyeuleni hand cream and one travel size bottle of Germ-X hand sanitizer in the unlocked drawer of the teacher desk in space #7. You were able to move the items to proper storage. You stated you share safety highlights with staff at monthly staff meetings and weekly emails. Share the storage requirements with staff and post visual reminders for staff. Emergency Preparedness Plan- It is important to consider how to prepare for and respond to emergency or natural disaster situations and develop written plans accordingly. Your facility EPR Plan is your written procedures to address natural disasters. The procedures must be updated and reviewed annually. An EPR Plan for the facility is to be completed no later than 9/1/22.The EPR plan on file was dated November 7, 2024. You stated that you thought it was revised on time. You were able to review and revise the EPR plan during the visit. We discussed choosing a rememberable date, such as an anniversary date of the program, a holiday, or some date special to you or the facility to review or revise the EPR plan. Staff Medical- Staff qualifications are essential for adults who interact with and teach children as they protect children. Staff employed on 12/15/25 had a medical report that did not include an assessment date. You spoke with staff and had them contact the physician to obtain a new report. We discussed looking at each line of documents received to ensure that forms are complete and accurate. Additional Comments: Pathways to the Stars- During the visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Your program is currently operating with a Notice of Compliance, issued April 2, 2019. At the time, you stated that the program wishes to continue to operate under the Notice of Compliance. Be reminded that all information about the pathways is located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Problem Solving- Today we discussed interactions between children and the interactions between staff and children. When children disagree or display undesired behaviors, sometimes teachers give directives like “stop” or “don’t do that” with no additional conversation. We discussed introducing problem solving skills to the children to assist them with learning ways to solve their own problems and give them language to express their thoughts and feelings. Additionally, staff can redirect the children by stating the desired behavior or offering the child(ren) something else to do. We reviewed some healthy social behaviors posted on the NC CCR&R page (https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/resources/). Transportation-You shared with me that you have an upcoming vacation for preschool aged children. Because the vans are not used routinely, we reviewed what documents for each off-premise activity. Be sure all to review section .1005 of the Child Care Rules to make sure you have all documents at the time of transport. 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/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, 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 .0701 · Violation

Name of Operation: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 3/12/2026 Number Present: 116 Completed Date: 3/12/2026 Age: From 0 To 5 Total Minutes: 331 Time In: 09:14 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. H. Tucker, director, A. Betts, assistant director, assisted me with today’s visit. Your program currently operates with a GS110-106 Notice of Compliance issued April 2, 2019. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven percent as of 3/10/26. The NC Secretary of State website was reviewed on 3/10/26 and Trinity Free Will Baptist Church and Christian School, Inc. was listed as current- active. All indoor and outdoor areas were monitored. Nine groups were observed using the indoor and outdoor environments. Children enrolled in spaces #1 and #2 were engaged in tummy time, bottle feedings and napping. Sleep checks were completed, recorded, and maintained as required. Children throughout the facility were engaged in small group activities, indoor free play and outdoor free play. Teachers were observed interacting with children through reading, conversation, and play. Files for new staff were reviewed. A fire inspection was conducted on 2/17/26 and a sanitation inspection was conducted 1/22/26 with a superior classification. The violations are as follows: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection report was completed on 2/17/26, the report was received during today's visit. 10A NCAC 09 .0304(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. There was one tube of Miyeuleni hand cream and one travel size bottle of Germ-X hand sanitizer in the unlocked drawer of the teacher desk in space #7. .2820(b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. There was one cozy car with broken eyes, creating a sharp edge, on outdoor space #2. 10A NCAC 09 .0604(p) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 12/15/26, did not have a valid medical report on file. 10A NCAC 09 .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan on file was dated November 7, 2024, therefore was not reviewed annually. .0607(e) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 26, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) 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: Outdoor Environment- Proper maintenance is a key factor when trying to ensure a safe play environment for children. Today, there was one cozy car with broken “eyes,” creating a sharp edge. You removed the equipment from the playground are to prevent use and contacted a staff member to request they remove the eye attachment before playing the equipment back in the play area. You stated you were not aware of it and had not done your monthly playground inspection. We discussed completing daily inspections before the spaces are used. Develop a system for completing daily inspections and reporting of broken or damaged items. Storage of Hazardous Items- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. There was one tube of Miyeuleni hand cream and one travel size bottle of Germ-X hand sanitizer in the unlocked drawer of the teacher desk in space #7. You were able to move the items to proper storage. You stated you share safety highlights with staff at monthly staff meetings and weekly emails. Share the storage requirements with staff and post visual reminders for staff. Emergency Preparedness Plan- It is important to consider how to prepare for and respond to emergency or natural disaster situations and develop written plans accordingly. Your facility EPR Plan is your written procedures to address natural disasters. The procedures must be updated and reviewed annually. An EPR Plan for the facility is to be completed no later than 9/1/22.The EPR plan on file was dated November 7, 2024. You stated that you thought it was revised on time. You were able to review and revise the EPR plan during the visit. We discussed choosing a rememberable date, such as an anniversary date of the program, a holiday, or some date special to you or the facility to review or revise the EPR plan. Staff Medical- Staff qualifications are essential for adults who interact with and teach children as they protect children. Staff employed on 12/15/25 had a medical report that did not include an assessment date. You spoke with staff and had them contact the physician to obtain a new report. We discussed looking at each line of documents received to ensure that forms are complete and accurate. Additional Comments: Pathways to the Stars- During the visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Your program is currently operating with a Notice of Compliance, issued April 2, 2019. At the time, you stated that the program wishes to continue to operate under the Notice of Compliance. Be reminded that all information about the pathways is located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Problem Solving- Today we discussed interactions between children and the interactions between staff and children. When children disagree or display undesired behaviors, sometimes teachers give directives like “stop” or “don’t do that” with no additional conversation. We discussed introducing problem solving skills to the children to assist them with learning ways to solve their own problems and give them language to express their thoughts and feelings. Additionally, staff can redirect the children by stating the desired behavior or offering the child(ren) something else to do. We reviewed some healthy social behaviors posted on the NC CCR&R page (https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/resources/). Transportation-You shared with me that you have an upcoming vacation for preschool aged children. Because the vans are not used routinely, we reviewed what documents for each off-premise activity. Be sure all to review section .1005 of the Child Care Rules to make sure you have all documents at the time of transport. 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/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, 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

GS110-106 · Violation

Name of Operation: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 3/12/2026 Number Present: 116 Completed Date: 3/12/2026 Age: From 0 To 5 Total Minutes: 331 Time In: 09:14 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. H. Tucker, director, A. Betts, assistant director, assisted me with today’s visit. Your program currently operates with a GS110-106 Notice of Compliance issued April 2, 2019. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven percent as of 3/10/26. The NC Secretary of State website was reviewed on 3/10/26 and Trinity Free Will Baptist Church and Christian School, Inc. was listed as current- active. All indoor and outdoor areas were monitored. Nine groups were observed using the indoor and outdoor environments. Children enrolled in spaces #1 and #2 were engaged in tummy time, bottle feedings and napping. Sleep checks were completed, recorded, and maintained as required. Children throughout the facility were engaged in small group activities, indoor free play and outdoor free play. Teachers were observed interacting with children through reading, conversation, and play. Files for new staff were reviewed. A fire inspection was conducted on 2/17/26 and a sanitation inspection was conducted 1/22/26 with a superior classification. The violations are as follows: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection report was completed on 2/17/26, the report was received during today's visit. 10A NCAC 09 .0304(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. There was one tube of Miyeuleni hand cream and one travel size bottle of Germ-X hand sanitizer in the unlocked drawer of the teacher desk in space #7. .2820(b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. There was one cozy car with broken eyes, creating a sharp edge, on outdoor space #2. 10A NCAC 09 .0604(p) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 12/15/26, did not have a valid medical report on file. 10A NCAC 09 .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan on file was dated November 7, 2024, therefore was not reviewed annually. .0607(e) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 26, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) 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: Outdoor Environment- Proper maintenance is a key factor when trying to ensure a safe play environment for children. Today, there was one cozy car with broken “eyes,” creating a sharp edge. You removed the equipment from the playground are to prevent use and contacted a staff member to request they remove the eye attachment before playing the equipment back in the play area. You stated you were not aware of it and had not done your monthly playground inspection. We discussed completing daily inspections before the spaces are used. Develop a system for completing daily inspections and reporting of broken or damaged items. Storage of Hazardous Items- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. There was one tube of Miyeuleni hand cream and one travel size bottle of Germ-X hand sanitizer in the unlocked drawer of the teacher desk in space #7. You were able to move the items to proper storage. You stated you share safety highlights with staff at monthly staff meetings and weekly emails. Share the storage requirements with staff and post visual reminders for staff. Emergency Preparedness Plan- It is important to consider how to prepare for and respond to emergency or natural disaster situations and develop written plans accordingly. Your facility EPR Plan is your written procedures to address natural disasters. The procedures must be updated and reviewed annually. An EPR Plan for the facility is to be completed no later than 9/1/22.The EPR plan on file was dated November 7, 2024. You stated that you thought it was revised on time. You were able to review and revise the EPR plan during the visit. We discussed choosing a rememberable date, such as an anniversary date of the program, a holiday, or some date special to you or the facility to review or revise the EPR plan. Staff Medical- Staff qualifications are essential for adults who interact with and teach children as they protect children. Staff employed on 12/15/25 had a medical report that did not include an assessment date. You spoke with staff and had them contact the physician to obtain a new report. We discussed looking at each line of documents received to ensure that forms are complete and accurate. Additional Comments: Pathways to the Stars- During the visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Your program is currently operating with a Notice of Compliance, issued April 2, 2019. At the time, you stated that the program wishes to continue to operate under the Notice of Compliance. Be reminded that all information about the pathways is located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Problem Solving- Today we discussed interactions between children and the interactions between staff and children. When children disagree or display undesired behaviors, sometimes teachers give directives like “stop” or “don’t do that” with no additional conversation. We discussed introducing problem solving skills to the children to assist them with learning ways to solve their own problems and give them language to express their thoughts and feelings. Additionally, staff can redirect the children by stating the desired behavior or offering the child(ren) something else to do. We reviewed some healthy social behaviors posted on the NC CCR&R page (https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/resources/). Transportation-You shared with me that you have an upcoming vacation for preschool aged children. Because the vans are not used routinely, we reviewed what documents for each off-premise activity. Be sure all to review section .1005 of the Child Care Rules to make sure you have all documents at the time of transport. 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/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, 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: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 3/12/2026 Number Present: 116 Completed Date: 3/12/2026 Age: From 0 To 5 Total Minutes: 331 Time In: 09:14 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. H. Tucker, director, A. Betts, assistant director, assisted me with today’s visit. Your program currently operates with a GS110-106 Notice of Compliance issued April 2, 2019. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven percent as of 3/10/26. The NC Secretary of State website was reviewed on 3/10/26 and Trinity Free Will Baptist Church and Christian School, Inc. was listed as current- active. All indoor and outdoor areas were monitored. Nine groups were observed using the indoor and outdoor environments. Children enrolled in spaces #1 and #2 were engaged in tummy time, bottle feedings and napping. Sleep checks were completed, recorded, and maintained as required. Children throughout the facility were engaged in small group activities, indoor free play and outdoor free play. Teachers were observed interacting with children through reading, conversation, and play. Files for new staff were reviewed. A fire inspection was conducted on 2/17/26 and a sanitation inspection was conducted 1/22/26 with a superior classification. The violations are as follows: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection report was completed on 2/17/26, the report was received during today's visit. 10A NCAC 09 .0304(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. There was one tube of Miyeuleni hand cream and one travel size bottle of Germ-X hand sanitizer in the unlocked drawer of the teacher desk in space #7. .2820(b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. There was one cozy car with broken eyes, creating a sharp edge, on outdoor space #2. 10A NCAC 09 .0604(p) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 12/15/26, did not have a valid medical report on file. 10A NCAC 09 .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan on file was dated November 7, 2024, therefore was not reviewed annually. .0607(e) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 26, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) 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: Outdoor Environment- Proper maintenance is a key factor when trying to ensure a safe play environment for children. Today, there was one cozy car with broken “eyes,” creating a sharp edge. You removed the equipment from the playground are to prevent use and contacted a staff member to request they remove the eye attachment before playing the equipment back in the play area. You stated you were not aware of it and had not done your monthly playground inspection. We discussed completing daily inspections before the spaces are used. Develop a system for completing daily inspections and reporting of broken or damaged items. Storage of Hazardous Items- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. There was one tube of Miyeuleni hand cream and one travel size bottle of Germ-X hand sanitizer in the unlocked drawer of the teacher desk in space #7. You were able to move the items to proper storage. You stated you share safety highlights with staff at monthly staff meetings and weekly emails. Share the storage requirements with staff and post visual reminders for staff. Emergency Preparedness Plan- It is important to consider how to prepare for and respond to emergency or natural disaster situations and develop written plans accordingly. Your facility EPR Plan is your written procedures to address natural disasters. The procedures must be updated and reviewed annually. An EPR Plan for the facility is to be completed no later than 9/1/22.The EPR plan on file was dated November 7, 2024. You stated that you thought it was revised on time. You were able to review and revise the EPR plan during the visit. We discussed choosing a rememberable date, such as an anniversary date of the program, a holiday, or some date special to you or the facility to review or revise the EPR plan. Staff Medical- Staff qualifications are essential for adults who interact with and teach children as they protect children. Staff employed on 12/15/25 had a medical report that did not include an assessment date. You spoke with staff and had them contact the physician to obtain a new report. We discussed looking at each line of documents received to ensure that forms are complete and accurate. Additional Comments: Pathways to the Stars- During the visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Your program is currently operating with a Notice of Compliance, issued April 2, 2019. At the time, you stated that the program wishes to continue to operate under the Notice of Compliance. Be reminded that all information about the pathways is located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Problem Solving- Today we discussed interactions between children and the interactions between staff and children. When children disagree or display undesired behaviors, sometimes teachers give directives like “stop” or “don’t do that” with no additional conversation. We discussed introducing problem solving skills to the children to assist them with learning ways to solve their own problems and give them language to express their thoughts and feelings. Additionally, staff can redirect the children by stating the desired behavior or offering the child(ren) something else to do. We reviewed some healthy social behaviors posted on the NC CCR&R page (https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/resources/). Transportation-You shared with me that you have an upcoming vacation for preschool aged children. Because the vans are not used routinely, we reviewed what documents for each off-premise activity. Be sure all to review section .1005 of the Child Care Rules to make sure you have all documents at the time of transport. 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/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, 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 .0803 · Violation

Name of Operation: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 9/16/2025 Number Present: 109 Completed Date: 9/16/2025 Age: From 0 To 4 Total Minutes: 330 Time In: 08:43 AM Time Out: 01:43 PM Time In: 03:40 PM Time Out: 04:10 PM 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. H. Tucker, Director assisted me during the visit. Your program currently operates with a Notice of Compliance, issued 4/2/2019. The last annual compliance visit was conducted 10/2/24. The sanitation inspection was completed 6/25/25 with a “Superior” classification. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five percent as of 9/3/25. The NC Secretary of State website was reviewed on 9/3/25 and Trinity Free Will Baptist Church and Christian School, Inc. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited indoor and outdoor spaces with me. Children enrolled in classroom space #1 were observed resting in cribs and receiving care according to their individual needs including feeding. Children in classroom space #7 engaged in a drama activity with a parent volunteer. Children in classroom space #8 were observed during free play and transitioning to the cafeteria for lunch. Today’s lunch included a chicken sandwich, macaroni and cheese, blueberries and milk. The following violations were documented. 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. Two bottles in classroom space #1 were not labeled with the date. 15A NCAC 18A .2804(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An authorization form was not on file for a Hello Baby Kids Face and Body Sunscreen stick stored in a locked cabinet in classroom space #3. Permission for Mylicon Gas drops expired on 7/24/25 in classroom space #1. 10A NCAC 09 .0803(1)(a & b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 30, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) 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 was provided on the following: Medication: No drug or medication may be administered to any child without specific written instructions from the child's parent/guardian, a physician, or other authorized health professional. An authorization form was not on file for a Hello Baby Kids Face and Body Sunscreen stick stored in a locked cabinet in classroom space #3. Permission for Mylicon Gas drops expired on 7/24/25 in classroom space #1. You stated that medications were checked by the staff, and the form was on file. You were unable to locate the form during the visit. Permission to administer over-the-counter medications such as Tylenol or medication for intestinal disorders is valid for 30 days. You stated that medication can be dropped off in the basket outside of the office, and you and your assistant review authorizations forms prior to the medications being distributed to the child’s classroom space or administered. Additional Comments: As DCDEE transitions to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. Visit the QRIS Modernization page on the DCDEE website under the “What’s New” tab to learn more on the Pathways. You are invited to attend the director meeting on September 29, 2025 regarding Pathways to the Stars. 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. Reminders: The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, 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: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 9/16/2025 Number Present: 109 Completed Date: 9/16/2025 Age: From 0 To 4 Total Minutes: 330 Time In: 08:43 AM Time Out: 01:43 PM Time In: 03:40 PM Time Out: 04:10 PM 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. H. Tucker, Director assisted me during the visit. Your program currently operates with a Notice of Compliance, issued 4/2/2019. The last annual compliance visit was conducted 10/2/24. The sanitation inspection was completed 6/25/25 with a “Superior” classification. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five percent as of 9/3/25. The NC Secretary of State website was reviewed on 9/3/25 and Trinity Free Will Baptist Church and Christian School, Inc. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited indoor and outdoor spaces with me. Children enrolled in classroom space #1 were observed resting in cribs and receiving care according to their individual needs including feeding. Children in classroom space #7 engaged in a drama activity with a parent volunteer. Children in classroom space #8 were observed during free play and transitioning to the cafeteria for lunch. Today’s lunch included a chicken sandwich, macaroni and cheese, blueberries and milk. The following violations were documented. 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. Two bottles in classroom space #1 were not labeled with the date. 15A NCAC 18A .2804(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An authorization form was not on file for a Hello Baby Kids Face and Body Sunscreen stick stored in a locked cabinet in classroom space #3. Permission for Mylicon Gas drops expired on 7/24/25 in classroom space #1. 10A NCAC 09 .0803(1)(a & b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 30, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) 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 was provided on the following: Medication: No drug or medication may be administered to any child without specific written instructions from the child's parent/guardian, a physician, or other authorized health professional. An authorization form was not on file for a Hello Baby Kids Face and Body Sunscreen stick stored in a locked cabinet in classroom space #3. Permission for Mylicon Gas drops expired on 7/24/25 in classroom space #1. You stated that medications were checked by the staff, and the form was on file. You were unable to locate the form during the visit. Permission to administer over-the-counter medications such as Tylenol or medication for intestinal disorders is valid for 30 days. You stated that medication can be dropped off in the basket outside of the office, and you and your assistant review authorizations forms prior to the medications being distributed to the child’s classroom space or administered. Additional Comments: As DCDEE transitions to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. Visit the QRIS Modernization page on the DCDEE website under the “What’s New” tab to learn more on the Pathways. You are invited to attend the director meeting on September 29, 2025 regarding Pathways to the Stars. 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. Reminders: The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, 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

G.S. 110-90 · Violation

Name of Operation: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 4/10/2025 Number Present: 89 Completed Date: 4/10/2025 Age: From 0 To 5 Total Minutes: 325 Time In: 09:30 AM Time Out: 02:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates with a GS110-106 Notice of Compliance issued April 2, 2019. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty percent as of 4/9/25. The NC Secretary of State website was reviewed on 4/9/25 and Trinity Free Will Baptist Church and Christian School, Inc. was listed as current-active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and the facility email address was updated during the visit. Nine groups were observed using the indoor learning environment. Supervision and staff/child ratios were found to be in ratio. Children enrolled in spaces #1 and #2 were engaged in tummy time, bottle feedings, and napping. Sleep checks were completed, recorded, and maintained as required. Children throughout the facility were participating in free indoor free choice, personal care needs, outdoor free play, and transitions. Staff were observed singing songs, reading, and playing with the children. Files for new staff were reviewed. A fire inspection was conducted on 2/5/25 and a sanitation inspection was conducted 12/20/24 with a superior classification. Lunch was observed and consisted of tacos, corn, pears, and milk. The violations are as follows: Violation Number Comment Rule 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. One can of Stainless Steel Cleaner was stored on an open shelf, above five feet in the bathroom outside of space #9. Three canisters of Clorox Disinfectant Wipes was stored in an unlocked cabinet, above five feet in space #1. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One child, two years of age, was holding a tube of Desitin Maximum Strength during a diaper change. 15A NCAC 18A .2820(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator did not complete the ABCMS Portal training and therefore did not complete a roster the the child care facility. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was last documented on 8/30/24. .0604(u);.0302(d)(8) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 24, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) 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: Medication- For the safety of children, diaper rash creams must be stored above five feet, out of reach of children. Today a child was holding a tube of diaper rash cream during their diaper change. You stated the staff’s intention was to have the child be helpful in holding it. All medications must be properly stored at all times. You had a discussion with the staff at the time of observation. Review the medication storage requirements with all your staff to ensure they are safely stored as required. Emergency Drills- Lockdown or shelter-in-place drills should be practiced at least every three months as part of your facility's EPR plan. These drills should be documented on the Emergency Drill Record. Frequent practice will allow children and staff members to be familiar with the steps to take to keep everyone safe in an emergency. The last documented emergency drill was a lockdown drill dated 8/30/24. You reported that you knew a drill was due in the month of November, but it was overlooked by mistake. We discussed your current practices for tracking and reminders for emergency drills. Consider delegating the completion of drills to others on your administrative staff. ABCMS Provider Portal Training- The process of notifying the Division has changed and is now captured in ABCMS. You reported that you were not aware of the training. 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. 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. Additional Comments: 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/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Wait Time- During transitions, there can be some wait times between when one activity ends and the next one begins. Best practice is to provide children with smaller activities during those times, such as singing songs, finger plays, or reading stories. You may also consider providing a bin of transition materials that can be easy to distributed and clean up when they are done. You shared that it is done in some classrooms, but it is not something commonly practiced in all classrooms. Talk with your staff about possible transition activities and have them brainstorm with one another. Standing Diaper Changes- Today technical assistance was provided concerning standing diaper changes. We reviewed the steps of the standing diaper change. You can find the Stand Up Changing Procedure poster at https://healthychildcare.unc.edu/wp-content/uploads/sites/17234/2023/09/Stand-Up-Changing-Poster.pdf. The Child and Adult Care Food Program (CACFP)- Today you shared that you would like to learn more about food programs for child care facilities. CACFP is a federally funded program that is administered and funded by the United States Department of Agriculture (USDA), Food and Nutrition Service (FNS). The purpose of the program is to ensure that eligible children and adults who attend qualifying non-residential care facilities receive nutritious meals. For more information, please visit https://www.ncdhhs.gov/nccacfp. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, 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

GS110-106 · Violation

Name of Operation: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 4/10/2025 Number Present: 89 Completed Date: 4/10/2025 Age: From 0 To 5 Total Minutes: 325 Time In: 09:30 AM Time Out: 02:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates with a GS110-106 Notice of Compliance issued April 2, 2019. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty percent as of 4/9/25. The NC Secretary of State website was reviewed on 4/9/25 and Trinity Free Will Baptist Church and Christian School, Inc. was listed as current-active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and the facility email address was updated during the visit. Nine groups were observed using the indoor learning environment. Supervision and staff/child ratios were found to be in ratio. Children enrolled in spaces #1 and #2 were engaged in tummy time, bottle feedings, and napping. Sleep checks were completed, recorded, and maintained as required. Children throughout the facility were participating in free indoor free choice, personal care needs, outdoor free play, and transitions. Staff were observed singing songs, reading, and playing with the children. Files for new staff were reviewed. A fire inspection was conducted on 2/5/25 and a sanitation inspection was conducted 12/20/24 with a superior classification. Lunch was observed and consisted of tacos, corn, pears, and milk. The violations are as follows: Violation Number Comment Rule 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. One can of Stainless Steel Cleaner was stored on an open shelf, above five feet in the bathroom outside of space #9. Three canisters of Clorox Disinfectant Wipes was stored in an unlocked cabinet, above five feet in space #1. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One child, two years of age, was holding a tube of Desitin Maximum Strength during a diaper change. 15A NCAC 18A .2820(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator did not complete the ABCMS Portal training and therefore did not complete a roster the the child care facility. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was last documented on 8/30/24. .0604(u);.0302(d)(8) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 24, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) 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: Medication- For the safety of children, diaper rash creams must be stored above five feet, out of reach of children. Today a child was holding a tube of diaper rash cream during their diaper change. You stated the staff’s intention was to have the child be helpful in holding it. All medications must be properly stored at all times. You had a discussion with the staff at the time of observation. Review the medication storage requirements with all your staff to ensure they are safely stored as required. Emergency Drills- Lockdown or shelter-in-place drills should be practiced at least every three months as part of your facility's EPR plan. These drills should be documented on the Emergency Drill Record. Frequent practice will allow children and staff members to be familiar with the steps to take to keep everyone safe in an emergency. The last documented emergency drill was a lockdown drill dated 8/30/24. You reported that you knew a drill was due in the month of November, but it was overlooked by mistake. We discussed your current practices for tracking and reminders for emergency drills. Consider delegating the completion of drills to others on your administrative staff. ABCMS Provider Portal Training- The process of notifying the Division has changed and is now captured in ABCMS. You reported that you were not aware of the training. 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. 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. Additional Comments: 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/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Wait Time- During transitions, there can be some wait times between when one activity ends and the next one begins. Best practice is to provide children with smaller activities during those times, such as singing songs, finger plays, or reading stories. You may also consider providing a bin of transition materials that can be easy to distributed and clean up when they are done. You shared that it is done in some classrooms, but it is not something commonly practiced in all classrooms. Talk with your staff about possible transition activities and have them brainstorm with one another. Standing Diaper Changes- Today technical assistance was provided concerning standing diaper changes. We reviewed the steps of the standing diaper change. You can find the Stand Up Changing Procedure poster at https://healthychildcare.unc.edu/wp-content/uploads/sites/17234/2023/09/Stand-Up-Changing-Poster.pdf. The Child and Adult Care Food Program (CACFP)- Today you shared that you would like to learn more about food programs for child care facilities. CACFP is a federally funded program that is administered and funded by the United States Department of Agriculture (USDA), Food and Nutrition Service (FNS). The purpose of the program is to ensure that eligible children and adults who attend qualifying non-residential care facilities receive nutritious meals. For more information, please visit https://www.ncdhhs.gov/nccacfp. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, 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: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 4/10/2025 Number Present: 89 Completed Date: 4/10/2025 Age: From 0 To 5 Total Minutes: 325 Time In: 09:30 AM Time Out: 02:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates with a GS110-106 Notice of Compliance issued April 2, 2019. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty percent as of 4/9/25. The NC Secretary of State website was reviewed on 4/9/25 and Trinity Free Will Baptist Church and Christian School, Inc. was listed as current-active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and the facility email address was updated during the visit. Nine groups were observed using the indoor learning environment. Supervision and staff/child ratios were found to be in ratio. Children enrolled in spaces #1 and #2 were engaged in tummy time, bottle feedings, and napping. Sleep checks were completed, recorded, and maintained as required. Children throughout the facility were participating in free indoor free choice, personal care needs, outdoor free play, and transitions. Staff were observed singing songs, reading, and playing with the children. Files for new staff were reviewed. A fire inspection was conducted on 2/5/25 and a sanitation inspection was conducted 12/20/24 with a superior classification. Lunch was observed and consisted of tacos, corn, pears, and milk. The violations are as follows: Violation Number Comment Rule 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. One can of Stainless Steel Cleaner was stored on an open shelf, above five feet in the bathroom outside of space #9. Three canisters of Clorox Disinfectant Wipes was stored in an unlocked cabinet, above five feet in space #1. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One child, two years of age, was holding a tube of Desitin Maximum Strength during a diaper change. 15A NCAC 18A .2820(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The administrator did not complete the ABCMS Portal training and therefore did not complete a roster the the child care facility. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was last documented on 8/30/24. .0604(u);.0302(d)(8) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 24, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) 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: Medication- For the safety of children, diaper rash creams must be stored above five feet, out of reach of children. Today a child was holding a tube of diaper rash cream during their diaper change. You stated the staff’s intention was to have the child be helpful in holding it. All medications must be properly stored at all times. You had a discussion with the staff at the time of observation. Review the medication storage requirements with all your staff to ensure they are safely stored as required. Emergency Drills- Lockdown or shelter-in-place drills should be practiced at least every three months as part of your facility's EPR plan. These drills should be documented on the Emergency Drill Record. Frequent practice will allow children and staff members to be familiar with the steps to take to keep everyone safe in an emergency. The last documented emergency drill was a lockdown drill dated 8/30/24. You reported that you knew a drill was due in the month of November, but it was overlooked by mistake. We discussed your current practices for tracking and reminders for emergency drills. Consider delegating the completion of drills to others on your administrative staff. ABCMS Provider Portal Training- The process of notifying the Division has changed and is now captured in ABCMS. You reported that you were not aware of the training. 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. 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. Additional Comments: 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/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Wait Time- During transitions, there can be some wait times between when one activity ends and the next one begins. Best practice is to provide children with smaller activities during those times, such as singing songs, finger plays, or reading stories. You may also consider providing a bin of transition materials that can be easy to distributed and clean up when they are done. You shared that it is done in some classrooms, but it is not something commonly practiced in all classrooms. Talk with your staff about possible transition activities and have them brainstorm with one another. Standing Diaper Changes- Today technical assistance was provided concerning standing diaper changes. We reviewed the steps of the standing diaper change. You can find the Stand Up Changing Procedure poster at https://healthychildcare.unc.edu/wp-content/uploads/sites/17234/2023/09/Stand-Up-Changing-Poster.pdf. The Child and Adult Care Food Program (CACFP)- Today you shared that you would like to learn more about food programs for child care facilities. CACFP is a federally funded program that is administered and funded by the United States Department of Agriculture (USDA), Food and Nutrition Service (FNS). The purpose of the program is to ensure that eligible children and adults who attend qualifying non-residential care facilities receive nutritious meals. For more information, please visit https://www.ncdhhs.gov/nccacfp. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, 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 .0803 · Violation

Name of Operation: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 10/2/2024 Number Present: 94 Completed Date: 10/2/2024 Age: From 0 To 4 Total Minutes: 445 Time In: 08:50 AM Time Out: 04:15 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. H. Tucker, Director, and A. Betts, Assistant Director, assisted me with the visit. Your program currently operates with a Notice of Compliance issued on 4/2/19. The last annual compliance visit was conducted 10/26/23. The sanitation inspection was completed 6/27/24 with a “Approved” classification. The last fire inspection was conducted 2/13/24 and your facility was approved for daytime and nighttime care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty percent as of 9/24/24. The NC Secretary of State website was reviewed on 9/24/24 and Trinity Free Will Baptist Church and Christian School, Inc was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. Children enrolled in spaces #1 and #2 Children under twelve months old received care according to individual needs including diapering and bottle feeding. Teachers sat on the floor with children as they had tummy time and mobile children moved freely about the spaces. Children throughout the facility were engaged in transition, indoor and outdoor free play, and personal care routines. Materials were stored on low lying shelves for the children to easily access. Lunch was observed and consisted of chicken nuggets, baked beans, pears, and milk. The following violations were documented. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. One child enrolled in space #8, did not wash hands after diapering. Children enrolled in space #3 did not wash hands before eating lunch. 15A NCAC 18A .2803(c) 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. One staff in space #8 did not wash hand after diaper changing. 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. Four canister of Clorox Disinfectant wipes was stored on a shelf, above five feet in space #7. One canister of Clorox Disinfectant wipes was stored on top of a shelf, above five feet in space #9. One bottle of Tea Tree essential oils was located on a shelf, below five feet in space #4. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. There was one tube of Desitin Maximum Strength Diaper Rash Cream with no authorization form, stored in be bathroom, belonging to a child enrolled in space #8. 10A NCAC 09 .0803(1)(a & b) 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. A Keurig coffee maker was stored on top of a shelf, below five feet in space # 4. One personal laminator machine was stored on a shelf below five feet in space #9. .0604(e) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff employed on 2/14/22 signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on 10/25/24. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff employed on 1/18/24, 1/29/24, and 6/11/24 did not completed Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 10/16/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) 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: Storage of Hazardous Items- Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, must be kept in locked storage. Today I observed five canisters of Clorox disinfectant wipe stored on top of open shelves, above five feet in spaces #7and #8. One bottle of Tea Tree essential oils was stored on a shelf below five feet in space #4. Thank you for moving all the items to locked storage during the visit. You stated the disinfectant wipes were donate to the classrooms and were not a part of the supplies provided by the facility. During the visit you instructed staff to keep them locked when not in use. Print and distribute the Hazardous Item Storge flyer found on the Divisions website as a quick reference for classroom staff. Review child care rules regarding storage and accessibility of potentially hazardous items with your staff. A Keurig coffee maker was stored on top of a shelf, below five feet in space # 4. One personal laminator machine was stored on a shelf below five feet in space #9. Thank you for moving those to locked storage during the visit. Items with a heating element must be locked when not in use and used away from the children to ensure safety and prevent burns. Medication- The facility should have a written policy for the administration of any prescription or non-prescription (over-the-counter [OTC]) medication. Today I observed one tube of Desitin Diaper Rash Cream that did not have an authorization form. You stated the child recently transitioned classrooms and staff reported moving the form with the medication, but it could not be located at the time of the visit. We discussed your current practices for transitioning medications with children as they change classrooms. You share this is currently a task completed by the classroom staff. This is a repeat violation from the May 24, 2024 and October 26, 2024 visits. The compliance letter submitted on November 9, 2023, stated the administrator would check the medication administration forms prior to the medication being administered to a child. During the visit you stated this is still your current daily practice at the facility. In the compliance letter submitted on June 5, 2024, you stated you staff would receive training on documenting, reviewing forms, and checking bimonthly medication forms. And forms would be reviewed by an administrator monthly to ensure medication authorization forms are current and accurate and this would be documented. You conducted a training on July 1, 2024. Calendars for July, August and September were provided with staff signatures on dated a medication audit was completed. An administrator signature was not present; however you stated an administrator was present at least once a month during the audits. Review the medication authorization requirements with your staff. Staff may also complete a “Medication in Child Care” training on DCDEE Moodle. Staff Records – Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children by ensuring safe and healthy environments where developmental needs of children are met. Staff must review the Staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 of employment. Three of fourteen staff files reviewed had completed the required training beyond 90 days of employment. You were able to provide correspondence with staff requesting the training certificate. We discussed making the training a part of staff orientation to ensure it is completed within the required time frame. One of the fourteen staff files reviewed had a Preventions of Shaken Baby and Head Truama policy on file that was dated beyond the first day of employment. You shared that during a file audit you noticed the document had not been signed and had the staff to sign and date the policy on that date. We discussed doing more frequent file audits, especially in the days following the onboarding of new staff. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, 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: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 10/2/2024 Number Present: 94 Completed Date: 10/2/2024 Age: From 0 To 4 Total Minutes: 445 Time In: 08:50 AM Time Out: 04:15 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. H. Tucker, Director, and A. Betts, Assistant Director, assisted me with the visit. Your program currently operates with a Notice of Compliance issued on 4/2/19. The last annual compliance visit was conducted 10/26/23. The sanitation inspection was completed 6/27/24 with a “Approved” classification. The last fire inspection was conducted 2/13/24 and your facility was approved for daytime and nighttime care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty percent as of 9/24/24. The NC Secretary of State website was reviewed on 9/24/24 and Trinity Free Will Baptist Church and Christian School, Inc was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. Children enrolled in spaces #1 and #2 Children under twelve months old received care according to individual needs including diapering and bottle feeding. Teachers sat on the floor with children as they had tummy time and mobile children moved freely about the spaces. Children throughout the facility were engaged in transition, indoor and outdoor free play, and personal care routines. Materials were stored on low lying shelves for the children to easily access. Lunch was observed and consisted of chicken nuggets, baked beans, pears, and milk. The following violations were documented. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. One child enrolled in space #8, did not wash hands after diapering. Children enrolled in space #3 did not wash hands before eating lunch. 15A NCAC 18A .2803(c) 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. One staff in space #8 did not wash hand after diaper changing. 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. Four canister of Clorox Disinfectant wipes was stored on a shelf, above five feet in space #7. One canister of Clorox Disinfectant wipes was stored on top of a shelf, above five feet in space #9. One bottle of Tea Tree essential oils was located on a shelf, below five feet in space #4. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. There was one tube of Desitin Maximum Strength Diaper Rash Cream with no authorization form, stored in be bathroom, belonging to a child enrolled in space #8. 10A NCAC 09 .0803(1)(a & b) 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. A Keurig coffee maker was stored on top of a shelf, below five feet in space # 4. One personal laminator machine was stored on a shelf below five feet in space #9. .0604(e) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff employed on 2/14/22 signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on 10/25/24. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff employed on 1/18/24, 1/29/24, and 6/11/24 did not completed Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 10/16/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) 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: Storage of Hazardous Items- Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, must be kept in locked storage. Today I observed five canisters of Clorox disinfectant wipe stored on top of open shelves, above five feet in spaces #7and #8. One bottle of Tea Tree essential oils was stored on a shelf below five feet in space #4. Thank you for moving all the items to locked storage during the visit. You stated the disinfectant wipes were donate to the classrooms and were not a part of the supplies provided by the facility. During the visit you instructed staff to keep them locked when not in use. Print and distribute the Hazardous Item Storge flyer found on the Divisions website as a quick reference for classroom staff. Review child care rules regarding storage and accessibility of potentially hazardous items with your staff. A Keurig coffee maker was stored on top of a shelf, below five feet in space # 4. One personal laminator machine was stored on a shelf below five feet in space #9. Thank you for moving those to locked storage during the visit. Items with a heating element must be locked when not in use and used away from the children to ensure safety and prevent burns. Medication- The facility should have a written policy for the administration of any prescription or non-prescription (over-the-counter [OTC]) medication. Today I observed one tube of Desitin Diaper Rash Cream that did not have an authorization form. You stated the child recently transitioned classrooms and staff reported moving the form with the medication, but it could not be located at the time of the visit. We discussed your current practices for transitioning medications with children as they change classrooms. You share this is currently a task completed by the classroom staff. This is a repeat violation from the May 24, 2024 and October 26, 2024 visits. The compliance letter submitted on November 9, 2023, stated the administrator would check the medication administration forms prior to the medication being administered to a child. During the visit you stated this is still your current daily practice at the facility. In the compliance letter submitted on June 5, 2024, you stated you staff would receive training on documenting, reviewing forms, and checking bimonthly medication forms. And forms would be reviewed by an administrator monthly to ensure medication authorization forms are current and accurate and this would be documented. You conducted a training on July 1, 2024. Calendars for July, August and September were provided with staff signatures on dated a medication audit was completed. An administrator signature was not present; however you stated an administrator was present at least once a month during the audits. Review the medication authorization requirements with your staff. Staff may also complete a “Medication in Child Care” training on DCDEE Moodle. Staff Records – Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children by ensuring safe and healthy environments where developmental needs of children are met. Staff must review the Staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 of employment. Three of fourteen staff files reviewed had completed the required training beyond 90 days of employment. You were able to provide correspondence with staff requesting the training certificate. We discussed making the training a part of staff orientation to ensure it is completed within the required time frame. One of the fourteen staff files reviewed had a Preventions of Shaken Baby and Head Truama policy on file that was dated beyond the first day of employment. You shared that during a file audit you noticed the document had not been signed and had the staff to sign and date the policy on that date. We discussed doing more frequent file audits, especially in the days following the onboarding of new staff. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, 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 .0803 · Violation

Name of Operation: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/24/2024 Number Present: 99 Completed Date: 5/24/2024 Age: From 0 To 5 Total Minutes: 285 Time In: 08:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. H. Tucker, director, assisted me with today’s visit. Your program currently operates with a GS110-106 Notice of Compliance issued April 2, 2019. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percent as of May 21, 2024. The NC Secretary of State website was reviewed on May 21, 2024 and Trinity Free Will Baptist Church and Christian School, Inc. was listed as current- active. All indoor and outdoor areas were monitored. Nine groups were observed using the indoor learning environment. Supervision and staff/child ratios were found to be in ratio. Children enrolled in spaces #1 and #2 were engaged in tummy time, bottle feedings and napping. Sleep checks were completed, recorded, and maintained as required. Children enrolled in space #9 sing songs an practiced their end of year celebration performance. Children throughout the facility engaged in indoor free play. Teachers were observed interacting with children through reading, conversation, and play. Files for new staff were reviewed. A fire inspection was conducted on 2/13/24 and a sanitation inspection was conducted 7/12/23 with a superior classification. The violations are as follows: 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. In the bathroom outside of space #7 had one tube of Aquaphor Healing Ointment had an authorization that expired on 3/3/24, one tube of Aquaphor Healing Ointment had an authorization that expired 5/8/24 and one tube of A&D Ointment had an authorization that expired 2/13/24. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One tube of Boudreaux's Butt paste with an expiration of 3/2024 was stored in the bathroom outside space #7. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One Epi-Pen located in space #3 was not in its original packaging. .0803(2)(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff employed on 4/2/24 had a Shaken Baby Syndrome and Abusive Head Trauma policy dated 4/29/24. .0608(d)(1-4) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 7, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) 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: Medication- All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I observed one expired diaper rash cream, three expired authorization forms for diaper rash cream, and one Epi-Pen not in its original packaging. During the visit you removed all the medications from the classrooms and contacted the parents to request the required form and replacement medications. You shared that your classroom staff check the medications at least monthly, and staff were looking at the medication authorization expiration, not the medication itself. We discussed your current practices for receiving and monitoring medications. A parent can authorize use of a diaper rash cream for up to twelve months, however having the expiration of the authorization form to be the same as the expiration of the medication may work better for your staff. Review medication requirements with staff and periodically check behind them to ensure all requirements are met. Additional Comments: 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/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, 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 .0803 · Violation

Name of Operation: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/24/2024 Number Present: 99 Completed Date: 5/24/2024 Age: From 0 To 5 Total Minutes: 285 Time In: 08:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. H. Tucker, director, assisted me with today’s visit. Your program currently operates with a GS110-106 Notice of Compliance issued April 2, 2019. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percent as of May 21, 2024. The NC Secretary of State website was reviewed on May 21, 2024 and Trinity Free Will Baptist Church and Christian School, Inc. was listed as current- active. All indoor and outdoor areas were monitored. Nine groups were observed using the indoor learning environment. Supervision and staff/child ratios were found to be in ratio. Children enrolled in spaces #1 and #2 were engaged in tummy time, bottle feedings and napping. Sleep checks were completed, recorded, and maintained as required. Children enrolled in space #9 sing songs an practiced their end of year celebration performance. Children throughout the facility engaged in indoor free play. Teachers were observed interacting with children through reading, conversation, and play. Files for new staff were reviewed. A fire inspection was conducted on 2/13/24 and a sanitation inspection was conducted 7/12/23 with a superior classification. The violations are as follows: 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. In the bathroom outside of space #7 had one tube of Aquaphor Healing Ointment had an authorization that expired on 3/3/24, one tube of Aquaphor Healing Ointment had an authorization that expired 5/8/24 and one tube of A&D Ointment had an authorization that expired 2/13/24. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One tube of Boudreaux's Butt paste with an expiration of 3/2024 was stored in the bathroom outside space #7. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One Epi-Pen located in space #3 was not in its original packaging. .0803(2)(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff employed on 4/2/24 had a Shaken Baby Syndrome and Abusive Head Trauma policy dated 4/29/24. .0608(d)(1-4) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 7, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) 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: Medication- All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I observed one expired diaper rash cream, three expired authorization forms for diaper rash cream, and one Epi-Pen not in its original packaging. During the visit you removed all the medications from the classrooms and contacted the parents to request the required form and replacement medications. You shared that your classroom staff check the medications at least monthly, and staff were looking at the medication authorization expiration, not the medication itself. We discussed your current practices for receiving and monitoring medications. A parent can authorize use of a diaper rash cream for up to twelve months, however having the expiration of the authorization form to be the same as the expiration of the medication may work better for your staff. Review medication requirements with staff and periodically check behind them to ensure all requirements are met. Additional Comments: 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/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, 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

GS110-106 · Violation

Name of Operation: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/24/2024 Number Present: 99 Completed Date: 5/24/2024 Age: From 0 To 5 Total Minutes: 285 Time In: 08:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. H. Tucker, director, assisted me with today’s visit. Your program currently operates with a GS110-106 Notice of Compliance issued April 2, 2019. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percent as of May 21, 2024. The NC Secretary of State website was reviewed on May 21, 2024 and Trinity Free Will Baptist Church and Christian School, Inc. was listed as current- active. All indoor and outdoor areas were monitored. Nine groups were observed using the indoor learning environment. Supervision and staff/child ratios were found to be in ratio. Children enrolled in spaces #1 and #2 were engaged in tummy time, bottle feedings and napping. Sleep checks were completed, recorded, and maintained as required. Children enrolled in space #9 sing songs an practiced their end of year celebration performance. Children throughout the facility engaged in indoor free play. Teachers were observed interacting with children through reading, conversation, and play. Files for new staff were reviewed. A fire inspection was conducted on 2/13/24 and a sanitation inspection was conducted 7/12/23 with a superior classification. The violations are as follows: 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. In the bathroom outside of space #7 had one tube of Aquaphor Healing Ointment had an authorization that expired on 3/3/24, one tube of Aquaphor Healing Ointment had an authorization that expired 5/8/24 and one tube of A&D Ointment had an authorization that expired 2/13/24. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One tube of Boudreaux's Butt paste with an expiration of 3/2024 was stored in the bathroom outside space #7. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One Epi-Pen located in space #3 was not in its original packaging. .0803(2)(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff employed on 4/2/24 had a Shaken Baby Syndrome and Abusive Head Trauma policy dated 4/29/24. .0608(d)(1-4) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 7, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) 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: Medication- All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I observed one expired diaper rash cream, three expired authorization forms for diaper rash cream, and one Epi-Pen not in its original packaging. During the visit you removed all the medications from the classrooms and contacted the parents to request the required form and replacement medications. You shared that your classroom staff check the medications at least monthly, and staff were looking at the medication authorization expiration, not the medication itself. We discussed your current practices for receiving and monitoring medications. A parent can authorize use of a diaper rash cream for up to twelve months, however having the expiration of the authorization form to be the same as the expiration of the medication may work better for your staff. Review medication requirements with staff and periodically check behind them to ensure all requirements are met. Additional Comments: 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/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, 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: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 5/24/2024 Number Present: 99 Completed Date: 5/24/2024 Age: From 0 To 5 Total Minutes: 285 Time In: 08:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. H. Tucker, director, assisted me with today’s visit. Your program currently operates with a GS110-106 Notice of Compliance issued April 2, 2019. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percent as of May 21, 2024. The NC Secretary of State website was reviewed on May 21, 2024 and Trinity Free Will Baptist Church and Christian School, Inc. was listed as current- active. All indoor and outdoor areas were monitored. Nine groups were observed using the indoor learning environment. Supervision and staff/child ratios were found to be in ratio. Children enrolled in spaces #1 and #2 were engaged in tummy time, bottle feedings and napping. Sleep checks were completed, recorded, and maintained as required. Children enrolled in space #9 sing songs an practiced their end of year celebration performance. Children throughout the facility engaged in indoor free play. Teachers were observed interacting with children through reading, conversation, and play. Files for new staff were reviewed. A fire inspection was conducted on 2/13/24 and a sanitation inspection was conducted 7/12/23 with a superior classification. The violations are as follows: 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. In the bathroom outside of space #7 had one tube of Aquaphor Healing Ointment had an authorization that expired on 3/3/24, one tube of Aquaphor Healing Ointment had an authorization that expired 5/8/24 and one tube of A&D Ointment had an authorization that expired 2/13/24. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One tube of Boudreaux's Butt paste with an expiration of 3/2024 was stored in the bathroom outside space #7. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One Epi-Pen located in space #3 was not in its original packaging. .0803(2)(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff employed on 4/2/24 had a Shaken Baby Syndrome and Abusive Head Trauma policy dated 4/29/24. .0608(d)(1-4) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 7, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) 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: Medication- All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I observed one expired diaper rash cream, three expired authorization forms for diaper rash cream, and one Epi-Pen not in its original packaging. During the visit you removed all the medications from the classrooms and contacted the parents to request the required form and replacement medications. You shared that your classroom staff check the medications at least monthly, and staff were looking at the medication authorization expiration, not the medication itself. We discussed your current practices for receiving and monitoring medications. A parent can authorize use of a diaper rash cream for up to twelve months, however having the expiration of the authorization form to be the same as the expiration of the medication may work better for your staff. Review medication requirements with staff and periodically check behind them to ensure all requirements are met. Additional Comments: 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/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, 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 .0302 · Violation

Name of Operation: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 88 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 560 Time In: 09:05 AM Time Out: 06:25 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. H. Tucker, Director, assisted me with the visit. Your program currently operates with a Notice of Compliance issued on 4/2/19. The last annual compliance visit was conducted 11/9/22. The sanitation inspection was completed 7/12/23 with a “Superior” classification. The last fire inspection was conducted 1/6/23 and your facility was approved for daytime and nighttime care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty percent as of 10/24/23 . The NC Secretary of State website was reviewed on 10/24/23 and Trinity Free Will Baptist Church and Christian School, Inc was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. In spaces #1 and #2, children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. Children enrolled in the space #4 engaged in indoor free play with tabletop manipulatives. Children enrolled in spaces #6, #8, and #9 participated in group time, singing songs, and completing a worksheet activity. Children enrolled in spaces #3, #5, and #7 engaged in outdoor free play, playing on the stationary climbing structures and push and ride-on toys. Lunch was observed and consisted of beefaroni, peas, mixed fruit, and milk. The following violations were documented. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no record of a fire drill for May 2023. .0604(t); .0302(d)(5) 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. The laundry room containing 2 bottles of bleach, 2 bottles of All laundry detergent, and Lysol Bowl cleaner was unlocked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Vaporizing rub and Crest toothpaste were stored in an unlocked drawer of the teacher desk. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. There was no authorization for Baby Love Powder located in the all bathroom. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Six (6) rolls of trash bags were stored in unlocked drawers of the bathrooms used by children two years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There were no playground inspections on file for review. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 1/4/23 had a medical report on file dated 1/15/23. Staff employed on 11/23/22 did not have a medical report of file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 1/4/23 had TB test results dated 1/15/23. .0701(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. Four of fourteen staff files did not have a current First Aid certification on file for review. .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. Four of fourteen staff files did not have a current CPR certification on file for review. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 6/5/23 had a medical report on file dated 4/14/22. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 8/1/23 had an immunization reported dated 9/14/23. 10A NCAC 09 .0302(d)(2) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff employed on 6/21/22 had a Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy dated 5/17/23. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Five of fourteen staff files reviewed had Recognizing and Responding to Suspicions of Child Maltreatment training certificates dated beyond 90 days of employment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 9, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) 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: Storage of Hazardous Items- Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Regular childproofing locks do not meet this requirement. The laundry room containing bleach, laundry detergent and toilet cleaner, was unlocked during the visit. You stated a parent must have left it unlocked when putting in a car seat. Remind all staff and parents to keep the door locked at all times. When walking down the halls of your facility, randomly check the door to ensure it is locked. Medication- Administering medication requires skill, knowledge and careful attention to detail. Parents must give a caregiver/teacher written authorization to administer medication to the child. There was Baby Love Powder located in the hall bathroom, labeled with the name of a child enrolled in space #3 that did not have an authorization form. Thank you for removing the power. We discussed your current practices to receiving medications. Set aside time to review all medications and authorization forms regularly to ensure they are complete and maintained. Staff medication that can be taken at home or outside of working hours should not be in the classroom. Medications needing to be onsite must be stored in locked storage. Thank you for having the staff to removed the medication from the desk drawer. Staff Records – Maintaining accurate documentation in your center is critical in demonstrating compliance with the child care rules and to ensuring that your staff meet the requirements to provide a healthy and safe environment for the children in their care. When a new staff member begins work, a TB screener or negative TB test results and medical report must be on file on day one. The medical exam and test results cannot be older than a year from their employment date to ensure no new exposure to the disease. Staff must review and sign the facility’s Shaken Baby and Head Trauma Policy prior to providing care for children. Staff employed on 6/21/22 had a policy on file dated 5/17/23. You stated you had reviewed the policy but it was not on file upon your review, so you then reviewed the policy again with the staff. Staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 of employment. Five of fourteen staff files reviewed had completed the required training beyond 90 days of employment. You stated staff were required to complete the training and turn in their certificate and some were turned in late. Consider making the training a part of new hire orientation. Staff must complete First Aid and CPR training within 90 days of employment and prior to the expiration of the previous certification. Four staff members did not have First Aid and CPR certification on file for review. You reported you had staff complete the training, but they have had issues receiving their training certification cards. Please have staff provide their card or recertify for First Aid and CPR. Provide a copy of the certifications with your compliance letter. Plastic Bags – Plastic bags have been recognized for many years as a suffocation hazard. The U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. In child care facilities, plastic bags should be made inaccessible to children less than three years of age. Six rolls of black trash bags were stored in the drawers of two hall bathrooms. Thank you for moving those to locked storage. Prior to providing care, do sweep the facility to check for potential hazards. Fire Drill-Even though emergencies are unpredictable and unexpected, we should do our best to prepare as generally as possible. Then, when a real emergency happens, we can rely on our knowledge and training, and adjust according to the situation in front of us. Practicing what to do in an emergency before one happens can help staff and children feel more confident in their ability to handle an emergency and can help reduce stress. A drill was not recorded for May 2023. You stated it was an oversite. Fire drills are required to be conducted at least monthly to ensure that all staff and children, are aware of what actions to take in the event of a life-threatening emergency. Create reminders for drills to ensure they are completed and logged. Outdoor Inspections- The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. Since children are exploring it is very important to provide a safe environment. You stated you had not completed a playground inspection in several months and were not able to locate the inspections that had be completed. Complete and record a playground inspection at least once per month. Children's Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. A medical exam can be accepted if completed within the last 12 months prior to enrollment. One of the eleven children’s files reviewed had immunization dated beyond 30 days of enrollment. One of the eleven children’s files reviewed had a medical reported dated more than 12 months prior to enrollment. If a medical report and immunization report is not provided upon enrollment, set a reminder to for the due date. Reminders: A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/.To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. NCDHHS Children’s Environmental Health adopted new Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. See the training presentation, new rules and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, 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 .0701 · Violation

Name of Operation: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 88 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 560 Time In: 09:05 AM Time Out: 06:25 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. H. Tucker, Director, assisted me with the visit. Your program currently operates with a Notice of Compliance issued on 4/2/19. The last annual compliance visit was conducted 11/9/22. The sanitation inspection was completed 7/12/23 with a “Superior” classification. The last fire inspection was conducted 1/6/23 and your facility was approved for daytime and nighttime care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty percent as of 10/24/23 . The NC Secretary of State website was reviewed on 10/24/23 and Trinity Free Will Baptist Church and Christian School, Inc was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. In spaces #1 and #2, children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. Children enrolled in the space #4 engaged in indoor free play with tabletop manipulatives. Children enrolled in spaces #6, #8, and #9 participated in group time, singing songs, and completing a worksheet activity. Children enrolled in spaces #3, #5, and #7 engaged in outdoor free play, playing on the stationary climbing structures and push and ride-on toys. Lunch was observed and consisted of beefaroni, peas, mixed fruit, and milk. The following violations were documented. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no record of a fire drill for May 2023. .0604(t); .0302(d)(5) 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. The laundry room containing 2 bottles of bleach, 2 bottles of All laundry detergent, and Lysol Bowl cleaner was unlocked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Vaporizing rub and Crest toothpaste were stored in an unlocked drawer of the teacher desk. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. There was no authorization for Baby Love Powder located in the all bathroom. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Six (6) rolls of trash bags were stored in unlocked drawers of the bathrooms used by children two years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There were no playground inspections on file for review. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 1/4/23 had a medical report on file dated 1/15/23. Staff employed on 11/23/22 did not have a medical report of file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 1/4/23 had TB test results dated 1/15/23. .0701(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. Four of fourteen staff files did not have a current First Aid certification on file for review. .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. Four of fourteen staff files did not have a current CPR certification on file for review. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 6/5/23 had a medical report on file dated 4/14/22. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 8/1/23 had an immunization reported dated 9/14/23. 10A NCAC 09 .0302(d)(2) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff employed on 6/21/22 had a Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy dated 5/17/23. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Five of fourteen staff files reviewed had Recognizing and Responding to Suspicions of Child Maltreatment training certificates dated beyond 90 days of employment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 9, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) 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: Storage of Hazardous Items- Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Regular childproofing locks do not meet this requirement. The laundry room containing bleach, laundry detergent and toilet cleaner, was unlocked during the visit. You stated a parent must have left it unlocked when putting in a car seat. Remind all staff and parents to keep the door locked at all times. When walking down the halls of your facility, randomly check the door to ensure it is locked. Medication- Administering medication requires skill, knowledge and careful attention to detail. Parents must give a caregiver/teacher written authorization to administer medication to the child. There was Baby Love Powder located in the hall bathroom, labeled with the name of a child enrolled in space #3 that did not have an authorization form. Thank you for removing the power. We discussed your current practices to receiving medications. Set aside time to review all medications and authorization forms regularly to ensure they are complete and maintained. Staff medication that can be taken at home or outside of working hours should not be in the classroom. Medications needing to be onsite must be stored in locked storage. Thank you for having the staff to removed the medication from the desk drawer. Staff Records – Maintaining accurate documentation in your center is critical in demonstrating compliance with the child care rules and to ensuring that your staff meet the requirements to provide a healthy and safe environment for the children in their care. When a new staff member begins work, a TB screener or negative TB test results and medical report must be on file on day one. The medical exam and test results cannot be older than a year from their employment date to ensure no new exposure to the disease. Staff must review and sign the facility’s Shaken Baby and Head Trauma Policy prior to providing care for children. Staff employed on 6/21/22 had a policy on file dated 5/17/23. You stated you had reviewed the policy but it was not on file upon your review, so you then reviewed the policy again with the staff. Staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 of employment. Five of fourteen staff files reviewed had completed the required training beyond 90 days of employment. You stated staff were required to complete the training and turn in their certificate and some were turned in late. Consider making the training a part of new hire orientation. Staff must complete First Aid and CPR training within 90 days of employment and prior to the expiration of the previous certification. Four staff members did not have First Aid and CPR certification on file for review. You reported you had staff complete the training, but they have had issues receiving their training certification cards. Please have staff provide their card or recertify for First Aid and CPR. Provide a copy of the certifications with your compliance letter. Plastic Bags – Plastic bags have been recognized for many years as a suffocation hazard. The U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. In child care facilities, plastic bags should be made inaccessible to children less than three years of age. Six rolls of black trash bags were stored in the drawers of two hall bathrooms. Thank you for moving those to locked storage. Prior to providing care, do sweep the facility to check for potential hazards. Fire Drill-Even though emergencies are unpredictable and unexpected, we should do our best to prepare as generally as possible. Then, when a real emergency happens, we can rely on our knowledge and training, and adjust according to the situation in front of us. Practicing what to do in an emergency before one happens can help staff and children feel more confident in their ability to handle an emergency and can help reduce stress. A drill was not recorded for May 2023. You stated it was an oversite. Fire drills are required to be conducted at least monthly to ensure that all staff and children, are aware of what actions to take in the event of a life-threatening emergency. Create reminders for drills to ensure they are completed and logged. Outdoor Inspections- The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. Since children are exploring it is very important to provide a safe environment. You stated you had not completed a playground inspection in several months and were not able to locate the inspections that had be completed. Complete and record a playground inspection at least once per month. Children's Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. A medical exam can be accepted if completed within the last 12 months prior to enrollment. One of the eleven children’s files reviewed had immunization dated beyond 30 days of enrollment. One of the eleven children’s files reviewed had a medical reported dated more than 12 months prior to enrollment. If a medical report and immunization report is not provided upon enrollment, set a reminder to for the due date. Reminders: A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/.To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. NCDHHS Children’s Environmental Health adopted new Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. See the training presentation, new rules and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, 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 .0803 · Violation

Name of Operation: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 88 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 560 Time In: 09:05 AM Time Out: 06:25 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. H. Tucker, Director, assisted me with the visit. Your program currently operates with a Notice of Compliance issued on 4/2/19. The last annual compliance visit was conducted 11/9/22. The sanitation inspection was completed 7/12/23 with a “Superior” classification. The last fire inspection was conducted 1/6/23 and your facility was approved for daytime and nighttime care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty percent as of 10/24/23 . The NC Secretary of State website was reviewed on 10/24/23 and Trinity Free Will Baptist Church and Christian School, Inc was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. In spaces #1 and #2, children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. Children enrolled in the space #4 engaged in indoor free play with tabletop manipulatives. Children enrolled in spaces #6, #8, and #9 participated in group time, singing songs, and completing a worksheet activity. Children enrolled in spaces #3, #5, and #7 engaged in outdoor free play, playing on the stationary climbing structures and push and ride-on toys. Lunch was observed and consisted of beefaroni, peas, mixed fruit, and milk. The following violations were documented. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no record of a fire drill for May 2023. .0604(t); .0302(d)(5) 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. The laundry room containing 2 bottles of bleach, 2 bottles of All laundry detergent, and Lysol Bowl cleaner was unlocked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Vaporizing rub and Crest toothpaste were stored in an unlocked drawer of the teacher desk. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. There was no authorization for Baby Love Powder located in the all bathroom. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Six (6) rolls of trash bags were stored in unlocked drawers of the bathrooms used by children two years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There were no playground inspections on file for review. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 1/4/23 had a medical report on file dated 1/15/23. Staff employed on 11/23/22 did not have a medical report of file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 1/4/23 had TB test results dated 1/15/23. .0701(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. Four of fourteen staff files did not have a current First Aid certification on file for review. .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. Four of fourteen staff files did not have a current CPR certification on file for review. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 6/5/23 had a medical report on file dated 4/14/22. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 8/1/23 had an immunization reported dated 9/14/23. 10A NCAC 09 .0302(d)(2) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff employed on 6/21/22 had a Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy dated 5/17/23. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Five of fourteen staff files reviewed had Recognizing and Responding to Suspicions of Child Maltreatment training certificates dated beyond 90 days of employment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 9, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) 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: Storage of Hazardous Items- Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Regular childproofing locks do not meet this requirement. The laundry room containing bleach, laundry detergent and toilet cleaner, was unlocked during the visit. You stated a parent must have left it unlocked when putting in a car seat. Remind all staff and parents to keep the door locked at all times. When walking down the halls of your facility, randomly check the door to ensure it is locked. Medication- Administering medication requires skill, knowledge and careful attention to detail. Parents must give a caregiver/teacher written authorization to administer medication to the child. There was Baby Love Powder located in the hall bathroom, labeled with the name of a child enrolled in space #3 that did not have an authorization form. Thank you for removing the power. We discussed your current practices to receiving medications. Set aside time to review all medications and authorization forms regularly to ensure they are complete and maintained. Staff medication that can be taken at home or outside of working hours should not be in the classroom. Medications needing to be onsite must be stored in locked storage. Thank you for having the staff to removed the medication from the desk drawer. Staff Records – Maintaining accurate documentation in your center is critical in demonstrating compliance with the child care rules and to ensuring that your staff meet the requirements to provide a healthy and safe environment for the children in their care. When a new staff member begins work, a TB screener or negative TB test results and medical report must be on file on day one. The medical exam and test results cannot be older than a year from their employment date to ensure no new exposure to the disease. Staff must review and sign the facility’s Shaken Baby and Head Trauma Policy prior to providing care for children. Staff employed on 6/21/22 had a policy on file dated 5/17/23. You stated you had reviewed the policy but it was not on file upon your review, so you then reviewed the policy again with the staff. Staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 of employment. Five of fourteen staff files reviewed had completed the required training beyond 90 days of employment. You stated staff were required to complete the training and turn in their certificate and some were turned in late. Consider making the training a part of new hire orientation. Staff must complete First Aid and CPR training within 90 days of employment and prior to the expiration of the previous certification. Four staff members did not have First Aid and CPR certification on file for review. You reported you had staff complete the training, but they have had issues receiving their training certification cards. Please have staff provide their card or recertify for First Aid and CPR. Provide a copy of the certifications with your compliance letter. Plastic Bags – Plastic bags have been recognized for many years as a suffocation hazard. The U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. In child care facilities, plastic bags should be made inaccessible to children less than three years of age. Six rolls of black trash bags were stored in the drawers of two hall bathrooms. Thank you for moving those to locked storage. Prior to providing care, do sweep the facility to check for potential hazards. Fire Drill-Even though emergencies are unpredictable and unexpected, we should do our best to prepare as generally as possible. Then, when a real emergency happens, we can rely on our knowledge and training, and adjust according to the situation in front of us. Practicing what to do in an emergency before one happens can help staff and children feel more confident in their ability to handle an emergency and can help reduce stress. A drill was not recorded for May 2023. You stated it was an oversite. Fire drills are required to be conducted at least monthly to ensure that all staff and children, are aware of what actions to take in the event of a life-threatening emergency. Create reminders for drills to ensure they are completed and logged. Outdoor Inspections- The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. Since children are exploring it is very important to provide a safe environment. You stated you had not completed a playground inspection in several months and were not able to locate the inspections that had be completed. Complete and record a playground inspection at least once per month. Children's Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. A medical exam can be accepted if completed within the last 12 months prior to enrollment. One of the eleven children’s files reviewed had immunization dated beyond 30 days of enrollment. One of the eleven children’s files reviewed had a medical reported dated more than 12 months prior to enrollment. If a medical report and immunization report is not provided upon enrollment, set a reminder to for the due date. Reminders: A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/.To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. NCDHHS Children’s Environmental Health adopted new Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. See the training presentation, new rules and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, 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

GS110-91 · Violation

Name of Operation: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 88 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 560 Time In: 09:05 AM Time Out: 06:25 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. H. Tucker, Director, assisted me with the visit. Your program currently operates with a Notice of Compliance issued on 4/2/19. The last annual compliance visit was conducted 11/9/22. The sanitation inspection was completed 7/12/23 with a “Superior” classification. The last fire inspection was conducted 1/6/23 and your facility was approved for daytime and nighttime care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty percent as of 10/24/23 . The NC Secretary of State website was reviewed on 10/24/23 and Trinity Free Will Baptist Church and Christian School, Inc was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. In spaces #1 and #2, children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. Children enrolled in the space #4 engaged in indoor free play with tabletop manipulatives. Children enrolled in spaces #6, #8, and #9 participated in group time, singing songs, and completing a worksheet activity. Children enrolled in spaces #3, #5, and #7 engaged in outdoor free play, playing on the stationary climbing structures and push and ride-on toys. Lunch was observed and consisted of beefaroni, peas, mixed fruit, and milk. The following violations were documented. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no record of a fire drill for May 2023. .0604(t); .0302(d)(5) 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. The laundry room containing 2 bottles of bleach, 2 bottles of All laundry detergent, and Lysol Bowl cleaner was unlocked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Vaporizing rub and Crest toothpaste were stored in an unlocked drawer of the teacher desk. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. There was no authorization for Baby Love Powder located in the all bathroom. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Six (6) rolls of trash bags were stored in unlocked drawers of the bathrooms used by children two years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There were no playground inspections on file for review. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 1/4/23 had a medical report on file dated 1/15/23. Staff employed on 11/23/22 did not have a medical report of file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 1/4/23 had TB test results dated 1/15/23. .0701(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. Four of fourteen staff files did not have a current First Aid certification on file for review. .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. Four of fourteen staff files did not have a current CPR certification on file for review. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 6/5/23 had a medical report on file dated 4/14/22. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 8/1/23 had an immunization reported dated 9/14/23. 10A NCAC 09 .0302(d)(2) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff employed on 6/21/22 had a Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy dated 5/17/23. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Five of fourteen staff files reviewed had Recognizing and Responding to Suspicions of Child Maltreatment training certificates dated beyond 90 days of employment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 9, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) 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: Storage of Hazardous Items- Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Regular childproofing locks do not meet this requirement. The laundry room containing bleach, laundry detergent and toilet cleaner, was unlocked during the visit. You stated a parent must have left it unlocked when putting in a car seat. Remind all staff and parents to keep the door locked at all times. When walking down the halls of your facility, randomly check the door to ensure it is locked. Medication- Administering medication requires skill, knowledge and careful attention to detail. Parents must give a caregiver/teacher written authorization to administer medication to the child. There was Baby Love Powder located in the hall bathroom, labeled with the name of a child enrolled in space #3 that did not have an authorization form. Thank you for removing the power. We discussed your current practices to receiving medications. Set aside time to review all medications and authorization forms regularly to ensure they are complete and maintained. Staff medication that can be taken at home or outside of working hours should not be in the classroom. Medications needing to be onsite must be stored in locked storage. Thank you for having the staff to removed the medication from the desk drawer. Staff Records – Maintaining accurate documentation in your center is critical in demonstrating compliance with the child care rules and to ensuring that your staff meet the requirements to provide a healthy and safe environment for the children in their care. When a new staff member begins work, a TB screener or negative TB test results and medical report must be on file on day one. The medical exam and test results cannot be older than a year from their employment date to ensure no new exposure to the disease. Staff must review and sign the facility’s Shaken Baby and Head Trauma Policy prior to providing care for children. Staff employed on 6/21/22 had a policy on file dated 5/17/23. You stated you had reviewed the policy but it was not on file upon your review, so you then reviewed the policy again with the staff. Staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 of employment. Five of fourteen staff files reviewed had completed the required training beyond 90 days of employment. You stated staff were required to complete the training and turn in their certificate and some were turned in late. Consider making the training a part of new hire orientation. Staff must complete First Aid and CPR training within 90 days of employment and prior to the expiration of the previous certification. Four staff members did not have First Aid and CPR certification on file for review. You reported you had staff complete the training, but they have had issues receiving their training certification cards. Please have staff provide their card or recertify for First Aid and CPR. Provide a copy of the certifications with your compliance letter. Plastic Bags – Plastic bags have been recognized for many years as a suffocation hazard. The U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. In child care facilities, plastic bags should be made inaccessible to children less than three years of age. Six rolls of black trash bags were stored in the drawers of two hall bathrooms. Thank you for moving those to locked storage. Prior to providing care, do sweep the facility to check for potential hazards. Fire Drill-Even though emergencies are unpredictable and unexpected, we should do our best to prepare as generally as possible. Then, when a real emergency happens, we can rely on our knowledge and training, and adjust according to the situation in front of us. Practicing what to do in an emergency before one happens can help staff and children feel more confident in their ability to handle an emergency and can help reduce stress. A drill was not recorded for May 2023. You stated it was an oversite. Fire drills are required to be conducted at least monthly to ensure that all staff and children, are aware of what actions to take in the event of a life-threatening emergency. Create reminders for drills to ensure they are completed and logged. Outdoor Inspections- The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. Since children are exploring it is very important to provide a safe environment. You stated you had not completed a playground inspection in several months and were not able to locate the inspections that had be completed. Complete and record a playground inspection at least once per month. Children's Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. A medical exam can be accepted if completed within the last 12 months prior to enrollment. One of the eleven children’s files reviewed had immunization dated beyond 30 days of enrollment. One of the eleven children’s files reviewed had a medical reported dated more than 12 months prior to enrollment. If a medical report and immunization report is not provided upon enrollment, set a reminder to for the due date. Reminders: A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/.To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. NCDHHS Children’s Environmental Health adopted new Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. See the training presentation, new rules and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, 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: TRINITY DAY CARE CENTER Facility ID: 7459000 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 88 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 560 Time In: 09:05 AM Time Out: 06:25 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. H. Tucker, Director, assisted me with the visit. Your program currently operates with a Notice of Compliance issued on 4/2/19. The last annual compliance visit was conducted 11/9/22. The sanitation inspection was completed 7/12/23 with a “Superior” classification. The last fire inspection was conducted 1/6/23 and your facility was approved for daytime and nighttime care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty percent as of 10/24/23 . The NC Secretary of State website was reviewed on 10/24/23 and Trinity Free Will Baptist Church and Christian School, Inc was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited each indoor and outdoor space with me. In spaces #1 and #2, children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. Children enrolled in the space #4 engaged in indoor free play with tabletop manipulatives. Children enrolled in spaces #6, #8, and #9 participated in group time, singing songs, and completing a worksheet activity. Children enrolled in spaces #3, #5, and #7 engaged in outdoor free play, playing on the stationary climbing structures and push and ride-on toys. Lunch was observed and consisted of beefaroni, peas, mixed fruit, and milk. The following violations were documented. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no record of a fire drill for May 2023. .0604(t); .0302(d)(5) 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. The laundry room containing 2 bottles of bleach, 2 bottles of All laundry detergent, and Lysol Bowl cleaner was unlocked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Vaporizing rub and Crest toothpaste were stored in an unlocked drawer of the teacher desk. 15A NCAC 18A .2820(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. There was no authorization for Baby Love Powder located in the all bathroom. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Six (6) rolls of trash bags were stored in unlocked drawers of the bathrooms used by children two years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There were no playground inspections on file for review. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 1/4/23 had a medical report on file dated 1/15/23. Staff employed on 11/23/22 did not have a medical report of file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 1/4/23 had TB test results dated 1/15/23. .0701(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. Four of fourteen staff files did not have a current First Aid certification on file for review. .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. Four of fourteen staff files did not have a current CPR certification on file for review. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 6/5/23 had a medical report on file dated 4/14/22. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 8/1/23 had an immunization reported dated 9/14/23. 10A NCAC 09 .0302(d)(2) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff employed on 6/21/22 had a Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy dated 5/17/23. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Five of fourteen staff files reviewed had Recognizing and Responding to Suspicions of Child Maltreatment training certificates dated beyond 90 days of employment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 9, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) 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: Storage of Hazardous Items- Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Regular childproofing locks do not meet this requirement. The laundry room containing bleach, laundry detergent and toilet cleaner, was unlocked during the visit. You stated a parent must have left it unlocked when putting in a car seat. Remind all staff and parents to keep the door locked at all times. When walking down the halls of your facility, randomly check the door to ensure it is locked. Medication- Administering medication requires skill, knowledge and careful attention to detail. Parents must give a caregiver/teacher written authorization to administer medication to the child. There was Baby Love Powder located in the hall bathroom, labeled with the name of a child enrolled in space #3 that did not have an authorization form. Thank you for removing the power. We discussed your current practices to receiving medications. Set aside time to review all medications and authorization forms regularly to ensure they are complete and maintained. Staff medication that can be taken at home or outside of working hours should not be in the classroom. Medications needing to be onsite must be stored in locked storage. Thank you for having the staff to removed the medication from the desk drawer. Staff Records – Maintaining accurate documentation in your center is critical in demonstrating compliance with the child care rules and to ensuring that your staff meet the requirements to provide a healthy and safe environment for the children in their care. When a new staff member begins work, a TB screener or negative TB test results and medical report must be on file on day one. The medical exam and test results cannot be older than a year from their employment date to ensure no new exposure to the disease. Staff must review and sign the facility’s Shaken Baby and Head Trauma Policy prior to providing care for children. Staff employed on 6/21/22 had a policy on file dated 5/17/23. You stated you had reviewed the policy but it was not on file upon your review, so you then reviewed the policy again with the staff. Staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 of employment. Five of fourteen staff files reviewed had completed the required training beyond 90 days of employment. You stated staff were required to complete the training and turn in their certificate and some were turned in late. Consider making the training a part of new hire orientation. Staff must complete First Aid and CPR training within 90 days of employment and prior to the expiration of the previous certification. Four staff members did not have First Aid and CPR certification on file for review. You reported you had staff complete the training, but they have had issues receiving their training certification cards. Please have staff provide their card or recertify for First Aid and CPR. Provide a copy of the certifications with your compliance letter. Plastic Bags – Plastic bags have been recognized for many years as a suffocation hazard. The U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. In child care facilities, plastic bags should be made inaccessible to children less than three years of age. Six rolls of black trash bags were stored in the drawers of two hall bathrooms. Thank you for moving those to locked storage. Prior to providing care, do sweep the facility to check for potential hazards. Fire Drill-Even though emergencies are unpredictable and unexpected, we should do our best to prepare as generally as possible. Then, when a real emergency happens, we can rely on our knowledge and training, and adjust according to the situation in front of us. Practicing what to do in an emergency before one happens can help staff and children feel more confident in their ability to handle an emergency and can help reduce stress. A drill was not recorded for May 2023. You stated it was an oversite. Fire drills are required to be conducted at least monthly to ensure that all staff and children, are aware of what actions to take in the event of a life-threatening emergency. Create reminders for drills to ensure they are completed and logged. Outdoor Inspections- The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. Since children are exploring it is very important to provide a safe environment. You stated you had not completed a playground inspection in several months and were not able to locate the inspections that had be completed. Complete and record a playground inspection at least once per month. Children's Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. A medical exam can be accepted if completed within the last 12 months prior to enrollment. One of the eleven children’s files reviewed had immunization dated beyond 30 days of enrollment. One of the eleven children’s files reviewed had a medical reported dated more than 12 months prior to enrollment. If a medical report and immunization report is not provided upon enrollment, set a reminder to for the due date. Reminders: A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/.To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. NCDHHS Children’s Environmental Health adopted new Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. See the training presentation, new rules and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, 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